18/06/2026
What I’m doing at 37 to optimise my pelvic floor — and why I started before I needed to.
I haven’t had children, but it’s something I’d love my body to be able to cope with one day if I’m lucky enough to be in that position. And even if that never happens, a well-functioning pelvic floor matters for every decade ahead. So I’m being intentional about it now.
1. Training under load My pelvic floor is a muscle. Like any muscle it needs progressive challenge — not just repetitive squeezing. Squats, deadlifts, carrying heavy things. Actual strength work.
2. Stopping the constant bracing That habit of holding everything in creates a pelvic floor that can’t relax. And a pelvic floor that can’t relax can’t function properly. I’m actively practising letting go.
3. Understanding how hormones affect pelvic tissue Oestrogen plays a significant role in tissue quality, elasticity, and bladder function. My levels are fine right now — but understanding that relationship means that if and when things change, I’m not caught off guard. Topical hormones are one of the most underused tools available, and I want to be informed enough to use them well when the time comes.
4. Including drills that train reflexive function The pelvic floor doesn’t just need to be strong — it needs to respond automatically under load and impact. So alongside my general strength training I include specific drills that challenge that reflexive response: things like landing mechanics, impact progressions, and loaded movement. Training the pelvic floor to react, not just to contract on demand.
5. Hydration Bladder and pelvic floor health are directly affected by what and how much you drink. Not enough and urine becomes concentrated and irritating to the bladder. Too much and you’re training your bladder to fill and empty more frequently than it needs to. Getting hydration right is a simple lever that most people overlook.
None of this is complicated. But most people have never been told any of it.
What do you do to look after your pelvic floor? I’d love to know — drop it in the comments.