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Recent research papers show that the female pelvic floor muscles make stereotypical adaptations to poor usage, pain and in some 50 per cent of cases studies pudendal nerve lesion. These adaptations involve a selective loss of the deep muscle fibres which give the pelvic floor the postural tone to support the weight of the pelvic contents. They have also been shown to aid in the transmission of abdominal pressure increase during coughing and sneezing to support the external sphincter and allow the superficial, fast-acting fibres to have maximal efficiency in preventing urine leakage.