Understanding Vaginal Bleeding Caused by Abdominal Pressure

Dr Daniela Moise, DPT

What symptoms should I watch for?

• Bleeding between periods
• Bleeding after sex
• Spotting after menopause
• Pelvic pain or pressure
• Unusual vaginal discharge

Increased abdominal pressure can lead to a variety of pelvic health issues, including vaginal bleeding. Let’s break it down in a simple Q&A format!

🤔 Why does abdominal pressure cause vaginal bleeding?

Abdominal pressure — from poor posture, improper breathing, or muscle imbalances — can strain the pelvic organs. This strain may lead to:

• Cervical and Uterine Polyps: These benign growths can develop from chronic pressure and irritation, often causing unexpected bleeding. Polyps can form on the cervix or inside the uterus, and while they’re typically noncancerous, they can lead to spotting, heavy periods, or bleeding after sex.
• Pelvic Congestion Syndrome: Pressure can cause veins in the pelvis to swell, leading to discomfort and irregular bleeding.
• Endometrial Irritation: The uterine lining may become inflamed due to ongoing pressure, causing spotting or heavier periods.
• Pelvic Organ Prolapse: Pressure can weaken pelvic floor muscles, causing organs like the uterus to shift, which may result in bleeding.

How can I prevent or manage pressure-related vaginal bleeding?

Here are some easy, effective tips:

1. Fix Your Posture: Keep your spine aligned when sitting, standing, or exercising to avoid unnecessary pelvic strain.
   • Tip: Picture a string pulling you up from the top of your head.
2. Breathe the Right Way: Practice breathing (diaphragmatic breathing) to avoid adding extra pressure.
   • Tip: Inhale through your nose, let your belly relax , and exhale slowly through your mouth.
3. Strengthen Your Core and Pelvic Floor: A strong core supports your organs and reduces pressure.
4. Take Care of Your Bowels: Straining on the toilet increases pressure.
   • Eat more fiber, drink plenty of water, and use a footstool to mimic a squat position for better bowel movements.
5. Get Regular Checkups: Routine gynecological exams help catch polyps or other issues early.

🩺 When should I see a doctor?

If you have unexplained vaginal bleeding or persistent pelvic pressure, don’t wait — get checked by a healthcare professional. Early detection can prevent bigger issues down the line.

How can physical therapy help?

Physical therapy can be a powerful tool in managing pressure-related vaginal bleeding. Here’s how:

• Postural Correction: A physical therapist can assess your posture and guide you through personalized exercises to reduce unnecessary abdominal pressure.
• Pelvic Floor Therapy: Strengthening and relaxing the right pelvic muscles can improve support and circulation, reducing irritation and bleeding risk.
• Core Stabilization: A strong core keeps abdominal pressure in check. Therapists teach safe, effective exercises tailored to your body’s needs.
• Breathing Techniques: Learning how to breathe properly supports your diaphragm and core, reducing strain on pelvic organs.
• Manual Therapy: Gentle, hands-on techniques can release tension, improve tissue mobility, and enhance blood flow in the pelvis.

Bottom line: Physical therapy isn’t just about rehab — it’s about prevention and long-term pelvic health!