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Guest Post: Five things you were never told about your pelvic floor recovery

4 replies

RhiannonEMumsnet · 04/07/2025 10:31

Tina Engelmann

Tina Engelmann is a women’s health coach with 15 years of experience specialising in C-section and pelvic floor transformation. She supports women so they feel and look like they did before they had babies or surgery with her signature and ground breaking Reclaim & Recover Programme. Tina has helped hundreds of women get back their body and their confidence - whether that’s reconnecting and strengthening their core so they can wear the clothes they love, or getting rid of leaking so they can go running again.

I had my babies years ago. I thought I was “recovered.” But the reality looked more like leaking when I laughed, back pain I couldn’t shift, and a prolapse so severe I felt like my insides might fall out if I sneezed too hard.

At one point, I was leaking from both ends.

And yet no one told me this wasn’t just my new normal. That healing was still possible, even years down the line.

If you’ve ever been told “just do your kegels” or assumed pelvic floor issues were something you had to live with once you’d had kids, here are five things I wish I’d known sooner.

1. Leaking isn’t just a ‘normal part of motherhood’

No matter how long it’s been, bladder or bowel leaks are a sign your pelvic floor isn’t functioning optimally, but that doesn’t mean it’s beyond repair. I learned the hard way that endless squeezing doesn’t help. Real healing comes from reconnecting your breath, core, and pelvic floor so they work together, especially in real-life movements like lifting and bending.

2. It’s not too late to reverse prolapse symptoms

That heavy, dragging, bulging feeling in your pelvis? That’s likely prolapse and despite what you might’ve heard, it doesn’t always require surgery. I healed a third-degree prolapse by focusing on alignment, breath, and fascial release. Your body can shift and heal at any age, it just needs the right approach.

3. Your scar might still be part of the problem

Whether you had a C-section or tearing during vaginal birth, untreated scar tissue can cause tension, restriction, and even contribute to pelvic floor dysfunction. Even if your scar looks fine, it may still be causing problems internally. Scar massage (even years later) can release tension and relieve symptoms like pain, tightness, or that stubborn lower tummy bulge.

4. Bootcamps and planks may be making it worse

After kids, many of us try to “get our core back” with intense workouts. But if your deep core and pelvic floor aren’t integrated, those exercises can create downward pressure, actually worsening leaks and prolapse. The goal isn’t to tighten everything. It’s to get the system working in synergy again. It’s subtle work and it’s powerful.

5. You’re allowed to want to feel good again

So many women live with discomfort, pain, or embarrassment for decades. We’re told to be grateful, to get on with it, to stop making a fuss. But wanting to feel confident, comfortable, and strong in your body is not vain or selfish. It’s a basic human right and everyone will benefit.

Try this mini win today:

Every time you lift something, your child, a laundry basket, your handbag breathe out as you lift. This simple exhale supports your core and takes pressure off your pelvic floor. It’s one of the most effective habits you can start now.

Tina shares core connection and scar massage tips and hacks over on her Instagram @reclaimandrecover.

OP posts:
Nikki7506 · 10/07/2025 18:53

In 2010 I had pre-eclampsia at 37 weeks.
She was my 3rd of 5 children.
It was a very difficult birth involving oxytocin, an episiotomy, assisted delivery and a 3rd grade tear.
I have recently been told I need surgery to fix prolapse for both sides😔
I did always assume that it was just a part of motherhood. That it was just the way it was.
The suffering and embarrassment has been humiliating and painful.
Definitely listen to the pelvic floor advice.
Google the word proctogram and compare it to pelvic floor excersises and choose which you prefer😆👍

StaryEyes1978 · 12/07/2025 18:49

I had surgery 3 weeks ago to repair damage caused through childbirth that led to severe Urinary incontinance. Breathwork, Pelvic floor exercises and strengthening/engaging my core made F all difference. 7 years of working on it and finally I have had sling surgery which whilst a real challenge from a recover point of view solved my severe leakage immediately.

Tom590 · 18/08/2025 12:58

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OoohLaLaLa · 18/08/2025 20:59

I have begun following the female physio on Facebook (the Australian one) and doing her exercises.

its been three weeks and I have stopped wetting myself when I sneeze and run.

i really thought that I was just just going to always be a bit leaky after childbirth but the results so far have been amazing.

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