Very diplomatically. I do not mean to be funny about it because it can be a very serious issue. But it is also a very sensitive issue.
I talk about pelvic floor muscles in my classes and how they form the bottom of the ‘core cylinder’. If all is well, they function well with the rest of them. But even a posterior pelvic tilt can cause uneven pressure on the pelvic floor leading to imbalances and subsequent problems. Not to mention pregnancies and other issues.
Even though there are well-known exercises like Kegel, I tend to refer people to physical therapists specializing in pelvic floor dysfunction. Once people muster up the courage to talk about problems, I feel that they need to see an expert who can diagnose the cause and has specialized knowledge to deal with it.