Understanding Your Pelvic Floor: What It is and Why It Matters

When it comes to women’s health, the pelvic floor is often overlooked – yet it is one of your body’s most important muscle groups. Whether you are pregnant, recovering from childbirth, navigating menopause, or simply looking to improve your quality of life, understanding your pelvic floor can make a world of difference. Let’s explore the pelvic floor, why it matters, and how you can keep it strong and healthy.

What is the pelvic floor?  

Picture a hammock of muscles stretching across the base of your pelvis. This is your pelvic floor, a remarkable structure that:

• Supports your bladder, uterus, and bowel
• Helps with bladder and bowel function
• Improves sexual function
• Helps stabilise your spine and pelvis for everyday movements

Think of it as the invisible hero of your core – working behind the scenes to keep everything in check. The pelvic floor muscles play a vital role in your overall health and well-being.

What can weaken the pelvic floor?  

Our bodies constantly change, and so does your pelvic floor. Here are some common culprits:

• Pregnancy and childbirth: Carrying and delivering a baby can put a lot of strain on these muscles.
• Ageing and menopause: Hormonal changes and natural muscle weakening often come with age.
• Chronic straining: Frequent constipation and straining can put extra pressure on the pelvic floor.
• Obesity: Extra weight means extra strain on these vital muscles.

How do you know if there is an issue?  

Pelvic floor dysfunction is not always obvious, but there are clear signs to watch for:

• Leaking urine when you cough, sneeze, or exercise (stress incontinence).
• A constant urge to use the bathroom or difficulty emptying your bladder.
• Pain during sex.
• A heavy, dragging feeling in your pelvis.
• Trouble with bowel movements, like straining and constipation.
• Pain within the pelvis or lower back.

These symptoms are not just inconvenient – they can impact your confidence, relationships, and daily life. The good news? Help is available.

Why your pelvic floor matters  

Your pelvic floor does more than keeping embarrassing leaks at bay. It is a cornerstone of your overall health and well-being. Here is how:

• Bladder and bowel control: A strong pelvic floor keeps you continent.
• Core stability: It helps your body with posture and movement.
• Better intimacy: A healthy pelvic floor improves sexual function and reduces discomfort.
• Confidence and freedom: Addressing pelvic issues lets you live life fully and fearlessly.

How can women’s health physiotherapy help?  

This is where specialised care makes all the difference. A physiotherapist trained in women’s health can:

• Guide you through tailored pelvic floor exercises. (For some, Kegels will be great, for others, it will make symptoms worse. A personalised assessment and approach is key).
• Help you to learn which muscles to activate and when.
• Offer manual therapy to relieve tension, pain, or scar tissue issues.
• Provide practical advice on bladder habits, posture, and reducing strain during daily activities.

Do not suffer in silence  

If you are struggling with pelvic floor issues, know that you are not alone. Many women endure these challenges quietly, thinking they are just part of life. But with the right help, you can reclaim control and confidence.

At Hein Viljoen Physiotherapy, we are passionate about women’s health physiotherapy. Let us help you prioritise your pelvic health – because you deserve to feel strong, supported, and empowered.