Pelvic Floor Symptom Checklist: Know Your Patterns

Pelvic floor symptoms don’t always show up all at once. Often, they develop slowly and can change depending on stress levels, activity, or life stage.

Learning to notice patterns can be a powerful first step toward healing.

Common Pelvic Floor Symptoms

You might notice:

* Urinary leakage when coughing, sneezing, or exercising

* Night time urination or urinary frequency that doesn't match your fluid intake

* Trouble starting or fully emptying urine or bowels

* Pelvic pain, pressure, or heaviness (with ovulation, menstruation, sex, or activities)

* Pain with penetration, menstrual products, or pelvic exams

* Tightness in the hips, glutes, or low back

* Abdominal pain, bloating, digestive changes (pelvic floor problems aren't just in the pelvic floor)

* Changes in menstrual symptoms: more cramping, clotting, heaviness, swelling or increased bloating around ovulation or menstruation.

These symptoms are common. They are not normal. And they’re not something you have to “just live with.” Don't be dismissed by your provider if you bring this up and they don't have an idea how to resolve it. This is what pelvic floor therapy can help with!

Why Tracking Symptoms Matters

Pelvic floor symptoms often fluctuate. Stress, diet, posture, breathing habits, bowel routines, and even hormonal changes can all play a role.

Noticing when symptoms appear can help identify triggers and guide next steps.

What to Do If You Notice Patterns

* Jot down symptoms and when they occur

* Pay attention to stress levels and daily habits

* Consider reaching out to a pelvic health professional for support

Awareness creates options, and options create change.