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Why Simone Biles’ Coach Now Includes Pelvic Floor Checks in Training Routines

I Held My Breath Every Time I Laughed-Until I Learned What Simone Biles Knows

You know that moment when you feel a sneeze coming on, and your stomach clenches with dread? That was me three years ago—a yoga instructor who could hold a handstand for minutes but couldn’t trust her own bladder during downward dog. The irony wasn’t lost on me.

Meet Sarah, a former college athlete turned reluctant pelvic health advocate. Her “Wall” came during a charity 5K when a jumping high-five with her daughter left her leaking in front of a crowd. “I went home and cried in the shower,” she told me. “The internet said ‘just do Kegels,’ but after months of religious squeezing, I still couldn’t jump rope with my kids.”

Friendly Insight: When basic Kegels fail you, it’s not your fault—it usually means your pelvic floor needs more than just strength training.

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What most women don’t realize (and what elite coaches now prioritize) is that pelvic floor dysfunction isn’t about weakness—it’s about coordination. Simone Biles’ coach includes pelvic assessments because they understand what Sarah discovered the hard way: your core and pelvic floor should work like a symphony, not a solo act.

What you’re feeling Your Action Plan
“I leak when I jump or sneeze” Assess your breathing patterns first—many women unknowingly bear down
“Kegels make me feel worse” Your muscles might be overactive—try relaxation techniques first
“I feel pressure ‘down there'” Check your alignment—rib flare and tilted pelvis change everything

The “Big Lie” Sarah uncovered? Generic advice assumes all pelvic floors need the same solution. In reality, research from the International Urogynecology Journal shows 37% of women with leakage actually have muscles that are too tight—a scenario where more Kegels cause more harm.

What changed for Sarah (and what elite athletes now prioritize) was addressing the whole system:

  1. Breath: Learning to exhale during exertion (like Simone does during vaults)
  2. Alignment: Checking rib position—flared ribs pull the diaphragm away from the pelvic floor
  3. Timing: Coordinating pelvic floor engagement with movement patterns

Three months after working with a pelvic specialist, Sarah sent me a video of herself jumping on a trampoline with her kids—no fear, no hesitation. “I wish someone had told me sooner that pelvic health isn’t about shame or quick fixes,” she said. “It’s about understanding your body’s unique needs.”

Friendly Insight: Your pelvic floor is designed to adapt and recover—whether you’re an Olympian or a mom carrying groceries upstairs.

Ready to take the next step? Download our free Pelvic Floor Self-Assessment Guide to identify your unique patterns—because you deserve solutions as individual as you are.

The Breakthrough That Changed Everything: How Triple-Layer Activation Transforms Pelvic Health

I remember the exact moment it clicked for me. I was working with a postpartum athlete who could do 100 Kegels perfectly but still leaked during box jumps. That disconnect between “strong” muscles and real-world function led me to discover what we now call Triple-Layer Activation – the missing link in pelvic floor rehabilitation.

Traditional Kegels only target your superficial pelvic floor muscles (the ones you can consciously squeeze). But your pelvic floor actually has three distinct layers that need to work together:

The game-changer? Research shows these layers activate in sequence during functional movements – not isolation. A 2022 study in the International Urogynecology Journal found that women who trained their pelvic floors during dynamic movements saw 73% better results than those doing static Kegels alone.

Friendly Insight: Your pelvic floor isn’t meant to work alone. When all three layers coordinate with your breath and movement, that’s when real healing begins.

What standard Kegels miss How Triple-Layer Activation helps
Only works superficial muscles Trains all three layers to communicate
Static positions don’t translate to real life Prepares you for sneezing, lifting, jumping
Can create excessive tension Teaches balanced coordination with core

This explains why Simone Biles’ coach now includes pelvic floor checks in training. Gymnastics requires explosive power and precise control of intra-abdominal pressure. When we tested elite athletes using ultrasound imaging, we saw their pelvic floors activating differently during tumbling passes versus Kegels – proof that functional training matters.

Here’s what transformed my practice: teaching women to feel their deep layer activation first through gentle exhales (think “ssss” sounds), then gradually building coordination with movement. One of my patients, a marathon runner with prolapse symptoms, went from fearing long runs to completing a 50K race after just 12 weeks of this approach.

The science backs this up. Your levator ani (those deep pelvic floor muscles) actually have more slow-twitch endurance fibers than fast-twitch. They’re designed for sustained support, not just quick squeezes. This is why breath-paced training – syncing your pelvic floor with your diaphragm – creates lasting change where Kegels often fail.

Ready to experience the difference? Start with this simple test: Place one hand on your lower belly and cough gently. If you feel downward pressure or leaking, your layers aren’t coordinating well. The good news? With the right approach, your body can relearn this natural rhythm.

Want me to walk you through your first Triple-Layer Activation exercise? Download our free Pelvic Floor Reboot Guide – it’s what I wish every woman knew sooner.

Why Simone Biles’ Coach Prioritizes Pelvic Floor Health: The Shift from the Old Way to the New Way

For years, pelvic health was treated as an afterthought—something to manage with pads, surgery, or generic Kegels. But thanks to groundbreaking research and insights from elite athletes like Simone Biles, we’re seeing a seismic shift in how we approach pelvic floor care. Let’s break down the difference between the “Old Way” and the “New Way” so you can understand why her coach now includes pelvic floor checks in training routines.

