It would be too narrow to talk about Kegel muscles alone, which are, to simplify matters, the urethral and anal sphincters.The pelvic floor is composed of numerous muscles which span the area between the pubic symphysis at the front and the sacrum at the back, and between the bones of the pelvis and hip on the sides.These are several layers of muscles with fibres going in many directions at different angles.So it is a 3D grid.There are nerves going through it, including also the sacral plexus which is like a major traffic route for the nerves of the bottom part of the body.The bladder, intestines and, for women, the uterus, rest on these muscles and are held up by ligaments.Therefore, this is where the exits of these systems are: the urogenital system and the gastrointestinal tract.
All of these organs and muscles, including their fasciae, nerves, and ligaments are fitted in the small pelvic space.This is why, where one of the elements is dysfunctional (e.g. a swollen muscle) it may have a domino effect causing various conditions (as described in the indications).
Accordingly, a syndrome of pelvic floor disorders is often observed where many conditions occur simultaneously or new conditions occur in addition to the existing ones.Sometimes one problem stops and another one occurs which seems to be a paradox (but it results from changes to how the pelvic floor works).
Functions of pelvic floor organs
The organs above pelvic floor muscles are related to them in functional terms.What it means is that whether they function properly or not depends on the condition of the pelvic floor muscles, as well as nerves, fasciae and ligaments.Therefore, a proper functioning of the pelvic floor is a necessary, albeit not the only, condition for those organs to work properly.
- The bladder – controlling urination, how strongly and frequently an urge to urinate is felt.
- Female reproductive system – no painful ovulation and menstruation; the cervix is held properly during pregnancy, it opens properly during labour and the child’s head takes the proper position.
- For both sexes:feeling sexual satisfaction, possibility to reach an orgasm; for men – control during sexual intercourse.
- Proper work of the intestines, the ease of passing stools, control of wind and defecation.