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Currently, 1 out of every 4 women has pelvic floor problems. Many of those who have problems continue their lives without realizing this situation.

Turkey Medicals member and Turkish Physiotherapist in Antalya Tup Bebek Center who noted that this problem, which is widely seen in society, significantly reduces the quality of life, said: “it is a discomfort that is cured, but it can be late to notice. So much so that we think that the leak that occurs when you sneeze, laugh is normal. Urinary incontinence, constipation, painful sexual intercourse is definitely not a normal condition,” he said, providing important information.

The pelvic floor muscles are a group of muscles that extend from the front pubic bone located at the base of the pelvic bone, known as the pelvis, to the coccyx at the back, which have important novices in urination, defecation and sexual functions.

These muscles also support the bladder (the bag that holds your urine), uterus – prostate and rectum(the area at the end of the colon where your body stores solid waste) from our organs located in the pelvic area, like a hammock from below. Normally, you can go to the toilet smoothly as your body tightens and relaxes the pelvic floor muscles. But if you have pelvic floor dysfunction, your body cannot contract and relax these muscles as it should.

It’s no shame

If your muscles are weakened, passing urine is quite common when you cough, sneeze or strain, and you don’t need to be embarrassed. Pelvic floor problems may occur when the muscles of the pelvic floor are tense-unable to relax or weak. Symptoms include constipation, difficulty defecating, urinary or fecal incontinence, chronic pelvic pain,a painful period of menstruation, and the need for frequent urination. Women may feel pain during sexual intercourse, men may experience erectile dysfunction.

What problems does the weakening of these muscles reveal

Aging, pregnancy, birth, number of the difficult birth process, a history of surgery (uterine – bowel – urinary surgery), overweight (obesity), constipation continuous – excessive prolonged sitting on the toilet straining, frequent lifting weights for a long time and is one of the risk factors of chronic cough. “Hypertonic pelvic floor” occurs when the pelvic floor muscles are stretched and unable to relax.

Many people with a strained pelvic floor may experience constipation, painful sex, a feeling of urgency in urination, and pelvic pain. In the treatment process of these problems, rehabilitation processes stand out. The physiotherapy program may include manual therapy, electrical stimulation, behavioral changes-bladder training, and strengthening and/or relaxation exercises according to the person’s needs after a detailed examination. This program is used to improve pelvic floor muscle strength, endurance, relaxation and Novation.

How do exercises benefit?

In almost all cases, weakened pelvic floor muscles can be strengthened with pelvic floor exercises. Because these muscles are like other muscles in the body – they get stronger with regular exercise. These movements can also be useful for women who urgently need to urinate more frequently. For pregnant women, these physical activities will help the body support the growing baby and reduce the likelihood of having a bladder or bowel problem after birth.

Strong muscles before the baby is born will return to normal more easily after birth. After birth, it prevents urinary incontinence, sagging of the bladder and intestines that may occur in the future, and also improves the sexual function of a woman. As women age, hormone changes after menopause can affect bladder control and weaken pelvic floor muscles. These exercises can help reduce the effects of menopause on pelvic support and bladder control.

What is the effect of these exercises on sexual intercourse?

Strong pelvic floor muscles can also mean increased sensation and stronger orgasms during sexual intercourse. Strengthening and training the pelvic floor muscles can also help reduce the symptoms of erectile dysfunction. In a painful sex history, the situation can be more different and complex. If a person’s pelvic floor muscles are more muscular than normal or have a trigger point, it should be ensured that the muscle returns to its normal tone first.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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