Signs that your pelvic floor may need a workout from a urologist

April 18, 2023 0 Comments

When the pelvic floor weakens or becomes uncoordinated, you may have trouble controlling your bladder or bowels, causing you to leak urine or stool when you’re not trying to go to the bathroom (such as when you cough, sneeze, or laugh), Milhouse says. . Sex can also be painful, keeping you from orgasming from penetrative intercourse.

“I think too often our world has convinced us that these symptoms are normal or just a part of life, but painful sex is not normal,” she says. “Sneezing and losing urine after you’ve had a baby is not normal.”

You may also experience pelvic organ prolapse, Milhouse says. According to the National Institutes of Health, when the muscles and tissues of your pelvic floor aren’t strong enough to support your pelvic organs, they can sag or press on your vagina. The uterus and cervix, for example, can descend into the vagina and potentially pop out of the vaginal opening.

“It can manifest as, ‘I feel like things are falling into my vagina,'” Milhouse says. “You feel like the bullet is just going down—the organs are actually going down like a hernia through the vaginal opening.” Rectal prolapse, in which the rectum slips out of the anus, can also occur, she adds.

In men with a penis, pelvic floor weakness can also manifest as weak ejaculatory force, a sign that is more discreet, Milhouse says.

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