Motherhood is messy, magical, exhausting; and all too often, full of silent struggles. Leaking when you laugh. A constant, urgent need to wee. A heavy or dragging feeling down there. Pain with intimacy. These symptoms are so common that many mums shrug and say, “It’s just part of mum life.”
But here’s the truth: Common does not mean normal.
Pelvic floor dysfunction affects up to one in three women after childbirth; but it’s not something you have to simply put up with. In fact, these symptoms are part of a silent epidemic. So many women live with pelvic floor issues for years, even decades, without ever seeking help, simply because they’re too embarrassed, unsure where to go, or have been told it’s “just what happens after kids.”
The truth is, once postnatal, always postnatal. Even if your baby is now 5, 15 or 35, the impact of pregnancy and birth on your pelvic floor doesn’t just disappear, especially if it hasn’t been properly addressed. And what’s often not talked about is how these same symptoms tend to resurface or worsen in perimenopause and beyond, when hormonal changes affect muscle tone, connective tissue and bladder control.
That’s why getting early support matters. Left untreated, issues like prolapse, incontinence or pelvic pain can become more challenging later in life. But with proactive treatment, many of these problems can be greatly improved, or even prevented altogether.
Being postnatal is incredibly demanding; physically, emotionally, and mentally. It’s tiring, overwhelming, and often, women put themselves last. But pelvic floor health is not a luxury; it’s a vital part of postnatal care. Just like your six-week GP check, a pelvic floor assessment should be a normal part of recovery after birth, despite whether you’ve had a vaginal delivery or a caesarean.
Your pelvic floor is made up of a group of muscles, connective tissue, and ligaments, all which support your bladder, bowel and reproductive organs. When these muscles and supportive tissues are weakened, stretched, tight, or not working in harmony, you might experience things like leaking when you cough or run, a constant urge to go to the toilet, a sensation of heaviness or bulging, constipation, or pain during intimacy. These are not symptoms you just have to live with. They are treatable. Yes, they are common, but definitely not normal.
Pelvic floor physiotherapy offers individualised, evidence-based care to help you restore function and regain confidence. Whether it’s through hands-on therapy, pelvic floor retraining, real-time ultrasound feedback, support devices or lifestyle strategies — help is available.
And if you’ve been told to “just do your Kegels,” but aren’t sure if they’re working, or if they even help, you’re not alone. In fact, doing pelvic floor exercises incorrectly can sometimes make things worse. That’s why individual assessment is so important.
At Women’s Health Physio Mackay, we offer private consultations and accessible community classes to support women at every life stage; whether you’re newly pregnant, early postnatal or navigating menopause.
So, if something doesn’t feel quite right, trust your instincts.
You are not broken.
You are not alone.
And you deserve to feel strong and supported in your body.
Let’s stop normalising silent struggles, and start prioritising pelvic health as an essential part of care; for mums, for women, for life.