The Pelvic Floor is the set of muscular and ligamentous structures that close the abdominal cavity from the bottom, that is, they are the structures that cover the pelvis from the inside. Due to their location and functionality, they are closely related to other structures such as the diaphragm, the abdominal wall, and the lumbar area, forming a team that we can call the ABDOMINO-LUMBO-PELVIC belt, which we must take into account when assessing and treating Pelvic Floor dysfunctions. These structures have many very important functions, such as:

• Support of pelvic organs
• Continence of urine, gases, and fecal matter
• Reproduction

This specialty within Physiotherapy helps us treat dysfunctions related to this team we have mentioned, whether they are at the muscular, ligamentous, or visceral level. Thus, we can work on conditions such as:

• Stress urinary incontinence: those leaks related to efforts such as coughing, sneezing, laughing, jumping, or running.
• Urgency urinary incontinence: leaks more related to the urgent sensation of not being able to reach the toilet to urinate.
• Overactive bladder: related to a hyperactive functioning of the bladder, that is, a lot of activation of this without a physiological reason, leading to urinating many more times than normal for the person and/or having more uncontrolled incontinence in terms of quantity and/or number of leaks.
• Gas and/or fecal incontinence.
• Abdominal diastasis: it is a separation of the rectus abdominis muscles due to a failure in the tension of the linea alba, producing a functional alteration of this musculature.
• Pelvic organ prolapse: defined as the descent of organs, whether the bladder, uterus, or rectum, through the vagina. There are different degrees of this descent, and it can even protrude through the vagina.
• Constipation: a symptom that we have very normalized, whether understood as going to the toilet infrequently or going but with difficulty, and which we should not normalize as there may be a dysfunctional cause affecting the person's quality of life.
• Menstrual pain: another big topic that we normalize and shouldn't, since menstruation is a physiological process like breathing, sleeping, or drinking water, in which if everything works well, it should not hurt. Therefore, why do we normalize menstrual pain? And even worse, why do so many women have painful periods? These are the questions we address in consultations regarding menstrual pain, and of course, we treat this pain and its cause by personalizing the treatment in each case using the most appropriate techniques and tools.
• Vaginismus: difficulty or inability of NON-sexual penetration, for example, pain when inserting a tampon or during a vaginal exam.
• Problems related to sexuality, such as: pain during penetration, lack of lubrication, and anorgasmia, among others

Pelvic Floor Physiotherapy does not only focus on women, we can also work on dysfunctions related to male sex. The most common are: erectile dysfunction, urinary incontinence, and premature ejaculation, among others. These dysfunctions can be caused by an affectation of the prostate tissue or not, that is, by an oncological process at the level of the prostate, by benign hyperplasia of it, or simply by a failure in the functionality of different structures that are not related to the state of the prostate.

More focused on the quality of life of women, Pelvic Floor Physiotherapy can accompany us at key moments in our lives such as pregnancy, birth, and postpartum, prioritizing in each stage the well-being of the woman through the techniques we consider appropriate, but always giving special importance to movement and physical activity.

We also accompany women through life stage changes such as menopause, a phase that may be lived in peace and wellbeing but which at other times needs professional accompaniment to reduce the symptoms that may be related to it.