Abstract
The aim of this paper is to review the current evidence for physical therapy (PT) in the treatment of pelvic floor disorders (PFDs) in women throughout the female lifespan. Although trials are small and heterogeneous, there is an increase in evidence to support PT as a safe, effective treatment option for women with PFDs at various life stages. Evidence to support PT interventions for pelvic floor conditions including dysmenorrhea, chronic pelvic pain, dyspareunia, urinary incontinence, pelvic organ prolapse, and genitourinary syndrome of menopause are discussed. Clinicians are recommended to consider prevention and wellness strategies to promote pelvic health for women and screen for PFDs for early intervention. At various stages along the lifespan, a woman may be at risk for PFDs, impacting function, and quality of life. Knowledge of the potential risk factors based on a women’s history and life stage to appropriately screen for PFDs may facilitate early intervention. Pelvic health PT is considered to be a low risk, effective treatment option for women with PFDs. Future research is needed to determine longer term outcomes and potential prevention strategies for women on a larger scale.
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