Q & A for Pelvic Floor Examination

PT PRAXIS®, specializing in the treatment of pelvic floor dysfunctions, with years of experience and ongoing education, has created the Pelvic Floor Act® program and has managed hundreds of cases of pelvic floor dysfunction in both women and men.

Who is more prone to Pelvic Floor Dysfunctions?
Pelvic floor dysfunctions can affect anyone, regardless of their biological sex. The symptoms associated with Pelvic Floor dysfunctions can manifest in anyone. Therefore, anyone experiencing pain or dysfunction should consult a specialized pelvic floor physiotherapist. It is important to highlight that among the consequences of breast cancer treatment, pelvic floor dysfunctions are included.

What should I wear to my first appointment?
Wear whatever makes you feel comfortable and helps you relax. Some patients prefer to wear athletic clothing, while others come in their everyday clothes. It doesn’t matter what you wear, as long as you consult a pelvic floor physiotherapist if any symptoms concern you.

What can I expect during the first pelvic examination?
During your first appointment, you should expect a detailed discussion of the symptoms that concern you, your medical history, any medical procedures or habits that may contribute to your symptoms. Make sure to allocate enough time for the physiotherapist to explain what the pelvic floor is and how it functions, as well as to introduce you to the details of the pelvic floor examination. The examination may include an external clinical assessment (external palpation) or an evaluation of the pelvic floor muscles and tissues with internal vaginal or rectal digital assessment. The pelvic floor physiotherapist will touch the muscles of the pelvic floor internally to assess the sensitivity of the area and the source of dysfunction.

Is consent required for the examination?
Yes, every examination requires consent after thorough information is provided. The patient should consent with full understanding. Afterward, the physiotherapist will assess how the pelvic floor responds to normal bodily functions, such as breathing, coughing, and will check for muscle spasms or excessive relaxation.

Is an internal vaginal examination necessary?
An internal vaginal or rectal examination is a critical step of the assessment because it allows the therapist to accurately assess the condition of the pelvic floor muscles and tissues. After the examination, the therapist will discuss the findings with you and explain in detail how the pelvic floor muscles are expected to respond to the proposed treatment. Internal vaginal or rectal examination requires your consent after proper information has been provided.

What if I feel uncomfortable during the session?
At PT PRAXIS®, we approach your problem with sensitivity and respect for the way you want to be helped. We create an environment of comfort and build trusting relationships with our patients. You may give your consent for an examination and withdraw it at any time if you do not wish to continue.