Beautiful happy smiling relaxed middle aged woman relaxing on sofa at home. Smiling stylish middle aged 50s lady sitting on couch holding a pillow in modern living room.

Pelvic Health for Women

Helping Women Feel Strong, Confident, and Comfortable at Every Stage of Life

Pelvic health concerns affect women of all ages and stages of life. While symptoms such as bladder leakage, pelvic pressure, constipation, or pelvic pain are common, they should not be accepted as a normal part of aging, pregnancy, childbirth, or menopause.

At Belleville Integrative Health Centre, Angela Lagerlof provides specialized pelvic health physiotherapy for women experiencing a wide range of pelvic floor concerns. Through comprehensive assessment, education, and individualized treatment, our goal is to help you better understand your symptoms, restore function, and return to the activities that matter most to you.

We proudly serve women throughout Belleville, Quinte West, Prince Edward County, Napanee, Tweed, Madoc, Bancroft, Stirling-Rawdon, Deseronto, and surrounding communities.

 


 

What Is Pelvic Health Physiotherapy?

Pelvic health physiotherapy focuses on the muscles, connective tissues, nerves, and joints that support the bladder, bowel, reproductive organs, and core.

The pelvic floor plays an important role in:

  • Bladder control
  • Bowel function
  • Core stability
  • Sexual function
  • Pregnancy and childbirth
  • ostpartum recovery

When these systems are not functioning optimally, symptoms such as leakage, urgency, pain, constipation, heaviness, or pressure can occur.

Pelvic health physiotherapy aims to identify the factors contributing to your symptoms and develop a treatment plan tailored to your goals and lifestyle.

 


 

Common Conditions We Treat

Urinary Incontinence

Do you leak urine when you cough, sneeze, laugh, run, jump, or exercise? Urinary leakage affects millions of women and can occur at any age.

Common types of urinary incontinence include:

  • Stress urinary incontinence
  • Urge urinary incontinence
  • Mixed urinary incontinence

Many women assume leakage is simply part of aging or motherhood. While common, it is not something you have to live with.

Pelvic health physiotherapy can help improve bladder control, pelvic floor function, and confidence.

 

Urinary Urgency and Frequency

Do you constantly feel like you need to know where the nearest bathroom is?

Symptoms may include:

  • Frequent urination
  • Strong urges to urinate
  • Difficulty delaying urination
  • Leakage associated with urgency
  • Waking multiple times overnight to urinate

Treatment often includes bladder retraining, pelvic floor rehabilitation, education, and lifestyle strategies.

 

Pelvic Organ Prolapse

Pelvic organ prolapse occurs when support for the bladder, uterus, rectum, or vaginal walls changes, resulting in feelings of:

  • Pelvic heaviness
  • Pressure
  • Vaginal bulging
  • Difficulty emptying the bladder
  • Difficulty emptying the bowels

While physiotherapy cannot reverse every prolapse, treatment can often reduce symptoms, improve pelvic floor support, and help women return to daily activities with greater confidence.

 

Pelvic Pain

Pelvic pain can affect daily activities, exercise, relationships, and overall quality of life.

Symptoms may occur in the:

  • Pelvis
  • Lower abdomen
  • Tailbone
  • Hips
  • Low back
  • Perineum

Pain can be influenced by muscle tension, scar tissue, connective tissue restrictions, movement dysfunction, nerve sensitivity, and other contributing factors.

Treatment focuses on identifying the underlying contributors to pain and helping restore comfort and function.

 

Pain with Intercourse

Pain during or after intercourse is common but should not be considered normal.

Potential contributing factors include:

  • Pelvic floor muscle tension
  • Scar tissue
  • Childbirth injuries
  • Hormonal changes
  • Surgical procedures
  • Chronic pelvic pain conditions

A comprehensive assessment can help identify contributing factors and guide treatment.

 

Constipation and Bowel Dysfunction

Pelvic floor dysfunction can affect bowel movements and contribute to:

  • Constipation
  • Straining
  • Incomplete emptying
  • Difficulty passing stool
  • Fecal leakage

Treatment may include education, breathing strategies, toileting techniques, pelvic floor retraining, and bowel management strategies.

 

Menopause and Pelvic Health

Hormonal changes during perimenopause and menopause can affect pelvic floor health, bladder function, tissue quality, and sexual function.

Women commonly seek treatment for:

  • Urinary urgency
  • Bladder leakage
  • Pelvic heaviness
  • Pain with intercourse
  • Changes in exercise tolerance

Pelvic health physiotherapy can help women remain active, comfortable, and confident throughout this stage of life.

 

Pregnancy and Postpartum Support

Pelvic health physiotherapy can also support women during and after pregnancy.

Treatment may help with:

  • Pelvic girdle pain
  • Low back pain
  • Pelvic pressure
  • Labour preparation
  • Diastasis recti
  • Pelvic floor recovery
  • Caesarean section rehabilitation
  • Return to exercise

Dedicated Pregnancy Physiotherapy and Postpartum Physiotherapy pages provide more information on these services.

 


 

What to Expect

Your assessment begins with a detailed discussion of your symptoms, health history, goals, and lifestyle.

Depending on your concerns, the assessment may include:

  • Posture
  • Movement patterns
  • Breathing mechanics
  • Core function
  • Pelvic floor function

An internal pelvic floor examination may be recommended but is never mandatory. Your physiotherapist will explain all assessment options and obtain informed consent before proceeding.

Following the assessment, a personalized treatment plan will be developed based on your goals.

 


 

Frequently Asked Questions

Do I need a referral?
No. Physiotherapists are primary healthcare providers, meaning you can book directly without a referral.

Will I need an internal examination?
Not necessarily. Internal examinations are often considered the gold standard for assessing pelvic floor muscle function, but they are never mandatory. Your comfort and preferences are always respected.

Is pelvic floor physiotherapy covered by insurance?
Many extended health benefit plans include physiotherapy coverage. We recommend checking with your insurance provider regarding your specific plan.

Is bladder leakage normal after having children?
Bladder leakage is common, but it should not be considered normal. Pelvic health physiotherapy can often significantly improve or eliminate symptoms.

Can pelvic floor physiotherapy help during menopause?
Yes. Many women experience changes in bladder, bowel, pelvic floor, and sexual function during menopause. Physiotherapy can help address these concerns and support ongoing activity and quality of life.

 


 

Ready to Take the First Step?

You do not have to live with bladder leakage, pelvic pressure, constipation, pelvic pain, or other pelvic floor concerns.

At Belleville Integrative Health Centre, we are committed to helping women feel stronger, more comfortable, and more confident in their bodies.

Book your pelvic health physiotherapy assessment today and discover how specialized care can help you return to the activities you enjoy.

Meet the BIHC team members that offer these services
Search the Site
Get on the list. Be in the Know.​
Name