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  • Jo Everill-Taylor

Pelvic Floor Health: A Guide to Understanding and Strengthening the Female Pelvic Floor




What is the Pelvic Floor?

The pelvic floor is a group of muscles, ligaments, and tissues that form a supportive hammock at the base of the pelvis.

This "hammock" supports the bladder, uterus, and rectum, playing a crucial role in urinary and bowel control, sexual function, and overall core stability.

 

Why is Pelvic Floor Health Important?

A strong and healthy pelvic floor helps:

  • Prevent Urinary Incontinence: Reducing the risk of leaks during activities like coughing, sneezing, or exercising.

  • Support Pregnancy and Postpartum Recovery: Supporting the growing uterus during pregnancy and aiding recovery after childbirth.

  • Enhance Sexual Function: Improving sensation and control during intercourse.

  • Prevent Pelvic Organ Prolapse: Reducing the risk of organs like the bladder or uterus descending into the vaginal canal.

 

Signs of a Weak Pelvic Floor

  • Accidental leakage of urine when sneezing, coughing, or laughing.

  • A feeling of heaviness or bulging in the pelvic area.

  • Difficulty controlling bowel movements.

  • Reduced sensation or discomfort during intercourse.


5 Easy Pelvic Floor Exercises

These exercises can be done at home with little or no equipment. Start with a few repetitions and gradually increase as your muscles become stronger.

1. Kegels

   How to Do It:

  • Sit or lie down in a comfortable position.

  • Imagine trying to stop the flow of urine midstream by contracting your pelvic floor muscles.

  • Hold this contraction for 3-5 seconds, then relax for the same amount of time.

  • Repeat 10-15 times, three times a day.

Top Tip: Make sure to breathe normally and avoid tightening your buttocks or thighs.



2. Shoulder Bridge

   How to Do It:

  • Lie on your back with your knees bent and feet flat on the floor, hip-width apart. As you exhale, lift your hips towards the ceiling while squeezing your glutes and engaging your pelvic floor muscles.

  • Hold for a few seconds, then slowly lower your hips back to the floor.

  • Repeat 10-15 times.

Top Tip: Keep your shoulders and feet grounded throughout the movement.



3. Squats

   How to Do It:

  • Stand with your feet shoulder-width apart.

  • Slowly lower your body into a squat position by bending your knees and pushing your hips back, as if you're sitting in a chair.

  • As you rise back up, engage your pelvic floor muscles and glutes.

  • Repeat 10-15 times.

Top Tip: Keep your knees in line with your toes and avoid letting them extend beyond your toes.



 

4. Heel Slides

   How to Do It:

  • Lie on your back with your knees bent and feet flat on the floor.

  • Slowly slide one heel away from your body, straightening your leg while keeping your pelvic floor engaged.

  • Slide your heel back to the starting position and repeat with the other leg.

  • Perform 10 slides on each side.

Top Tip: Keep your ribs drawn down to help connect to your core muscles




5. Clamshell/Side Lying Knee Opener

   How to Do It:

  • Lie on your side with your knees bent and stacked on top of each other.

  • Keeping your feet together, slowly lift your top knee while engaging your pelvic floor muscles.

  • Hold for a few seconds, then lower your knee back down.

  • Repeat 10-15 times on each side.

Top Tip: Keep your hips stable and avoid rolling backward.




 

Tips for Success


Consistency is Key: Practice these exercises regularly for the best results.

Start Slowly: If you're new to pelvic floor exercises, start with fewer repetitions and gradually increase as your strength improves.

Listen to Your Body: If you experience discomfort or pain during any exercise, stop and consult a healthcare provider.

 

When to Seek Help

If you experience persistent pelvic pain, urinary incontinence, or any other concerning symptoms, it's important to consult a healthcare professional, such as a physical therapist specialising in pelvic floor health.

You can usually be referred by your G.P.


Remember:

A healthy pelvic floor is vital for overall well-being, and these exercises can help you build strength, control, and confidence.

Make them a regular part of your fitness routine!

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