pelvic floor dysfunction (PFD), and in particular, pelvic organ prolapse. Emerging literature demonstrates that rates of PFD are high in resistance-trained female athletes, and therefore, it has been suggested that avoidance of the VM helps to reduce pelvic floor complaints in this population. However, this is unrealistic given that an involuntary, transient VM occurs at loads greater than 80% of an individual’s one repetition maximum, and removal of the VM would potentially reduce performance in RT athletes. Physiotherapists need to use their evaluation and management skills to improve the symptoms of individuals who participate in RT and experience PFD. This clinical commentary reviews the physiology of the VM, explores rates of PFD in resistance-trained female athletes, and makes recommendations for the evaluation and treatment of these individuals. Unique considerations for the pregnant female participating in RT are also discussed.