We’ll start with a history of your symptoms. You’ll be asked about your bowel and bladder habits and your gynaecological, obstetric and social history (work, exercise, mental health), as well as any prior treatment and your goals.
Next, we’ll explain how the pelvic floor muscles work, using an anatomical model if needed.
You’ll then be examined. Your women’s health physio will assess the positioning of your lumbar spine and tailbone and check for abdominal tension, tightness around the uterine and bladder ligaments, and muscle tension around the pelvic floor.
You’ll then be asked for consent for an internal examination. If granted, we proceed to internal assessment and treatment. For the assessment, you’ll be asked to perform pelvic floor exercises tailored to your situation. The internal treatment consists of two stages, starting with a rectal examination and proceeding to a vaginal exam. The treatment is NOT meant to be painful and can be stopped at any time.
We then develop a tailored treatment plan for each patient.