The pelvic floor is a group of muscles and other tissues that form a sling or hammock across the pelvis. In women, it holds the uterus, bladder, bowel, and other pelvic organs in place so that they can work properly. The pelvic floor can become weak or be injured. The main causes are pregnancy and childbirth. Other causes include being overweight, radiation treatment, surgery, and getting older.
Common symptoms include
Feeling heaviness, fullness, pulling, or aching in the vagina. It gets worse by the end of the day or during a bowel movement.
Seeing or feeling a "bulge" or "something coming out" of the vagina
Having a hard time starting to urinate or emptying the bladder completely
Having frequent urinary tract infections
Leaking urine when you cough, laugh, or exercise
Feeling an urgent or frequent need to urinate
Feeling pain while urinating
Leaking stool or having a hard time controlling gas
Being constipated
Having a hard time making it to the bathroom in time
Your health care provider diagnoses the problem with a physical exam, a pelvic exam, or special tests. Treatments include special pelvic muscle exercises called Kegel exercises. A mechanical support device called a pessary helps some women. Surgery and medicines are other treatments.
NIH: National Institute of Child Health and Human Development
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