Urine leakage when coughing happens when pressure in your abdomen increases and your pelvic floor system — including the external urethral sphincter, levator ani muscles, and deep core — can’t generate enough strength or stability to keep the urethra closed. The solution isn’t just doing Kegels, but improving coordination, pressure management, and support from the transverse abdominis and pelvic floor muscles. At Rome Physical Therapy, we help women in the Charleston area identify the root cause and create a personalized plan to stop leakage for good.

Pain after sex is often linked to pelvic floor muscle tension or dysfunction, including burning pain with penetration or deep pelvic pain during intercourse. In this blog, Megan Rome, pelvic floor physical therapist in Charleston, SC, explains how different layers of the pelvic floor contribute to painful sex and how pelvic floor physical therapy at Rome Physical Therapy can help reduce pain and restore comfortable, confident intimacy.