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Understanding Chronic Holding Patterns in the Pelvic Floor: Implications for Women's Health

Chronic holding patterns within the pelvic floor, also known as pelvic floor dysfunction or hypertonicity, can have significant implications for a woman's pelvic health if not recognized and addressed. This blog aims to delve into the various consequences of these patterns and highlight the importance of early detection and management.

Pain and Discomfort

Pelvic Pain

Chronic tension in the pelvic floor muscles can lead to persistent pelvic pain. This pain can be debilitating and affect a woman's daily activities, including sitting, standing, and walking. The constant discomfort can also interfere with sleep, contributing to fatigue and decreased overall well-being. Addressing pelvic pain often requires a multidisciplinary approach, including physical therapy, pain management, and sometimes psychological support.

Lower Back Pain

The pelvic floor muscles are interconnected with other muscle groups in the body, including those in the lower back. Chronic tension in the pelvic floor can radiate to these muscles, causing chronic back pain. This can create a vicious cycle where back pain exacerbates pelvic floor tension, and vice versa. Proper assessment and targeted physical therapy can help break this cycle and provide relief.

Pain During Intercourse

One of the most distressing implications of chronic pelvic floor tension is dyspareunia, or pain during intercourse. Increased muscle tension can make sexual activity painful, affecting intimate relationships and emotional well-being. Women may feel anxiety or fear around sexual activity, which can further exacerbate muscle tension and pain. Addressing this issue requires both physical therapy to relax the pelvic floor muscles and emotional support to address any psychological impacts.

Urinary Issues


While weak pelvic floor muscles are often associated with incontinence, overly tight muscles can also cause urinary control issues. Hypertonicity can lead to both stress and urge incontinence. Women may experience leakage during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. Pelvic floor physical therapy can help retrain the muscles to function correctly and improve urinary control.

Urinary Urgency and Frequency

Chronic tension in the pelvic floor muscles can lead to an overactive bladder, causing frequent and urgent needs to urinate. This can be disruptive to daily life and affect sleep quality. Women may feel anxious about being far from a bathroom, which can limit their activities and social interactions. Bladder training and pelvic floor exercises can help manage these symptoms.

Difficulty Emptying the Bladder

Overly tight pelvic floor muscles can make it difficult to completely empty the bladder. This can increase the risk of urinary tract infections (UTIs) as residual urine provides a breeding ground for bacteria. Women with this issue may need to strain to urinate or may feel that they need to urinate again soon after finishing. Pelvic floor physical therapy can help relax the muscles and improve bladder emptying.

Bowel Issues


Chronic holding patterns in the pelvic floor can affect bowel movements, leading to constipation. Women may experience difficulty passing stools, requiring straining which can further tighten the pelvic floor muscles and exacerbate the problem. Dietary changes, hydration, and pelvic floor relaxation techniques can help alleviate constipation.

Pain During Bowel Movements

Tight pelvic floor muscles can cause pain during defecation, contributing to further bowel issues. Women may develop a fear of pain associated with bowel movements, leading to avoidance behaviors and worsening constipation. Biofeedback and pelvic floor therapy can help manage this pain and improve bowel function.

Sexual Dysfunction

Decreased Sensation

Chronic muscle tension can reduce blood flow and nerve function in the pelvic area, leading to decreased sensation and pleasure during sexual activity. This can affect a woman's sexual satisfaction and intimacy with her partner. Pelvic floor exercises, combined with techniques to improve blood flow and nerve function, can help restore sensation and pleasure.


Involuntary tightening of the pelvic floor muscles can cause vaginismus, a condition where the muscles spasm and make penetration painful or impossible. This condition can severely impact a woman's sexual and emotional health. Treatment often involves physical therapy to relax the muscles, coupled with counseling to address any psychological factors contributing to the condition.

Impact on Mental Health

Stress and Anxiety

Persistent pain and discomfort from chronic pelvic floor tension can lead to increased stress and anxiety. Women may feel constantly worried about their symptoms and their impact on daily life. This stress can further exacerbate muscle tension, creating a cycle of pain and anxiety. Mindfulness, relaxation techniques, and psychological support can help manage these mental health impacts.

Reduced Quality of Life

Chronic pelvic floor issues can affect a woman's overall quality of life, impacting her physical, emotional, and social well-being. Activities that were once enjoyable may become sources of pain and anxiety. Addressing pelvic floor dysfunction can significantly improve quality of life by reducing pain, improving function, and restoring confidence.

Complications During Pregnancy and Postpartum

Pregnancy Complications

Tight pelvic floor muscles can lead to complications during pregnancy and labor. Women may experience increased pain and difficulties with delivery, including prolonged labor or the need for interventions. Proper pelvic floor care during pregnancy can help mitigate these issues and promote a smoother delivery.

Postpartum Recovery

Women with chronic holding patterns in their pelvic floor may have a harder time recovering postpartum. They may experience ongoing pelvic floor dysfunction, including pain, incontinence, and sexual issues. Postpartum pelvic floor physical therapy can support recovery and help women regain strength and function.

Importance of Early Detection and Management

Recognising and addressing chronic holding patterns in the pelvic floor early can prevent these complications and improve overall pelvic health.

Here are some management strategies:

- Pelvic Floor Physical Therapy: Our Holistic Pussy Care program can help women learn to relax and properly use their pelvic floor muscles.

- Regular Self-Checks: encourages women to regularly check their pelvic health can help them identify issues early and seek appropriate care.

- Education and Awareness: Providing education on pelvic health can empower women to take proactive steps in maintaining their well-being.

By promoting awareness and early intervention through my campaign "KnowYour Normal," women can better understand their bodies, reduce the stigma around pelvic health issues, and seek the necessary support and treatment to maintain a healthy pelvic floor.

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