Your pelvic floor quietly supports nearly every aspect of daily life.
It helps you control your bladder and bowels, supports your pelvic organs, contributes to sexual function, stabilizes your core, and even influences your posture and balance. When the pelvic floor isn’t functioning well, you may notice symptoms that affect your confidence, comfort, and quality of life—but many people assume these changes are simply a normal part of aging or having children.
They aren’t something you have to “just live with.”
At Harmony Roots Wellness, we provide compassionate, evidence-based evaluation and treatment for pelvic floor concerns. Whether you’re recovering after childbirth, navigating menopause, healing after surgery, or simply noticing changes as you age, we’re here to help you find solutions that fit your lifestyle and goals.
The pelvic floor is a group of muscles, ligaments, and connective tissues that form a supportive “hammock” at the base of your pelvis.
These muscles help:
When these muscles become weakened, overactive, injured, or stretched, symptoms can develop gradually over time.
You may benefit from an evaluation if you’re experiencing:
These symptoms are common—but they are not inevitable.
Bladder leakage affects millions of adults of all ages.
Common types include:
Leakage with:
A sudden, overwhelming urge to urinate that may not allow enough time to reach the bathroom.
Many people experience a combination of both stress and urge symptoms.
Treatment depends on the underlying cause and may include lifestyle changes, pelvic floor exercises, pessary support, referrals for pelvic floor physical therapy, medications, or procedural options.
Pelvic organ prolapse occurs when the tissues supporting the bladder, uterus, vaginal walls, or rectum weaken over time.
Symptoms may include:
Prolapse is common after childbirth and during menopause, but it can also occur with chronic constipation, heavy lifting, connective tissue disorders, or simply aging.
A pessary is a removable medical-grade silicone device that helps support the pelvic organs without surgery.
Many people are excellent candidates for pessaries, especially those who:
Harmony Roots Wellness provides:
For many patients, a properly fitted pessary can dramatically improve comfort, confidence, and quality of life.
Many people assume that having a hysterectomy prevents future pelvic floor concerns. While a hysterectomy may improve certain symptoms depending on the reason for surgery, it does not eliminate the need for pelvic floor care.
After a hysterectomy, changes in support structures, scar tissue, muscle function, and aging can still contribute to:
Routine pelvic floor evaluation remains an important part of long-term health, even after the uterus has been removed.
If you have not had a hysterectomy, the pelvic floor naturally changes over time due to pregnancy, childbirth, hormonal shifts, menopause, connective tissue changes, chronic coughing, heavy lifting, constipation, and genetics.
These changes may increase the likelihood of:
The good news is that many of these conditions respond well to conservative treatment when identified early.
Declining estrogen levels can weaken the tissues of the vagina, bladder, and urethra, contributing to:
If you’re navigating menopause, we encourage you to visit our Menopause Care page to learn more about comprehensive treatment options, including hormone therapy and non-hormonal approaches.
→ Explore Menopause Care
Pelvic floor physical therapy is often one of the most effective first-line treatments for pelvic floor dysfunction.
We frequently refer patients to trusted pelvic health physical therapists who specialize in:
Working together allows us to provide comprehensive, coordinated care tailored to your needs.
Caring for Your Pelvic Floor Every Day
Small habits can make a meaningful difference in pelvic health over time.
We encourage patients to:
Preventive care often leads to the best outcomes.
Pelvic floor health is closely connected with many aspects of reproductive and urinary health. You may also be interested in:
No. While urinary leakage becomes more common with age, it is not considered a normal or unavoidable part of aging. Many causes of incontinence can be improved with conservative treatment.
For many individuals, yes. A properly fitted pessary can effectively manage symptoms of pelvic organ prolapse or stress urinary incontinence and may delay or eliminate the need for surgery.
In many cases, yes. Even without a uterus or cervix, regular pelvic health evaluations remain important to assess vaginal tissue health, pelvic floor support, bladder function, and any new symptoms. The recommended schedule depends on your medical history and the type of hysterectomy you had.
Most people describe the sensation as strong but comfortable pelvic floor muscle contractions. Treatments are performed fully clothed and typically take about 30 minutes with no recovery time.
Many insurance plans, including Medicaid, cover evaluation, pessary fitting, and medically necessary follow-up care. Our team can help you understand your benefits and discuss any out-of-pocket costs before treatment.
Pelvic floor concerns are incredibly common, but they are not something you have to accept as “just part of life.” Whether you’re dealing with bladder leakage, pelvic pressure, prolapse, discomfort after childbirth or surgery, or changes related to menopause, early evaluation can make a meaningful difference.
At Harmony Roots Wellness, we provide inclusive, trauma-informed, and judgment-free care for women, transgender men, nonbinary individuals, and anyone seeking support for pelvic health. Together, we’ll develop a personalized treatment plan that may include conservative management, pessary care, pelvic floor therapy referrals, hormone support, or advanced non-surgical options through our partnership with Xanadu MedSpa. Our goal is to help you return to the activities you enjoy with greater comfort, confidence, and quality of life.
