While most women suffer from pelvic floor disorders (PFD), the majority don’t seek help until they are incontinent.
In a survey of 1111 working women, Temple University researchers were surprised to learn that while the majority, 72 percent, reported suffering from one or more pelvic floor disorders, 70 percent had not sought medical help. And further, that by the time they did see the doctor, usually triggered by the onset of incontinence, they were suffering from multiple urogynecological problems.
According to one of the researchers, Jack Mydlo, M.D., professor and chair of urology at Temple University School of Medicine, of all pelvic floor disorders, it is incontinence that brings most women to the doctor. “They cannot tolerate leaking urine and the disruption to their daily lives. But incontinence is usually just the tip of the iceberg. Many are also suffering from such pelvic floor disorders as uterine or rectal prolapse.”
Among the study participants, significant risks for PFD were older age, high body mass index, number of vaginal births, and the use of forceps.
Minor incontinence and other PFDs usually begin after a woman gives birth. Then, as women age, the bladder stretches and pelvic muscles weaken, especially if they don’t exercise. Uterine or rectal prolapse and incontinence can often ensue.