Frequently Asked Questions

You leave with a plan, or at least with a clear picture of your options. The visit starts with a conversation: when the heaviness or bulge appears, what makes it worse, whether you leak urine or struggle to empty your bladder or bowel, your births, and what you want to be able to do again. The examination itself takes a few minutes. Prolapse is graded with you lying down and then bearing down, and often standing as well, because a prolapse that hides while you are flat is the one that bothers you by evening. The doctor tells you which part is descending - front wall, back wall, or the uterus or vault - and how far. That matters because the treatment is different for each. Most first visits end with one of three routes: watch and review if it does not trouble you; pelvic floor training and, if you want it, a pessary fitting; or a discussion of surgical repair when the prolapse is advanced or the other options have not been enough. Nothing is booked on the day unless you ask for it, and a pessary fitting can usually happen at the same visit if you decide you want to try one. Bring any previous scan or operation notes if you have them. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

It is common, and it is worth mentioning. Prolapse symptoms are typically absent in the morning and build through the day, because upright hours load the pelvic floor — so a heaviness that appears in the evening and settles overnight is a recognised pattern, not something you are imagining. That daily pattern is also why it gets dismissed: by the time an appointment comes around, the symptom has gone. Noting when it starts, what makes it worse, and whether it changes across your cycle gives a doctor far more to work with. See a doctor if you can feel a bulge, if it appears earlier in the day than it used to, or if it comes with difficulty emptying the bladder or bowel. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

It can, and age alone does not rule it out. The vaccine protects against strains you have not already encountered, so the benefit is smaller than at 15 and is not zero at 45. Whether it is worthwhile for you depends on your screening history and previous exposure. It is not a treatment for an existing infection and it does not replace screening — a vaccinated woman still follows the same screening schedule. Both are worth discussing together rather than choosing between them. See a doctor if you have had an abnormal screening result and have not had the recommended follow-up. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

Yes. Assessment is safe at any point after birth, and breastfeeding does not need to stop. What breastfeeding does affect is oestrogen, which keeps vaginal tissue thinner and drier for as long as you are feeding — so findings are interpreted with that in mind. Some treatments are timed differently while breastfeeding, and that is discussed at the appointment rather than decided in advance. Pelvic floor rehabilitation is generally started regardless. Children are welcome; the clinic is reachable from the BTS without going outside. See a doctor if you feel a bulge, if bladder or bowel emptying is difficult, or if pain is limiting recovery. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

No. Leaking during exercise is one of the most treatable pelvic floor problems, and it is easier to address early than after years of avoiding activities. The amount is not what makes it worth assessing — the fact that it changes what you are willing to do is. An assessment looks at how the pelvic floor is working rather than assuming it is weak; some leaking comes from a floor that is too tight to release properly, which needs a different approach from strengthening. That distinction is why self-directed Kegels sometimes make things worse. See a doctor sooner if leaking is increasing, if it happens without exertion, or if there is pain with it. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

It includes the tests your age, history and symptoms call for, not a fixed menu, and the honest answer to 'every year' is: the visit, yes; the cervical sample, usually not. At THE FIT CLINIC an annual women's health check is built around cervical screening: a Pap smear and/or HPV DNA test on your own interval, a pelvic examination, hormone and thyroid blood tests where symptoms or age make them worth interpreting, STI screening where it is relevant to you, and a proper conversation about the symptoms women dismiss as normal: leaking when you cough or run, a heaviness low down, bleeding after sex or between periods, discharge that has changed, pain with sex, periods that have changed pattern. The cervical sample is repeated on guideline intervals, not annually: with normal previous results, cytology about every three years from 21 to 29 and co-testing (cytology plus HPV DNA) about every five years from 30 to 65, shorter after an abnormal result, a treated lesion or if you are immunosuppressed. A hormone panel means little without a symptom to read it against, so it is added when there is a reason. The doctor decides the set with you, explains why each test is or is not included, and every test is quoted separately before you agree. See a doctor sooner than your annual visit for bleeding after sex or between periods, bleeding after menopause, a bulge at the vaginal opening, discharge with pain or fever, or leaking that started suddenly. THE FIT CLINIC is on the 8th floor of EM Tower, EMSPHERE, Sukhumvit, next to BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. The consultation fee is 1,500-3,000 baht depending on complexity, plus a 300 baht clinic service fee. Bring the date and result of your last screen; book on LINE @thefitbkk or WhatsApp +66 92 294 6555.

