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What Causes Weak Pelvic Floor?

What Causes Weak Pelvic Floor?

Imagine yourself at a friend's party; you are laughing at a joke and suddenly feel a small leak. Embarrassed, you excuse yourself to the restroom. This unfortunate event could be a result of a weak pelvic floor. But what exactly causes a weak pelvic floor?

Understanding the causes and risk factors of weak pelvic floor muscles can help you take preventive measures and seek appropriate treatment. In this blog post, we'll explore the common causes of weak pelvic floor muscles, the importance of pelvic floor therapy, and how you can take control of your pelvic health.

The pelvic floor is a group of muscles that support organs such as the bladder, uterus, and rectum. These muscles also play a critical role in controlling bowel and bladder function, sexual performance, and maintaining core stability. A weak pelvic floor can cause various issues, including urinary incontinence, fecal incontinence, pelvic organ prolapse, and sexual dysfunction.

What are the common causes of a weak pelvic floor?

Pregnancy and childbirth

The growing baby during pregnancy puts increased pressure on the pelvic floor muscles, causing them to stretch and weaken. Vaginal childbirth can further damage the pelvic floor muscles and connective tissues, leading to potential long-term issues if not properly addressed.


Aging naturally causes the pelvic floor muscles and connective tissues to lose their strength and elasticity. As a result, you may experience involuntary leakage of urine (incontinence) or a decrease in sexual satisfaction.


Carrying excess body weight can place additional strain on the pelvic floor muscles, causing them to weaken over time.

Heavy lifting or straining

Regularly lifting heavy objects or straining during bowel movements can weaken the pelvic floor muscles in the long run.


Removal of the uterus (hysterectomy) may alter the pelvic floor's support structure, leading to weakness.


Hormonal changes during menopause, such as a decrease in estrogen levels, can cause a weakening of the pelvic floor muscles.

Chronic cough

A chronic cough, often due to conditions such as asthma, can put excessive strain on the pelvic floor muscles, leading to weakness.

High-impact exercise

Activities and exercises involving repetitive jumping and landing, such as running or jumping rope, can put stress on the pelvic floor muscles and cause them to weaken.

What Causes Weak Pelvic Floor Example

Let's consider the example of Laura, who recently gave birth to her first child. During pregnancy, her body went through significant changes, including the stretching of her pelvic floor muscles as her baby grew. After delivery, her weakened pelvic muscles led to occasional urine leaks, especially when she laughed or coughed. Upon her physician's recommendation, Laura started pelvic floor therapy and exercises, which helped her regain strength, support her pelvic organs, and control bladder function better.

Understanding the causes of weak pelvic floor muscles is essential to take charge of your pelvic health. By identifying the risk factors and engaging in appropriate preventive measures, you can keep your pelvic floor muscles strong and functional. If you are currently dealing with pelvic floor muscle weakness, remember that it is never too late to start pelvic floor therapy. Seek professional guidance, and incorporate specific exercises into your daily routine to achieve optimal pelvic health.

Pelvic Floor Therapy is here to empower and support you on your journey towards a healthy pelvic floor. Share this post with friends in need and explore our other informative and engaging guides on pelvic floor therapy and beyond.


About Annie Starling

Annie Starling, MD, is a respected authority in gynaecology and women's health with over 15 years of enriching experience. Her expansive knowledge and compassionate approach have been instrumental in transforming countless lives. Alongside her medical career, Annie has an impressive acting background, bringing a unique blend of expertise and empathetic communication to her work. She's not just a doctor; she's an educator, an advocate, and a trailblazer, deeply committed to empowering women through health education. Her blog posts reflect her passion for the field, offering a wealth of insights drawn from her vast professional experience. Trust Annie to guide you on your journey to better pelvic health.

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