NCAHP: Obstetrics & Gynaecology SciencesPelvic Floor
Gynaecological Physiotherapy
Specialist pelvic floor care for incontinence, prolapse, and pelvic pain.
Comprehensive pelvic floor rehabilitationBladder and bowel control programmes
This page is for general information only, not medical advice. Always consult a qualified physiotherapist.
What this care covers
Gynaecological physiotherapy focuses on the pelvic floor: the muscles, ligaments and connective tissue that support the bladder, bowel and uterus. It can help manage urinary or faecal incontinence, pelvic organ prolapse, painful intercourse, and chronic pelvic pain. Sessions are one-to-one and completely confidential.
Conditions treated
Urinary IncontinenceInvoluntary urine leakage with activity (stress incontinence) or sudden urgency, treated with pelvic floor rehabilitation.Pelvic Organ ProlapseDescent of the bladder, uterus, or rectum due to weakened pelvic floor support.Faecal IncontinenceDifficulty controlling bowel movements, treated with pelvic floor strengthening and biofeedback.VaginismusInvoluntary contraction of vaginal muscles making penetration painful or impossible.Painful Intercourse (Dyspareunia)Pain during or after intercourse from pelvic floor dysfunction, scarring, or tension.Chronic Pelvic PainPersistent pain in the lower abdomen or pelvis lasting more than six months.
When to seek help
- Leaking urine when coughing, sneezing, or laughing
- Strong, sudden urges to urinate that are hard to control
- Feeling of heaviness or something falling out of the vagina
- Pain or discomfort during intercourse
- Persistent lower abdominal or pelvic pain
- Difficulty with bowel control
How treatment is delivered
- Pelvic floor muscle assessment (internal and external)
- Pelvic floor strengthening and relaxation exercises
- Bladder retraining programmes
- Biofeedback-assisted pelvic floor training
- Manual therapy for pelvic pain and trigger points
- Prolapse management and lifestyle advice
- Dilator therapy for vaginismus
Modalities & equipment
BiofeedbackElectrical muscle stimulation (EMS)TENSReal-time ultrasound imagingVaginal dilators
Relevant certifications
POGP (Pelvic Obstetric & Gynaecological Physiotherapy)Pelvic Floor Physiotherapy (IAP)Biofeedback certificationContinence Foundation of India
What better recovery looks like
Better bladder and bowel control
Reduced prolapse symptoms and improved pelvic support
Less chronic pelvic pain
Reduced pain during intercourse
Find a physiotherapist for this condition.
Search verified physiotherapists by location, compare fees and visit types, and book a session directly.
Find a specialist