Let's talk about what's actually going on.

Your first visit is a private, one-on-one assessment with a pelvic health physical therapist. You'll have time to share only what you're comfortable sharing, talk through your goals, and understand the next step. Your PT will explain the assessment and create a plan with you, not for you.

No. Your care is always your choice. If an internal muscle assessment may be useful, your PT will explain why, what it involves, and answer your questions first. It is only done with your consent, and you can decline or stop at any time.

That is a common reason to reach out. Online advice, Kegels, exercise programs, and other approaches are not one-size-fits-all. Your assessment is designed to help identify what may be contributing to your concerns and whether pelvic health PT is an appropriate next step.

Your PT will recommend a plan after understanding your situation, goals, and capacity. Most plans run 6 to 10 sessions over about 8 to 12 weeks, often no more than once a week, though your PT will tailor the exact pace to your goals. You'll know the recommendation and your options before you make a decision about ongoing care.