What are the causes of pelvic floor issues?

What causes pelvic floor issues?
What causes pelvic floor issues?

What causes pelvic floor issues is a common question we get as Women’s Health Physical Therapists.

Pelvic floor issues can arise from a variety of factors and causes, including:

  1. Childbirth: Pregnancy and childbirth, especially vaginal delivery, can strain and weaken the pelvic floor muscles, leading to issues like pelvic organ prolapse and urinary incontinence.
  2. Aging: The natural aging process can contribute to a weakening of pelvic floor muscles and increased risk of pelvic floor disorders.
  3. Hormonal Changes: Hormonal fluctuations, such as those that occur during menopause, can affect pelvic tissue and muscle tone.
  4. Obesity: Excess body weight can put added pressure on the pelvic floor, increasing the risk of issues like stress incontinence and pelvic organ prolapse.
  5. Chronic Constipation: Straining during bowel movements due to chronic constipation can weaken pelvic floor muscles over time.
  6. Chronic Coughing: Conditions like chronic obstructive pulmonary disease (COPD) can lead to frequent coughing, which can strain the pelvic floor.
  7. High-Impact Activities: Repeated high-impact activities, such as heavy lifting or intense exercise, can put stress on the pelvic floor and contribute to issues.
  8. Genetics: Some individuals may have a genetic predisposition to pelvic floor disorders.
  9. Pelvic Surgery: Certain surgical procedures, including pelvic surgeries like hysterectomy, can affect pelvic floor function.
  10. Neurological Conditions: Conditions that affect nerve function, such as multiple sclerosis or spinal cord injuries, can impact pelvic floor control.
  11. Chronic Pelvic Inflammation: Inflammatory conditions, infections, or injuries can lead to pelvic floor dysfunction and pain.
  12. Structural Abnormalities: Congenital or acquired structural abnormalities in the pelvic region can contribute to pelvic floor issues.
  13. Hormone Replacement Therapy (HRT): The use of HRT in postmenopausal women can influence pelvic floor health.
  14. Psychological Factors: Stress, anxiety, and other psychological factors can contribute to pelvic floor tension and dysfunction.
  15. Poor Posture and Alignment: Maintaining good posture and alignment is essential for pelvic floor health, as poor posture can contribute to muscle imbalances.


It’s important to note that multiple factors can interact, and each individual’s experience with pelvic floor issues may vary.

If you’re experiencing symptoms related to your pelvic floor, consulting a healthcare provider, such as a urologist, gynecologist, or pelvic floor physical therapist, is recommended.

They can provide a proper diagnosis and develop a personalized treatment plan to address the underlying causes and improve pelvic floor health.

Treatment options for pelvic floor therapy

Pelvic floor physical therapy is valuable for both men and women who experience pelvic floor issues, such as incontinence, pelvic pain, and sexual dysfunction. It can significantly improve quality of life and help individuals regain control and confidence in their pelvic health.

At PhysioFit of NC, we have the expert team in pelvic floor physical therapy to help you to the fullest.

We provide a comprehensive treatment approach through our Women’s Health Program.  This includes manual therapy and exercises to improve conditions related to the pelvic floor muscles.

Don’t hesitate to contact us today so we can help you!