What is the Pelvic Floor?
The pelvic floor is a complex anatomical region consisting of muscles, connective tissue, and fascia structures that form the base of the pelvis and extend like a hammock. These structures support the bladder, intestine, uterus, and other pelvic organs, provide urinary and fecal control, and play an important role in sexual functions.
Weakening or dysfunction of the pelvic floor muscles can lead to various problems that significantly affect quality of life. At our clinic, we offer treatment services in a private and safe environment with our female physiotherapist specialized in pelvic floor rehabilitation.
Pelvic Floor Problems
Urinary Incontinence
One of the most common pelvic floor problems, with different types:
- Stress incontinence: Leakage during coughing, sneezing, laughing, or exercise
- Urge incontinence: Leakage with sudden and intense urge to urinate
- Mixed incontinence: Combination of both types
Pelvic Organ Prolapse
Descent of pelvic organs (bladder, uterus, rectum) from their normal positions. Symptoms include:
- Feeling of fullness or pressure in the vaginal area
- Difficulty urinating or defecating
- Lower back pain
- Discomfort during sexual intercourse
Chronic Pelvic Pain
Pain localized to the pelvic region lasting more than six months. Causes include:
- Pelvic floor muscle spasms
- Vulvodynia
- Endometriosis
- Interstitial cystitis
- Pudendal neuralgia
Sexual Dysfunction
- Dyspareunia (painful intercourse)
- Vaginismus
- Orgasm difficulty
Causes of Pelvic Floor Problems
- Pregnancy and childbirth: Most common cause, especially vaginal delivery
- Menopause: Tissue changes due to estrogen decline
- Aging: Muscle and connective tissue weakening
- Obesity: Increased intra-abdominal pressure
- Chronic constipation: Continuous straining
- Heavy lifting: Long-term heavy load carrying
- Surgical procedures: Hysterectomy and other pelvic surgeries
Pelvic Floor Assessment at Our Clinic
Detailed History
Your complaints, medical history, birth history, lifestyle, and goals are listened to in detail.
Physical Assessment
- Posture and breathing assessment
- Abdominal muscle examination
- Pelvic floor muscle assessment (internal or external)
- Functional tests
Special Tests
- Pad test (incontinence severity)
- Bladder diary assessment
- Quality of life questionnaires
Our Treatment Methods
Pelvic Floor Muscle Training
Beyond Kegel exercises, we teach correct muscle activation and apply an individualized strengthening program:
- Muscle awareness training
- Correct contraction technique
- Strength, endurance, and coordination work
- Integration into functional exercises
Manual Therapy
Soft tissue mobilization and myofascial release techniques are applied for pelvic floor muscle spasms and trigger points.
Biofeedback
Monitoring muscle activity with visual or auditory feedback helps learn the correct contraction pattern.
Electrostimulation
Used to activate and strengthen weak muscles.
Behavioral Treatments
- Bladder training
- Fluid intake regulation
- Toilet habit regulation
- Lifestyle changes
Pelvic Floor Physiotherapy in Special Conditions
During Pregnancy
Pelvic floor awareness and strengthening for birth preparation, back pain, and incontinence prevention.
Postpartum
Pelvic floor recovery, diastasis recti assessment and treatment, incontinence treatment.
During Menopause
Management of pelvic floor problems related to hormonal changes.
Pre and Post Surgery
Preparation before pelvic surgery and rehabilitation afterwards.
Treatment Process
- First session: Comprehensive assessment and treatment plan creation
- Regular sessions: 1-2 times a week, depending on condition
- Home program: Daily exercises
- Follow-up: Progress assessment and program update
Privacy and Trust
We are aware that pelvic floor rehabilitation is a sensitive topic. At our clinic:
- Private and quiet treatment environment
- Option to work with a female physiotherapist
- Maximum attention to patient privacy
- Trust and empathy-based approach
Make an appointment to get professional support for your pelvic floor problems.