Childbirth - Vaginal deliveries, particularly multiple or traumatic births, can stretch or damage the pelvic support structures. Aging - The natural aging process leads to a decrease in collagen production, affecting the strength of pelvic ligaments. Genetics - A family history of pelvic floor disorders can predispose individuals to PSLF. Chronic Straining - Activities that involve heavy lifting or chronic constipation can exert excessive pressure on the pelvic floor. Hormonal Changes - Menopause and associated hormonal changes can weaken pelvic support structures.