Frequently Asked Questions About Pelvic Health PT
Seeing a pelvic health therapist for the first time can feel nerve-wracking, but knowing what to expect can help you feel more prepared and comfortable.
Here is an overview of what you can expect during your initial pelvic therapy appointment:
Introduction and Paperwork
Your first session will likely start with meeting your therapist and going over some intake paperwork. This usually involves providing your medical history, describing your symptoms, and identifying your goals for therapy. Be ready to talk about any conditions, medications, or surgeries related to your pelvic health concerns.
Discussion of Symptoms
Next, your therapist will ask you questions to better understand the pelvic symptoms that brought you in. Be prepared to talk openly about bladder and bowel issues, sexual dysfunction, pelvic pain, or any other problems you’re experiencing. Describe how long symptoms have occurred, what makes them better or worse, and how they impact your daily life. This conversation guides your therapist’s treatment approach.
Your therapist will likely do an external and internal pelvic floor assessment. External involves evaluating the muscles by touch or biofeedback sensors. Internal involves inserting gloved fingers into the vagina or rectum to check muscle tightness and trigger points. Though this can feel uncomfortable at first, therapists are highly trained in making this as quick and professional as possible. Let them know if you have any pain or need a break.
Based on the assessments done, your pelvic floor therapist will explain their hypothesis for what’s causing your symptoms and recommend a customized treatment plan. This may involve internal and external soft tissue release techniques, biofeedback training, electrical stimulation, at-home exercises, and more. You’ll have a chance to discuss options and ask any questions.
Finally, your therapist will provide recommendations for continuing your progress at home between appointments through exercises, lifestyle changes, or techniques like dilator use or trigger point release with a wand. Follow through on these as best you can to support your improvement.