5 Signs Your Pelvic Floor Might Need Support

Sangeeta Sharda
Sep 26
3 min read

Your pelvic floor works quietly in the background every day supporting your bladder, bowel, and reproductive organs, helping with posture, and even contributing to sexual function. But when this group of muscles isn’t functioning well, it can lead to some frustrating and sometimes embarrassing symptoms. We see many people who didn’t realise their symptoms were linked to their pelvic floor. Let’s break down five common signs of pelvic floor dysfunction and how seeking support could make a real difference to your quality of life.

1️⃣ You’re Leaking Urine (Even a Little Bit)

Leaking when you cough, sneeze, laugh, or exercise isn’t just “part of ageing” or something to accept after childbirth. It’s a common symptom of pelvic floor dysfunction. This type of leakage is called stress urinary incontinence, and it usually means your pelvic floor muscles aren’t providing enough support to your bladder or urethra.

Good to know: Pelvic floor physiotherapy can help strengthen and coordinate these muscles to reduce or eliminate leaking often without surgery.

2️⃣ You’re Going to the Toilet More Often Than Usual

Do you feel the urge to urinate every few minutes or every hour or two? Or do you wake up multiple times during the night to go?

Frequent urination, or the feeling of not emptying your bladder completely, may be a sign of overactive pelvic floor muscles or bladder habits that need retraining.

💡 Pelvic health physios can help you understand what’s driving these urges and teach techniques to calm the bladder and restore normal patterns.

3️⃣ You feel Heaviness in your Pelvis or a feeling of a Bulge around the Entrance of your Vagina

A sensation of dragging, pressure, or bulging in the vaginal area can indicate a

pelvic organ prolapse where one or more pelvic organs shift from their usual position and descend down in the vagina, sometimes may also sit out of the vagina.

This is more common after childbirth, menopause, or with heavy lifting.

👉 A pelvic floor assessment can identify the type and stage of prolapse and provide you with individualised treatment options, such as exercises, pessary fitting, and lifestyle advice to prevent progression.

4️⃣ You Experience Pelvic Pain or Discomfort During Sex

Pain with intercourse (known as dyspareunia), pelvic cramping, or a constant aching in the lower abdomen may be linked to tight, tense, or overactive pelvic floor muscles.

Many people live with this pain in silence, thinking it’s “just the way their body works” but it’s not something you have to put up with.

🌿 At Praxis Rehab Physiotherapy, we use gentle manual therapy, breath work, and relaxation strategies to help your muscles let go off the tension and improve comfort.

5️⃣ You Struggle with Bowel Movements or Constipation

Constipation, straining, or feeling like you can’t fully empty your bowels may relate to poor coordination or dysfunction in the pelvic floor.

When these muscles don’t relax properly, it can affect how efficiently your body eliminates waste leading to discomfort and frustration.

🧠 Pelvic health physios can teach you the correct toileting posture, breathing techniques, pelvic floor exercises and also discuss stool modification products to support natural, regular bowel function.

Don’t Ignore the Signs Listen to Your Body

If any of these symptoms sound familiar, you’re not alone and help is available. Pelvic floor dysfunction is extremely common, but it’s also highly treatable with the right support.

At Praxis Rehab, we offer evidence-based pelvic floor physiotherapy in Belair that puts your comfort, goals, and autonomy first.

If you’re experiencing leaks, frequent urges, or poor sleep due to your bladder, book in to see us at Praxis Rehab Physiotherapy today. With warm, expert care and proven methods, our women’s pelvic floor physio, Sangeeta Sharda, is available at Belair clinic to support you.