When it comes to maintaining overall health, sleep and energy levels are two of the most important factors. A good night’s sleep sets the foundation for a productive day, while feeling energized helps you stay focused and active. However, what many people don’t realize is that pelvic floor dysfunction can have a significant impact on both sleep and energy levels.

At Auria Pelvic Health, we specialize in pelvic floor therapy, and we often see how unresolved pelvic health issues—such as incontinence, pelvic pain, or pressure in the pelvic region—can disrupt sleep and drain energy. These symptoms may seem like isolated problems, but they’re often interlinked with other aspects of well-being, including your restfulness and vitality throughout the day.
In this post, we’ll explore how pelvic floor dysfunction can affect sleep and energy levels, and how addressing these issues through targeted pelvic floor therapy can help you get back to feeling your best.
What is Pelvic Floor Dysfunction?
The pelvic floor is a group of muscles, ligaments, and connective tissues that form a supportive "hammock" at the bottom of your pelvis. These muscles are essential for controlling bladder and bowel function, supporting the organs of the pelvic region (bladder, uterus, rectum), and contributing to sexual health.
Pelvic floor dysfunction occurs when these muscles become weakened, tight, or uncoordinated. This can lead to a variety of symptoms, including:
Urinary incontinence (leakage of urine)
Pelvic organ prolapse (a feeling of pressure or heaviness in the pelvic region)
Pain during intercourse
Pelvic pain or discomfort, including back pain
Constipation or bowel dysfunction
While these symptoms can certainly affect your quality of life, their impact extends beyond just physical discomfort—especially when it comes to sleep and energy levels.
How Pelvic Floor Dysfunction Affects Sleep
1. Nighttime Urinary Issues
One of the most common and disruptive symptoms of pelvic floor dysfunction is urinary incontinence or urgency. Many individuals experience frequent urges to urinate, especially at night. For those with pelvic floor issues, this can lead to waking up multiple times during the night to use the bathroom.
The disruption to your sleep cycle can lead to insufficient rest, making it difficult to get restorative sleep. Over time, poor sleep quality can contribute to a variety of health problems, including chronic fatigue, mood imbalances, and a weakened immune system.

2. Pelvic Pain or Discomfort
Pelvic floor dysfunction can cause chronic pelvic pain or discomfort, which can make it difficult to get comfortable enough to fall asleep.
This pain can be particularly pronounced when lying down or during certain positions, such as when sleeping on your back or side. Pelvic tension, whether from overactive muscles or tightness, can worsen during the night, making sleep less restful.
3. Restlessness and Anxiety
In some cases, pelvic floor dysfunction can contribute to feelings of anxiety or restlessness, especially when you’re worried about incontinence episodes, bladder leakage, or pelvic pain. Anxiety can significantly impact your ability to relax and fall asleep, creating a cycle where the stress of physical discomfort leads to even poorer sleep quality.
4. Disruption of the Nervous System
The pelvic floor is closely linked to the autonomic nervous system, which regulates your sleep-wake cycle. Chronic pelvic floor issues can lead to overstimulation of the nervous system, making it harder for your body to relax before sleep. This can cause you to experience difficulty falling asleep or staying asleep throughout the night.
How Pelvic Floor Dysfunction Drains Your Energy
When you’re not sleeping well, your energy levels take a hit. But pelvic floor dysfunction itself can also directly contribute to fatigue and low energy levels in several ways:
1. Chronic Pain and Discomfort
Living with chronic pelvic pain can be exhausting. When pain or pressure is constant—whether from pelvic organ prolapse or muscle tightness—it can drain your energy, leaving you feeling worn out. Not only is the pain itself tiring, but the constant mental and emotional strain of managing it can lead to fatigue as well.

2. Hormonal Imbalance
Pelvic floor dysfunction can sometimes affect your hormones, especially if it leads to chronic stress or anxiety.
Stress hormones, like cortisol, can rise due to the physical and emotional toll pelvic health issues take on the body.
Elevated cortisol levels can interfere with your natural sleep patterns, and they also contribute to feelings of exhaustion and burnout during the day.
3. Decreased Physical Activity
When pelvic floor dysfunction leads to incontinence, pain, or pelvic pressure, it may be difficult to engage in physical activity. The lack of exercise not only exacerbates fatigue, but it can also affect your metabolism, mood, and overall physical stamina.
Exercise plays a crucial role in increasing energy levels, so avoiding physical activity due to pelvic issues can create a vicious cycle of weakness and fatigue.
4. Emotional Strain
Dealing with pelvic floor dysfunction can take a significant emotional toll, especially if symptoms like incontinence or pain affect your daily activities and social interactions. The emotional strain of coping with these issues can lead to feelings of frustration, stress, and mental exhaustion, all of which contribute to overall fatigue.
How Pelvic Floor Therapy Can Help Restore Sleep and Energy
At Auria Pelvic Health, we specialize in pelvic floor therapy to help individuals regain control of their pelvic health. By addressing the underlying issues of pelvic floor dysfunction, we can often help restore better sleep and energy levels. Here’s how:
1. Pelvic Floor Rehabilitation
Pelvic floor therapy focuses on strengthening, relaxing, and coordinating the muscles of the pelvic region.

By addressing issues like incontinence, pelvic pain, or muscle tightness, we can significantly reduce discomfort and improve bladder function, leading to fewer nighttime disruptions and better-quality sleep.
2. Myofascial Release and Trigger Point Therapy
We often use specialized techniques like myofascial release and trigger point therapy to release tension in the pelvic floor muscles. This can help alleviate pelvic pain, pressure, and discomfort, making it easier to get comfortable and fall asleep at night.
3. Stress Management Techniques
Pelvic floor therapy often incorporates mindfulness and relaxation techniques to help reduce stress and anxiety, which can be a major contributor to sleep disturbances. Learning how to relax your body and mind can create a more peaceful sleep environment and help you sleep more soundly.
4. Tailored Exercise Plans
A personalized exercise plan can help improve muscle tone, reduce pelvic tension, and restore balance to your body. Regular exercise not only strengthens the pelvic floor but also boosts energy levels, improves circulation, and enhances overall well-being.
5. Education and Lifestyle Modifications
We take the time to educate our patients about the connections between pelvic health, sleep, and energy. Simple lifestyle modifications—such as adjusting your sleeping posture, managing fluid intake, or learning proper relaxation techniques—can have a profound impact on your ability to rest and recharge.
Final Thoughts: Restoring Balance with Pelvic Floor Therapy
Pelvic floor dysfunction doesn’t just affect your physical health—it impacts your overall well-being, including your sleep quality and energy levels. If you’re struggling with issues like incontinence, pelvic pain, or discomfort that’s preventing you from getting restful sleep and feeling energized, it’s time to seek help.
At Auria Pelvic Health, we’re here to guide you through the process of healing and recovery. Our expert pelvic floor therapists can create a personalized treatment plan to address your symptoms and help you reclaim restful sleep, restored energy, and a higher quality of life.
If you’re ready to take the first step toward better sleep and improved vitality, contact us today!
Auria Pelvic Health
8929 S Sepulveda Blvd., Ste. 412
Los Angeles, CA 90045
Phone: 213-699-3996
Website: www.theaurialife.com
You deserve to feel your best—let us help you get there.

Article Written By Dr. Sasha Speer, DPT
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