Last week, we got to know the pelvic floor, that discreet muscle that supports our organs and helps us go about our daily lives. But how can you tell if yours is working properly… or if it’s starting to weaken?

Good news: your body sends signals. You just need to know how to recognize them.

Here are the main signs to watch for, in both women and men.

1. Minor urinary leakage

This is the most well-known symptom, and often the first one to appear.

A few drops that leak out when you laugh, cough, sneeze, or exercise: this isn’t “normal,” even if it’s common.

This often indicates that the pelvic floor is having trouble fully supporting the sphincters.

2. A strong urge that is difficult to control

Do you sometimes have a sudden, urgent need to use the restroom—so much so that you’re afraid you won’t make it in time?

This urgent need may be related to a pelvic floor that is no longer functioning properly.

3. A feeling of heaviness in the lower abdomen

A feeling of “heaviness” or weight in the lower abdomen, especially at the end of the day or after physical exertion, may indicate that the pelvic floor is not supporting the organs as well as it should.

4. Changes in sensations during intimate moments

The perineum plays a role in sensations during intercourse.

A decrease in muscle tone may be accompanied by a loss of sensation or discomfort.

This is a topic that is rarely discussed, yet it is entirely legitimate.

5. Gases or leaks that are difficult to contain

The perineum also controls the anal sphincters.

Having trouble controlling gas or bowel movements, even occasionally, may be a sign that your pelvic floor needs attention.

6. Lower back instability or pain

The pelvic floor works in tandem with the diaphragm and the deep abdominal muscles to stabilize the body.

When this balance is disrupted, it can lead to tension or lower back discomfort.

7. The postpartum period

After pregnancy, the perineum has been put under a great deal of strain.

Even if there are no obvious symptoms, this is a time when it deserves special attention.

That is why perineal rehabilitation is routinely recommended after childbirth.

To conclude…

One or more of these signs? Don’t panic

Recognizing one of these signs is no big deal—in fact, it’s excellent news, because it means you can take action.

The pelvic floor is a muscle, and like any muscle, it can be retrained and strengthened.

→ The first step is to talk to a healthcare professional (doctor, midwife, physical therapist), who can assess your pelvic floor and guide you.

Rehabilitation can then involve exercises, guidance, and specialized devices such as pelvic floor rehabilitation catheters, designed specifically to help restore tone and control.

⇒ And remember: these symptoms aren’t inevitable, nor are they a matter of age. The sooner you address them, the better.