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Pelvic floor muscle dysfunction in nulliparous women frequently manifests as resting hypertonicity and impaired voluntary relaxation driven by stress-mediated somatic guarding. Because conventional clinical scales assess only active contractile strength, the relationship between perceived stress and resting pelvic floor tone remains unquantified. To evaluate the correlation between perceived stress (Cohen Perceived Stress Scale [PSS-10]) and resting pelvic floor muscle tone and relaxation capacity (Reissing Digital Palpation Scale) in nulliparous females.
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Sancheti et al. (2026) studied this question.
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