How do I know if my pelvic floor is overactive?? If going through overactive pelvic floor or hypertonic pelvic floor show different signs & symptoms - 1. Rectal pain 2. Vulva burning 3. Vulva Pain 4. Vulva itching / allergy 5. Sometimes hip/buttocks pain coming from PFM. 6. Feeling the need of pee even though you just go. 7. Painful Sex. 8. Pain after intercourse. 9. Urinary urgency /frequency. 10. UTI without infection on culture. 11. Cramp in vagina / rectum. 12. Chronic Constipation 13. Chronic abdomino-pelvic pain. Note- not all women experience same symptoms but many will experience at least two of them. If you have been told "there is nothing wrong with you and you are experiencing any of the signs & symptoms above, it may be a time to consult with therapist.