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Pelvic floor dysfunction

Pelvic floor dysfunction (PFD) involves the inability to correctly relax and coordinate the muscles in the pelvic floor to have a bowel movement or, in some cases, to control urination or sexual function. The pelvic floor is a group of muscles that support the pelvic organs, including the bladder, intestines, and for women, the uterus and vagina. Dysfunction in these muscles can lead to a variety of symptoms, including urinary and fecal incontinence, constipation, pelvic pain, and painful intercourse.

PFD can be caused by a variety of factors, including childbirth, surgery, aging, obesity, and repetitive strain from activities like heavy lifting or high-impact sports. Women are more commonly affected by PFD, though men can experience it as well.

Diagnosis of PFD may involve a physical examination, imaging tests, and specialized tests to evaluate the function of the pelvic floor muscles. Treatment typically includes physical therapy focused on pelvic floor muscle training, which may involve exercises to strengthen or relax these muscles, biofeedback, and electrical stimulation. In some cases, medications to manage pain and symptoms, dietary changes to manage constipation, and surgery may be considered.

Managing PFD often requires a multidisciplinary approach, including specialists in urology, gynecology, gastroenterology, and physical therapy, to address the range of symptoms and underlying causes.

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