Why Does It Feel Like I Have Constant Pelvic Pressure or Heaviness?
If you’re feeling a constant weight or pressure in your pelvic area — like something is pressing down or pulling from the inside — it’s not all in your head. This is a very real and common issue that many women experience, and it often comes from pelvic floor muscle dysfunction.
These muscles form a supportive sling or layer for your bladder, uterus, and bowel. When they become too tight, overworked, or unable to relax — that’s when you can feel that ongoing “heavy” sensation in the pelvis.
You may also experience:
Chronic pelvic pain or soreness
Pain during or after sex
Pressure or fullness, especially after standing or walking
Difficulty fully emptying the bladder or bowels
Pain when sitting for long periods
Over time, this constant tension can prevent the muscles from functioning properly, worsening your symptoms. But here’s the encouraging part: there are treatments that can help — without surgery.
How Suppositories Can Help at Night
One effective option your provider might suggest is nighttime suppository therapy. These are small medicated capsules (often vaginal or rectal) inserted before bed. They work while you sleep, targeting the pelvic floor directly.
Baclofen suppositories, in particular, are designed to help relax involuntary spasms and reduce tightness in the pelvic muscles. Because they work locally, they may minimize systemic absorption and reduce side effects like dizziness or drowsiness that some oral medications can cause.
Using suppositories at night also reduces the chance of leakage — since you’re lying down, and helps support your body’s natural healing during sleep, when the nervous system is most relaxed.
This option can be especially helpful for individuals with GI sensitivities or those who have not responded well to oral medications.
At Core Aesthetic, Non-Invasive Support Is Available Too
Alongside medication, non-invasive pelvic floor therapy can also make a big difference. Treatments like biofeedback, electrical stimulation, or specialized pelvic therapy devices are designed to retrain and support your muscles without pain or downtime.
These therapies are often combined with a care plan that includes stretching, strengthening, and relaxation strategies customized for your body.
You Don’t Have to Live with Discomfort
Pelvic heaviness and pain can take a real toll on your daily life, but it’s not something you have to simply “deal with.” Whether it’s through gentle suppository therapy, guided muscle support, there are safe and effective ways to feel better.