Your First Pelvic Health Appointment: What to Expect

If you've never seen a pelvic health physiotherapist before, it's completely normal to feel a little nervous. Lots of women tell me they put off booking for months (or years!) because they weren't sure what would happen. So let me walk you through it.

Before you arrive

You don't need a GP referral - you can book directly online. If you do have a referral letter or any relevant medical notes, it's helpful to bring them along.

Wear something comfortable and easy to move in. If I'm likely to look at your tummy or back, a top that allows easy access to those areas is helpful. There's no need for anything special - come as you are.

And if your period arrives on the day? That's no problem at all. Please don't cancel because of it.

The first part: a chat

Most initial assessments last 60 minutes; a pessary assessment and fitting lasts 90 minutes. A good part of that is simply talking. I'll ask about your symptoms, your medical history, any pregnancies and births, and your bladder and bowel habits.

Most importantly, I'll ask what you're hoping to achieve. That might be running without leaking, lifting your toddler without pain, or simply understanding what's going on with your body.

This is a safe, judgement-free space. No detail is "too much", and I promise I've heard it all before.

The physical assessment

If you feel comfortable, we'll move on to a physical assessment. This usually starts with your posture, breathing and how you move, and may include checking your tummy muscles or any scars.

Depending on your symptoms, I may suggest an internal pelvic floor assessment. This is the best way to understand how your pelvic floor muscles are working - whether they're weak, overactive, or not coordinating well.

Most women describe it as thorough but gentle. If you'd rather not have an internal assessment, that's absolutely fine - there's still lots we can learn and do together.

During pregnancy, I may offer an internal examination after 12 weeks, but only after checking that it is appropriate for you and with your consent. Being over 12 weeks pregnant is not enough on its own: please tell me about bleeding, infection, pregnancy complications or advice from your maternity team. Read the POGP guidance on internal examination during pregnancy.

Leaving with a plan

By the end of the session, you'll have a clear understanding of what's going on and a personalised plan we've built together. That usually includes exercises tailored to you, practical advice you can use straight away, and a realistic idea of how many sessions might help.

My aim is always to help you become confident and independent in managing your own pelvic health.

Can I bring someone with me?

Of course. You can bring a partner, friend or family member - they can sit in with you or wait outside. Babies are very welcome too. If your little one needs feeding, changing or a cuddle, that's perfectly fine (just bear in mind it may eat into your appointment time).

Ready when you are

If you've been putting off booking, I hope this helps. You can book online at our Bramhall or Northenden clinic, or have a look at our FAQs if you have more questions.

– Bex Rotheram, HCPC registered specialist pelvic health physiotherapist