Pelvic Floor Assessment

PELVIC FLOOR ASSESSMENT.

What happens during a pelvic floor appointment?

Womens health physiotherapist Aileen understands that every woman has different needs, priorities and concerns. Aileen listens and care about your well-being and your health.

During your pelvic floor appointment, Aileen takes a thorough history about:

  • Bowel or bladder leakage
  • Bladder and bowel habits
  • Hormonal history
  • Gynaecological history

After listening to your concerns, if appropriate and based on your approval, physiotherapist Aileen may complete an internal vaginal examination to assess your:

  • Pelvic floor tone, strength and endurance
  • Palpate the vagina for scars or and the tone of your vaginal tissues 
  • Complete a vaginal prolapse assessment

If required to, physiotherapist Aileen would also discuss any further concerns with your bowel or bladder habits, and provide you with a clear management plan and prescribe you with a tailored pelvic floor program.

What are the indications that I require a pelvic floor appointment or my pelvic floor assessed?

Research indicates that postnatal women falling into these categories should have their pelvic floor assessed as they might have an increased risk of pelvic floor dysfunction whilst trying to return to exercise, or during the perimenopausal and postmenopausal years.

These can include:

  • Giving birth to a baby weighing more than 4kgs
  • Having a complicated birth with instrumental (vacuum or forceps) vaginal birth
  • Grade 3 or grade 4 perineal tear
  • Having a long second stage (pushing stage) of labour (more than 1hour)
  • Decreased confidence and being unsure of their ability to contract pelvic floor
  • Symptoms of bladder of bowel leakage during pregnancy or postnatally
  • Symptoms of vaginal prolapse during pregnancy or postnatally

If you fall into these categories, we highly recommend that you have a pelvic floor assessment to obtain high quality care to ensure safe return to exercise whilst preventing long-term pelvic floor dysfunction.

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