Why do I have an overactive pelvic floor?

Author: Dr. Mortimer Hackett IV  |  Last update: Monday, October 6, 2025

There can be many different contributing factors: Infection or inflammation – eg. urinary tract infections, sexually transmitted infections, thrush. Pelvic surgery- this can cause scar tissue or irritate pelvic structures including ligaments, nerves and muscles, eg. post-hysterectomy or post-prostatectomy pain.

How do you stop an overactive pelvic floor?

It can help to do a small squeeze/lift of your pelvic floor and then focus on fully relaxing the muscles around your bottom and perineum. Additionally, a deep sigh exhalation can assist with this relaxation. It can take some time to develop this skill and control over this muscle.

What causes overactive pelvic floor?

There is no one reason you might develop this condition, but there are several causes that can make these muscles unable to relax appropriately, including: Excessive exercise (including kegels) Frequently holding the bladder and/or bowel for long periods of time. Prolonged fear, stress or anxiety.

What causes pelvic floor flare-ups?

The truth is that nearly anything can trigger pelvic floor pain if you suffer from pelvic floor dysfunction. Exercise, sexual activity, driving a car, pushing a shopping cart, or taking a walk can all put pressure on the pelvis that ultimately creates inflammation, pain, and muscle spasms.

How do you calm your pelvic floor?

A special exercise called “quick flicks” can help women who need to relax their pelvic floor. This exercise uses the same pelvic floor muscles used in Kegels to relax the bladder. To do “quick flicks,” you quickly squeeze and relax your pelvic floor muscles over and over.

Male Pelvic Floor Dysfunction Overview | What Is It and What to Do If You Suffer From It?

Does queefing mean weak pelvic floor?

Vaginal gas (vaginal flatulence or queefing) is when you pass gas from your vagina. The noise you hear is trapped air coming out of your vagina. It's usually harmless and caused by sex, exercise or weak pelvic floor muscles. In rare cases, it's a sign of a vaginal fistula.

What is the best position to relax the pelvic floor?

Lie on your back with your knees bent. Place your left ankle on your right knee, like a figure four. Pull your right thigh toward your chest to feel a stretch on the outside of your left hip. Hold for 30 seconds, and then repeat on the other side.

What can be mistaken for pelvic floor dysfunction?

Constipation: Constipation can mimic pelvic floor dysfunction or vice versa. Constipation and straining can also lead to pelvic floor dysfunction. Anorectal conditions: Conditions that affect your anus (butthole) and rectum, like fissures or fistulas, can share features of pelvic floor dysfunction.

How to stop clenching the pelvic floor?

First, take a slow, gentle breath in through your nose, and allow your belly and ribs to flare out to the sides. “Open” your pelvic floor with your inhale breath. Exhale slowly and gently through your mouth, allowing your belly to fall. Let the air out of your upper lungs, relax your ribs, belly and pelvic floor.

What does pelvic floor syndrome feel like?

The symptoms of a pelvic floor dysfunction include: leaking urine when coughing, sneezing, laughing or running. failing to reach the toilet in time. passing wind from either the anus or vagina when bending over or lifting.

What is the sniff flop drop technique?

The 'sniff, flop and drop' exercise is taught, the 'sniff being diaphragm descent, the 'flop' the abdominal release and the 'drop' the pelvic floor muscle release. Each part of this section is described slowly and performed independently by the patient.

What exercises should you avoid with an overactive pelvic floor?

Exercises to Avoid with an Overactive Pelvic Floor

Exercises to avoid (for now) with tight pelvic floor muscles include: Weightlifting using heavy weights or resistance bands without proper stretching or relaxation. Barre or Pilates workouts without proper stretching or relaxation.

How to tell if pelvic floor is tight or weak?

How to Tell if Your Pelvic Floor is Tight or Weak
  1. Chronic constipation.
  2. Pain during sex (inner course, outercourse, or orgasm)
  3. Difficulty starting or stopping urine flow.
  4. Painful urination or urinary urgency and/or frequency.
  5. Low back, pelvic, or tailbone pain.

What medication is used for overactive pelvic floor?

Some examples include solifenacin, fesoterodine, tolterodine, darifenacin, trospium and oxybutynin. Although they are effective at treating urgency urinary incontinence, these medications often cause bothersome side effects, such as dry mouth and constipation.

How to release overactive pelvic floor?

Below are some of the most effective exercises:
  1. Diaphragmatic Breathing (Deep Belly Breathing) ...
  2. Child's Pose (Balasana) ...
  3. Happy Baby Pose (Ananda Balasana) ...
  4. Supported Deep Squat (Malasana) ...
  5. Pelvic Tilts. ...
  6. Butterfly Stretch (Bound Angle Pose) ...
  7. Cat-Cow Stretch. ...
  8. Legs-Up-the-Wall Pose (Viparita Karani)

Why can't I relax my pelvic floor?

Hypertonic pelvic floor is a condition where the muscles in your lower pelvis are in a spasm or state of constant contraction. This can be temporary or constant. When your pelvic floor muscles are in this state, they can't relax and coordinate the control of certain bodily functions.

Do squats help the pelvic floor?

Squats are excellent for working the muscles in the lower body, including the pelvic floor. Here's a guide to performing squats correctly: Stand with your feet shoulder-width apart. Lower your body as if sitting back into a chair, keeping your chest and back straight.

What is the root cause of pelvic floor dysfunction?

The primary causes of pelvic floor dysfunction include pregnancy, obesity and menopause. Some women are genetically predisposed to developing pelvic floor dysfunction, born with naturally weaker connective tissue and fascia. Postpartum pelvic floor dysfunction only affects women who have given birth.

What is a natural muscle relaxer for the pelvic floor?

Magnesium is a mineral with an important role in muscle relaxation throughout the body. Due to its relaxing effect, it may be used to ease pelvic pain caused by tight or taut muscles.

How to tighten pelvic floor muscles quickly?

To do pelvic floor exercises:
  1. Squeeze your pelvic floor muscles quickly – try not to pull your tummy in.
  2. Hold the squeeze for 2 seconds.
  3. Relax the muscles.
  4. Repeat 10 times.

What are the symptoms of an overactive pelvic floor?

In women:
  • Not being able to feel a PFM contraction or release.
  • Pelvic pain that can include urethral, vaginal, rectal, lower abdominal pain.
  • Urinary urgency or frequency.
  • Slower urinary flow or the feeling of incomplete emptying.
  • Inability to have sex or pain with sex, either with initial or deep penetration.

How should I sleep to help my pelvic floor?

Sleeping on your side with your knees bent and a pillow between your legs is a highly recommended position. This setup helps align your spine and hips, reducing pressure on your pelvic floor. The semi-foetal position, where you draw your knees slightly towards your chest, can also be beneficial.

How do you calm a pelvic floor flare?

These have to be something you can do entirely on your own, so they're completely within your power. Common personal flare-busters include ice or heat, OTC pain medications, deep breathing, meditation, a warm bath or gentle stretching.

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