Which specialist performs vaginal dilator therapy?

The physiotherapist explains how to choose and hold a dilator, use lubricant, relax the pelvic floor, and progress gradually. Sessions are private and paced around comfort. The aim may be to reduce guarding, improve tolerance of vaginal touch, or support preparation for an examination or treatment. A gynaecologist can investigate pain, narrowing, hormonal changes, scarring, or another condition that may be contributing.

Ask a primary-care clinician or gynaecologist for a referral to a pelvic health physiotherapist. At the first visit, describe pain, dryness, previous procedures, childbirth history, and what activities are difficult. Do not force insertion or continue through sharp pain. Follow the plan for frequency, cleaning, lubricant, and progression that your clinician gives you.

Contact a clinician if use causes bleeding that does not settle, worsening pain, unusual discharge, fever, or a new sore area. Seek prompt care for heavy bleeding, severe pelvic pain, faintness, or fever with feeling very unwell. A review is also sensible when therapy is not improving tolerance or symptoms are changing.

Which pelvic health physiotherapist is suitable for my reason for treatment? Do I need an examination before starting? What symptoms should make me stop, and how will progress be assessed?