Pelvic Floor Dysfunction Treatment in Ocala, FL : Restore Strength and Relief

If you’re struggling with pelvic pain, pressure, or problems with bladder or bowel control—your pelvic floor may be to blame.

At Florida Women’s Health, Kelsey Lipking, MD, a fellowship-trained urogynecologist, specializes in diagnosing and treating pelvic floor dysfunction—helping women regain strength, comfort, and control.

What Is Pelvic Floor Dysfunction?

The pelvic floor is a group of muscles and connective tissues that support the bladder, uterus, rectum, and vagina. When these muscles become too weak, too tight, or poorly coordinated, it can lead to pelvic floor dysfunction—a condition that can cause a wide range of uncomfortable and frustrating symptoms.

Signs and Symptoms of Pelvic Floor Dysfunction

Pelvic floor dysfunction can affect every part of your daily life—from how you move to how you sleep. You might be experiencing it if you have:

  • Chronic pelvic pain or pressure
  • Pain during intercourse or intimacy
  • A constant urge to urinate or difficulty starting a stream
  • Urinary or fecal incontinence
  • Pain in the lower back, hips, or tailbone
  • Muscle spasms or a feeling of tension in the pelvic region

These symptoms can overlap with other conditions, which is why seeing a specialist like Dr. Kelsey Lipking is key for a clear diagnosis and effective treatment.

Who Should See a Urogynecologist?

If you’ve tried treatments with no success, don’t give up. A urogynecologist is trained specifically to address female pelvic floor disorders, which can be misdiagnosed and undertreated.

You should consider seeing Dr. Lipking if:

  • You’re experiencing chronic pelvic discomfort or unexplained pain
  • You have trouble with bladder or bowel function
  • Physical therapy or medications haven’t provided relief
  • You’ve had pelvic surgery or childbirth and haven’t fully recovered
  • You’re seeking specialized care from someone who listens and understands

Treatment Options for Pelvic Floor Dysfunction

At Florida Women’s Health, we believe in treating the root cause, not just the symptoms. Dr. Lipking works closely with each patient to build a personalized care plan based on your diagnosis, lifestyle, and goals.

Pelvic Floor Physical Therapy

  • Core treatment for many types of dysfunction
  • Can include biofeedback, trigger point release, and retraining exercises
  • Performed by specially trained pelvic health therapists

Behavioral and Lifestyle Modifications

  • Bladder retraining and bowel habit adjustments
  • Guided toileting posture and relaxation techniques
  • Diet and hydration counseling

Medications

  • Muscle relaxants or pain relievers for pelvic floor muscle spasm
  • Topical treatments for vaginal or vulvar pain
  • Options to manage associated bladder or bowel symptoms

Minimally Invasive Procedures (if needed)

  • Botox injections into pelvic floor muscles for severe spasm or pain
  • Nerve modulation techniques for chronic pelvic pain or an overactive bladder

Your treatment plan may also include mindfulness strategies, support for sexual function, and integrative care options based on your needs.

Frequently Asked Questions

Pelvic floor dysfunction occurs when the muscles that support the bladder, uterus, rectum, and vagina don't work properly — either too weak, too tight, or poorly coordinated. This can lead to a wide range of symptoms, including pelvic pain, urinary or bowel problems, and sexual discomfort.

Symptoms can include chronic pelvic pain or pressure, pain during intercourse, difficulty urinating or a constant urge to go, urinary or fecal incontinence, lower back or tailbone pain, and muscle tension or spasms in the pelvic area.

Dr. Lipking performs a thorough evaluation including a physical exam, medical history review, and sometimes urodynamic testing. The goal is to understand whether your pelvic floor muscles are too weak, too tight, or not coordinating properly — since treatment differs for each.

Treatment depends on your specific diagnosis. Options include pelvic floor physical therapy, behavioral strategies like bladder retraining, medications, and in some cases minimally invasive procedures such as Botox injections into the pelvic muscles or nerve modulation therapy.

Yes. Vaginal delivery — especially prolonged labor, large babies, or the use of forceps — can stretch or damage pelvic floor muscles and nerves. Pelvic floor dysfunction can also develop years after childbirth as women age and estrogen levels decline.

No. While they can overlap, pelvic floor dysfunction is a broader term for any condition involving abnormal pelvic floor muscle function. Prolapse specifically refers to organs dropping into the vaginal canal due to weakened support structures.

Reclaim Strength, Confidence, and Control

Pelvic floor dysfunction is real, treatable, and nothing to be ashamed of. With expert care, you can find relief and get back to living fully.

Call (352) 820-4392 today to schedule a consultation with Kelsey Lipking, MD at Florida Women’s Health. We proudly serve women in Ocala, The Villages, Belleview, and surrounding areas.

You deserve answers. You deserve relief. And you don’t have to face it alone.