Yes, vagina physical therapists really do exist!
We rely on physical therapists to rehabilitate the muscles within our body, so why should the vagina be any different?
The vagina is supported by the pelvic floor, which is a group of muscles that creates a hammock within your pelvis. A pelvic floor physical therapist (or PFPT) is a physical therapist that has undergone additional training specifically for the management of pelvic floor dysfunction. Pelvic floor dysfunction includes conditions such as pelvic organ prolapse, bladder leakage, pain with sex, and chronic pelvic pain.
So how does the PFPT work on your vaginal muscles? The PFPT will do a thorough initial exam of your pelvic muscles, which can include an internal vaginal exam, just like you would have at the gynecologist. They will evaluate your muscles for weakness, spasm, pain, and mobility. Depending on their exam, they will develop a treatment program specifically for you. This program may include pelvic floor muscle training, biofeedback, electrical stimulation, myofascial release, and microneedling. They will also instruct you on ways that you can change your daily habits to better support your pelvic floor. It goes so far beyond just Kegel exercises!
So who should go see a PFPT? If you’re experiencing any discomfort, leakage, or bulge within the vagina, go see your gynecologist and ask if pelvic floor physical therapy can help. Pelvic floor physical therapy is a safe and natural way to avoid vaginal discomfort and address your pelvic floor head on! As always, take care down there!
Dr. Shweta Pai