Stress Urinary Incontinence: The involuntary loss of urine with an increase in intra-abdominal pressure. You may leak when you laugh, cough, sneeze, or with physical activity (jumping, running, walking).
Urge Urinary Incontinence: The involuntary loss of urine following a strong urge to urinate that cannot be controlled.
Mixed Urinary Incontinence: A combination of stress incontinence and urge incontinence. It is very common to have mixed incontinence as opposed to pure stress or pure urge incontinence.
Overactive Bladder: Frequent urination, more than 5-8 times per day.
Urinary Hesitancy/Dyssynergia: Difficulty initiating either urine stream or bowel movement. This can be a result of poor pelvic floor muscle coordination.
Constipation: When bowel movements are infrequent or challenging to pass. Symptoms may include bloating or abdominal pain and the inability to completely empty the bowels.
Endometriosis: A condition in which endometrial tissue appears outside of the uterus. This appearance can be associated with pelvic pain, heavy and painful periods, pain during sexual intercourse, as well as urinary and bowel dysfunction.
Pudendal Neuralgia: The pudendal nerve supplies sensory, motor, and autonomic function to the external genitalia, bladder, and rectal muscles. With pudendal neuralgia, the nerve is mechanically compressed, entrapped, or irritated causing pain and dysfunction in the pelvic region. Prolonged sitting, difficult childbirth, and cycling are common causes of pudendal neuralgia.
Interstitial Cystitis: A condition affecting the bladder involving unpleasant sensations and symptoms such as pain, pressure, burning, urinary frequency, and urgency. With this condition there can be identifiable bladder disease (such as Hunner’s lesions).
Levator Ani Syndrome: The levator ani muscles are the deep muscles of the pelvic floor. These muscles can go into spasm resulting in pain within the perineum, rectum, or tailbone.
Dyspareunia: Pain experienced with sexual intercourse. Pelvic pain can occur before, during and after sexual intercourse. Symptoms can be experienced superficially at the opening, with deep penetration or with orgasms.
Coccydynia: Pain experienced within the tailbone or coccyx. Symptoms increase with prolonged sitting.
Vulvodynia: A nonspecific, unprovoked, generalized pain around the opening of your vagina (vulva) with no identifiable physical findings.
Vaginismus: An involuntary clenching of the pelvic floor muscles to prevent vaginal penetration. This may limit gynecological exams, tampon insertion, or sexual intercourse.
Pelvic Organ Prolapse: Occurs when one or more pelvic organs (uterus, bladder, rectum) protrudes into the vaginal canal. This is due to the weakening of pelvic floor muscles and connective tissues that function to provide support for the pelvic organs. Common contributing factors for weakness within the pelvic floor include:
- Vaginal delivery
- Being overweight
- Chronic coughing
- Hormonal changes that occur with menopause