What to expect in your Pelvic Health Initial Assessment

Initial Pelvic Health Assessment
75 minutes | £80

Your initial appointment is a comprehensive assessment designed to gain a full understanding of your symptoms, goals, and pelvic health, allowing us to create a personalised treatment plan tailored to your individual needs.

This appointment includes:

  • A detailed discussion of your medical history, symptoms, lifestyle, and personal goals.

  • A comprehensive pelvic floor assessment, including an internal examination (with your consent), to assess the strength, coordination, and function of your pelvic floor muscles.

  • An assessment of your breathing mechanics, recognising the important relationship between breathing, core function, and pelvic floor health.

  • A personalised treatment and rehabilitation plan tailored specifically to you.

  • Individual advice and guidance on returning to exercise, sport, or daily activities safely and confidently.

  • Time to answer your questions, ensuring you leave feeling informed, supported, and empowered.

A Pelvic Health Initial Assessment can be booked if you are experiencing any women’s pelvic health concerns. This appointment is designed to identify the cause of your symptoms and begin a tailored treatment plan to support your recovery and improve your quality of life.

At a glance:

The detail:

  • Symptoms you may be experiencing include:

    • Bladder leakage or reduced bladder control

    • Urinary urgency or increased frequency

    • Difficulty fully emptying your bladder

    • Recurrent urinary tract infections (UTIs)

    • Bowel leakage or difficulty controlling wind or stool

    • Constipation or difficulty opening your bowels

    • A sensation of heaviness, pressure, or dragging in the vagina

    • Symptoms of prolapse (including vaginal bulging or “something coming down”)

    • Pelvic pain or general pelvic discomfort

    • Pain during or after intercourse

    • Vaginal tightness or difficulty with penetration

    • Postnatal concerns following vaginal birth or caesarean section

    • Abdominal weakness or concerns relating to diastasis recti

    • Tailbone (coccyx) pain

    • Discomfort with tampon use or internal examinations

  • To help us accurately assess the cause of these symptoms, the appointment may include an internal vaginal examination. This allows us to assess how your pelvic floor muscles are functioning following childbirth and across different life stages. Through this assessment, we can evaluate the strength, tone, and coordination of your pelvic floor muscles, which play a key role in bladder and bowel control, pelvic stability, and certain pelvic pain conditions. It also allows us to assess for any signs of prolapse that may benefit from further management.

    Please note we will not be able to carry out this appointment if you are experiencing any current untreated symptoms of a UTI of pelvic infection. Once these have been medically treated we can of course book you in.

  • A Breathing Mechanics Assessment is an important part of understanding how your breath, core, and pelvic floor work together as a system. Breathing plays a key role in pelvic health, and changes in breathing patterns can contribute to symptoms such as pelvic floor dysfunction, core weakness, pressure symptoms, and difficulties with bladder or bowel control.

    During this assessment, we look at how you breathe at rest and during movement, and how this influences pressure management through your core and pelvic floor. We assess diaphragm function, rib and abdominal movement, and the coordination between breathing and pelvic floor activation.

    Understanding this connection allows us to create a more targeted treatment plan that supports both breathing efficiency and pelvic floor function, improving symptoms and overall core control.

  • Following your initial appointment, you may be advised to book a follow-up appointment to review your progress and continue your personalised treatment plan. The timing of your follow-up will depend on your individual assessment and clinical findings, but is typically recommended between 2 and 6 weeks after your initial consultation.

    Follow-up appointments are 45 minutes and cost £60.