How is the first appointment with a Pelvic Floor Physiotherapist?


You call the Pelvic Floor Physiotherapist and book the first appointment.
It’s the first step in seeking help for your problem! Okay, now what? What happens during this first consultation?

There are many doubts and misunderstandings about what happens during a initial pelvic floor consultation and I will try to clarify some of them!

This first appointment is called assessment and it depends a bit on each professional and also on the case the patient presents, but in general, it follows a few steps:

  • In the assessment, we seek to know more about our patient. It is a time for professionals to get to know you and vice versa. Through an initial conversation, the physiotherapist will seek to understand your complaints, your urinary, coloproctological and/or sexual symptoms, your health history, previous surgeries and lifestyle habits. The conversation is simple, informal and must be comfortable for the patient. On overall, I want to understand the cause behind your symptoms and I also want to know you as a whole individual.


  • You can always ask questions about your symptoms, if you have them, and the physiotherapist will try to explain them in the simplest and most illustrative way possible. It is at this point that we show the patient a little about the anatomy of the urinary, coloproctological and reproductive system and show how the Pelvic Floor Musculature works.


  • Afterwards, with the patient’s consent, we performe the physical examination, which will also be explained at this moment. It is a quick exam, where we can assess the patient’s posture while standing and lying on the treatment bed, we observe some issues such as breathing, pelvic mobility, appearance of the intimate region and whether the patient is able to move the pelvic floor muscles. We also look for whether the patient has any pain or discomfort in the abdominal or pelvic region.
  • A pelvic floor palpation to more accurately assess the pelvic musculature may be necessary. It can be intra-vaginal, intra-anal or in the region between the vagina and the anus externally. But don’t worry: the touch is gentle and painless, with gloves and the use of lubricating gel, and it is done after explaining the procedure to the patient. We do not need to do this in this first session if you do not feel confortable with that.
  • After the physical examination, the physiotherapist will explain his/her findings (for example, how is your pelvic floor function – whether strong or weak, if it relaxes well or not), a diagnosis based on your symptoms, and together with the patient will outline and propose a treatment, explaining its therapeutic goals and techniques.

After the assessment, you will have more knowledge about your case and will be able to better visualize how Pelvic Floor Physiotherapy can help to solve your problem or prevent the development of one!


Don’t forget, getting help is the first step in improving your quality of life! And the Pelvic Floor Physiotherapist is here for that!

Still have questions about the first appointment or other issues? Contact us via email or phone.

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