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What is Pelvic Floor Dysfunction?
Incontinence
1 in 3 people will experience urinary incontinence after having a baby, and it is estimated that 33% of women aged 41 - 64 will be incontinent.
Incontinence does not mean a full loss of control each time. It can vary from leaking every now and then when you sneeze, to a complete loss of control with no warning.
There are two ways that incontinence is brought on; when the pelvic floor is put under stress or with an urge. It is common for people to suffer with a mix of the two, rather than one exclusively.
Urge incontinence occurs when you have a sudden urge to pee, with little or no warning.
Examples of stress incontinence are:
coughing
sneezing
laughing
exercise (running, jumping, weights)
Pelvic Organ Prolapse
Prolapses occur when one or more of the pelvic organs drop down from their usual place and bulge into and sometimes out of the vagina.
Contributory factors include pregnancy, hormone changes, giving birth, heavy weightlifting, and weakening or loosening of the pelvic floor muscles.
It is estimated that 50% of all postpartum people will experience a degree of prolapse.
Common types of prolapse include:
Cystocele (bladder)
Rectocele (rectum)
Uterine (uterus)
Enterocele (small intestine)
It is not always the case that someone will suffer exclusively with one type of prolapse.
People can also be asymptomatic with their symptoms, and not necessarily be aware that they have a problem until it is more prevalent.
Diastasis Recti
During pregnancy, people will experience a degree of abdominal separation.
This is where the connective tissue (the Linea Alba), which connects your six pack muscles (the Rectus Abdominis) separates to accommodate a growing baby and uterus.
Mostly, this will heal in the weeks following birth. When the separation does not heal, problems can occur which will last years after birth took place.
Common signs of Diastasis:
Bulging, coning or doming when performing a crunch or a plank
Abdomen retains a “pregnant” look or shape
Pain in the lower back or front of pelvis
Weak core muscles that exercise does not improve
Incontinence when your pelvic floor is under pressure i.e. sneezing