Women's complaints related to the weakening of pelvic floor muscles long considered "shameful." Or as "inevitable". Urinary incontinence can be treated successfully, however - it is time that we are aware.

Although the ads say about it in a manner so natural, a woman of a certain age are not at all condemned the use of inserts and because of incontinence. This problem occurs so often that many of those affected do not even consider him for affection and does not know that he could be prevented or even significantly alleviate its course. Sometimes it is said that women in medicine remains in the shadows, because the whole diagnosis and treatment are based far more on research conducted on men. In addition to the recent complaints typically female drew less attention, and most neglected in this regard a fragment of anatomy was undoubtedly pelvic floor. Meanwhile, the fact that we attach much greater today than ever the importance of quality of life, makes it more and more women decide to seek help in gynecological ailments. As a result, we see significant progress in their treatment. Urinary incontinence, sexual dysfunction (vaginal pain during intercourse, lack of orgasm, or problems with the attainment of) the problems, which often complain that women with weakened pelvic floor muscles. The reason for their ailments is often weakened abdominal muscles. This can occur when other irregularities, such as genital prolapse, constipation, non-nothing to do with diet or Vaginismus, which comes to clamping muscles of the vagina (a condition that may be the result of stress, psychological factors, previous sexual abuse or recurrent infections and intercourse difficult or impossible sexual, and even the use of tampons). For years I did not paid much attention to this disturbance by making women believe that they are the natural consequences of motherhood, and aging. As such, they were to be inevitable and incurable. Many of us tolerate these problems, therefore, giving rise to physical and mental discomfort. Do not attach importance to them and ask the doctor only when they lead to more serious diseases - explains, director of the Barcelona clinic El Center, which specializes in physiotherapy female pelvic disorders. This kind of discomfort due to the close relationship with the intimate parts of the body, with sexuality and body functions to be defined as "shameful", until recently were taboo in some gynecological surgeries. Many urologists in general did not address them, focusing on diseases of the l system in men. Often thought that women's problems are the psychological background. In addition, specialists are lacking this kind of problems. Slowly, however, due to the prevalence of these ailments, they began to devote more attention, also in public health. It is estimated that pelvic floor muscle weakness occurs in three out of ten women under 60 years of age and at least one in three elderly patients, says Núria Sans head of physiotherapy at an obstetric unit in the Dexeus in Barcelona. The clinic offers its patients, post-natal examination of the pelvic floor, "to determine whether it is necessary to strengthen the muscles, if you want to avoid certain problems" - says Ms Sans. In her opinion, "all obstetric units in institutions, both private and public should conduct such a study, for example, in France is carried out routinely." Childbirth (as well as maintaining a larger than normal weight throughout pregnancy) causes muscle weakness in the abdomen, especially if performed episiotomy. In addition, it must be remembered that much more difficult later motherhood back to the old woman's physical form. Núria Sans says that 20 percent of her patients, gets to it soon after the dissolution. They often complain of various ailments, but report them to the doctor only when they need practical help - for example in case of problems in sexual intercourse. As the aging of the body, especially during the menopause (when the hormone production decreases), decreases muscle tension: it is then incontinence is a common ailment with urinary incontinence. Some gyms are beginning to introduce a special exercise programs for women, designed to protect and strengthen the abdominal muscles simultaneously. Physiotherapy is the most important weapon against the dysfunctions of the pelvic floor muscles. Avoids the situation where it would be necessary surgical intervention (which does not always guarantee a solution of the problem). Methods of treatment vary depending on the diagnosis posed by physician and stage disease. Most recommended special exercises your abdominal muscles - designed for women after childbirth, so that they can quickly recover the figure, while strengthening the muscles without the risk of it. Other methods include electrostimulation, muscle relaxation techniques and biofeedback, which uses a sight glasses, the same as for gynecological examination, and computer programs through which women learn - by watching it on screen - as tighten and relax various muscles of the lower part of the body. Therapy, conducted individually or in group, aims to strengthen the muscles, thereby preventing the occurrence of disorder or mitigate them. Based on the conscious control of muscle contractions, so that she could learn how to use this method in everyday life and to prevent their loosening. In Barcelona El Center is treated in this way many cases of incontinence. Patients come for about ten sessions. In the case of male abdominal muscles are much less exposed to weakness due to differences in anatomical structure, except that men did not have to reckon with the consequences associated with prior pregnancy and childbirth. However, in some cases also with their observed decrease in muscle tone, causing various problems. For example, among the truck drivers to remain seated for long hours and constant vibration can cause incontinence and erectile dysfunction.