Pelvic Floor Dysfunction

on
Dr. S.K Jain's Burlington Clinic Pvt Ltd

Dr. Saransh

Pelvic Floor Dysfunction
                      Pelvic floor dysfunction is an umbrella term for a variety of disorders that occur when pelvic floor muscles and ligaments are impaired. Symptoms include pelvic pain, pressure, pain during sex, incontinence, incomplete emptying, and visible organ protrusion.Tissues surrounding the pelvic organs may have increased or decreased sensitivity or irritation resulting in pelvic pain. Underlying causes of pelvic pain are often difficult to determine.The condition affects up to 50% of women who have given birth.


             Pelvic floor dysfunction may include any of a group of clinical conditions that includes urinary incontinence, fecal incontinence, pelvic organ prolapse, sensory and emptying abnormalities of the lower urinary tract, defecatory dysfunction, sexual dysfunction and several chronic pain syndromes, including vulvodynia. The three most common and definable conditions encountered clinically are urinary incontinence, anal incontinence and pelvic organ prolapse.

Symptoms

Pelvic floor dysfunction symptoms
There are a number of symptoms associated with pelvic floor dysfunction. If you are diagnosed with pelvic floor dysfunction, you may experience symptoms including:
  • Urinary issues, such as the urge to urinate or painful urination
  • Constipation or bowel strains
  • Lower back pain
  • Pain in the pelvic region, genitals, or rectum
  • Discomfort during sexual intercourse for women
  • Pressure in the pelvic region or rectum
  • Muscle spasms in the pelvis

Causes

 

While exact causes are still being researched, doctors can link pelvic floor dysfunction to conditions or events that weaken the pelvic muscles or tear connective tissue:
  • Childbirth
  • Traumatic injury to the pelvic region
  • Obesity
  • Pelvic surgery
  • Nerve damage

Diagnose

 
It’s important not to self-diagnose your symptoms because they may indicate more serious conditions.

To make a diagnosis, your doctor will review your medical history and observe your symptoms. After the initial consultation, your doctor will perform a physical evaluation to check for muscle spasms or knots. They will also check for muscle weakness.

To check for pelvic muscle control and pelvic muscle contractions, your doctor may perform an internal exam by placing a perineometer — a small, sensing device — into your rectum or vagina.

A less invasive option involves placing electrodes on your perineum, the area between the scrotum and anus or vagina and anus, to determine if you can contract and relax pelvic muscles.


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