Pelvic floor health plays a critical role in overall wellness, yet it’s a topic many women hesitate to discuss.
On a recent episode of the FirstHealth and Wellness Podcast, we spoke with Shannon Smith, WHNP, about what pelvic floor health is, how dysfunction shows up and what women can do about it.
What is pelvic floor health, and why is it important?
Shannon Smith, WHNP: Pelvic floor health refers to how well your muscles, ligaments and connective tissues support your bladder, uterus and bowels. When everything is functioning properly, these organs are supported and working as they should. If one part isn’t working well, it can significantly impact quality of life, affecting bladder control, bowel function and even sexual health.
Are pelvic floor issues normal as women age?
Pelvic floor symptoms are common, but that doesn’t mean they’re something women have to live with. Many patients believe urinary leakage or prolapse is “just part of life” because a family member experienced it. While these conditions are common, they are not normal, and effective treatments are available.
What symptoms may indicate pelvic floor dysfunction?
Pelvic floor dysfunction can present in many ways, including:
- A sensation of pressure or feeling like you're “sitting on a ball”
- A vaginal bulge that can sometimes be seen or felt
- Urinary leakage when coughing, laughing, sneezing, or exercising
- Urinary urgency or frequent trips to the bathroom
- Fecal incontinence
- Pain with intercourse
If any of these symptoms affect daily life, it’s important to speak with your health care provider.
How do pregnancy and childbirth affect the pelvic floor?
Pregnancy and childbirth, especially vaginal delivery. can stretch and weaken the pelvic floor muscles.
While some symptoms improve over time postpartum, others may linger. When symptoms persist, evaluation by a women’s health specialist is important. Pelvic floor physical therapy is strongly recommended for anyone who has given birth to assess and strengthen these muscles.
Why is pelvic floor health still considered taboo?
Cultural discomfort, especially around anatomy and sexual health, has made it harder for women to openly discuss pelvic floor issues.
Normalizing these conversations, whether with friends or health care providers, helps women realize they’re not alone and that solutions exist.
What treatment options are available for pelvic floor dysfunction?
Treatment depends on symptoms and severity. Options include:
- Pelvic floor physical therapy
- Pessaries for pelvic organ support
- Bladder Botox injections
- Lifestyle and behavioral changes
- Minimally invasive surgical procedures, such as midurethral slings
In some cases, if symptoms aren’t bothersome, treatment may not be necessary at all. Care decisions are always individualized.
How effective are treatments for pelvic floor issues?
Patients often describe treatments as life-changing. A common reflection is wishing they had sought help sooner, once they learn that their symptoms weren’t something they had to tolerate.
What’s one piece of pelvic floor health advice every woman should know?
Know your body. Being familiar with your anatomy makes it easier to recognize changes early and advocate for your health.
To learn more about pelvic floor care and urogynecology services, visit FirstHealth.org/Urogynecology
