Several factors can lead to issues with the pelvic muscles, including:
Childbirth: Vaginal delivery can stretch or tear the pelvic muscles. Aging: Muscle tone naturally decreases with age. Obesity: Excessive weight can put additional strain on the pelvic floor. Surgery: Pelvic surgeries can sometimes damage these muscles. Chronic cough or constipation: These conditions can exert prolonged pressure on the pelvic muscles.