What is the pelvic floor?
The pelvic floor is a network of ligaments and muscles at the base of your pelvis that supports the internal organs above. Using the pelvic floor muscles enables you to control your bowel movements and urination, and improves the experience of sexual intercourse.
If the pelvic floor muscles are weak, it can cause you difficulty controlling urination, and in time, the weakened muscles fail to support your internal organs. If the pelvic floor muscles collapse, it causes prolapse of one or more organs, including:
- Bladder
- Urethra
- Small intestine
- Rectum
- Uterus
- Vagina
Pelvic floor disorders are normally caused by a weakening or tearing of the pelvic floor muscles and ligaments, typically brought on by:
- Pregnancy
- Childbirth
- Obesity
- Nerve damage
- Traumatic pelvic injuries
Pelvic floor problems can sometimes occur as a result of previous surgeries.
What are the symptoms of pelvic floor disorders?
You may experience symptoms that include:
- Incontinence (urinary and fecal)
- Painful urination
- Urgent need to urinate
- Uncomfortable intercourse
- A feeling of pressure in the pelvic region
You may also feel pain in your lower back, pelvic area, or genital region.
How are pelvic floor disorders diagnosed?
Dr. Vinokur starts by thoroughly reviewing your medical notes and listening to your description of the symptoms you’ve experienced. She then carries out a physical exam to check for signs of prolapse or internal muscle weakness. Dr. Vinokur inserts a speculum to open up your vagina so she can see your cervix and uterus, and may ask you to cough or bear down to assess the strength of your pelvic floor muscles. She may need to check your bladder if incontinence is an issue, viewing the inside of the bladder using a cystoscope or urethroscope.
How does pelvic floor therapy help?
Pelvic floor therapy is one of the most effective ways to strengthen pelvic floor muscles and regain control. Dr. Vinokur advises you on the most appropriate course of treatment after your examination.
Pelvic floor exercises, or Kegel exercises, are an effective way to keep pelvic floor muscles strong. They’re beneficial for all women. Biofeedback devices and electrical stimulation are also valuable in treating pelvic floor problems.
To learn more about pelvic floor therapy, contact Dr. Vinokur. She has more than 20 years of experience helping women overcome this condition. Call North Fulton OB-GYN today, or book an appointment online.