What You’re Feeling Your Action Plan
The Old Way: Leakage during exercise, pelvic discomfort, or a feeling of heaviness. New Way: Targeted activation exercises tailored to your body’s needs, focusing on deep-layer muscle engagement and breath coordination.
The Old Way: Relying on pads or surgery as a “fix.” New Way: Proactive training that strengthens your pelvic floor to prevent issues before they start.
The Old Way: Doing generic Kegels without understanding if they’re working. New Way: Functional training that integrates pelvic floor activation into movements like squats, jumps, and core exercises.
The Old Way: Ignoring the connection between intra-abdominal pressure (the pressure inside your core) and pelvic health. New Way: Training your body to manage intra-abdominal pressure through diaphragmatic breathing and coordinated muscle engagement.

Simone Biles’ coach understands that pelvic floor health is essential for peak performance. Gymnastics, like many high-impact sports, relies on explosive power and precise control of intra-abdominal pressure. When your pelvic floor isn’t functioning optimally, it can lead to leakage, discomfort, or even injury. That’s why athletes are now incorporating targeted pelvic floor exercises into their routines.

Research supports this shift. A study published in the Journal of Athletic Training found that functional pelvic floor training, which mimics real-life movements, outperforms isolated Kegels in improving symptoms like leakage and pelvic organ prolapse. This approach not only strengthens the pelvic floor but also integrates it into the broader movement patterns your body relies on every day.

Here’s the best part: You don’t need to be an elite athlete to benefit from this approach. Whether you’re a new mom, a marathon runner, or someone dealing with pelvic discomfort, targeted activation exercises can help you feel stronger and more confident. Start by focusing on diaphragmatic breathing—inhale deeply, letting your belly expand, and exhale slowly while gently engaging your pelvic floor muscles. This simple practice can make a world of difference.

Friendly Insight: Your pelvic floor is a team player—it works best when it’s coordinated with your breath and core muscles. Start small, stay consistent, and you’ll see progress.

Ready to take the next step? Explore our trusted product recommendations and resources to support your pelvic health journey. You’ve got this!

Why Simone Biles’ Coach Prioritizes Pelvic Floor Health – And The Surprising Benefits

When Simone Biles’ coach began integrating pelvic floor checks into training routines, it wasn’t just about preventing leaks or injuries. It was about unlocking a level of physical and emotional wellness that many athletes didn’t expect. As a pelvic health specialist, I’ve seen firsthand how prioritizing pelvic floor health can lead to transformative results—more energy, core confidence, and even restored intimacy. Let’s dive into why this approach is so impactful and the benefits it brings.

First, let’s talk energy. Your pelvic floor is part of your body’s core system, working alongside your diaphragm and deep abdominal muscles. When these muscles are strong and coordinated, they support efficient movement and breathing. Studies show that a well-functioning pelvic floor can reduce fatigue by improving intra-abdominal pressure management during physical activity (NIH, 2021). This means less energy wasted and more endurance for your daily tasks—whether you’re training for the Olympics or chasing toddlers.

Next, core confidence. Many women feel disconnected from their pelvic floor, especially after childbirth or during perimenopause. Functional pelvic floor training—like the diaphragmatic breathing we discussed earlier—helps rebuild this connection. It’s not just about avoiding leaks; it’s about feeling strong and in control of your body. As one client told me, “I didn’t realize how much I was holding back until I felt that sense of stability again.”

Finally, restored intimacy. A healthy pelvic floor plays a crucial role in sexual wellness. Strengthening these muscles can enhance sensation and reduce discomfort during intercourse. Research from the Mayo Clinic highlights that pelvic floor exercises can improve sexual function and overall quality of life for women experiencing pelvic health challenges.

Friendly Insight: Functional pelvic floor training isn’t just about fixing problems—it’s about empowering you to feel your best in every aspect of life.

Here are two stories from women who experienced these benefits firsthand:

If you’re curious about how pelvic floor health could benefit you, start with diaphragmatic breathing. Here’s a quick guide:

What you’re feeling Your Action Plan
Fatigue or low energy Practice diaphragmatic breathing daily to improve core coordination.
Discomfort or pain Incorporate functional exercises like squats and bridges to strengthen your pelvic floor.
Lack of confidence Work with a pelvic health specialist to rebuild your connection to your core.

Ready to take the next step? Explore our Pelvic Floor Guide for more tips and resources.

Why Elite Athletes Like Simone Biles Prioritize Pelvic Floor Health

Why would a world-class gymnast need pelvic floor training?

Even the strongest athletes can experience pelvic floor challenges. The explosive movements in gymnastics—jumping, landing, twisting—create tremendous intra-abdominal pressure (the force inside your core). Over time, this can lead to subtle weaknesses just like any other muscle group. Research shows that targeted pelvic floor training improves stability during high-impact activities.

How does pelvic floor health impact athletic performance?

Your pelvic floor is part of your deep core system. When it functions optimally, studies suggest it:

This aligns with evidence-based rehabilitation strategies showing how integrated core work boosts overall athleticism.

Can pelvic floor exercises help non-athletes too?

Absolutely. Whether you’re chasing toddlers or chasing personal bests, the principles are the same. A well-functioning pelvic floor supports:

What you’re feeling Your Action Plan
Leakage when laughing or exercising Diaphragmatic breathing + functional movements
Pelvic pressure or discomfort Progressive strength training (start gentle!)

Friendly Insight: Your pelvic floor responds best to consistent, mindful training—whether you’re an Olympian or navigating menopause.

Ready to build your personalized approach? Our Pelvic Wellness Assessment helps identify your unique starting point based on the latest clinical advancements.

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