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Writer's pictureDr.Jen

Gynecological cancer affect on the Pelvic Floor

Updated: Oct 2

Gynecological cancers, which include cancers of the ovaries, uterus, cervix, vulva, and vagina, can significantly impact a woman's physical health, particularly the pelvic region. Treatment for these cancers often involves surgery, radiation, and chemotherapy, which can result in various side effects such as pelvic pain, sexual dysfunction, and incontinence. Pelvic floor therapy can be a vital part of the recovery process, helping to manage and alleviate these symptoms.

Impact of Gynecological Cancer on the Pelvic Floor

The pelvic floor is a group of muscles, ligaments, and tissues that support the bladder, uterus, rectum, and other organs in the pelvis. Gynecological cancers and their treatments can weaken or damage these muscles, leading to:

  • Pelvic pain: Surgery and radiation can cause scarring and inflammation, leading to chronic pelvic pain.

  • Urinary and fecal incontinence: The muscles that control bladder and bowel function may be weakened or damaged.

  • Sexual dysfunction: Scarring, muscle tightness, and reduced lubrication can lead to pain during intercourse (dyspareunia).

  • Lymphedema: Removal of lymph nodes can cause swelling in the lower abdomen, genitals, and legs, contributing to discomfort and mobility issues.

How Pelvic Floor Therapy Helps

Pelvic floor therapy, often provided by a specialized physical therapist, can address these issues through various techniques:

  1. Strengthening Exercises: 

    • We can help create an individualized program to strengthen your pelvic floor muscles. Strengthening these muscles can improve bladder and bowel control. 

  2. Manual Therapy: 

    • We provide hands-on technique that helps release tension in the pelvic floor muscles, reducing pain and improving mobility. Manual therapy also helps to break down scar tissue from surgery or radiation, improving flexibility and reducing pain.

  3. Education and Lifestyle Modifications: 

    • We will help you learn techniques to improve bladder control and reduce urgency. We also focus on providing education on proper body alignment and movement to reduce strain on the pelvic floor.

  4. Pain Management:

    • Our therapists can identify and treat areas of muscle spasm or tightness to reduce pain. We can also teach you breathing exercises, mindfulness, and other techniques to help manage chronic pain and stress.

  5. Sexual Health Rehabilitation:

    • Our therapists can also provide care to help address the physical recovery of the pelvic floor muscles and the emotional aspects of sexual health. We address improving reducing pain during intercourse, vaginal dryness, overall pelvic floor muscle function to engage in intercourse pain-free.  

Benefits of Pelvic Floor Therapy

Pelvic floor therapy can significantly improve quality of life for women recovering from gynecological cancer by:

  • Reducing chronic pelvic pain.

  • Restoring bladder and bowel control.

  • Enhancing sexual function and comfort.

  • Improving mobility and reducing swelling.

  • Supporting emotional well-being through education and empowerment.

Pelvic floor therapy offers a transformative path to recovery for women affected by gynecological cancer. By addressing the physical and emotional challenges that arise from cancer treatments, this specialized therapy not only alleviates pain and improves pelvic function but also restores confidence and enhances overall well-being. Whether it’s through reducing chronic pelvic pain, managing incontinence, or supporting sexual health, pelvic floor therapy is a crucial component of comprehensive cancer care. For many women, it provides the tools and support needed to regain control over their bodies and lives, empowering them to move forward with strength and resilience. If you or a loved one is navigating the aftermath of gynecological cancer, consider exploring pelvic floor therapy as a vital step in the healing journey.





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