The Valsalva maneuver can indicate pelvic floor tightness, and a history of inguinal hernia may suggest pelvic floor weakness.

“The pelvic floor is a constellation of muscles just like any other kind of like system in the body. And form is important. If you're doing the valsalva maneuver, which again, is that bearing down or deep breath where you feel all of your abs are tight, you can also notice that your pelvic floor is tight as well. If you have a history of an inguinal hernia, which is a hole kind of like connecting the abdominal cavity down through the pelvic floor or even the scrotum in some cases-- and that can be a sign that there is weakness in that area, and you might have to concentrate it on it most, or even have a physiotherapist or a physical therapist specifically target the pelvic floor.”