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Urinary Leaks? Your Pelvic Floor Might Be Too Tight
8 Feb
Summary
- Many women with incontinence have tight, not weak, pelvic floors.
- Kegel exercises can worsen symptoms for some women.
- New programs focus on coordination and timing, not just squeezing.

Urinary incontinence is estimated to affect 40% of women in the UK. While often linked to a weak pelvic floor, experts now highlight that for some, the issue stems from an overly tight or tense pelvic floor. This overactivity can lead to leaks and other issues, with traditional Kegel exercises potentially exacerbating symptoms.
This new understanding shifts focus from solely strengthening the pelvic floor to retraining its coordination with other core muscles and breath. Functional exercises mimicking daily activities like coughing or lifting are gaining traction. These programs aim to improve the pelvic floor's ability to respond appropriately under pressure and relax effectively.
Research indicates a significant number of women experience leaks, with many struggling almost daily. The emergence of new, accessible protocols offers an alternative to traditional methods, emphasizing a holistic approach to pelvic floor health. Consulting a specialist is advised to determine the appropriate course of action for individual needs.