Which specialist performs pelvic floor exercises?

Pelvic floor exercises are not one routine for everyone. A pelvic health physiotherapist asks about bladder or bowel control, pelvic pressure, pain, sexual symptoms, pregnancy, birth, surgery, and activity. They may assess breathing, posture, abdominal movement, and the ability to contract and relax the pelvic floor. An internal assessment may be offered when appropriate, but you can discuss consent and alternatives. The programme may include strengthening, relaxation, coordination, or movement practice.

Ask your gynaecologist, urologist, family doctor, or maternity team for a referral to a pelvic health physiotherapist. At the first visit, describe when symptoms occur and what makes them better or worse. Learn how to locate the muscles without tightening your buttocks or holding your breath. Follow the prescribed repetitions and rest periods, and return for review if the exercises increase pain, pressure, or urinary urgency.

Arrange a medical assessment for new pelvic pain, blood in the urine or stool, a vaginal bulge, loss of bladder or bowel control, or symptoms that begin after childbirth or pelvic surgery. Seek urgent care for severe pain, heavy bleeding, fever with pelvic symptoms, or inability to pass urine. These concerns may need a medical examination before exercise is started or changed.

Ask whether your pelvic floor needs strengthening or relaxation, whether an internal assessment is suitable, and how progress will be measured. Clarify which exercises to pause if pain or pressure appears and when a follow-up appointment should occur.