How Stress Is Affecting Your Pelvic Floor More Than You Realize?

Written by:
Dr. Sarah Powner
February 2, 2026

Stress is an unavoidable part of life, and certain seasons—whether due to work, family, or unprecedented natural disasters, like the recent LA fires, can become overwhelming. During these times, it’s important to pay attention to your pelvic floor. As a pelvic floor physical therapist (PT), I’ve seen how stress can impact this vital group of muscles, and I’m here to share practical ways to protect your pelvic floor when life gets hectic.

Why the Pelvic Floor Matters

The pelvic floor is a group of muscles that stretch across the bottom of the pelvis. These muscles support your bladder, uterus (if you have one), rectum, and other pelvic organs. They play a key role in core stability, sexual function, and controlling bladder and bowel movements. In seasons of stress, it’s crucial to keep your pelvic floor healthy to avoid discomfort or dysfunction.

How Stress Impacts Your Pelvic Floor

Stress affects the pelvic floor in several ways:

  • Muscle Tension: Stress can cause unconscious clenching of muscles, including those in the pelvic floor. Prolonged tension can lead to pain and pelvic floor dysfunction.
  • Breathing Patterns: Shallow, chest-based breathing is common during stress, disrupting the natural coordination between the diaphragm and pelvic floor muscles.
  • Digestive Issues: Stress can lead to constipation, diarrhea, or bloating. Straining due to constipation can overwork the pelvic floor, while chronic diarrhea can irritate these muscles.
  • Hormonal Changes: Chronic stress triggers cortisol release, which can weaken connective tissues and impair muscle recovery, potentially affecting pelvic floor health.

Signs Your Pelvic Floor May Be Struggling:

  • Pelvic pain or pressure
  • Increased urgency or frequency of urination
  • Painful intercourse
  • Constipation or difficulty emptying the bladder
  • Unexplained lower back or hip pain

How to Care for Your Pelvic Floor During Stressful Times

  • Focus on Your Breathing: Practice diaphragmatic breathing to relax your pelvic floor and restore its coordination with the diaphragm. Place one hand on your chest and one on your belly. Inhale deeply, letting your belly rise, then exhale slowly, allowing it to fall.
  • Incorporate Stress-Relief Activities: Engage in yoga, meditation, or gentle stretching to ease overall tension and reduce stress on your pelvic floor.
  • Maintain Healthy Bowel Habits: Drink plenty of water, eat a fiber-rich diet, and avoid straining during bowel movements. Seek professional advice if constipation persists.
  • Seek Support: A pelvic floor PT can evaluate your specific needs and guide you in exercises and strategies to protect your pelvic floor.
  • Stay Active: Regular physical activity can help manage stress, improve circulation, and promote pelvic floor health.

Prioritizing Your Pelvic Floor in Stressful Seasons

Life’s stressful periods don’t have to take a toll on your pelvic floor. By staying aware of how stress affects your body and taking proactive steps to care for your pelvic floor, you can maintain its health and functionality. If you’re experiencing any pelvic floor issues, don’t hesitate to reach out to a healthcare provider for support. Your pelvic floor deserves the same care and attention as the rest of your body.

Need help? Please reach out to us at Activcore Denver to schedule a session.

Disclaimer:  The views expressed in this post are based on the opinion of the author, unless otherwise noted, and should not be taken as personal medical advice. The information provided is intended to help readers make their own informed health and wellness decisions.

Dr. Sarah Powner

Physical Therapist
Sarah Powner is a residency-trained Doctor of Physical Therapy (DPT) specializing in pelvic health and orthopedic rehabilitation. She primarily works at Activcore in Denver, Colorado.‍ Sarah began her career in Los Angeles at a private practice before returning to her hometown of Denver in 2025. She is deeply passionate about supporting expecting, new, and long-time mothers, helping them prepare for childbirth and rehabilitate their bodies to return to an active, pain-free lifestyle with confidence.
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