Pelvic Floor Therapy for Women: Regain Strength, Confidence, and Control
If you have ever experienced symptoms such as pain during sex, peeing your pants when laughing, coughing, or jumping, or have experienced bowel concerns such as hemorrhoids, or pain during pooping, you are not alone. These are all signs and symptoms of pelvic floor dysfunction, a vague term that describes a problem with the muscles that sit in the bottom of your pelvis, called the pelvic floor muscles.
The pelvic floor muscles play a vital role in core strength, bladder control, bowel control, and intimate wellness. Every person, regardless of gender and age has a pelvic floor. If someone is experiencing concerns with their pelvic floor muscles, it is imperative that they see a pelvic floor physical therapist and attend pelvic floor therapy.
Pelvic floor therapy for women is a subspecialty of pelvic floor physical therapy and is one that solely focuses on women’s health. Pelvic floor therapy for women offers a safe, evidence-based way to restore function and confidence without medication or surgery.
What Is Pelvic Floor Therapy?
Pelvic floor therapy is a specialized form of physical therapy focused on improving control, strength, and flexibility of the muscles that support your bladder, uterus, and rectum. A specialty trained pelvic floor physical therapist helps to identify whether your muscles are too weak, too tight, or not coordinating properly — then creates a personalized treatment plan.
Your therapist may use a combination of:
Manual techniques to release tight muscles and improve blood flow. Typically this is done with internal pelvic floor therapy.
Targeted exercises like core, hip, and specific pelvic floor exercises to strengthen weak muscles
Movement modifications targeted at your posture and movements to decrease pressure through the pelvic floor muscles
Education and lifestyle strategies for breathing, and bladder habits
Common Reasons Women Seek Pelvic Floor Therapy
Pelvic floor therapy supports women through many stages of life — from childbirth recovery to menopause and beyond. You might benefit if you experience:
Urinary leakage (stress or urge incontinence)
Pelvic pressure or heaviness (prolapse symptoms)
Pain with intercourse
Core weakness after pregnancy
Difficulty fully emptying your bladder or bowels
Lower back, hip, or tailbone pain related to pelvic dysfunction
Why It Matters
The pelvic floor is a fundamental part of our core. It controls how our hips, pelvis, and back are controlled. When the pelvic floor is not functioning well, it can affect your confidence, intimacy, and overall quality of life. Many patients struggling with pelvic floor issues suffer in silence, and unfortunately with time, other muscles begin to compensation. The good news is — with the right guidance, these concerns are highly treatable.
Many women see significant improvements in just a few sessions once they learn how to properly engage and relax their pelvic muscles.
What to Expect During a Session
Your first visit typically includes a detailed conversation about your symptoms, medical history, and lifestyle. Your therapist may perform a gentle external and internal assessment (always with your consent) to evaluate muscle tone, strength, and coordination.
From there, you’ll receive a customized plan to meet your goals. Treatment includes hands on manual treatment, exercises, modifications to postures, movements, and exercises. It is important that your therapy look like the task that you are trying to improve. Therefore, if returning to running is a goal: treatment should include running, if resuming intercourse pain free is a goal: treatment should include internal pelvic floor muscle retraining. With the right program, you can improve urinary leaks, returning to exercise, or feeling more confident in your body again.
Pelvic Floor Therapy at Vivid Women’s Health
At Vivid Women’s Health, we specialize exclusively in pelvic floor therapy for women. Our approach is compassionate, private, and rooted in clinical expertise. We help women move past the frustration of leakage, pain, and weakness so they can feel strong and empowered again — without relying on quick fixes or impersonal care.
If you’ve been told “just do Kegels” and it hasn’t worked, there’s more to the story — and we’re here to help you find lasting results.
Ready to feel like yourself again?
Schedule an appointment with one of our women’s health physical therapists and start your journey toward strength, comfort, and confidence.
Contact us now to book an in person or remote consultation.
