Some signs and symptoms can indicate that your pelvic floor is weak. These include: Urinary incontinence: Urine leaking from laughing, sneezing, coughing, or exercising. Fecal incontinence: Leaking stool or gas. Pelvic organ prolapse: A bulge in the vagina or rectum. Hip, lower back, or pelvic region pain. Difficulty emptying your bladder or bowel. Painful sex.