Pelvic Floor Physiotherapy

Pelvic Floor Physiotherapy can greatly benefit women at all stages of life, from pregnancy to menopause and beyond. Whether you’re dealing with symptoms related to pelvic floor dysfunction or preparing for childbirth, our specialized consultations are designed to assess and treat a range of conditions.

When Should You See Us for a Pelvic Floor Consultation?

If you're experiencing any of the following conditions, a pelvic floor physiotherapy assessment could be highly beneficial:

  • Urinary incontinence: Leakage when exercising, sneezing, coughing, or laughing.

  • Faecal incontinence: Loss of bowel control.

  • Pelvic pain: Discomfort in the pelvic region.

  • Pain with sexual intercourse: Including conditions like vaginismus.

  • Vaginal heaviness: A feeling of pressure or bulging, often associated with pelvic organ prolapse.

  • Vaginal dryness: Common during menopause or due to other hormonal changes.

  • Pelvic organ prolapse: When pelvic organs drop due to weakened pelvic floor muscles.

  • Bladder urgency: The frequent need to urinate, or an overactive bladder.

  • Chronic constipation: Difficulty passing stools due to pelvic floor dysfunction.

  • Pelvic floor symptoms during menopause: Including dryness, heaviness, or incontinence.

  • Endometriosis: Pelvic pain associated with this condition can often be eased through pelvic floor therapy.

  • Post-hysterectomy or other gynaecological surgery: To aid in recovery and restore pelvic floor function.

  • Overactive/hypertonic pelvic floor: Pelvic muscles that are too tight or overactive, leading to pain and dysfunction.

  • Pelvic floor symptoms during pregnancy: Such as leakage or heaviness.

Preparing for Birth and Labour

If you’re pregnant, we highly recommend a pelvic floor assessment as part of our Pregnancy and Postnatal Pelvic Floor Pathway . Our comprehensive program supports you through each stage of your pregnancy journey, from early assessment to birth preparation and postnatal care.

During this consultation, we assess your pelvic floor strength, endurance, and coordination to ensure your muscles are functioning optimally. This includes a vaginal examination to check that your pelvic floor can both engage and relax effectively, which is essential for a smoother labour, especially if you’re planning a vaginal delivery.

Our pathway also focuses on pelvic floor relaxation techniques and pushing strategies to help you feel more prepared for birth. Following childbirth, we offer postnatal assessments to ensure your recovery is smooth, addressing any issues like incontinence or pelvic organ prolapse early on.

Pelvic Floor Physio FAQs

  • Pelvic floor physiotherapy is a specialised area of physiotherapy that focuses on assessing and treating issues related to the muscles, ligaments, and tissues in the pelvic region. It helps restore pelvic floor function, which is essential for bladder and bowel control, sexual health, and overall core stability.

  • During your first session, the physiotherapist will take a detailed medical history and assess your pelvic floor muscles. This may include internal or external examinations, real-time ultrasound to visualize muscle function, and specific exercises to strengthen or relax the pelvic floor muscles.

  • While some pelvic floor assessments may include internal examinations, they are conducted professionally and are designed to be as comfortable as possible. Your physiotherapist will explain every step of the process and only proceed only with your consent. If you dont wish to have an internal exam done, then there is the option to assess your pelvic floor via abdominal or transperineal ultrasound.

  • Pelvic floor physiotherapy is crucial for preparing the body for birth, ensuring your pelvic floor muscles can both support pregnancy and relax during labour. Postnatally, it helps address common issues like incontinence, prolapse, and pelvic pain, promoting quicker recovery.

  • Results vary depending on the condition and the individual, but most people see improvement within a few sessions if they follow their tailored treatment plan, including exercises and lifestyle modifications.

  • Yes, pelvic floor physiotherapy can help manage prolapse by strengthening the pelvic floor muscles, reducing symptoms like heaviness or pressure in the pelvic area, and preventing further progression of the prolapse. Our Physios are also trained to fit pessaries which can help to provide internal support to your organs!

  • Absolutely! Men can benefit from pelvic floor physiotherapy for conditions like urinary incontinence (especially after prostate surgery), erectile dysfunction, pelvic pain, and bowel issues. Pelvic floor physio can be an effective treatment for these and other men’s health issues.

    See here for more info about Mens Health

Pelvic Floor Conditions

  • Prolpase refers to to the bulging or dropping of one or more of the pelvic organs from their normal position into or out of the vagina. The pelvic organs consist of the uterus, vagina, bowel and bladder. Symptoms may include vaginal heaviness, bulging or a dragging sensation. Pelvic floor physio is an effective way to help treat and manage the symptoms of prolpase. Our team are trained in Pessary Fittings which are great options to support prolpase.

  • Stress Urinary Incontinence (SUI) is when you are experiencing urinary leakage with an increase in intra-abdominal pressure such as when you sneeze, cough, laugh, jump or run. Urge Urinary Incontience (UUI) is when you experiencing urinary leakage associated with a strong urge to go to the bathroom. Both of these conditions are effectively treated with Pelvic floor physio.

  • Pelvic Pain can be caused by a number of different factors and encompasses a variety of different conditions such as endometriosis, vaginismus, vulvodynia and bladder pain syndrome.

  • Menopause and post-menopause is a common time for pelvic floor symptoms to worsen with up to 40% of post-menopausal women reporting urinary incontinence and up to 31% reporting symptoms of pelvic organ prolapse, with most symptoms being reported around age 60-65 years old. Pelvic Floor Physio can be an effective tool during this time to alleviate and prevent symptoms.