Incontinence & Pelvic Floor Health

Pelvic floor conditions often have more than one cause. Some common contributing factors to pelvic floor dysfunction include:

• Pregnancy and childbirth: especially vaginal delivery, which can stretch or injure pelvic muscles
• Perimenopause and aging: hormonal shifts affect tissue strength and bladder function
• Pelvic anatomy: how your organs are shaped or supported may increase the risk of prolapse or incontinence
• Diet and fluid intake: certain foods, drinks or routines can make symptoms worse
• Chronic strain: heavy lifting, constipation, chronic coughing or high-impact exercise can weaken muscles over time

Understanding what’s causing your symptoms is the first step toward effective treatment.

Once you schedule an appointment, your provider will ask about your symptoms, health history and lifestyle. They may perform a physical exam or recommend initial tests. From there, we’ll guide you to the next best step. If needed, you may be referred to one of WHA’s urogynecology specialists—experts in diagnosing and treating pelvic floor conditions with precision and compassion.

It’s important to know that the vast majority of pelvic floor conditions can be significantly improved or resolved without surgery. Treatment options may include:

• Behavioral approaches like bladder training or avoiding certain foods and drinks that can worsen symptoms
• Pelvic floor physical therapy, where a specialized therapist guides you through targeted exercises (much more than just Kegels) to safely strengthen and coordinate your pelvic floor muscles. For many, this is the most effective treatment.
• Medications to reduce urgency or improve muscle control
• Minimally invasive procedures or surgery to lift or support pelvic organs or correct underlying anatomical issues

Many people can regain bladder control and strengthen the pelvic floor with very simple interventions. You deserve to feel confident and in control of your body. Our team is here to help you get there.