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Why You Should Start Pelvic Floor Therapy Early in Pregnancy (Yes… Even at 12 Weeks!)

  • Writer: Amanda Simmons
    Amanda Simmons
  • Dec 20, 2025
  • 3 min read

Most women wait until symptoms show up before seeing a pelvic floor therapist — usually when leaking, heaviness, or pain has already begun. But what if we didn’t wait until the body is yelling at us to finally get support? What if instead we prepared before the stress hits?


Just like athletes train before game day, pregnancy and motherhood deserve the same proactive approach. Because here’s the truth: your body is already changing in the first trimester, and those early weeks are the perfect time to support your pelvic floor and whole body health.


Let’s talk about why.


Pelvic floor physical therapist instructing a pregnant woman on an exercise

1. Pregnancy Is Very Athletic (Even If You Don’t Feel “Sporty”)

Growing a baby, carrying extra weight, delivering a baby, and later holding, feeding, rocking, and loading/unloading car seats all require strength and endurance. Motherhood asks a lot from the body — so it’s only fair to prepare for it.


The sooner we start building strength, the more resilient your body will be. And no, this isn’t about working out harder — it’s about working out smarter, specifically for pregnant bodies.


2. Early Pregnancy Exercise Is SAFE and Highly Recommended

Current research supports exercise during pregnancy as long as it’s tailored to YOUR body. In fact, exercise can help:


  • Reduce the risk of gestational diabetes

  • Lower risk of pregnancy-induced hypertension

  • Reduce aches, pains, and pelvic floor symptoms

  • Prepare you for birth and motherhood

  • Support smoother recovery postpartum


Your movement now becomes your foundation for birth and beyond.


3. You Can Prevent Symptoms (Instead of Treating Them Later)

Most people think pregnancy pain is “just relaxin making everything loose.” Relaxin does soften tissues, but it’s not the reason for pain.


Pain comes when a muscle is not strong enough for the demand you’re placing on it.

As your belly grows, your posture shifts, weight changes, and your muscles suddenly have new jobs. If those muscles weren’t trained for the job, they get overwhelmed — and that’s when you feel:


  • Hip pain

  • Back pain

  • Pelvic pressure

  • Leaking urine during exercise


Stronger muscles handle the changes without complaint. Pelvic floor therapy early in pregnancy helps reduce symptoms before they start.


4. Learn How to Push Before Delivery Day

Here’s something I tell every pregnant woman:

We don’t want delivery day to be the first time you learn how to relax your pelvic floor.

The uterus pushes the baby out.The pelvic floor needs to relax and get out of the way.

If you’ve never practiced letting go of tension or learned how to push effectively, your body is working harder than it has to. Early pelvic floor therapy helps you:


✔ Learn how to relax the pelvic floor

✔ Reduce tearing risk

✔ Practice pushing strategies

✔ Understand baby’s path through the pelvis

✔ Learn positions that help labor progress


These things matter. And they shouldn’t be learned under pressure — literally.


5. Prep Now for a Smoother Postpartum Recovery

Recovery is easier when you go into birth strong and educated. When you understand how your core, breath, pelvic floor, and hips work together, you can return to exercise, lifting, sex, running, and your daily movements without fear, and with confidence.


Early therapy also teaches you what to expect postpartum, how to protect your healing tissues, and when to safely return to movement.


You Don’t Need Symptoms to Begin. You Need Support.

Pelvic floor therapy early in pregnancy is about empowerment — not treatment. It’s about being proactive rather than reactive. It’s caring for the body before discomfort forces you to.

You deserve to feel strong, capable, and confident in pregnancy, birth, and motherhood.


Want Guided Support Through Pregnancy and Postpartum?

With ASCEND | Motherhood, you’ll get:


✨ Progressive pregnancy workouts

✨ Pelvic floor and core training

✨ Birth prep tutorials and pushing strategies

✨ Catholic/Christian meditations (optional), journal prompts & encouragement

✨ Postpartum return-to-exercise guidance

✨ Evidence-based strength programming


It’s everything you need to prepare physically, mentally, and spiritually for birth and motherhood.

You don’t have to do this alone. You were designed for this — and you can train for it.


Want a Place to Start?

Grab my FREE Guide on 5 Exercises to Support a Stronger Pregnancy and Delivery


You’ll learn simple movements to start right now that support your:

✨ Pelvic floor

✨ Core

✨ Hips

✨ Breath

✨ Birth prep foundations


Start building strength for birth and motherhood today — your future self will thank you.



Want to Learn More about ASCEND | Motherhood?




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