Screening guidance is based on age and history, and being sexually inactive changes the risk picture — so this is a question to ask directly rather than assume either way. What is certain is that a gynecological assessment is not only about sexual activity. An examination also looks at the uterus and ovaries, menstrual changes, discharge and pelvic pain. If you have not had penetrative sex, an abdominal ultrasound is often used instead of an internal speculum examination, and every step is explained before anything is done. See a doctor for irregular or unusually painful periods, persistent pelvic pain, a change in discharge, or bleeding you cannot explain. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

A pessary is a small medical-grade silicone device placed in the vagina to support prolapsed tissue. It is fitted at an appointment, it is removable, and it is not permanent — many women use one for a period, some long term, some not at all. Fitting is a process rather than a single size: the first one tried is often not the one you keep. Once it fits, you are shown how it is cleaned and checked, and follow-up appointments confirm the tissue stays healthy. It does not rule out other treatment later. See a doctor if a fitted pessary causes pain, discharge or bleeding, or if it moves. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

Not always. Prolapse can stay the same for years, and mild prolapse sometimes improves with pelvic floor training, particularly after childbirth. What it does depends on the stage, your symptoms and what is loading the pelvic floor day to day. Waiting is a reasonable choice when symptoms are mild and you know what you are watching for. What changes the picture is a bulge you can feel at the entrance, difficulty emptying the bladder or bowel, or discomfort that limits what you do. Chronic cough, constipation and heavy lifting all add load, so those get addressed alongside anything else. See a doctor if you can feel or see a bulge, if emptying is becoming difficult, or if the heaviness is changing how you live. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. LINE @thefitbkk.

Only after an assessment, and not as a one-trip cure. The Dr. Arnold Magnetic Chair (HIFEM) is a seated, fully clothed pelvic floor stimulation used at THE FIT CLINIC for stress leaking and postpartum recovery, but it is given as a course of sessions spaced over weeks, so a short visit cannot complete it. It is also used alongside correctly taught pelvic floor training, not instead of it, and the training is the part that travels home with you. What a single visit can realistically do: a urogynaecological examination that tells whether your leaking comes from a weak floor, a floor that is too tight (where the chair makes things worse), prolapse, a bladder that does not empty, or an infection; a taught pelvic floor programme you can continue at home; and, if the chair is suitable, a first session so you know what it feels like. If you are staying longer, sessions can be spaced across the visit. The chair is not used in pregnancy, over metal or electronic implants near the pelvis, or when prolapse is the main problem. See a doctor promptly, wherever you are, if leaking started suddenly, if you cannot empty your bladder, if there is blood in the urine, or if you feel a bulge at the vaginal opening. THE FIT CLINIC is on the 8th floor of EM Tower, EMSPHERE, Sukhumvit, next to BTS Phrom Phong, open daily 10:00-19:00. Consultations are in English or Thai. The consultation fee is 1,500-3,000 baht depending on complexity, plus a 300 baht clinic service fee. Send your travel dates on LINE @thefitbkk or WhatsApp +66 92 294 6555 and the first visit is planned around them.

No. Pelvic floor weakness does not have a deadline, and treatment can help years after childbirth just as it can in the first months. Many women at THE FIT CLINIC come forward long after their last delivery, often once symptoms like leaking when coughing or sneezing start interfering with exercise or work. A specialist assessment establishes what is actually causing the symptom, and most cases can be approached without surgery. Bookings on LINE @thefitbkk.

It is usually better to book on a day when you are not bleeding, because menstrual blood can affect the quality of the cervical sample. If your appointment falls during your period, message us on LINE @thefitbkk and we will move it rather than have you attend for a test that may need repeating. If you are bleeding unexpectedly rather than menstruating, do not wait — that is a reason to be seen sooner, not later.

Yes. THE FIT CLINIC welcomes visitors as well as residents, and no referral is required, so you can book directly for a consultation, screening or treatment while you are here. Open every day from 10:00 to 19:00, which makes it easier to fit around a short stay. Tell us your dates when you book on LINE @thefitbkk and we will advise what can realistically be completed in the time available, since some treatments are planned over more than one session.

