Pelvic Floor Health and Ozempic: Insights from a Specialist

As Ozempic (semaglutide) takes the UK by storm for its efficacy in managing type 2 diabetes and aiding weight loss, concerns have arisen about its impact on pelvic floor health.

While weight loss, and the increased mobility that it can bring, are all important in improving pelvic floor health, there are also concerns that the drug can cause muscle weakening, and issues such as constipation and vomiting, that can strain pelvic floor muscles.

As Stephanie Taylor, managing director of Kegel8 explains: “Ozempic is the latest wonder drug. It’s all over the news, with both stories about dramatic weight loss but also discussions about possible side effects, such as cramping, diarrhoea, and even hair loss.

But what hasn't been talked about is that along with losing fat, you also lose muscle, and this will inevitably affect your pelvic floor. We already have a secret national crisis with more than 3 in 10 of the population suffering from some form of incontinence, and we need to ensure that drugs like Ozempic don’t make things worse.”

Kegel8 works with Amanda Savage, a leading pelvic floor specialist to provide insights into the potential effects and benefits of this medication.

Potential Benefits of Ozempic for Pelvic Floor Health:

• Weight Loss: Significant weight loss can reduce pressure on pelvic floor structures, potentially alleviating symptoms such as urinary incontinence and pelvic organ prolapse.
• Improved Mobility: Enhanced physical mobility and stamina from weight loss make it easier to engage in beneficial pelvic floor exercises.
• Better Blood Sugar Control: Improved blood sugar levels help maintain nerve function, crucial for pelvic floor muscle control, especially in diabetic patients.

Potential Negatives:

• Muscle Mass Reduction: Weight loss with Ozempic may include muscle mass reduction, potentially weakening pelvic floor muscles and increasing the risk of pelvic floor disorders.
• Gastrointestinal Side Effects: Common side effects such as constipation, nausea, and vomiting can strain pelvic floor muscles, exacerbating pelvic floor dysfunction.

Long-Term Considerations:

While Ozempic's benefits in reducing cardiovascular risks and aiding weight loss are well-documented, further research is needed to understand its long-term effects on muscle tissue, including the pelvic floor.

Specialist Recommendations:

• Individualized Approach: Patients should consult their healthcare providers to balance their metabolic health needs and pelvic floor conditions.
• Pelvic Floor Exercises: Incorporating pelvic floor exercises and consulting with a physiotherapist can help mitigate potential negative effects.

For the last 20 years, Kegel8 has been helping women to overcome the embarrassment and discomfort of a weak pelvic floor. 

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