Are Pelvic Floor Disorders Normal with Age?
Are Pelvic Floor Disorders Normal with Age?

Are Pelvic Floor Disorders Normal with Age?

Natalie Berry


Natalie Berry

Pelvic floor disorders are a common issue that many people face as they age. However, the question remains: are these disorders a normal part of aging? The answer is not a straightforward one, as there are many factors that can contribute to pelvic floor disorders.

The pelvic floor muscles are a group of muscles that support the bladder, uterus, and rectum. These muscles can weaken over time due to a variety of factors, including childbirth, obesity, and chronic coughing. As a result, many people experience pelvic floor disorders such as urinary incontinence, pelvic organ prolapse, and fecal incontinence. While these disorders are more common in older adults, they are not necessarily a normal part of aging.

It is important to note that pelvic floor disorders can affect both men and women. However, women are more likely to experience these issues due to pregnancy, childbirth, and menopause. Despite this, men can also experience pelvic floor disorders due to factors such as prostate surgery or obesity. Overall, while pelvic floor disorders are not necessarily a normal part of aging, they are a common issue that many people face as they get older.

Understanding Pelvic Floor Disorders

Pelvic floor disorders (PFDs) are a group of conditions that affect the organs and muscles in the pelvic area. These disorders can cause a range of symptoms, including urinary and fecal incontinence, pelvic pain, and organ prolapse. While PFDs are more common in women, they can also affect men.

Types and Symptoms

There are several types of PFDs, each with its own set of symptoms. Urinary incontinence is one of the most common PFDs, and it can cause leakage or an urgent need to urinate. Fecal incontinence can cause accidental bowel movements or difficulty controlling bowel movements. Pelvic organ prolapse occurs when the supporting tissue and muscles weaken, causing the organs to bulge or drop.

Other symptoms of PFDs can include pelvic pain, painful intercourse, and muscle spasms. Some people may also experience overactive bladder or chronic constipation.

Causes and Risk Factors

PFDs can be caused by a variety of factors, including pregnancy and childbirth, menopause, obesity, chronic constipation, and heavy lifting. Genetics and certain medical conditions, such as diabetes and radiation therapy, can also increase the risk of PFDs.

Connective tissue and nerve damage can also play a role in the development of PFDs. Aging can weaken the pelvic muscles and supporting tissue, making PFDs more likely.

Diagnosis and Medical History

Diagnosing PFDs typically involves a physical exam and medical history. Anorectal manometry and defecography can also be used to assess bowel function and identify any issues.

Treatment and Management

Treatment for PFDs depends on the type and severity of the condition. Kegel exercises, pelvic floor physical therapy, and biofeedback can help improve muscle strength and control. Medications and nerve stimulation can also be used to manage symptoms.

In some cases, surgery may be necessary to repair or support the pelvic organs. Pessaries and slings can also be used to provide additional support.

Impact on Quality of Life

PFDs can have a significant impact on a person’s quality of life, affecting their ability to work, exercise, and engage in social activities. Painful intercourse and bladder control issues can also impact sexual function and intimacy.

Overall, it’s important to seek treatment for PFDs to improve symptoms and quality of life. With proper management, many people are able to effectively manage their condition and maintain a high quality of life.

Natalie Berry


Natalie Berry
Passionate about transforming lives through physical therapy.

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