Many women put off a pelvic floor assessment for years, not because their symptoms are trivial but because they cannot picture the visit. It begins with nothing more intimidating than a conversation, sitting down, fully dressed, in a private room. Nothing is examined before you have explained, in your own words, what has been happening.
That conversation matters most. Your doctor will ask about leaking and what triggers it, urgency, daytime frequency and waking at night, heaviness, bowel symptoms and discomfort during intimacy. She will ask about your births, surgery and menopause, and above all what bothers you most and when, since the plan is built around that. You may also be asked to keep a bladder and symptom diary for a few days: memory smooths things over, whereas honest recording reveals patterns neither of you would see.
Ask whether you need to be seen
Message us with what you are experiencing and we will tell you whether an examination is worth making, and what the appointment involves.
WhatsAppLINEIf a physical assessment is appropriate, it is explained step by step first: what will be looked at, why, and how it will feel. Consent is asked at each stage, not once at the start. It usually begins externally, watching how the pelvic floor moves as you tighten, relax and cough. An internal examination tells us much more about strength, endurance and coordination, but it is offered rather than assumed: you may decline, or ask to stop at any moment. At THE FIT CLINIC you may bring someone with you.
We are looking at whether the pelvic floor is weak, overactive or poorly coordinated. A weak floor cannot hold a contraction; an overactive one sits in constant tension, causing urgency, pain and difficulty emptying, and Kegels usually make it worse; a poorly coordinated floor may be strong yet contract late or release at the wrong moment. They look alike from outside yet need quite different treatment, which is why guessing from symptoms alone so often disappoints.
The findings become a plan you can follow, with a date to review progress. A first appointment at THE FIT CLINIC usually takes forty-five minutes to an hour, leaving time for questions. No referral is needed: book on LINE @thefitbkk or call +66 92 294 6555. The clinic is on the 8th floor of EM Tower, EMSPHERE, by BTS Phrom Phong, open daily 10:00 to 19:00. Consultations are in English or Thai; an interpreter in another language can be arranged if you ask on LINE in advance.