WHAT IS THE PELVIC FLOOR? The pelvic floor or perineum is a set of muscles and membranes that close the lower abdomen, acting as a flexible hammock to support the bladder, the internal genital apparatus (vagina and uterus) and the rectum.
Being located in the lower part of the pelvic cavity, they must be prepared to support loads.
Why is the pelvic floor weakened?
1.– Hormones. When you have hormonal alterations (menstruation, during pregnancy, postpartum, menopause etc.). That is why, during pregnancy, the problem is not only one of weight and gravity, but an important hormonal change is experienced.
The muscles feed on hormones, hence the weakening.
2.- Pregnancy and childbirth. These are the main cause of the weakening. During pregnancy, there is an increase in the weight and pressure of the organs in the pelvic floor, and then, at delivery, there is an elongation of the entire musculature, especially if the baby is large.
3.- Contraindicated postpartum exercises.
After childbirth, many women worry about their figure and begin to do abdominal exercises that can further weaken the pelvic floor. In the immediate postpartum, women should not jump, carry weight, do sports and other activities involving impacts.
4.- Sports. Some sports require jumps or impacts (basketball, athletics, tennis, aerobics, jogging etc.). These are practices that can harm the pelvic floor, and although it is demonstrated that the sport is good for your health, some precautions must be taken, especially during the postpartum period.
5.- Inheritance. It is advisable to talk to a professional if other women in your family have weakness in this area.
6.- Daily habits. There are some habits that can also weaken the pelvic floor, such as holding in urine for too long, pushing hard to empty the bladder, constipation, singing, chronic cough or smoking.
What do we do in the pelvic floor rehabilitation unit of the Policlínica Nuestra Señora del Rosario?
The pelvic floor can be strengthened, whatever the disorder.
Age is not important in the reconstruction of the pelvic floor. You do not have to resign yourself to living with the problem.