Not the full course. The usual protocol for MonaLisa Touch is three sessions spaced four to six weeks apart, because the tissue needs that interval to complete a collagen-remodelling cycle. Compressing it into a fortnight would not make it work faster. What a two-week trip does fit is the part that decides everything else. A consultation and examination to establish what is actually causing the symptom, because dryness, a tight pelvic floor, prolapse, infection and skin conditions such as lichen sclerosus feel similar and are managed differently. Starting first-line treatment, which for dryness and atrophy means a vaginal moisturiser used on a regular schedule and, where appropriate, low-dose local oestrogen. Many women need nothing beyond that. And, if laser is the right option after all of that, a first session before you fly home, with the remaining sessions timed around a later trip or handed over to a doctor where you live. See a doctor sooner rather than at the end of your trip if you have bleeding after menopause, a persistent discharge, or vulval itching and whitening. Those need a diagnosis in their own right and should not wait behind a cosmetic decision. THE FIT CLINIC is on the 8th floor of EM Tower, EMSPHERE, Sukhumvit Road, Bangkok, open daily 10:00-19:00. Consultations are in English or Thai. The consultation fee is 1,500-3,000 baht depending on the complexity of the case, plus a 300 baht clinic service fee. Tell us your travel dates when you book on LINE @thefitbkk and we will sequence the visit around them.

It starts with a conversation, not an examination. The doctor asks what is troubling you, your history, and whether you have had children or surgery, then explains what examination or testing might be useful and why. Nothing is done before you understand it and agree to it. THE FIT CLINIC specialises in women's urogynecology and aesthetic gynecology and sees first-time patients every day. You are welcome to ask anything beforehand on LINE @thefitbkk. Open daily 10:00–19:00 at EM Tower, EMSPHERE.

Most women start after the six-week postpartum check, once a doctor has assessed how recovery is going. THE FIT CLINIC offers a postpartum check with pelvic floor screening and advises the right time to begin rehabilitation from there. Recovery speed varies and depends on how the birth went, so an assessment is more reliable than guessing. If you are worried it is too late, it usually is not — plenty of women come months or years after giving birth and still improve. Bookings on LINE @thefitbkk.

Often not straight away. A prolapse that causes no symptoms usually does not need treatment — it needs watching. Mild prolapse is a common finding on examination, particularly after childbirth, and treating something that is not bothering you carries risk without a clear benefit. What matters is whether it changes, not that it exists. What is worth doing regardless is protecting the pelvic floor from the things that make prolapse progress: chronic constipation and straining on the toilet, a persistent cough left untreated, and lifting technique that pushes down rather than bracing. Supervised pelvic floor training is reasonable at this stage and is the one intervention with no downside. None of that is urgent, and none of it requires a decision today. Ask what stage was found and which wall is involved, and write it down. That single line makes any future assessment far more useful, because the question then becomes whether it has moved rather than starting from nothing. If you are told you need surgery for a prolapse you cannot feel, that is a reasonable moment to get a second opinion. Come back sooner if you start to feel heaviness or dragging by the end of the day, notice or feel a bulge, cannot fully empty your bladder or bowels, get repeated urinary infections, or if sex becomes uncomfortable. Those are the changes worth acting on. More: https://www.thefitbkk.com/pelvic-organ-prolapse/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Usually not, and yes. Most partners do not notice a prolapse, and sex does not damage it, push it further down or make it worse. A bulge sitting inside the vaginal wall is rarely felt by anyone else, and even one that reaches the opening is far more often noticed by you than by a partner. What does interfere is usually something else. Dryness, tension in the pelvic floor muscles, or a scar from childbirth cause discomfort much more often than the prolapse itself does. Those are treatable, and treating them tends to help more than treating the bulge. Self-consciousness is the other common obstacle, and it is worth saying that it is not a trivial one — many women withdraw from sex long before there is any physical reason to. Practical points. A ring pessary can usually stay in during sex; some other types are designed to be removed first, so ask which you have rather than assuming. Positions that put less downward pressure are often more comfortable, and symptoms are commonly lighter earlier in the day. If penetration is painful, stop and get it assessed rather than working through it — pain is a signal, not something to be tolerated. See a doctor if sex is painful, if you bleed afterwards, if the bulge stays outside and does not go back, or if you cannot fully empty your bladder or bowels. Bleeding after sex is assessed regardless of prolapse. More: https://www.thefitbkk.com/pelvic-organ-prolapse/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

