Pelvic floor physiotherapists help women rehabilitate their pelvic floor muscles. These muscles can be weakened by childbirth, surgery, heavy lifting, being overweight, constipation or menopause. The pelvic floor muscles support the womb (uterus), bladder and bowel (colon), forming a 'sling' from the pubic bone at the front to the tailbone at the back. If the muscles are weak, this can affect bladder and bowel control, resulting in incontinence (leakage) or prolapse.

 

For other women, their pelvic floor muscles may be overactive; that is, they can switch on involuntarily when they should be relaxing. These women need to learn to release their muscles. Overactivity can cause difficulty with having sex, emptying the bladder or bowels or using tampons.