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Evidence for increased tone or overactivity of pelvic floor..:

Worman, Rachel S. ; Stafford, Ryan E. ; Cowley, David..
American Journal of Obstetrics and Gynecology.  228 (2023)  6 - p. 657-674.e91 , 2023
Link: https://doi.org/10.1016/j.ajog.2022.10.027