They are related but not the same. Prolapse is pelvic organs pressing down into the vaginal wall; leaking is the bladder outlet failing to hold. Both usually come from the same weakened pelvic floor and supporting tissue, so they often appear together — but treating one does not automatically fix the other. Which comes first varies. Some women leak for years before any bulge appears; others feel the bulge first and only start leaking later. A larger prolapse can also kink the urethra and mask leaking, so leaking sometimes shows up or gets worse once the prolapse is supported or repaired. That is why a proper assessment looks at both together rather than treating whichever symptom you mentioned first. Some things help both at once. Supervised pelvic floor training is the usual starting point for either problem. A pessary supports the prolapse and, for some women, reduces leaking as well. Treating constipation and chronic straining takes pressure off both. Where they diverge is in the specific treatment — the plan for a bulge and the plan for leaking are not interchangeable, and that is decided after an examination, not from symptoms alone. See a doctor sooner if the bulge is visible or sits outside the opening, if you cannot fully empty your bladder or bowels, if leaking is changing what you do in a normal day, or if there is bleeding or pain. More: https://www.thefitbkk.com/pelvic-organ-prolapse/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Yes. The HPV vaccine protects against the types that cause most cervical cancers, but not all of them, and it does not clear an infection you already carried before you were vaccinated. Screening stays on the same schedule as everyone else's — an HPV test or Pap smear at the interval your doctor sets, not something the vaccine replaces. Vaccination and screening do different jobs. One lowers the chance of a new high-risk infection taking hold; the other looks for cell changes that are already present, which are treatable when they are found early. That is why national screening programmes keep vaccinated women on the same schedule, and why a vaccination card is not a reason to postpone a test. If you were vaccinated as a teenager and have never been screened, the first test is usually due in your mid-20s. If you started the course later, screening still follows your age, not the date of your vaccination. Bring whatever vaccination record you have, in any language — it helps, but nothing depends on it. Come in sooner than your next scheduled test if you have bleeding after sex, bleeding between periods, or any bleeding after menopause. Those are looked at regardless of vaccination status. More: https://www.thefitbkk.com/cervical-screening-hpv-vaccine/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Urinary incontinence is treated by a urogynecologist — a specialist in the bladder and pelvic floor rather than a general gynecologist. In Bangkok you can be assessed and start treatment in a single outpatient visit. No referral and no hospital admission are needed, and most women begin with non-surgical options. The first visit is a conversation and an examination, not a procedure. You will be asked when you leak — with a cough, a laugh or exercise, or with a sudden urge you cannot defer — because stress and urge incontinence respond to different treatments and many women have both. The examination checks whether the pelvic floor is weak or overly tight, two conditions with similar symptoms and opposite treatments, and whether there is any prolapse alongside the leaking. A bladder diary or an ultrasound is added when the picture is unclear. You leave with an explanation of what is actually causing it and what each option involves. Consultations are in English or Thai with a female specialist. The consultation fee is 1,500 to 3,000 baht depending on complexity, plus a 300 baht clinic service fee, quoted before anything is decided. More: https://www.thefitbkk.com/phrom-phong-gynecologist/ See a doctor if leaking has changed how you exercise, travel or dress, if you are getting up more than once a night to pass urine, if you feel a bulge or heaviness, or if it has gone on long enough that you have stopped mentioning it. THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Often yes. The vaccine does not clear an infection you already have, but it protects against the other high-risk types you have not met — and most people carry only one or two types, not the nine the current vaccine covers. Vaccinating after a positive result is about preventing the next infection, not treating this one. It may also reduce the chance of the same type coming back after treatment for abnormal cells, which is why it is increasingly offered around that point. What it does not do is replace screening: you still need Pap and HPV testing on the usual interval, because the vaccine does not cover every oncogenic type and cannot undo changes already under way. Whether it is worth it for you depends on your age, which type was found, whether you have been treated for abnormal cells, and how many doses you have had before. That is a short conversation rather than a complicated one. Bring any previous Pap or HPV results if you have them. See a doctor sooner if you have bleeding after sex, bleeding between periods, or unusual discharge, rather than waiting for a scheduled screen. More: https://www.thefitbkk.com/cervical-screening-hpv-vaccine/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Not necessarily. Prolapse is not a condition that always progresses. Many women stay at the same stage for years, and what matters more than time passing is whether the things that strain the pelvic floor are still going on. Doing nothing is a reasonable choice if your symptoms are mild and you are being monitored. Progression is more likely if chronic constipation and straining continue, if a long-standing cough goes untreated, if heavy lifting is a daily part of your work or training, or if you are newly postmenopausal, when falling oestrogen thins the supporting tissue. Addressing those is often more useful than any treatment aimed at the prolapse itself. Pelvic floor training and a pessary can both be started at a mild stage and are not a commitment to surgery later. Equally, deciding to wait does not close any doors: a prolapse that is left alone can still be treated the same ways in a year's time. See a doctor sooner rather than waiting if tissue stays outside the vaginal opening, if you have to press with your fingers to empty your bladder or bowels, if there is bleeding or the surface feels raw, or if new urinary symptoms appear. Those are the signs that change the plan. More on stages and options: https://www.thefitbkk.com/pelvic-organ-prolapse/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

