Pelvic Floor Therapy Guides

Pelvic Floor Exam

Pelvic Floor Exam

Pelvic floor health is a topic that is often overlooked, but it plays an essential role in maintaining overall wellness and preventing debilitating conditions like urinary incontinence and pelvic organ prolapse. Many women and some men need to undergo a pelvic floor exam to evaluate their pelvic floor muscles and surrounding structures. This article will guide you through the process of a pelvic floor exam, helping you understand what to expect, how to prepare, and the benefits of this essential diagnostic tool.

A pelvic floor exam is a thorough evaluation of the muscles, ligaments, and tissues that support your pelvic organs, including the uterus, bladder, and rectum. The exam is crucial in diagnosing pelvic floor dysfunction or identifying the underlying cause of any potential issues such as incontinence, pelvic pain, or sexual dysfunction.

A pelvic floor exam typically comprises two components: an external examination and an internal examination. Here's what you can expect during each phase of the exam:

External Examination

Visual Inspection

The healthcare professional will begin by visually inspecting the external area around your genitals (perineum) and anus, looking for any abnormalities, such as swelling, redness, or scars.


The healthcare professional will then gently press on different areas around the perineum to assess muscle tone, strength, and tenderness.

Internal Examination

Vaginal or rectal exam

In women, the healthcare provider will insert a gloved and lubricated finger into the vagina and, in some cases, the rectum. For men, the exam typically involves a rectal examination. The healthcare provider will gently assess the muscles' strength, tone, and responsiveness by asking you to contract and relax your pelvic floor muscles. They will also check for any tenderness, lumps, or other abnormalities.


In some cases, the healthcare professional may use biofeedback equipment to measure muscle contractions and provide a visual or audio representation of your pelvic floor muscle function. This feedback can help guide your muscle training with exercises or physical therapy.

Pelvic Floor Exam Example

Jennifer is a 35-year-old woman who has been experiencing increased urinary frequency and occasional urgency over the past several months. She decides to schedule an appointment with her healthcare provider, who recommends a pelvic floor exam. Jennifer is initially nervous about the examination but feels more at ease after learning about the process and purpose of the exam.

During the exam, Jennifer's healthcare provider finds that her pelvic floor muscles are weak and not providing adequate support for her bladder. The provider refers Jennifer to a pelvic floor physical therapist who works with her to develop a personalized exercise program. After several months of consistent training, Jennifer notices a significant improvement in her symptoms and overall quality of life.

The importance of pelvic floor health cannot be overstated and is essential for maintaining overall well-being. A pelvic floor exam is a crucial diagnostic tool for identifying and addressing dysfunction before it significantly impacts your quality of life. Understanding what to expect and how to prepare for a pelvic floor exam can help alleviate any anxiety or concerns you may have, ensuring a comfortable and informative experience.

We hope this article has helped demystify the process of a pelvic floor exam and encouraged you to prioritize your pelvic health. If you found this article helpful, please share it with friends or family who may also benefit from this information and explore our other guides on Pelvic Floor Therapy for more resources on maintaining excellent pelvic health.


About Annie Starling

Annie Starling, MD, is a respected authority in gynaecology and women's health with over 15 years of enriching experience. Her expansive knowledge and compassionate approach have been instrumental in transforming countless lives. Alongside her medical career, Annie has an impressive acting background, bringing a unique blend of expertise and empathetic communication to her work. She's not just a doctor; she's an educator, an advocate, and a trailblazer, deeply committed to empowering women through health education. Her blog posts reflect her passion for the field, offering a wealth of insights drawn from her vast professional experience. Trust Annie to guide you on your journey to better pelvic health.

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