Persistent Pelvic Floor Dysfunction in Female Athletes: A Commentary on Postconservative Management

Abstract Pelvic floor dysfunction is still an undervalued, underreported, and undertreated condition among female athletes. Despite high prevalence rates and growing interest within the scientific community, significant gaps persist in the application of evidence-based practices in sports medicine. This commentary, inspired by real questions encountered in the authors’ work, is presented in a Q&A format to simulate a realistic conversation. The authors aim to provide answers to sports medicine physicians and the wider interdisciplinary team by offering a comprehensive overview of key considerations for managing athletes with persistent pelvic floor dysfunction symptoms. Through evidence-based suggestions, strategies, and a critical approach, the commentary aims to improve the understanding of the current best practice strategies for managing these athletes, both during and after conservative treatment options.