Women’s Pelvic Health
Why do I leak, feel pressure, or have pelvic pain?
What happens at my first visit?
You can tell me what you notice when you lift. With your permission, we can start by looking at how you breathe and move from the outside. We can talk about whether a pelvic health referral makes sense.
During treatment, we’ll check the movement again and use what changes to decide what to try next. [12]
Free 30- to 45-minute hands-on evaluation in Clovis. Choose whether to continue. One-on-one treatment is $200 per hour.
Near Willow and Nees in North Clovis · Open in Google Maps
Do you leak with a lift, or feel like you have to go right away?
Leaking when you cough, jump, or lift is often called stress incontinence. A sudden urge that’s hard to put off can be part of an overactive bladder. Some people have both. Pelvic floor training can help with some leakage, and bladder training can be part of care for urgency. [1, 2, 3]
What does the heaviness feel like, and when do you notice it?
Heaviness or a bulge can happen with prolapse, when one or more pelvic organs shift downward. Pelvic floor training can help some people with those symptoms. Pelvic pain can also involve muscles that have trouble relaxing. If sex hurts, a clinician can look at muscles, skin, and other possible causes. [4, 5, 6]
Show me the movement you want to feel easier doing
If lifting is the thing that bothers you, we can start by talking about what you feel and when it starts. With your permission, I can look at how you breathe and move from the outside. If a change makes the lift feel easier, I want to hear whether that’s true at home too. We can talk through when a pelvic health specialist or another clinician would be helpful. [7]
Frequently asked questions
What if I leak only on the last few lifts of the day?
Tell me when it starts and whether you notice pressure, fatigue, or urgency at the same time. That helps us choose what to look at and what to compare during the activities you already do.
The lift felt easier here. What should I notice when I pick up my child?
Notice when the pressure or leaking shows up during the lifts you already do. If the first lift feels easier and the symptoms come back by the end of the day, that’s useful to tell me too.
Why do I feel fine in the morning and notice heaviness after errands?
Tell me when you first notice it and what you’ve been doing by then. A short record of the pattern can help us discuss which parts fit the movement assessment and whether specialist evaluation is appropriate.
What if I’d rather talk through the symptoms before showing any movement?
We can start there. You can tell me what you’re comfortable sharing and what you want to be able to do. I’ll explain the options before we decide together what to assess.
Should I do Kegels?
Kegels are pelvic floor contractions. They can help with some forms of leakage. If pain or difficulty relaxing is part of the picture, an assessment can help you decide whether strengthening, relaxation, or a different kind of care makes sense.
Can I get help if the symptoms started after childbirth?
Yes. Research supports pelvic floor training for some postpartum concerns, though results vary by symptom and training program. Tell us when the symptoms began and what happens when you walk, lift your child, or return to exercise. [8, 9]
Can physical therapy help with pain during sex?
It may help for some causes. One trial found benefits from a pelvic physical therapy program for provoked vestibulodynia, pain at the vaginal opening triggered by touch. An appropriate evaluation helps guide which care to try. [10]
Can we start without an internal exam?
Yes. The conversation and external movement assessment can come first. If an internal assessment could help, ask what information it would add and discuss your options. You can decline or stop any exam.
When do I need medical care first?
If you’re pregnant or recently gave birth, severe belly or pelvic pain or heavy bleeding needs immediate medical care. New symptoms such as unexplained bleeding or blood in the urine also deserve medical assessment. [11]