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Pelvic floor dysfunction occurs when the group of muscles and connective tissues forming the base of the pelvis do not work correctly. This can mean these muscles are too tight (hypertonic), too weak, or poorly coordinated, leading to problems controlling urination, bowel movements, or causing pelvic pain.

Common symptoms include urinary urgency or frequency, leaking urine when coughing or sneezing, difficulty fully emptying the bladder or bowel, a feeling of pelvic heaviness or pressure, and pelvic or lower abdominal pain. Symptoms vary depending on whether the muscles are weak or overly tight.

People who have given birth vaginally, had pelvic surgery, experienced pelvic trauma, or gone through menopause are at higher risk. However, it can also affect men, younger adults, and those with chronic straining, heavy lifting habits, or connective tissue disorders.

Yes. The majority of people with pelvic floor dysfunction are treated without surgery. First-line approaches include pelvic floor physical therapy, bladder training, and prescription medications to reduce urgency or relax overactive muscles. Surgery is generally considered only when conservative measures have not provided adequate relief.

Medications are most commonly used for the overactive bladder component of pelvic floor dysfunction. Anticholinergic drugs such as oxybutynin and solifenacin reduce bladder urgency and frequency. Mirabegron works through a different mechanism as a beta-3 agonist. Baclofen may be used when pelvic floor muscle spasm or hypertonic dysfunction is the primary issue.

Pelvic floor physical therapy is delivered by a specially trained therapist and involves exercises to strengthen weak muscles, techniques to relax overly tight muscles, biofeedback to improve muscle awareness, and education on bladder habits. It is considered a cornerstone of pelvic floor dysfunction treatment and can lead to significant long-term improvement.

Doctronic uses an AI-guided intake to collect your symptom history and relevant health details. A licensed physician then reviews your information, confirms the appropriate diagnosis, and creates a personalized treatment plan that may include prescription medications, behavioral recommendations, and referrals to physical therapy as needed.

Yes. Doctronic works exclusively with licensed physicians who are board-eligible or board-certified. All clinical decisions are doctor-reviewed and subject to quality audits. The platform is HIPAA-compliant, and care is available to adults 18 and older in any U.S. state.