What a consultation includes
A pelvic floor examination is a medical assessment conducted to evaluate the health and function of the pelvic floor muscles and surrounding structures.
During a consultation, we'll talk about your medical history, any symptoms you are experiencing and what you want to achieve from the appointment. You can opt for an external or internal examination of the pelvic floor muscles. During an external assessment, you will be fully clothed, asked to lay on the examination table in the foetal position and I will be able to feel some of your pelvic floor muscles over your clothes.
If you decide you would like an internal assessment, you will be asked to undress from the waist down and lie on an examination table. I'll start by examining the external genitalia, looking for any signs of abnormalities, inflammation and assessing muscle tone. Then, I will use a gloved and lubricated finger to assess the strength, tone, and flexibility of the pelvic floor muscles, via the vaginal canal. During the examination, I'll check for tenderness, trigger points, or any signs of discomfort and pelvic organ prolapse.
Although an internal assessment is best practice (NICE Guidelines 2021), both types of examination are entirely voluntary. I will be able to get a pretty good idea of symptoms and treatment options through our discussion.
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If you do decide that you would like an internal assessment, you will be asked to sign a consent form and given the opportunity to arrange a female chaperone prior to your appointment.