Understanding the Stages of Pelvic Health Disorders: What You Need to Know

From the Pelvic Health Team at Evolv Physical Therapy & Performance

Pelvic health isn’t talked about nearly enough—but it should be. As pelvic health therapists, we often see people who’ve been struggling in silence, unsure if what they’re experiencing is “normal” or if they should seek help.

The truth is: pelvic health disorders are common—and there is help available at every stage.

Whether you’re feeling subtle symptoms or living with persistent dysfunction, knowing where you are in your pelvic health journey can be the first step toward healing.

Let’s break down the stages of pelvic health disorders so you can better understand what’s going on in your body—and when to get support.

Stage 1: Early Signs and Subtle Symptoms

At this stage, things may seem minor—but they’re worth paying attention to.

You might notice:

• Mild leakage with sneezing, coughing, or running

• Occasional pelvic pressure or heaviness

• Difficulty fully emptying your bladder or bowels

• Low back or hip tightness that won’t go away

• Discomfort during or after intimacy

👉 These are warning signs that your pelvic floor isn’t functioning optimally. The earlier you seek care, the easier it is to correct the issue and prevent further dysfunction.

Stage 2: Persistent or Worsening Symptoms

In this stage, the symptoms have become more frequent or disruptive. You might notice:

• Regular incontinence (leakage during exercise or daily activities)

• Ongoing pelvic pain or pressure

• Pain with penetration or tampon use

• Difficulty controlling gas or stool

• Constipation that doesn’t resolve with hydration or diet changes

This is often when people start to realize that what they’re experiencing isn’t normal—and it’s impacting their quality of life.

💡 Good news: Physical therapy at this stage can make a huge difference. We focus on restoring proper pelvic floor function, improving coordination, and addressing mobility and strength imbalances.

Stage 3: Compensations and Chronic Dysfunction

If symptoms have been ignored or mismanaged, your body may start to compensate—leading to more complex issues.

Common signs include:

• Chronic low back, SI joint, or hip pain

• Postural changes due to guarding or discomfort

• Pelvic organ prolapse symptoms (a sensation of bulging or heaviness)

• Emotional or mental strain from dealing with ongoing dysfunction

At this stage, the issue is rarely isolated. The pelvic floor is connected to the entire core and movement system, and a comprehensive treatment plan is essential.

You may need:

• Pelvic floor retraining

• Breathwork and nervous system regulation

• Hands-on manual therapy

• Functional strengthening and mobility work

  
  

Stage 4: Post-Surgical or Complex Cases

Some individuals may reach a stage where surgical intervention (like for prolapse or endometriosis) becomes part of the picture. But even here, pelvic floor therapy plays a vital role in recovery and long-term function.

We help you:

• Restore strength and mobility post-surgery

• Manage scar tissue and address pain

• Rebuild confidence in movement and intimacy

• Return to exercise, sport, or daily life—safely

  
  

Wherever You Are, You’re Not Alone

Pelvic health disorders exist on a spectrum—and they are treatable at every stage. Whether you're noticing early signs or dealing with long-term pain or dysfunction, you deserve support that sees the whole picture.

At Evolv Physical Therapy & Performance, our pelvic health therapists provide compassionate, expert care that’s personalized to your unique story and goals.

💬 Ready to take the first step?

Reach out to schedule a pelvic health consultation with one of our therapists. Your body has been trying to tell you something—let’s listen together.