What to Expect at Your First Pelvic Floor Therapy Appointment

Monday, January 9, 2023

What does that first appointment really look like? Is it worth stressing over? What should you wear? Do you have to take off your pants?

No, whatever you want, and no.

The pelvic floor is so important and so often misunderstood that we recommended that everyone considers scheduling a visit with a Pelvic Floor Specialist in pregnancy and around the six week mark postpartum (or anytime after that since postpartum is forever!). Since this can be such a new concept for people, we asked our friends at Own Your Pelvic Health, a Colorado Based Pelvic Health practice to walk us through what clients can expect from their first visit:

What Will Your Pelvic Floor Therapist Ask? 

A good pelvic floor therapist will make you feel comfortable, like you’re chatting with a friend. We spend a lot of time LISTENING. What you say- and how you say it- gives us clues to know how to help. We ask questions about your daily life, what matters to you, and how your symptoms affect what you need & want to do.

We won’t lie - pelvic floor therapy is an intimate experience. We ask personal questions because we want to know what will help you get better - what will help you reach your goals. Most other healthcare professionals don’t ask about the details of your bowel and bladder habits, or your sexual experiences, or the way you get in and out of bed. We ask the questions that help us get to the root of your concerns. We know it can feel weird to talk about poop and sex with a stranger. But this is what we do for a living! We love it, and we know how to make sure you feel comfortable.

What Will Your Pelvic Floor Therapist DO? 

So, logistically, every therapist has a unique approach, but this is what our first session often looks like:

(For context, in the women’s health side of our practice, we see primarily TTC, pregnant and postpartum people).

Do I Have to Have an Internal Assessment? 

If you have any apprehension or concerns regarding an internal assessment, please share them with your therapist. This is not a mandatory part of pelvic floor therapy, and there are often ways to meet your goals without internal treatment. If a therapist ever tells you that it’s a necessary part of your treatment plan, RUN!

Choosing A Pelvic Floor Therapist 

Again, every therapist practices differently, but a good pelvic floor specialist will help you feel comfortable, safe, and- most importantly- will help you meet your goals! The details of your first session may vary depending on the reason you’re seeking services, but the foundational concepts are all the same. We all have pelvic floors, and we could all benefit from at least an evaluation! If you’re wondering more about how to find a pelvic floor therapist, we talk all about it here


Written By: Courtney Weber, OTD, OTR/L 

Pelvic Floor Therapist and Birth Doula

Co-owner of OWN Your Pelvic Health

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