Pelvic Floor Dysfunction

Pelvic floor dysfunction occurs when the muscles of the pelvic floor are too tight, too weak, or uncoordinated. It can affect bladder, bowel, and sexual function in both women and men.

Quick Facts

  • ICD-10: N81.84 (women)
  • Affects: Both sexes; very common
  • Often treated with: Pelvic floor PT

Symptoms

  • Urinary urgency, frequency, or leakage
  • Difficulty starting or fully emptying the bladder
  • Constipation or difficulty with bowel movements
  • Pelvic pain or pressure
  • Pain with intercourse
  • Pelvic organ prolapse sensation (women)

Causes

  • Pregnancy and childbirth
  • Aging
  • Surgery in the pelvis
  • Chronic straining or heavy lifting
  • Obesity
  • Chronic constipation
  • Trauma

Treatment

  • Pelvic floor physical therapy (first-line for most)
  • Biofeedback
  • Behavioral changes (timed voiding, fluid management)
  • Medications for specific symptoms
  • Pessary for prolapse
  • Surgery for selected severe cases

When to See a Doctor

Pelvic floor symptoms are common but often untreated. See a doctor — these are highly treatable with proper care.

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Physical Therapy Association. Pelvic Floor Information.