Female patients require a unique approach due to their complicated anatomy and unique experiences (such as pregnancy and child-birth) that affect the pelvic floor. Occasionally, the muscles of the pelvic floor become uncoordinated, leading to symptoms such as constipation, straining or heaviness. Rarely, pelvic organ prolapse can occur if these muscles become too weak. Addressing the issues that arise from pelvic floor dysfunction requires an experienced team, a thorough history and physical exam, and usually multiple diagnostic modalities. All of the information obtained from these studies leads to a custom formulated plan to address your specific issues. This may include medications, pelvic floor physical therapy or a surgical referral if this is felt necessary.