Where Is Your Pelvic Floor? Understanding Its Anatomy and Function

The pelvic floor is a crucial yet often overlooked part of your body. Whether you’re experiencing discomfort or simply want to learn more, understanding its anatomy and how it functions is key to overall health and well-being.


What is the Pelvic Floor?

The pelvic floor is a group of muscles, ligaments, and connective tissues that form a hammock at the base of your pelvis. These muscles provide support for your:

  • Bladder

  • Uterus (in women)

  • Rectum

They play an integral role in several essential bodily functions.


Why is the Pelvic Floor Important?

A healthy pelvic floor is vital for:

  • Bladder and Bowel Control: Managing urination and bowel movements.

  • Core Stability: Working with your abdominal and back muscles for balance.

  • Sexual Health: Contributing to sexual sensation and function.

  • Pregnancy and Postpartum Support: Supporting organs during pregnancy and aiding in recovery post-childbirth.

  • Circulation: Contributes to lymphatic drainage, removing excess water from the lower body

 

Signs Your Pelvic Floor Might Not Be Functioning Optimally

Issues with the pelvic floor can result from muscles being too weak or too tight, leading to a range of symptoms:


Weak Pelvic Floor:

  • Incontinence: Leaking urine or stool during activities like laughing, coughing, or exercising.

  • Prolapse: A feeling of heaviness or pressure, as if organs are shifting downward.

  • Lower Back or Hip Pain: Instability may affect surrounding muscles.

Overactive (Too Tight) Pelvic Floor:

  • Pelvic Pain: Chronic discomfort, including pain during sex.

  • Incomplete Emptying: Difficulty fully emptying the bladder or bowels.

  • Painful Sex or Periods: Often related to excess tension in the pelvic muscles.

 

How to Check If Your Pelvic Floor is Healthy

Here are some ways to assess pelvic floor health:

  1. Muscle Awareness:

    • Try to gently contract your pelvic floor muscles (as if stopping urine flow) and then fully relax them. You should be able to do both with ease.

  2. Symptom Tracking:

    • Notice any signs like incontinence, pelvic heaviness, or pain during everyday activities or intimacy.

  3. Learn about how to do a Pelvic Floor Self Exam with Women’s Health Physio Cindy Chau

  4. Consult a Professional:

    • Self-checks can be helpful, but a pelvic health physiotherapist offers a comprehensive assessment. They can evaluate whether your pelvic floor is overactive or underactive and recommend personalised care.

 

It's Not Just About Kegels

Kegel exercises are often touted as the go-to for pelvic floor health, but they’re not a one-size-fits-all solution. For some, strengthening through Kegels may help, while for others with an overactive pelvic floor, these exercises could worsen symptoms. The best approach depends on your individual needs, which is why professional guidance is essential.


The pelvic floor is a cornerstone of your health, affecting everything from bladder control to sexual function. Understanding its importance and seeking professional help when needed can prevent long-term issues and enhance your quality of life. If you’re unsure about your pelvic floor’s condition or are experiencing symptoms, we’re here to help. Book a session with a Women’s Health physiotherapist specialising in pelvic health for a tailored assessment and treatment plan.

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