Re: pelvic floor dysfunction
Out of my depth here, but have you had any issues with constipation? The two usually go hand in hand.
Think its quite common in middle aged women particularly when they've had (several) children...
I'm really sorry I can't be of more help.
If constipation is an issue, try a stool softener (e.g. Docusate)
Leave the stimulants as a last resort because they can cause (very) uncomfortable cramping
Good luck
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