1 doctor weighed in:

I have had a great deal of tension in my pelvic floor for years. My pelvic exams and pap smears are normal. What might cause this ongoing discomfort?

1 doctor weighed in
Dr. Arthur Heller
Internal Medicine - Gastroenterology

In brief: Muscle imbalance

Not uncommon:pelvic floor muscle imbalance; +/- paradoxical spasm/contraction when relaxation should occur, vice versa.
Can be rel. Extl (vaginismus), or intl. Can be assoc w/ dropped bladder and/or rectum commonly associated with pregnancy, pelvic surgery, e.g. Hysterectomy, internal hernias, ; some can be assoc with history of abuse. May be related to bowel issues. Physical and radiol/sono tests.

In brief: Muscle imbalance

Not uncommon:pelvic floor muscle imbalance; +/- paradoxical spasm/contraction when relaxation should occur, vice versa.
Can be rel. Extl (vaginismus), or intl. Can be assoc w/ dropped bladder and/or rectum commonly associated with pregnancy, pelvic surgery, e.g. Hysterectomy, internal hernias, ; some can be assoc with history of abuse. May be related to bowel issues. Physical and radiol/sono tests.
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