Things You Didn’t Know Were Pelvic Floor Issues

When we hear the term pelvic floor dysfunction, most people immediately think of bladder leaks or changes after childbirth. While those are definitely common signs, the pelvic floor is involved in so much more — and its dysfunction can show up in ways that might surprise you.

The pelvic floor is a group of muscles and connective tissue that supports your bladder, bowel, uterus or prostate, and plays a key role in posture, breathing, core stability, and sexual function. So, when these muscles become weak, tight, or uncoordinated, the symptoms can extend far beyond “just leaking.”

For example, persistent low back, hip, or pelvic pain may be related to pelvic floor tension or imbalance. Since these muscles are part of your deep core system, dysfunction can refer pain to surrounding areas — even if your pelvis feels fine.

Another under-recognized symptom is pain during or after intercourse. This can stem from overactive or tight pelvic floor muscles, often caused by stress, trauma, or postural imbalances. Pain is not “normal” and you do not have to live with it — treatment is available and effective.

Do you ever feel a heaviness, pressure, or bulging sensation in your pelvic area? This could be a sign of pelvic organ prolapse — a condition where the organs shift due to reduced support. It’s more common than people realise and often very manageable with pelvic physiotherapy.

Struggling to fully empty your bladder or bowels, or feeling like you need to push or strain? That may point to a coordination issue — your muscles may not be relaxing or activating properly at the right time.

The bottom line: if something feels “off,” even if it doesn’t seem pelvic-related, your pelvic floor could be involved. These muscles are deeply connected to your overall function and quality of life.

Pelvic floor dysfunction is common but never something you have to just “deal with.” A pelvic health physiotherapist can help you understand what’s happening and guide you through a personalized plan for relief and recovery.