PELVIC FLOOR PROBLEMS IN WOMEN

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PELVIC FLOOR PROBLEMS IN WOMEN

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 (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), 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.