pelvic floor conditions

Below is a list of pelvic floor conditions frequently treated at Flora.

Bladder

  • Frequent urinary tract infections (UTIs)

  • Mixed urinary incontinence (leaking of urine with increased intraabdominal pressure and with a strong urge to pee)

  • Nocturia (waking to pee at night when trying to sleep)

  • Nocturnal enuresis (wetting the bed at night while sleeping)

  • Dysuria (pain with urination)

  • Stress urinary incontinence (leaking of urine with activities that increase intraabdominal pressure like coughing, sneezing, laughing, and different forms of exercise like running or lifting weights)

  • Urinary frequency (frequent trips to the bathroom to pee)

  • Urinary hesitancy (incomplete bladder emptying or difficulty emptying your bladder when urinating)

  • Urinary retention (difficulty emptying the bladder when urinating)

  • Urinary urgency (strong urge to pee)

  • Urge urinary incontinence (leaking of urine with a strong urge to pee)

  • Voiding dysfunction (difficulty emptying the bladder when urinating)

Bowel

  • Animus (aka “dyssynergic defecation,” pelvic floor muscle contraction during pooping contributing to difficulty with emptying and constipation)

  • Anal incontinence (leaking of poop, gas, or anal mucus)

  • Crohn’s

  • Constipation (aka “dyschezia,” straining with pooping, incomplete emptying during bowel movements, decreased bowel frequency, multiple bowel movements in a row)

  • Dyssynergic defecation (pelvic floor muscle contraction during pooping contributing to difficulty with emptying and constipation)

  • Fecal incontinence (leaking of poop or fecal smearing)

  • Fecal urgency (strong urge to poop and worried you won’t make it to the bathroom in time)

  • Flatal incontinence (leaking of gas with activities that increase intraabdominal pressure like coughing, sneezing or laughing or with a strong urge to pass gas)

  • Frequent bowel movements

  • Hemorrhoids

  • Irritable bowel syndrome (IBS)

  • Painful bowel movements

Gender Affirming Care

  • Care before and following gender affirmation surgery

  • Chest surgery

  • Breast augmentation

  • Hysterectomy

  • Metoidioplasty

  • Phalloplasty

  • Scrotoplasty

  • Vaginoplasty

Neurologic Conditions

  • Neurogenic bladder

  • Neurogenic bowel

  • Neurologic conditions impacting pelvic floor functioning including stroke (CVA), spinal cord injury (SCI), multiple sclerosis (MS), traumatic brain injury (TBI), Parkinson’s, spina bifida, and cerebral palsy

Pelvic Floor Muscle Incoordination

  • Diastasis recti (separation of the abdominal muscles, DRA)

  • High tone pelvic floor dysfunction

  • Pelvic floor dysfunction

  • Pelvic floor incoordination

  • Pelvic floor muscle spasm

  • Pelvic floor weakness

Pelvic Pain

  • Abdominal pain

  • Anorectal spasm

  • Coccydynia (pain or injury at the tailbone, pain when sitting)

  • Endometriosis

  • Fibroids

  • Interstitial cystitis (painful bladder syndrome)

  • Painful ejaculation and erection

  • Painful periods/menstruation

  • Pelvic girdle pain (PGP, pain in the low back, hips, SI joint, groin, or pubic bones)

  • Penile pain

  • Polycystic ovarian syndrome (PCOS)

  • Priapism (painful erection or erectile pain)

  • Proctalgia fugax (pain at the anus or rectum)

  • Pudendal neuralgia (pudendal nerve pain)

  • Pudendal nerve entrapment

  • Testicular pain

  • Vestibulodynia (pain at the vestibule or tissue surrounding the vaginal opening)

  • Vulvar vestibulitis (inflammation of the vulva and vestibule)

  • Vulvodynia (pain at the vulva)

Pelvic Organ Prolapse

  • Anal prolapse

  • Cystocele (prolapse of the bladder)

  • Enterocele (prolapse of the intestines)

  • Rectocele (prolapse of the rectum)

  • Urethrocele (prolapse of the urethra)

  • Uterine prolapse (prolapse of the uterus)

  • Vaginal vault prolapse

Scar Tissue From:

  • Bladder sling surgery, mesh surgery, or surgery for prolapse and leaking

  • C-section or cesarean delivery

  • Gender affirming surgery

  • Hysterectomy

  • Laparoscopic surgery

  • Perineal tear and episiotomy during vaginal delivery

Sexual Dysfunction

  • Decreased intensity during orgasm or sensation at the genitals

  • Dyspareunia (pain during sex or pelvic penetration)

  • Erectile dysfunction

  • Genitopelvic pain and penetration disorder (GPPPD, pain with any form of pelvic penetration such as tampon use, gynecologic examinations, and during penetrative sexual activity and intimacy)

  • Hypoactive sexual desire disorder (HSDD, low sexual desire)

  • Persistent genital arousal disorder (PGAD, sensation of sexual arousal and desire at unwanted or inconvenient times)

  • Premature ejaculation

  • Vaginismus (pain during pelvic penetration that feels as though you are “hitting a wall”)

If you do not see the name of the condition that you are struggling with on this list, please reach out through my contact form here to let me know more about what you are looking for help with.