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Women’s Health Physiotherapy

Women’s health physiotherapy focuses on all problems relating to the pelvis, urinary and sexual dysfunction.

Whether your symptoms are prenatal, postnatal, or day-to-day, our team are here to help you with urinary incontinence, overactive bladder, pelvic girdle pain, pelvic organ prolapse, sexual dysfunction and much more.

You can book in for women’s health appointments at our Cobham, Harley Street and Bushey clinics.

What is classed as urinary incontinence?

There are many different types of urinary incontinence. The most common is stress urinary incontinence, which is the involuntary loss of urine on effort or physical exertion, for example, when coughing or running.

More than half of all incontinence issues happen due to some form of ‘stress’. This is the most common symptom that many women think is ‘normal’, and often causes them to push symptoms to one side.      

What is classed as an overactive bladder? 

Overactive bladder is the need to go to the toilet more regularly throughout the day.

This may involve having to go to the toilet to relieve these symptoms or it could also involve leakage.

By strengthening your pelvic floor and understanding the causes, women’s health physiotherapy can help overcome this problem.   

How do I know if I have vaginal prolapse?

A pelvic organ prolapse is the dropping of part of the vagina or uterus. This can happen both gradually over time, post pregnancy or post surgery.

Symptoms can include the feeling of pressure, heaviness or lower back discomfort. You may also have the feeling of never fully emptying your bladder or bowel, feeling overactive with your bladder or experiencing discomfort during intercourse.

What can I expect from a women's health assessment?

During your 60-min women’s health assessment, we will start to build a picture of your problem and the symptoms you’re experiencing. We will identify the source or cause, determine a diagnosis and design an individualised treatment programme to support your goals and needs.

We will begin your assessment by going through a selection of questions. We will ask you about your:

  • Bladder and bowel function
  • Sexual history
  • Obstetric history
  • Gynaecological history

Your physiotherapist is very aware that the assessment will involve a lot of intimate questioning. If you wish to hold any questions until your next appointment, they will be more than happy to do so.

The following part of your assessment will involve different tests to determine the range of movement in your lower back and pelvis, core and leg strength, skin sensation, posture and breathing patterns.

The assessment can also involve an internal vaginal assessment. This is something that will only be carried out if you are comfortable with us doing so. The internal exam enables us to let you know if your muscles are tight or in spasm and assess the strength of your pelvic floor. From this exam, we will be able to build a specific pelvic floor exercise programme that is tailored to you and your body. It also helps you to identify when you are contracting your pelvic floor, and when you are relaxing it – the question that leaves all women puzzled!

The physiotherapist who you book in with will send you an email prior to your appointment, so if you have any pre assessment worries or questions, then please do drop her an email.

Do I need to bring anything to my assessment?

Please wear comfortable clothing to your assessment.

If you have any clinic letters or scan results, then please bring these along, as it will help your physiotherapist to gain a deeper understanding of your history. In terms of assessing your bladder and bowel habits, it is also really useful to keep a 2–3-day diary of when you go to the toilet, and how much liquid your intake through out the day (as simple or as detailed as you would like).

Do you offer pre and postnatal checks?

We offer both pre and postnatal checks to give you a chance to fire all your questions at our Women’s Health specialists and receive both support and guidance during your pre and post birth experience.

We will provide you with advice and tools to keep you comfortable, mobile and strong during your pregnancy, birth and beyond!

You can find out more about this service and pricing here.

How much does Women's Health physiotherapy cost?

Assessment (60 mins)                         £99

Follow-up (30 mins)                            £69

Treatment Course (3 x 30 mins)       £192, £64 per session

Extended sessions and pay as you go options available on request.

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