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Writer's pictureTolu Adeleke

Pelvic Floor Health: Why It Matters and How to Strengthen It



Pelvic floor health is an essential yet often overlooked aspect of overall well-being, particularly for women. This group of muscles, ligaments, and tissues forms a supportive hammock at the base of the pelvis, playing a crucial role in bladder and bowel control, sexual function, and even core stability. For women, pelvic floor health becomes even more significant during and after pregnancy. 


Recognizing the significance of pelvic floor health and acquiring the skills to strengthen these muscles can result in a healthier and more empowered life.


The Importance of Pelvic Floor Health

The pelvic floor is composed of several muscles that work together to provide support for the pelvic organs, including the bladder, uterus, and rectum. When these muscles are strong and functioning well, they help prevent issues such as incontinence, pelvic organ prolapse, and sexual dysfunction. Conversely, weakened pelvic floor muscles can lead to problems that significantly impact a woman's quality of life.


During pregnancy, the pelvic floor experiences significant changes. As the baby grows, the added weight puts pressure on the pelvic organs, stretching and straining the pelvic floor muscles. Furthermore, hormonal changes can soften these muscles, making them more vulnerable to injury. Strengthening the pelvic floor before, during, and after pregnancy is vital for supporting the body through these changes.


Common Misconceptions About Pelvic Floor Health

Despite the importance of pelvic floor health, several misconceptions can hinder awareness and proper care:


1. Only Women Need to Worry About It.

While pelvic floor health is often associated with women, men can also experience pelvic floor dysfunction, which may lead to issues such as incontinence and sexual dysfunction.


2. Kegel Exercises Are Enough.

Kegel exercises are a great way to strengthen the pelvic floor, but they are not the only solution. A comprehensive approach that includes other forms of exercise and lifestyle modifications is essential.


3. Pelvic Floor Issues Are a Normal Part of Aging.

While some pelvic floor issues may become more common with age, they are not an inevitable part of the aging process. Many issues can be prevented or treated.


4. You Should Only Do Kegels When Pregnant or After Childbirth.

Kegel exercises should be integrated into daily life regardless of pregnancy status; women of all ages can benefit from strengthening these muscles.


5. You Can’t Strengthen the Pelvic Floor.

Many believe that once weakened, pelvic floor muscles cannot be strengthened again. However, consistent exercise can lead to significant improvements.


6. Incontinence Is Just Something You Have to Live With.

Many people think urinary incontinence is a normal condition that comes with age or childbirth. It can often be improved or resolved through pelvic floor exercises and other treatments.


7. Pelvic Floor Health Is Only About Muscle Strength.

While strength is important, pelvic floor health also involves flexibility, coordination, and endurance. A well-rounded approach is crucial.


8. You Should Feel Pain When Doing Kegels.

Properly performed Kegels should not cause discomfort. If there is pain, it may indicate a need for a different approach or professional guidance.


9. It's Embarrassing to Discuss Pelvic Floor Health.

Many people feel embarrassed to talk about pelvic floor issues, but these are common health concerns that deserve open discussion.


10. You Don't Need to See a Professional. While self-exercises are beneficial, consulting a pelvic floor therapist can provide personalized guidance and treatment.


Kegel Exercises: A Key Component

One of the well-known methods for strengthening the pelvic floor is Kegel exercises. Named after Dr. Arnold Kegel, who developed them in the 1940s, these exercises involve contracting and relaxing the pelvic floor muscles. They are simple to do and can be performed anywhere, making them an accessible option for many individuals.


To perform Kegels correctly, follow these four steps:


1. Identify the Right Muscles.

Locate your pelvic floor muscles by trying to stop urinating mid-flow. The muscles used for this action are your pelvic floor muscles. 


2. Contract the Muscles.

Contract the identified muscles and hold for about five seconds. Breathe normally and avoid tightening your abdomen, thighs, or buttocks.


3. Relax and Repeat.

After holding the contraction, relax the muscles for five seconds. Aim for a set of 10 repetitions, gradually increasing the duration of the contractions and relaxing as you gain strength.


4. Consistency is Key.

Aim to do Kegel exercises at least three times a day. Regular practice can lead to significant improvements in pelvic floor strength.


Benefits of Strengthening the Pelvic Floor


1.Support During Pregnancy. A strong pelvic floor can help support the weight of the growing baby, reducing the risk of pain and discomfort. It can also contribute to easier labour and delivery.


2. Postpartum Recovery. 

After childbirth, the pelvic floor muscles can be weakened or stretched. Strengthening these muscles can aid recovery, decrease the risk of incontinence, and improve sexual function.


3. Preventing Incontinence.

Regular Kegel exercises can help prevent urinary incontinence by reinforcing the muscles that support the bladder.


4. Improved Sexual Function.

A strong pelvic floor can enhance sexual pleasure and increase the chances of a satisfying sexual experience.


5. Better Core Stability.

The pelvic floor is part of the core musculature (the system of muscles in the body that work together to enable movement and support various functions). Strengthening it can lead to improved overall core stability and lower back support, which is beneficial for posture and overall health.


Additional Strategies for Pelvic Floor Health


  • While Kegel exercises are a fantastic starting point, other strategies can also contribute to pelvic floor health:

  • Maintain a Healthy Weight. Excess weight can put additional pressure on the pelvic floor.

  • Stay Active. Incorporate exercises that promote overall strength and flexibility, such as yoga or Pilates.

  • Avoid Heavy Lifting. Use proper techniques to avoid straining your pelvic floor.

  • Mind Your Posture. Good posture can help maintain pelvic alignment and support muscle function.


Pelvic floor health is a critical component of women's health, especially during and after pregnancy. By understanding the importance of these muscles and committing to regular strengthening exercises like Kegels, women can enhance their quality of life and prevent a range of issues related to pelvic floor weakness. Addressing misconceptions can empower individuals to take proactive steps in maintaining pelvic floor health. Prioritizing pelvic health is not just about avoiding problems; it's about embracing a holistic approach to health and well-being. So, take a moment to check in with your pelvic floor today, your body will thank you for it!


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