Women of all ages can develop pelvic floor problems, and these are not always due to pregnancy or childbirth. The pelvic floor is not one muscle but several layers and levels of diaphragms, muscles, nerves, and connective tissues.  They all work together to form the pelvic floor and support your pelvic organs. Overactive pelvic floor muscles can lead to conditions like urinary incontinence, overactive bladder, urinary frequency, and painful sex. Pain with sexual intercourse or orgasm is abnormal and the underlying cause can be addressed.