Chronic constipation: Frequent straining to pass hard stools. Heavy lifting: Excessive physical exertion can put a strain on the pelvic floor muscles. Pregnancy and childbirth: The added weight and the process of childbirth can cause significant strain. Obesity: Excess body weight increases pressure on the pelvic organs. Chronic coughing: Conditions like asthma or bronchitis can lead to repeated straining.
