Leaks under a heavy deadlift, pressure during a ruck, or a sudden urge mid-sprint can derail training—and confidence. We go straight at the myths and mechanics behind pelvic floor symptoms in athletes and service members, unpacking how high load, high speed, and high fatigue interact with hormones, recovery, and technique. Christina Prebbitt, pelvic floor physical therapist and researcher, shares a candid journey from national-level weightlifter to clinician advocating for stronger, smarter training through pregnancy and postpartum.

We break down the pelvic floor’s role in continence, sexual function, and trunk stability, then connect it to real-world demands: impact landings, belts and bracing, long days with limited sanitation, heavy kits, and sleep debt. You’ll learn the difference between weakness, poor coordination, and high tone—and why each needs a different plan. Expect clear cues for bracing without bearing down, practical positions to reduce tension, and evidence-backed strategies to raise thresholds without pushing through symptoms. We also confront stigma and silence, outlining simple referral questions and a trauma-informed lens that respects lived experiences across the force.

On pregnancy and postpartum, we replace fear-based rules with individualized progressions. New research on women who kept lifting heavy shows lower complication rates and no “exercise triggers labor” effect, while Canada’s new postpartum guidelines endorse early return to activity based on symptoms and goals. Translation: no more blanket bans—coach mechanics, watch thresholds, and build capacity. If moderate to vigorous training flares leaks or pressure, get a pelvic PT screen; otherwise, movement is medicine for body and mood.

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