PELVIC FLOOR PROBLEMS

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PELVIC FLOOR PROBLEMS

Pelvic Floor disorders occur due to weakness or tension caused by the muscles in this area. Muscle weakness or muscle spasms that can happen after excessive activities can occur as an outcome of pelvic floor disorders. In some cases, functional losses can occur in the lumbar region, coccyx, and hip joint. People who have pelvic floor disorders can have some restrictions to participate in daily life and restrictions on their daily routines.

Prolonged pelvic floor problems cause social isolation in individuals. At the same time, it can have negative effects on that person’s psychosocial life and it can reduce the quality of life of individuals.

What are the common problems?
While many urogynecology diseases may cause loss of function in the pelvic floor muscles, loss of function in the pelvic floor muscles can cause many ailments too.

Urinary Incontinence : Involuntary incontinence is one of the most common problems due to dysfunction in the pelvic floor.

  • Stress incontinence : It is the most common type of urinary incontinence and occurs during physical activities such as coughing, laughing, sneezing, and jumping.
  • Overactive bladder (urge incontinence) : It appears with a sudden urge to urinate then being unable to reach the toilet. 
  • Mixed incontinence : It occurs as a combination of stress and urges incontinence.

Pelvic Organ Prolapse (prolapsus) : The pelvic organs (bladder, uterus, and intestine) located inside the pelvis may slip down from their normal position due to the weakness of the tissues supporting them. Prolapse of the bladder is called cystocele, prolapse of the urinary canal is called urethrocele, prolapse of the small intestine is called enterocele, and prolapse of the large intestine is called a rectocele.

Pelvic Pain : Pelvic inflammatory diseases, especially like chocolate cyst (endometriosis) and chronic prostatitis, infections, post-operative adhesions, circulation problems in the vessels feeding the pelvic area may cause pain in the lower abdomen. With the lower abdomen pain, muscle structures in this region goes under spasms, that may cause difficulty in performing their functions.

Fecal and Gas Incontinence : Dysfunctions in the pelvic floor, muscles can cause involuntary fecal (bowel) and gas incontinence.

Bowel Obstruction (Constipation) : Excessive muscle activation in the pelvic floor muscles is one of the conditions that prevent the muscles from relaxing and healthy stool.

Bladder Pain Syndrome (Interstitial Cystitis) : It is considered only as a problem with the bladder, however, interstitial cystitis can occur due to excessive activation of the pelvic floor.

Anorgasmia - Disorgasmia : It is problem of not having an orgasm or reaching the orgasm harder than normal due to dysfunction in pelvic floor muscles in women.

Dyspareunia : Permanent pain experienced during intercourse. Dyspareunia may occur dependently excessive activation of the pelvic floor muscles.

Vaginismus : It is a problem caused by spasm during sexual intercourse or against any external stimulus such as tampons and speculum, in the muscles around the vagina. It may occur due to excessive activation of the pelvic floor muscles and together with the effect of psychological factors.

Erectile Dysfunction, Impotence : It is a situation in which adequate erection cannot be achieved or the erection terminates early to provide sexual intercourse. It may occur due to weakness of the pelvic floor muscles.

Pre-ejaculation (Premature Ejaculation) : Pre-ejaculation is a situation where sexual intercourse ends in a very short time and ejaculation cannot be controlled. It can may occur due to weakness of the pelvic floor muscles.

Late Ejaculation : This is a situation where ejaculation happens late and partial or does not happen at all during sexual intercourse. It occurs due to excessive activation activity of the pelvic floor muscles. It can develop due to the excessive activity of the pelvic floor muscles.