Extra weight on the pelvic floor can be harmful because it can place increased pressure on the muscles and tissues that support the organs in the pelvis. This pressure can cause these muscles to weaken and become less effective at controlling the openings of the urethra, vagina, and rectum, which can lead to issues such as urinary incontinence, pelvic organ prolapse, and bowel dysfunction. Also, being overweight can result in various health conditions that aggravate pelvic floor difficulties. For instance, obesity has been associated with a higher incidence of urine incontinence and is a risk factor for diseases including diabetes and cardiovascular disease, which can have an impact on general health and raise the possibility of problems.