However, having an overactive pelvic floor has flown under the radar with young women in their late teens, 20s, and 30s making up a large number of patients seeking treatment, according to four New Zealand pelvic health physiotherapists and a urologist. Yet, not every clinician is seeing this pattern, including New Zealand’s leading pelvic health physiotherapist Dr Melissa Davidson, citing a lack of quality research linking pain to an overactive or hypertonic pelvic floor.