These problems are far more common than most of us realise and far less talked about than they should be. There’s a group of muscles working hard for us every single day that most of us never give a second thought to, until something goes wrong. Problems more common than you might think. Almost 4 in 10 women and 2 in 10 men experience urinary incontinence - with 7 in 10 of those people under 65. Around 1 in 30 experience bowel incontinence (Continence Health Australia). Common? Yes. But they are not an inevitable part of aging. Our Pelvic Floor. A rather complex group of muscles, together with fascia, ligaments, connective tissue, nerves and blood vessels. It literally holds up our bladder, bowel and for us women, our uterus, along with all their entry and exit points. The number of times a day those organs are called upon, all supported by this one hardworking structure we rarely think about, just because it’s down there. We don’t like talking about down there much do we? Hmm. Not today! That’s what Michelle Murphy, a pelvic physiotherapist with over 20 years of clinical experience, joins me to talk about our pelvic health - our Pelvic Floor in this very insightful and eye opening podcast chat. Michelle’s passion for helping us understand and treat pelvic floor problems absolutely shines through. A refreshing no shame approach to a topic we really should be talking about a lot more. And so, we are. What We Talk About In This Episode Pelvic Floor 101 - Anatomy and Function What even IS the Pelvic Floor? The parts that make up the Pelvic Floor, where they sit and what they do for us - literally the heavy lifting it does for us every day. Michelle also shows us with her clinical 3D model to illustrate, the complexity of this underappreciated, hard working part of our anatomy. Common Pelvic Floor Problems & How To Know That You Have Them The symptoms you might be experiencing that indicate that you might have Pelvic Floor Dysfunction (PDF). Problems that involve: * Bladder - leakage, frequency, urgency * Bowel - leakage, constipation, urgency + the Poo Chart (Bristol Stool Chart) * Sex - pain with intercourse, * Prolapse - what it is, why it happens, how it can feel and how common it is. The Genitourinary Syndrome of Menopause (GSM) - what it is, causes and symptoms. The influence it has on the Pelvic Floor. Not all problems need to be painful. But that they may hurt us in other, very real ways. The Emotional Load of Pelvic Floor Dysfunction (PFD) The embarrassment, shame and self-blame that so often comes with these problems - and why we need to leave them behind. What Can Help Your Pelvic Floor Problems may be common but that does not mean they are normal. Nor does it mean that nothing can be done to help. This is Michelle’s bread and butter as a specialist Pelvic Floor physio. * Pelvic Floor Exercises - the first line of defense because yes, they absolutely work. * The right exercises, done the right way, ‘dosed’ correctly and done consistently. * To Kegel or not to Kegel? Michelle clears up the confusion. * Knowing Your Baseline - the status of your Pelvic Floor muscles and how a Pelvic Floor Physio can assess this with you. * The Exercise Trap - The Overactive Pelvic Floor - it’s important to strengthen but it’s equally important to know how to relax these muscles. Athletes and women who have suffered with pelvic pain may be unknowingly holding tension there, which causes problems. * Vaginal Devices - The Pessary - Michelle shows us a pessary, a device she helps women to fit and remove that gives them great prolapse support. Helpful if they are not eligible or qualify for surgery. What to do now to protect and preserve our Pelvic Floor health - For Future Me We wind the clock forward and talk openly about what can happen as we age - both women and men. The convergence of needing to pee (or poo) often in the night + heightened risk of UTI’s (urinary tract infections) + poor bone health + falling and fracturing bones + dementia. An all too common story. The Importance of Preserving Your Baseline because if it drops, it’s much harder to get it back. And keeping it takes work! Worth it? Absolutely. For Future Me. Where To From Here? Michelle recommends doing the Australian Pelvic Floor Questionnaire. A series of super easy to answer questions to help determine where your baseline might be at. You’ll find a PDF link to it in the Resources section below. Final Thoughts Your Pelvic Floor does a lot of heavy lifting for you, every, single, day. Functions and support we take for granted, until it’s gone. It’s inevitable that as we age, that our Pelvic Floor will weaken. But we can do much to improve, protect and preserve it. It may be common, but it’s not normal. And you don’t have to just put up with it. For now and for Future You. About Michelle Murphy Michelle Murphy is an Australian pelvic health physiotherapist, educator, owner of Mercy Physiotherapy and founder of Impact HQ. With 20+ years’ experience, she empowers women through evidence-based education on pelvic health and menopause. Her mission: to bring awareness and understanding of Pelvic Floor health because it’s not spoken of nearly enough, it’s under-diagnosed and under-treated. It extends well beyond her clinic walls. That’s why this podcast chat :) Michelle is a newby on Substack so reach out and welcome her in. If you’ve listened to our chat, talk about that! Find Michelle on Substack here. Thank you Michelle. Your passion, enthusiasm, knowledge, experience and dedication to our Pelvic Health is very much appreciated. Resources: The Australian Pelvic Floor Questionnaire - start here to understand your baseline. The Anatomy of the Pelvic Floor - Continence Health Australia 3D anatomical model videos (both female and male). Genioturinary Syndrome of Menopause (GSM ) explained - an article from the Royal Australian College of General Practitioners - Australian Family Physician journal. The Vaginal Pessary - the vaginal device Michelle shows and talks about in this episode. Bristol Stool Chart - to understand if your poo is normal (ideal) and how to recognise if it’s not. Thank you to everyone who tuned into my live video! Join me for my next live video in the app. I do apologise if the video is grainy at times. It seems choosing High Res is not always optimal. The audio is clear. If you found this episode helpful and think that others might get something out of it, please share it on. To your Pelvic Health. Anita xx This is a public episode. 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