Fibroids are non-cancerous growths that develop in the uterus, varying in size from small seedlings to large masses. While they are typically benign, fibroids can cause significant discomfort and disrupt pelvic health in various ways.
Let’s dive into a topic that’s super important but doesn’t always get the spotlight it deserves: fibroids and pelvic health. If you’ve ever wondered how fibroids affect your pelvic well-being or what you can do to keep your pelvic floor happy and healthy, you’re in the right place!
What are Fibroids?
Fibroids, also known as uterine leiomyomas, are growths that develop within the muscular walls of the uterus. They can vary in size, number, and location within the uterus. While the exact cause of fibroids remains unclear, factors such as hormonal imbalances, genetic predisposition, and estrogen levels are believed to play a role in their development.
Common Symptoms of Fibroids
The symptoms of fibroids can vary widely depending on their size, number, and location. Common symptoms include:
- Heavy menstrual bleeding
- Pelvic pain or pressure
- Frequent urination
- Constipation
- Backache
- Pain during intercourse
Impact on Pelvic Health
Fibroids can be painful and uncomfortable due to their location, size, and the increased pressure they place on the pelvic region. Larger fibroids may cause the pelvic muscles to stretch and become loose over time, resulting in the weakening of pelvic floor muscles.
Think of your pelvic floor muscles like your favorite hair band. You use it every day to tie your hair up in a ponytail or bun, but over time, it starts to lose its elasticity from being overstretched for long periods. Similarly, large fibroids can overstress pelvic muscles, leading to weakness. When the fibroid is eventually reduced or removed, the pelvic floor muscles may be weakened, potentially resulting in issues such as stress incontinence.
What is Stress Incontinence?

Stress incontinence is a type of urinary incontinence caused by weak pelvic floor muscles. It is characterized by leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, laughing, or exercising.
Other Issues Related to Weakened Pelvic Floor Muscles
In addition to stress incontinence, weakened pelvic floor muscles can contribute to other pelvic health issues, including pelvic organ prolapse, pelvic pain, and sexual dysfunction.
Ways to Care for Your Pelvic Floor Muscles

To prevent stress incontinence and weakening of pelvic muscles, it’s essential to take proactive steps to care for your pelvic floor muscles. Here are some effective strategies:
Kegel Exercises: Kegels are exercises designed to strengthen the pelvic floor muscles. They involve contracting and relaxing the muscles used to control urinary flow. Regular practice of Kegel exercises can help improve pelvic muscle strength and prevent urinary incontinence.
Glute Bridges with Kegel Hold at Top: Incorporating glute bridges with a Kegel hold at the top of the movement can help strengthen both the pelvic floor and gluteal muscles, providing comprehensive support to the pelvic region.
Decreasing Intraabdominal Pressure: When lifting heavier objects, remember to exhale during the exertion phase. This helps reduce intraabdominal pressure, which can strain pelvic floor muscles.
Maintaining a Healthy Weight: Excess weight can put additional pressure on the pelvic floor muscles, contributing to weakness and urinary incontinence. Maintaining a healthy weight through a balanced diet and regular exercise can help prevent these issues.
Monitoring Estrogen Levels: Estrogen levels play a significant role in the development and growth of fibroids. Monitoring and managing estrogen levels, particularly during perimenopause and menopause, can help reduce the risk of fibroid growth and associated pelvic health issues.
Who to See if You Have Pelvic Muscle Dysfunction?

So, you suspect there might be some issues with your pelvic floor muscles. Who should you turn to for help? Well, one fantastic option is to seek guidance from occupational or physical therapists who specialize in pelvic health.
Occupational therapists (OTs) are like the superheroes of everyday life. They’re experts in helping people navigate the activities that are meaningful and essential to them, whether it’s brushing your teeth, cooking dinner, or playing with your kids. When it comes to pelvic muscle dysfunction, OTs can work wonders in helping you regain function and independence in your daily activities. They can provide tailored strategies and techniques to manage symptoms, such as bladder or bowel issues, and improve your overall quality of life.
OTs, along with physical therapists (PTs), can help you regain strength, flexibility, and control of your pelvic floor muscles. Through specialized exercises, manual therapy techniques, and personalized treatment plans, they can help you address issues like urinary incontinence, pelvic pain, and pelvic organ prolapse.
Understanding the impact of fibroids on pelvic health is crucial for women’s well-being. By recognizing the symptoms of fibroids, implementing strategies to care for pelvic floor muscles, and seeking appropriate medical care when needed, women can take proactive steps to maintain optimal pelvic health and overall quality of life.