Accurate proprioception (knowing where you are in space) is a use-it-or-lose-it proposition. Due to scar tissue and inflammatory factors, essential functions of pelvic floor organs and genital tissues can be affected. Scar tissue causes thickening of the extracellular matrix or ECM (the goop between your cells), which reduces blood flow, neural messaging, and sensory integration, eventually interfering with your pelvic proprioceptive literacy. This is a kind of dissociation, an inability to feel parts of your body. The mental representation of pelvic floor muscles, encoded in the sensory motor cortex of the brain, goes dark.
