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The first visit is an assessment
Expect questions about pain, bladder and bowel symptoms, sexual symptoms, previous operations and your priorities. Bring relevant reports and a medicines list. Ask how the physiotherapist’s pelvic-health training relates to your problem and how they coordinate with your doctor.
Examination choices should be explained
The clinician should explain what each examination could add and ask permission. Ask about external assessment, privacy, draping and a chaperone. You may decline or pause an intimate examination; discuss how that affects the available information and next steps.
The plan should match the findings
An individual programme may address relaxation, movement, coordination, habits or strength. Ask for a small number of clear home tasks, how to perform them and what symptoms mean you should stop. More intensity is not automatically better, particularly when pain is present.
Agree on follow-up and meaningful progress
Choose outcomes that matter in daily life, such as tolerating sitting or managing urgency, rather than a promise of perfect performance. Ask when to review progress and when another clinical opinion is needed. Manual treatment, when appropriate, is one possible component rather than a guaranteed cure.
