Weakened pelvic floor: signs that many women overlook.

There are  many factors that can affect the strength of the pelvic floor.  One of the main ones is  pregnancy and childbirth,  especially if it was vaginal delivery.

Another factor is natural aging, which results in menopause and a decrease in estrogen, causing weakness of the pelvic floor.

Other factors such as obesity, chronic constipation and repetitive straining during bowel movements, chronic cough, frequent lifting of heavy loads, pelvic surgeries, and even a genetic predisposition may also be involved.

Not all women will develop problems, as anatomy, connective tissue quality, and lifestyle also play a role.

Signs that many women overlook

1. Small losses of urine
One of the first signs may be the loss of a few drops of urine when coughing, sneezing, laughing, running or lifting weight.

Many women consider this an inevitable consequence of having children or getting older, but it should not be normalized.

2. Sensation of heaviness in the pelvis
Some women describe a feeling of pressure, heaviness or “something dropping” towards the lower part of the pelvis, especially at the end of the day or after standing for a long time.

3. Difficulty holding urine
The urgent need to go to the bathroom or the feeling of not being able to hold urine can also be related to pelvic floor disorders, although there are other causes that should be evaluated by a professional.

4. Persistent lower back pain.
The pelvic floor works in conjunction with the abdominal and back muscles to stabilize the torso. When any of these muscle groups are not functioning correctly, lower back pain can occur in some people.

5. Sensation of incomplete emptying
Some women perceive that the bladder or bowel does not empty completely, which warrants a medical evaluation to identify the cause.

6. Changes after pregnancy
After pregnancy and childbirth, it’s normal for the pelvic floor to need time to recover. However, if symptoms persist for months, it’s advisable to consult a specialist.

Can it be prevented?

It is not always possible to prevent weakening of the pelvic floor, but there are habits that can help keep it healthy, the main one being maintaining a healthy weight.

Also, avoid constipation through a high-fiber diet and sufficient hydration, treat chronic cough when present, learn correct techniques for lifting heavy objects, and exercise regularly.

It’s important to remember that not all exercises are suitable for everyone, so individualized guidance can make all the difference.