Physiotherapy & Internal Examinations

Do I need an Internal Examination for Pelvic Physiotherapy?

An internal examination may need to be performed for your physiotherapist to assess the muscle contraction (squeezing power) of the pelvic floor muscles or to assess the presence of prolapse or other physical conditions relevant to your caseYou may be asked to contract (squeeze) and relax your muscles several times. The assessment is usually performed while lying down.  

Do I have to have an internal assessment?

Your physiotherapist will discuss the reasons for performing an internal assessment and what they will assess. They will always seek your consent first. You do not need to proceed with the recommendation for an internal assessment of your pelvic floor. There are many other assessments that can assist your therapist to provide you with a tailored treatment plan. Should you decide later that you would like to proceed with an internal assessment, your physiotherapist will discuss the process allowing you to provide informed consent.

What other assessments might be done?

An internal assessment is one of several assessments that your physiotherapist may use to assess your condition and develop your treatment plan. They will ask detailed questions about your problem and health history; you may need to complete worksheets or a ‘Bladder Diary’ recording your fluid intake and output. At times your physiotherapist may use ultrasound scans for additional information. Each type of assessment provides different information to support your physiotherapist to diagnose and treat your condition.


Your comfort and privacy are paramount to us. Pelvic appointments are always conducted in private consulting rooms.

Support person or chaperone

If you would like to have a support person or chaperone present during an examination, we are more than happy to accommodate your request.