Hypermobility, POTS & Pelvic Health: How They’re All Connected

Hypermobility, POTS & Pelvic Health: How They’re All Connected

If you’re struggling with pelvic floor dysfunction, dizziness, fatigue, or poor circulation, and you’ve been diagnosed (or suspect) hypermobility or Postural Orthostatic Tachycardia Syndrome (POTS), you may be wondering—how are all these symptoms connected?

Many people with Generalized Hypermobility Spectrum Disorder (HSD) or Ehlers-Danlos Syndrome (EDS) also experience POTS, a condition that affects blood flow, heart rate, and the nervous system. And what most people don’t realize? Both of these conditions can have a massive impact on pelvic floor function.

So if you feel like your symptoms aren’t making sense or are constantly shifting, this blog is for you. Let’s break down how hypermobility, POTS, and pelvic health are linked—and, more importantly, what you can do about it.

(This blog is for educational and informational purposes only and does not replace medical advice, diagnosis, or treatment.)

Hypermobility Weakens Connective Tissue & Joint Stability

✔ People with HSD or EDS have overly stretchy, fragile connective tissue that doesn’t provide proper support.
✔ This affects the entire body, including joints, skin, blood vessels, and pelvic floor muscles.
✔ When connective tissue is more lax, muscles tighten to compensate, leading to pelvic floor dysfunction, pain, and instability.

💡 How This Affects Your Pelvic Floor:

• Pelvic organ prolapse (POP) → Weak tissue leads to feelings of heaviness or pressure.

• Bladder & bowel issues → Poor coordination makes incontinence, constipation, or urgency more likely.

• Pelvic pain & painful intercourse → Muscles become tight & overactive, trying to stabilize a weak foundation.

POTS & the Nervous System Affect Blood Flow & Muscle Function

✔ POTS (Postural Orthostatic Tachycardia Syndrome) is a dysautonomia disorder that causes dizziness, rapid heart rate, fatigue, and circulation issues when changing positions.
✔ Blood pools in the lower body instead of efficiently circulating back to the heart, leading to low blood pressure, weakness, and instability.
✔ The autonomic nervous system (ANS) controls bladder, bowel, and pelvic function, meaning POTS can lead to pelvic dysfunction, incontinence, and gut issues.

💡 How This Affects Your Pelvic Floor:

• Urinary urgency & frequency → Blood pooling can irritate the bladder, making you feel like you have to go more often.

• Constipation & slow gut motility → POTS affects the digestive system, making bowel movements more difficult.

• Pelvic & leg fatigue → Poor circulation can make the pelvic floor muscles feel weak, crampy, or unstable.

The Connection Between Hypermobility, POTS & the Pelvic Floor

When you put hypermobility and POTS together, you get a perfect storm of symptoms that make pelvic floor dysfunction more likely.

✔ Hypermobile joints = More pelvic instability, prolapse risk & muscle tightness
✔ Dysregulated nervous system (POTS) = Increased bladder, bowel & blood flow issues
✔ Weak, compensatory muscles = More pain, fatigue & dysfunction

💡 This is why hypermobile individuals with POTS often feel like their symptoms are random or unpredictable—it’s all interconnected!

Ready to Take Control of Your Pelvic Health and Hypermobility?

At Renew Health in East Longmeadow, MA, we specialize in helping individuals with hypermobility and Ehlers-Danlos Syndrome (EDS) overcome symptoms like pelvic pain, bladder leaks, prolapse, and chronic instability by addressing the root causes. We focus on restoring muscle balance, improving joint stability, and providing expert guidance on movement, breathwork, and long-term strength strategies—so you can move with confidence, feel supported in your body, and regain control of your well-being.

Curious if pelvic floor therapy is right for you? Fill out our contact form to chat with one of our pelvic health specialists!

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