Is an Internal Assessment Necessary?

Rana Lowenthal, PT, DPT, PCES

A woman feeling a little hesitant about having a pelvic floor assessment
A woman feeling a little hesitant about having a pelvic floor assessment

What is a Pelvic Floor Assessment?

When it comes to pelvic health, an assessment can be crucial for understanding the state of your pelvic floor. There are several ways pelvic floor therapists evaluate this area, ranging from external assessments to intravaginal techniques. While intravaginal pelvic floor assessments allow physical therapists to directly evaluate the pelvic floor muscles, they can also be a source of anxiety for many. It’s perfectly normal to feel hesitant about this internal examination, and knowing you have options can help ease that discomfort.

Why Choose External Assessments?

External assessments are a highly effective, non-invasive alternative. They can detect muscle tension, breathing patterns, and movement habits, all without needing internal examination. Pelvic organs, including the bladder and uterus, can actually be accessed externally from the lower abdominal area. A trained pelvic floor therapist can even teach you how to assess your own pelvic floor muscles externally, which can be very empowering. Many people find external assessments more comfortable, and they can still provide a great deal of useful information about pelvic health.

Finding Comfort with Your Therapist

Ultimately, deciding whether to undergo an internal or external assessment should be guided by your own comfort levels. Remember, the womb is a sacred space, and it's vital that you feel respected and safe in its care. Going to a pelvic floor physical therapist should be a positive experience where your personal boundaries are honored. If you’re considering this type of therapy, don’t hesitate to discuss any concerns with your therapist. They are trained professionals who are here to support you in seeking the best approach for your needs.

Finding Comfort with Your Choice

Understanding the different options available for pelvic floor assessments can empower you to take charge of your health. Whether you opt in or out of an internal assessment, the goal is the same: to provide insight and understanding of your body. Remember, it’s a personal decision that should reflect your comfort and needs. Trust that whichever route you choose, you are making a choice that’s right for you. And know that whatever choice you make, you can change your mind.

Taking care of your pelvic health is an important step towards overall well-being. If you’re experiencing any challenges, concerns, or simply searching for a deeper understanding of your own body, consider scheduling an appointment with a pelvic floor physical therapist to receive personalized care and guidance tailored to your needs.