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Pelvic floor symptoms

Information about leaking, urgency, heaviness and pelvic discomfort, and how physiotherapy may help.

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Understanding pelvic floor symptoms

Pelvic floor symptoms can include leaking, urgency, heaviness, pelvic pressure, discomfort, pain, difficulty relaxing, or feeling less confident with exercise and daily movement. These symptoms can happen after pregnancy or birth, around menopause, or at other stages of life.

You don’t need a diagnosis or the right words before you book. Describing what you notice and how it affects your day is a useful place to start.

Leaking with movement

Leaking when you cough, sneeze, laugh, lift, run, jump or exercise.

Pelvic heaviness

A heavy, dragging or pressured feeling in the pelvis, often worse after standing, walking, lifting or busy days.

Urgency or frequency

Needing to rush to the toilet, going more often than usual, or feeling worried about not making it in time.

Exercise uncertainty

Avoiding running, jumping, gym work, Pilates, sport or certain movements because you are worried about symptoms.

Difficulty relaxing

Feeling tension, difficulty relaxing, discomfort, or struggling to fully empty your bladder or bowels.

Core and pelvic support

Feeling less supported through your core, pelvis or lower back during lifting, walking, standing or exercise.

Your pelvic health assessment

We’ll explore your symptoms, bladder and bowel habits, movement and goals. Pelvic health care may involve strength, relaxation, coordination or changes to everyday activities.

Explore pelvic health physiotherapy

Frequently asked questions

Will I need an internal assessment?

Not always. It depends on your symptoms, goals and what feels clinically appropriate. Garance will explain the options clearly first, and you stay in control throughout. Nothing is done without your consent.

Can physiotherapy help with heaviness or prolapse symptoms?

Pelvic health physiotherapy can often help you understand what affects heaviness, pressure or prolapse-type symptoms. Support may include breathing, pelvic floor coordination, strength work, lifting strategies, activity changes and guidance around returning to exercise.

Is this only for women after birth?

Pelvic floor symptoms can happen after pregnancy and birth, but they can also happen at other stages of life. You might book for leaking, urgency, heaviness, pelvic pressure, discomfort, bladder symptoms or feeling unsure about your pelvic floor.

How many appointments will I need?

This depends on your symptoms, goals and how your body responds. Some women need one appointment for reassurance and a clear plan. Others benefit from follow-ups to progress exercises, strength, confidence and symptom management.

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