Loss of bladder control may present as
Stress incontinence – loss of urine related to physical exertion e.g. cough and sneeze or activities of daily living or exercise
Urgency – an increased sense of urge in the bladder often at low volumes of filling and related to triggers such as seeing the hall door or the toilet door
Urge incontinence – the urgency at low volumes of filling as above but this time not quite making it to the toilet in time
Frequency – going to the toilet too often i.e. more than the maximum of eight times in a 24 hour period

The above symptoms can happen to anyone. They can happen to young people even teenagers, to young women in their 20’s, they can be as a consequence of childbirth. They may develop later in life and not have presented earlier.

Recent research has shown that up to nearly 60% of women have described some pelvic floor complaint even before becoming pregnant for the first time. It is important to address symptoms early if you suspect that you have any problems.

See our article on antenatal pelvic floor muscle preparation.

In childbirth the pelvic floor muscles and passive supporting fascia can be damaged as a consequence of the type of delivery.  In this case it is necessary for the pelvic floor muscles to be strengthened to compensate for the loss of support.

The pelvic floor muscle become stiffer and more tense over time and this is one of the reasons that over time women can start to develop symptoms. It is not necessarily that muscles become more lax over time. Weakness can be present through tension as well as through laxity.

How do I know if my muscles are weak though laxity or through tension?

Through following the steps of pelvic floor release and then pelvic floor muscle strengthening you can be confident you are following the correct pathway no matter what your problem is. If your problem persists then you will need to find a physiotherapist to help you identify restrictions or help with facilitation.