Pelvic health is a sub-specialty within the fields of Gynaecology and Physiotherapy. It deals with addressing disorders most commonly related to the ligaments, muscles and connective tissues of the bladder, vagina, uterus and rectum. Collectively, these organs are referred to as the pelvic floor.


While child birth and pregnancy are most commonly associated with a weakening of the pelvic floor, other factors such as heavy lifting, advancing age and the effects of menopause can contribute to the disorders that affect it. Both young and old women and even men can be affected.


Symptoms of a pelvic health disorder can include abdominal pain, sexual dysfunction, anaemia and pregnancy complications. Lack of treatment affects quality of life and can even lead to depression.


Treatment typically involves using physiotherapy techniques that either relax and lengthen muscles or strengthen the muscles that support the pelvic floor.



Well Woman - Pelvic Health Physiotherapist


Urinary incontinence is an involuntary loss of urine. It is a common problem that impacts quality of life, hygiene and general social life.


At Well Woman, we focus on addressing two types of incontinence: Stress Incontinence and Urge Incontinence.


Stress incontinence is the loss of urine when performing a physical movement or action like coughing, sneezing, running or jumping.


Urge incontinence is a loss of urine that manifests from an inability to control an urgent need to urinate.


Pelvic organ prolapse is usually not associated with pain and is described by an organ that protrudes into the vaginal canal. The protrusion, which may be accompanied by pressure between the vagina and anus, is often aggravated when standing. Relief occurs when the sufferer lies down.


Pelvic organ prolapse can include:


  • Cystocele:  Prolapse of the bladder

  • Rectocele:  Prolapse of the rectum

  • Urethrocele:  Prolapse of the urethra


Some of the symptoms include:


  • Urine retention

  • Alterations in bowel function

  • Constipation

  • Pain / discomfort during intercourse

  • Difficulty in starting urine flow

  • A heaviness in the vagina or rectum

  • Difficulty associated with emptying the bowel

  • Gaping vaginal opening

  • Urinary Stress Incontinence

  • Difficulty with regard to emptying bladder

  • Protrusion of tissue at the front or back wall of the vagina


Treatment typically involves educating the sufferer on toileting positions, constipation management, correcting poor posture and performing pelvic floor exercises.

Well Woman - Pelvic Health Physiotherapist

Sexual dysfunction refers to a problem during any phase of the sexual response cycle or normal sexual activity that prevents the individual or couple from experiencing satisfaction. Both men and women can be affected by sexual dysfunction.


Sexual dysfunction includes difficulties associated with experiencing physical pleasure, desire, arousal or orgasm. Some symptoms include the inability to have penetrative sex due to tightness and an inability to orgasm.


A sufferer could suffer from sexual dysfunction as a result of both physical and psychological issues.


Pelvic pain can be associated with pain on the genitals, pain on penetration and pain inside or around the area of the pelvis.


Well Woman seeks to address pelic pain by using internal treatment techniques for the pelvic floor muscles, connective tissues and nerves.

Well Woman - Pelvic Health Physiotherapist