Your first visit is longer than a typical PT appointment — usually 60 minutes. We'll spend time getting to know your history and what's been going on, talk through your goals, and do a thorough assessment. This typically includes an evaluation of your posture, breathing, and core, and may include an internal pelvic exam (more on that below). By the end of the visit, you'll have a clear picture of what's happening and a plan for moving forward.

An internal assessment is often the most informative way to understand what's happening with the pelvic floor muscles — but it is always optional and always done with your full consent. We'll explain exactly what it involves before we begin, and you can pause or stop at any point. Many patients are nervous about this part, and that's completely understandable. We'll move at whatever pace feels right for you. If you're not ready for an internal exam at your first visit, that's okay — there's still a lot we can do.

In most cases, no. Most patients can come directly to us without a referral — this is called direct access. That said, some insurance plans do require one, so it's worth checking your specific coverage. If you're unsure, give us a call and we'll help you figure it out before you book.

Comfortable, loose-fitting clothing works best — something you can easily move in. You don't need to prepare anything special. If you've had relevant imaging, surgical notes, or a recent exam from your OB or midwife, feel free to bring those along, but it's not required. Mostly, just bring yourself and whatever questions are on your mind.

Probably not — and if that surprises you, you're not alone. Kegels (pelvic floor contractions) are only helpful when the muscles are actually weak. Many women have pelvic floors that are too tight, not too weak, and doing kegels in that case can make symptoms worse. Pelvic floor Physical Therapy is a thorough, individualized assessment and treatment — not a one-size-fits-all exercise program. Your plan will be based on what your body actually needs.

Treatment is hands-on and personalized. Depending on what your assessment shows, it might include manual therapy (both external and internal, where appropriate), breathing and core coordination work, targeted exercises, education about posture and movement habits, and guidance on lifestyle factors like hydration and bladder habits. We also give you things to work on at home — exercises or strategies that fit into your daily routine, not a second job.

Many patients notice some improvement within the first few sessions, even if it's subtle at first. Results depend on the nature of your symptoms, how consistently you're able to follow through with the home program, and other individual factors. We'll check in regularly on how things are progressing and adjust your plan as needed. What we can tell you: most patients leave their first visit feeling like they finally have a clear answer for what's been going on — and that alone can be a relief.

We accept most major insurance plans. Coverage for pelvic floor PT varies by plan, so we recommend calling the number on the back of your insurance card to ask about your physical therapy benefits before your visit. Our front desk team is also happy to help you navigate this — just give us a call and we'll do our best to get you clear answers before you come in.

Yes, absolutely. Your cycle doesn't need to factor into scheduling. If an internal assessment is planned and you'd prefer to reschedule for another time, that's completely fine — just let us know. But there's no medical reason you can't be seen during your period, and we won't bring it up unless you do.

Completely normal, and you're in good company. Most patients feel some version of this before their first visit. Pelvic health isn't something we're taught to talk about openly, so it can feel strange at first to describe what's going on "down there" to a stranger. Our job is to make that as comfortable as possible. We talk about this stuff all day, every day. Nothing you share will surprise or embarrass us. By the end of your first visit, most patients tell us they wish they'd come sooner.