What can I expect for my first pelvic floor physiotherapy appointment?
At the time of booking your appointment, you should have received an email with a link to an intake form. We ask that you complete this form before the appointment. If this option is not available to you, we ask that you show up 15 minutes early to fill in a paper version. Your appointment always takes place in a private office space and lasts approximately one hour. The physiotherapist will ask you a number of questions about your issue, medical conditions, urination and bowel habits, sexual function, gynecological health, pregnancies and/or deliveries, to name a few. She will also explain the pelvic floor and core muscle anatomy and describe each of the assessment options. Please feel free to ask as many questions as you need to feel comfortable. You will work together with the physiotherapist to decide which type of assessment and treatment course are best for you.
The assessment includes both an internal and external exam. Internal vaginal examination is the gold standard for pelvic floor treatment and allows the most throughout assessment of your concerns and dysfunctions, this may also include a rectal examination. No speculum or other instruments are used during the exam. The physiotherapist checks for muscular strength, endurance, coordination, proper ability to contract and relax the muscles and for tender spots, “knots” or trigger points. The initial internal exam usually takes 5-10 minutes or less. A small amount of treatment may also be done in addition; this would include teaching you how to squeeze or relax the muscles, or perhaps internal massage techniques to help with pain. Please note the physiotherapist takes every care to make you as comfortable as possible during your session.
Remember - you always have the right to refuse an internal exam at any point during the assessment or during any follow-up treatments. Even without an internal examination, other assessment and/or treatment options may be available to you.
If you have any questions or concerns before or during the appointment, please do not hesitate to ask. Your comfort is our top priority!