How Do You Test For Pelvic Floor Dysfunction?

Pelvic floor dysfunction is a common yet often undiscussed issue that affects both men and women. It can cause a range of uncomfortable symptoms, including urinary incontinence, constipation, and pain during intercourse. But how can you determine if you're suffering from pelvic floor dysfunction, and what can be done about it? In this article, we will cover various testing methods, how this condition is diagnosed, and treatment options available. Read on to learn more, and be sure to share this valuable information with friends and family who might also benefit from understanding pelvic floor dysfunction.

Testing for pelvic floor dysfunction involves an in-depth assessment of your symptoms, medical history, and a physical examination. Here are the primary methods professionals use to diagnose this issue:

1. Patient History and Symptom Review

Your healthcare provider will ask you about your symptoms, medical history, and any previous pelvic surgeries or related conditions. This information will help them understand your risk factors and identify any potential contributing factors to your pelvic floor dysfunction.

2. Physical Examination

A physical exam is vital for determining the strength and function of your pelvic floor muscles. This will typically involve a manual exam performed by your healthcare provider to evaluate your pelvic floor muscle control and assess for any signs of prolapse or other abnormalities.

3. Pelvic Floor Muscle Testing

There are two primary testing methods:

a. Manual Muscle Testing (MMT): A trained healthcare professional assesses pelvic floor muscle strength during a digital rectal or vaginal examination. The examiner measures the force of muscle contractions and evaluates the strength on a grading scale.

b. Surface Electromyography (sEMG): This non-invasive test measures the electrical activity of your pelvic floor muscles during contractions. It involves placing electrodes on the skin around the pelvic area, or internally through a small probe inserted into the vagina or rectum. The electrical activity is recorded and analyzed, giving valuable information about muscle function and coordination.

4. Imaging Studies: Depending on the complexity of the case, your healthcare provider may recommend additional tests to visualize the pelvic floor structures. Some common imaging studies include ultrasound, magnetic resonance imaging (MRI), or X-rays.

How Do You Test For Pelvic Floor Dysfunction Example: Jane's Diagnosis

Jane, a 35-year-old mother of two, had been experiencing recurrent urinary incontinence and constipation. She visited her doctor, who took a detailed history of her symptoms and concerns. The doctor then performed a physical examination, which included a manual muscle test to evaluate her pelvic floor muscle strength. Jane's doctor also recommended an sEMG test to better understand her muscle function and coordination. The results indicated that Jane had weakened pelvic floor muscles, and she was diagnosed with pelvic floor dysfunction.

Dealing with pelvic floor dysfunction can be challenging, but there are various treatment options available to help you regain strength and control. These include:

1. Pelvic Floor Physical Therapy: Working with a specialized physical therapist can help you learn how to effectively strengthen and relax your pelvic floor muscles through targeted exercises and stretches.

2. Biofeedback: This technique can be used in conjunction with physical therapy to provide real-time feedback about your muscle activation and coordination, helping you learn how to control your pelvic floor muscles more effectively.

3. Medications: In some cases, medications may be prescribed to help manage pain or other symptoms associated with pelvic floor dysfunction.

4. Lifestyle Changes: Implementing lifestyle changes, such as maintaining a healthy weight, practicing good bathroom habits, or incorporating relaxation techniques, can help improve pelvic floor muscle function and alleviate symptoms.

5. Surgery: In severe cases or when other treatments have been unsuccessful, surgery may be considered.

Pelvic floor dysfunction may be a sensitive topic, but it's essential to openly discuss it with your healthcare provider to receive the necessary evaluation and treatment. If you found this article helpful, please share it with others who might be struggling with pelvic floor dysfunction and encourage them to explore the wealth of resources available at Pelvic Floor Therapy.