I tried pelvic floor physical therapy so that you knew what to expect from your first session.

Here, learn three of those things.

I thought shed say everything was fine and then send me on my way.

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(For the record, I was wrong.)

Someone might also experience vulvar or vaginal pain during tampon insertion or a pap test.

Once I completed the paperwork, Dr. Jeffcoats receptionist walked me to a super-relaxing, dimly lit exam room.

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doctor of physical therapy, owner ofFemina Physical Therapy, and author ofSex Without Pain

Then she explained what I would experience throughout the session, which helped me prepare for it accordingly.

To that end, Dr. Jeffcoat started by checking my overall mobility.

For instance, she applied pressure to my lower back and asked me if there was any tenderness.

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As you bring that right knee down, theres a little bit of popping, she said.

Its Amazing How Its All Connected.

Pain is often associated with a high tone, or overactive pelvic floor, says Dr. Jeffcoat.

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What might that pain indicate?

Possible diagnoses includevulvodynia, which is chronic pain or discomfort around the opening of your vagina.

She could tell that my abdominal muscles werent doing what they were supposed to.

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doctor of physical therapy, owner ofFemina Physical Therapy, and author ofSex Without Pain

After addressing mobility concerns, it was time for the pelvic floor examination.

I wasnotexpecting thisI thought pelvic floor physical therapy would be like Pilates.

Some folks might be uncomfortable or experience pain with the internal part of the exam.

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In the meantime, shed work on orthopedic findings.

This helped make everything a little less awkward.

Ultimately, Dr. Jeffcoat noticed that I had a bit of pain as she examined the deepest vaginal wall.

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I felt more empowered to take care of my physical health because I had an easy-to-follow step-by-step guide.

However, patients dealing with a more severe issue might have different treatments.

Or maybe every other week if theyre experiencing isolated muscle weakness, says Dr. Jeffcoat.

Clear communication is the best way to proceed with … any pop in of physical exam.

Suppose youre considering going to pelvic floor physical therapy and arent sure what to expect.

Its worth noting that pelvic floor therapy can be prohibitively expensive.

There is also a chance that your insurance provider might not cover care.

If youre interested in accessing care, call your insurance company to explore your options.

Dr. Jeffcoat suggests using the Academy of Pelvic Health Physical Therapysprovider locaterto find a therapist.

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