PCOS & Your Pelvic Floor: What You Need to Know
Polycystic Ovary Syndrome (PCOS) is often talked about in terms of hormones, metabolism, and fertility—but did you know it can also impact your pelvic floor health? At our clinic, we see many women managing PCOS who are also experiencing pelvic floor symptoms that are rarely discussed.
How PCOS Impacts the Pelvic Floor
Hormonal Shifts: PCOS is linked to higher levels of androgens and irregular estrogen/progesterone cycles. These hormone changes may affect connective tissue health, muscle tone, and even the way the pelvic floor responds during exercise or daily activity.
Weight Fluctuations & Abdominal Pressure: Many women with PCOS experience weight changes or abdominal bloating, which can increase pressure on the pelvic floor and contribute to leaking, heaviness, or discomfort.
Menstrual Irregularity & Pain: Irregular or heavy cycles may cause pelvic cramping and tension that build up over time, leading to overactive or tight pelvic floor muscles.
Metabolic & Digestive Symptoms: PCOS often comes with insulin resistance, inflammation, and digestive changes like constipation—all of which can strain the pelvic floor.
How Pelvic Floor Physical Therapy Can Help
Improve awareness and relaxation of tight pelvic floor muscles.
Support bladder and bowel health, reducing symptoms like leaking or constipation.
Address core and pelvic floor strength to better manage abdominal pressure.
Guide exercise modifications to support both hormonal balance and pelvic floor function.
Provide strategies for pain management, posture, and breathwork to improve daily comfort.
The Bottom Line
If you’re living with PCOS, your pelvic floor deserves attention too. By addressing the unique challenges PCOS can bring, pelvic floor physical therapy can help you feel stronger, more comfortable, and more in control of your body.
✨ You don’t have to navigate PCOS and pelvic floor symptoms alone. Our team is here to support you with compassionate, personalized care.