Women’s Pelvic Health

We are highly trained and experienced in treating a wide range of women’s health and pelvic floor conditions. We understand the sensitivity and privacy of these conditions and place a large emphasis on helping you feel safe and comfortable to discuss your symptoms with us. 

 

Women’s health conditions are SO common. It is estimated that 1 in 3 women will experience urinary incontinence, 1 in 2 (who have ever had a baby) will experience prolapse symptoms, 1 in 10 will experience painful sex and 1 in 10 will experience faecal incontinence (1,2). We expect the numbers might actually be much higher than this as these conditions are not widely spoken about in the community and are often not reported to health professionals! 

 

Fortunately, there is SO much that can be done to improve and, in many cases, cure these conditions. A pelvic floor physiotherapy consult is a great place to start! We help women on a daily basis with all of these conditions, by a using a range of assessment techniques and treatment strategies (not just pelvic floor exercises!). 

 

We commonly treat the following conditions, in women of all ages, but please note this list is not exhaustive of what we can help with. 

Urinary Incontinence & Bladder Dysfunction
  • Stress Urinary Incontinence (leaking at times of increased abdominal pressure, i.e. coughing, sneezing, jumping, running)
  • Urge Urinary Incontinence (leaking with the urge to urinate; not quite making it to the toilet on time)
  • Overactive Bladder (urgency to urinate, with or without leakage)
  • Urinary Urgency and Frequency (urgency to urinate and going to the toilet more often than normal, particularly to the point it is impacting on your life – often we define “abnormal” as more than 7-8 times a day, but this depends on your individual circumstances)
  • Nocturia (needing to wake multiple times a night to go to the toilet)
  • Voiding dysfunction (incomplete emptying, difficulty with voiding)
  • Bladder Pain (interstitial cystitis, recurrent UTIs, painful bladder syndrome)
Bowel Dysfunction
  • Faecal Incontinence (leaking from your back passage, at any time and any volume)
  • Difficulty holding wind
  • Defecation Difficulty/Obstructed Defecation
  • Constipation
  • Anal pain
  • Pelvic pain associated with your bowels, i.e. Irritable Bowel Syndrome
Jenna-133
Jenna-164
Jenna-165
Prolapse & Pessaries
  • All types of vaginal prolapse (including bladder, bowel and uterine)
  • Prolapse symptoms (including vaginal heaviness, dragging, bulge, pain)
  • Prolapse assessment and management (including education, conservative management options, lifestyle modifications, advice on other management options)
  • Pessaries (insertable silicone devices that provide support to the vaginal walls).
Sexual and Vulval Pain
  • Dyspareunia (painful sex)
  • Vaginismus (involuntary, and often painful, contraction of the muscles around the vagina, often in response to touch.  Patients commonly report painful and/or difficult sex and difficulty with other activities such as using tampons and undergoing gynaecological examinations)
  • Vulvodynia (pain, burning or discomfort of the vulva that is not linked to a specific cause)
Pelvic Pain
  • Chronic Pelvic Pain arising from a variety of causes
  • Endometriosis
  • Dysmenorrhea (painful periods)
  • Painful bladder syndrome/Interstitial cystitis
  • Coccyx pain
  • Lumbar, hip or sacro-illiac joint region pain that hasn’t fully responded to more general musculoskeletal treatment
Pre and Post-Operative Management
  • For advice regarding preparation and recovery from gynaecological surgeries including prolapse repairs, continence surgeries, investigative surgeries (i.e. endometriosis) and hysterectomies.
  • For recovery advice regarding bladder and bowel procedures, where indicated.

References

(1) Continence Foundation of Australia, Key Statistics on Incontinence; Key statistics on incontinence | Continence Foundation of Australia

(2) Goodwach, R., (2017). Let’s talk about sex, Australian Family Physician, 46 (1), pp 14-18. Retrieved from: RACGP – Let’s talk about sex