By: Chelsey Vasquez, PT, DPT, PRPC
When it comes to pelvic health, misinformation is everywhere. Whether it’s a social media post encouraging everyone to do Kegels or outdated advice to just “deal with” pelvic pain, these myths can prevent people from seeking the care they need. Pelvic floor dysfunction can affect people of all genders, ages, and lifestyles — and pelvic floor therapy isn’t just for new moms.
Let’s debunk 5 of the most common myths about pelvic floor health and set the record straight with the facts.
Myth 1: Pelvic floor therapy is only for women after childbirth.
Fact: Pelvic floor therapy benefits people of all genders and all life stages — not just postpartum women.
Yes, childbirth can impact the pelvic floor, but so can aging, high-impact sports, surgeries, chronic coughing, hormonal changes, and even stress. Men may seek pelvic floor therapy for issues like urinary incontinence, erectile dysfunction, or chronic pelvic pain. Children can benefit too, particularly if they struggle with bedwetting or constipation.
Pelvic floor therapy is for anyone experiencing symptoms related to the muscles, ligaments, and connective tissue that support the pelvic organs — not just new moms.
Myth 2: You only need pelvic floor therapy if your symptoms are severe.
Fact: You don’t need to be in crisis mode to benefit from pelvic floor therapy.
Waiting until symptoms are “bad enough” often leads to longer recovery times and unnecessary discomfort. Common but often underreported issues — like mild leaking when you sneeze, feeling pressure or heaviness in your pelvic area, or difficulty fully emptying your bladder — can all be signs of pelvic floor dysfunction.
Pelvic floor therapy can help address symptoms early, improve your quality of life, and even prevent future issues from developing. Early intervention matters.
Myth 3: Pelvic pain is something you just have to live with.
Fact: Chronic pelvic pain is not normal — and it’s often treatable.
Pelvic pain is a complex issue, often involving the muscles, nerves, and connective tissues in the region. While it’s common (especially among women), it should never be dismissed as “just part of life.” Conditions like endometriosis, interstitial cystitis, prostatitis, or even scar tissue from surgery can all play a role — and pelvic floor dysfunction is often part of the picture too.
Pelvic floor physical therapists use techniques like manual therapy, myofascial release, biofeedback, and tailored exercises to relieve pain, improve function, and restore balance. You don’t have to suffer in silence.
Myth 4: Everyone should do Kegels.
Fact: Kegels are not a one-size-fits-all solution — and they’re not right for everyone.
Kegels (pelvic floor muscle contractions) are often touted as a cure-all for pelvic health, but they can actually make things worse if done incorrectly or unnecessarily. For people with a hypertonic (overactive or tight) pelvic floor, Kegels may increase tension and worsen symptoms like pain, urgency, or constipation.
The right approach to strengthening or relaxing the pelvic floor depends entirely on your unique condition. That’s why a pelvic floor therapist performs a thorough assessment before recommending any exercises.
Myth 5: If there’s no incontinence, your pelvic floor is fine.
Fact: Pelvic floor dysfunction goes beyond just bladder leaks.
Many people assume the pelvic floor only matters when it comes to bladder control, but its function is much broader. These muscles help support internal organs, stabilize the core, manage pressure during movement, and even influence sexual health.
Signs of dysfunction can include:
- Pain during or after sex
- Constipation or straining to have a bowel movement
- Unexplained lower back, hip, or pelvic pain
- Frequent urination or a sense of urgency
- A feeling of heaviness or bulging in the pelvic area
In short, a healthy pelvic floor is essential for many daily activities — and dysfunction can show up in subtle ways.
Takeaway: Your pelvic floor deserves attention, no matter your age, gender, or symptoms.
If you’ve been told that pelvic floor issues are just part of getting older, or that you should “just do Kegels” and move on — it’s time for a second opinion. Pelvic floor therapy is a specialized, evidence-based approach that can address a wide range of symptoms and restore your quality of life.
You don’t need to wait for symptoms to become unbearable. Trust your body, listen to the signs, and don’t be afraid to seek help.
Considering pelvic floor therapy?
Talk to one of our qualified pelvic floor physical therapists for a personalized evaluation — and get the clarity and care you deserve. Schedule a consultation here for either our Boulder or Lafayette locations today!