Addressing pelvic floor dysfunction

Mater Private Hospital Redland consulting physiotherapist, Michelle Kenway and urogynaecologist Dr Judith Goh have joined forces to create an education program to tackle this growing community concern.

“Women with pelvic floor dysfunction often have a desire to exercise, but fi nd that certain exercises exacerbate their symptoms,” Dr Goh said.

“In fact, some women actually present to the gynaecologist after joining the gymnasium because they find that they now leak urine with exercise or feel that there is a vaginal prolapse.”

Physiotherapist and women’s health campaigner, Michelle Kenway said recent research shows specific gym exercises and techniques cause downward movement of the pelvic fl oor in women who have had vaginal deliveries.

“Many of the exercises and gymnasium machines are designed for those without risk of pelvic floor problems,” Ms Kenway said.

“Repeated inappropriate exercise and technique can cause a woman’s pelvic floor to become stretched, floppy and weak,” she said.

“This can lead to pelvic floor problems such as vaginal prolapse and bladder control issues.”

Exercises that are commonplace in gyms and exercise classes—such as sit-ups—are contributing to pelvic problems in women at risk, including those over 40 years of age, after childbirth and following common procedures such as hysterectomy and vaginal repair.

“Safe, effective exercise is essential for good health, fi tness and pelvic support,” Ms Kenway explained. “Women need not avoid exercise if they understand the guidelines for appropriate exercise and weight loss by being equipped with the skills and understanding for effective abdominal and pelvic floor control.”

For more information, contact Michelle Kenway on 0404 502 259.