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Pelvic floor rehabilitation

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Everyone has a pelvic floor! Whether yours supports male or female genitalia, it makes no difference! Of course, pelvic floor problems vary by gender. Here are some examples of problems that can benefit from a perineal and pelvic approach: 

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Clientele with male apparatus:

  • Painful ejaculation

  • Premature ejaculation 

  • Erectile dysfunction 

  • Testicular pain 

  • Following prostate surgery (urinary incontinence)

  • Pain during sexual intercourse

  • Etc. 

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Clientele with feminine apparatus:

  • Urinary incontinence (stress, urge, mixed)

  • Dysparunia  (Pain during intercourse)

  • Vulvodynia (Vulva pain)

  • Vestibulodynia (pain at the opening of the vagina)

  • Following childbirth 

  • Following abdominal-genital surgery 

  • Before, during or after pregnancy

  • Etc. 
     

Trans clients:

  • Following gender-affirming surgery 

  • Pain during sexual relations 

  • Etc. 

What to expect during your appointment?

1. Generally, each physiotherapy appointment begins with a Q&A period. The physiotherapist will ask you several questions about the reasons for your visit, your current health status and your goals. The unique thing about pelvic floor physiotherapy is that the questions quickly become very personal. Your physiotherapist will discuss urinary function, bowel movements, sexual function... all while making you feel as comfortable as possible! If you are not ready to answer questions, don't worry. However, the more we know, the easier it will be to help you!

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2. A musculoskeletal assessment is usually required to get a good idea of your posture, structural alignment, breathing pattern, back and hip mobility, etc. Depending on the case, this examination can be more or less long or simply postponed to a later session. 

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3. An assessment of the pelvic floor is often desirable. This allows the physiotherapist to assess the internal musculature of the pelvis, the pressures exerted on it, and to get an idea of the position of the organs (bladder or uterus, for example). This examination often includes an internal portion, either vaginal or anal. If you are not ready to do this type of examination, no problem. Palpation can be done externally (although less precisely). 


** There is no contraindication to performing a pelvic floor exam when you are menstruating! 

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Do you have any questions? Do not hesitate to contact us before making an appointment!

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