The pelvic floor works incredibly hard during pregnancy and birth, and it is normal to experience weakness or discomfort afterward. But certain symptoms are important to evaluate early.

Seek help if you have difficulty controlling gas or stool, if you feel a bulging sensation in the vagina, or if heaviness worsens when standing or exercising. These symptoms may indicate prolapse or a more significant tear than initially detected.

If you had a third- or fourth-degree tear, follow-up should be routine. But even with minor tears, seek assessment if pain persists or if healing does not feel normal. Pain during intercourse that continues months after birth is also a reason to get help.

Pelvic floor exercises are helpful, but only if done correctly. Over-tightening or compensating with the wrong muscles can worsen symptoms. A pelvic health physiotherapist can assess your muscles and guide you safely.

You should also seek care if you experience numbness, sharp unilateral pain, unexplained weakness, or difficulty emptying your bladder.

Pelvic floor issues are common — but never something you should endure in silence.

Alma’s tips

• Seek help early — proper support leads to better recovery.

• Pain during sex is common but not something you must tolerate.

• A pelvic health physiotherapist can make a profound difference.

• Listen to your body — discomfort is a signal, not something to ignore.