Today, we will explore the realm of pelvic floor muscle weakness. Muscles, including the pelvic floor, may become weak if they are underutilized, misused, or injured. Some individuals may experience a defined turning point in their pelvic floor muscle function. For most though, this is a gradual change that occurs over time. Usually, “pelvic muscle weakness” conjures images of life after having children and the transition from “knee tucks” to “pee tucks”. And while weakness can result in urinary leakage, it can also contribute to the development of things like pelvic organ prolapse and sexual dysfunction.
Common Symptoms of Pelvic Floor Muscle Weakness:
Pelvic Organ Prolapse
Pelvic organ prolapse occurs when one of the pelvic organs (including the bladder, uterus, or rectum) descends and places additional pressure on the wall(s) of the vaginal canal. Usually, pelvic organ prolapse occurs due to multiple factors. These may include chronic downward pressure on the organs and pelvic floor muscles, or trauma to the pelvic floor muscles or their support structures. It may also result in surgical procedures in which one or more pelvic organs is removed. If the pelvic floor muscles lack enough strength or coordination to support the organs, prolapse can result. If pelvic organ prolapse is present, people may report experiencing pressure in the vaginal canal. They may also experience difficulty having complete bladder and bowel movements, or discomfort during intercourse.
Sexual Dysfunction
Pelvic floor muscle weakness can also contribute to various difficulties with sexual performance. For individuals who have vaginal canals, weakness can contribute to decreased sensation during intercourse involving penetration and may impact arousal. For individuals who have penises, erectile dysfunction may be a direct result of weakness in the pelvic floor muscles. It plays a direct role in supporting, and bringing increased blood flow to, the genitals.
While it might seem as though these muscle weakness and muscle tension are mutually exclusive, existing on opposite ends of a spectrum, this is not quite accurate. Often, tension in the pelvic floor muscles leaves them unable to perform their roles optimally. This causes them to weaken. However, the fact that tension and weakness can coexist does not mean they are treated with the same strategies and interventions.
Dealing With Pelvic Floor Muscle Weakness: To Kegel Or Not Too Kegel?
While doing something like kegels can be beneficial for pelvic floor muscle weakness, it can increase pain and other concerns associated with tension. Therefore, it is important to be evaluated by someone trained to assess these muscles before beginning any home program.
Do you think your pelvic floor may need strengthening? Before devoting time to kegels, have a pelvic therapist help you determine what your muscles need most!
Sending Strength to You and Your Pelvic Floor (If that’s what it needs!),
The Grace PT Team
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