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women discussing pelvic floor pre and post baby
Image courtesy of Getty Creative
As our reach expands beyond the realm of health care, we are seeing more and more articles around the internet about pelvic floor issues. Many sites that not long ago would have never posted such content are now looking into pelvic health.

A good example is this latest article on the Forbes website about strengthening your pelvic floor pre and post baby. In reasearching this article, Forbes writer Racheal Ede reached out to me for my input. Here is a brief synopsis of the article interspersed with a few notes from yours truly. A link to the full article is included below.

Heather Jeffcoat, DPT

Learn How To Strengthen The Pelvic Floor Pre And Post Baby

Tips for pregnancy and beyond

The article opens with a brief overview of the impacts of pregnancy on the pelvic floor pre and post baby:

As pregnancy progresses, and even after delivery, you may notice changes in your pelvic floor — including leaking when you cough or sneeze or pain during sex — which could be signs of weaker pelvic floor muscles. Pelvic floor muscles are often impacted by pregnancy, and childbirth puts considerable pressure on the pelvic floor and can cause issues long after delivery, which can in turn impact its functions and anatomy.

"Fortunately, you can strengthen pelvic floor muscles. Pelvic floor training can help your muscles cope with the demands of pregnancy and childbirth, and may also help the muscles restore themselves after injury.

This may not be news to regular readers of our site, but we have written many articles describing all aspects of pregnancy and pelvic floor health. Navigate here for links to pregnacy related diagnoses we treat, and here for the various treatments we offer

The article continues with lots of great background information for readers who are not familiar with the topic.

What is the pelvic floor and what does it do?

Racheal writes:

The pelvic floor is made of muscles and connective tissues that support the organs in your pelvic region, including the bladder, urethra, vagina, uterus, anus and rectum. The pelvic floor muscles form a hammock that stretches from your pubis (in front) to the spine (back), and are located between the sitting bones.

She goes on to describe the various duties of your pelvic floor muscles, including excretion, delivery, arousal, posture, and respiratory functions. This page lists all of the common pelvic floor related diagnoses we treat.

Pelvic Floor and Pregnancy

Racheal and I also discuss a number of factors that affect the pelvic floor during delivery, including:

  • Weight of the baby
  • The body's release of the hormone relaxin during delivery
  • Stretching of the Pudendal nerve
  • Complications that can weaken the muscles

Any of the above factors can contribute to a weakened or damaged pelvic floor, and may cause symptoms such as:

  • Urinary incontinence (unintentional loss of urine)
  • Fecal incontinence (unintentional loss of stool)
  • Pelvic organ prolapse (when organs in the pelvis shift from their position and bulge into the vagina)
  • Chronic pelvic pain
  • Pain during sex

Other Conditions That Can Affect the Pelvic Floor

  • Age
  • Obesity
  • Genetic predisposition
  • Surgeries

Other factors like smoking, heavy lifting, chronic constipation (which can cause straining to pass stool), and persistent coughing may also contribute to weakness of the pelvic floor.

These are just some snippets from the full article. Go here for the full article at the Forbes website which includes tips on strengthening the pelvic floor pre and post baby, and go here if you're ready to take the plunge with one of our trained physical therapists.

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Testimonial by Carolina J.

I had tried Pelvic Floor Physical Therapy before (with another PT) and I had a really bad (painful) experience. A friend of mine and fellow patient, told me about Heather, Laureen and Femina PT (née Fusion Wellness & Physical Therapy) and I decided to try again. I am so happy I did! Femina PT have, literally, changed my life. I was able to do again things I couldn't do for over 10 years!! Their bedside manners are impeccable, their knowledge and understanding make me feel comfortable to recommend this place to anyone in pain. Specially if you have Endometriosis. 100% recommended!!

-- Carolina J., 12/28/16 via Yelp!

Testimonial by S.P., Age 26

I would like to start off by thanking Heather Jeffcoat for educating me and curing me of Vaginismus. I had been married for almost three years before I was referred to Heather. I never knew about Vaginismus until almost three years into my marriage. I knew something was wrong when I went on my honeymoon and came back a Virgin. I had always imagined how magical my first night would be but boy was I wrong.

Read more: Testimonial by S.P., Age 26

Testimonial by P.M.

I was hopeful but frankly skeptical when the doctor treating me for Interstitial Cystitis recommended that I go to Heather for physical therapy. Medication and diet helped control my IC symptoms, but I had never heard of physical therapy being used to treat IC. The education and treatment I received from Heather was a revelation. She explained that the pain I experienced with IC had helped create a cycle of muscle guarding which affected the entire pelvic area. I had no idea of the amount of tension being held there. No wonder my husband and I had not been able to have sexual intercourse for years!

Read more: Testimonial by P.M.

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

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