It often reduces it substantially. Body weight raises pressure inside the abdomen and that pressure is carried by the pelvic floor, which is one of the mechanisms behind leaking when you cough, sneeze, laugh or lift. Weight reduction is one of the better-evidenced non-surgical interventions for stress incontinence, and the improvement usually appears before a target weight is reached. It works best alongside correctly taught pelvic floor training rather than instead of it: losing weight lowers the load, training improves the support that carries it. A single assessment also distinguishes a weak pelvic floor from an overly tight one, and from prolapse — three conditions with overlapping symptoms and different treatments. It is worth knowing which you have before committing months to an exercise programme. See a doctor if you leak during exercise, have stopped exercising because of it, feel a bulge or heaviness, or are getting up more than once a night to pass urine. More: https://www.thefitbkk.com/weight-management-bangkok/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Not as a first step. Persistent fatigue in women usually has a specific, testable cause, and an infusion given before those are excluded can mask the problem for months. The common ones are iron deficiency, which causes severe tiredness before anaemia appears so ferritin matters and not just haemoglobin, an underactive thyroid, vitamin B12 or vitamin D deficiency, undiagnosed sleep apnoea, and depression presenting as physical exhaustion. In perimenopause, night sweats fragmenting sleep produce exactly the daytime fatigue and mental fog that wellness drips are marketed for, and treating the sleep disruption addresses the cause rather than the sensation. A blood panel and a proper history cost far less than a course of infusions and give you an answer you can act on. If the tests are clear and you still want an elective infusion, that is an informed choice. More: https://www.thefitbkk.com/nad-iv-therapy-bangkok/ and https://www.thefitbkk.com/iv-vitamin-drip-bangkok/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Exosomes are tiny membrane-bound packages that cells release to signal to one another, carrying proteins, lipids and small RNA. In skin treatment, concentrated exosome preparations are used to support the repair process — most often applied immediately after a procedure such as fractional laser or radiofrequency microneedling, when the skin is actively rebuilding and most receptive. It is usually part of a treatment rather than a standalone appointment. There is no additional downtime beyond the procedure itself, and most people describe it as cooling and soothing. A post-procedure balm or sheet mask may be provided for the days afterwards, when redness and tightness are most noticeable. ASCE+ and Exocobio are two of the products used in aesthetic practice, each with its own formulation. It tends to suit dull or uneven texture, acne scarring and post-inflammatory marks, and skin that is easily irritated. Pigmentation conditions such as melasma are chronic and prone to rebound, so those are better planned around specifically. How many sessions, and how often, is decided after assessment rather than sold as a package. Results vary between individuals. More: https://www.thefitbkk.com/exosome-therapy-bangkok/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Not without an assessment, and the assessment is the part that decides whether it will work for you. A doctor-led weight programme starts by finding out why the weight is there, because several common causes are treatable and frequently missed: an underactive thyroid, polycystic ovary syndrome, perimenopause, obstructive sleep apnoea, or a prescribed medicine that causes weight gain and has an alternative. Prescription treatment is available where it is clinically appropriate and is discussed in consultation. Prescription-only medicines are not named in public material because Thai regulations restrict advertising them to the general public. Suitability depends on your measurements, medical and family history and current medications, and it is not suitable in pregnancy or while trying to conceive. It is an adjunct to nutrition, activity and treating the underlying cause, not a replacement, and weight commonly returns after stopping unless the surrounding changes have taken hold. There is also a urogynecology reason to take this seriously: body weight raises pressure inside the abdomen, which the pelvic floor carries, so weight reduction is one of the better-evidenced ways to reduce stress incontinence. More: https://www.thefitbkk.com/weight-management-bangkok/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

Yes. The V Revive programme uses Multi-Wave energy delivered evenly around the vaginal canal, with the aim of stimulating your own collagen production in the vaginal wall. There are no incisions and no general anaesthetic, and most women return to ordinary activity the same day, avoiding intercourse and swimming for a short period. It is used for laxity and reduced sensation after childbirth, for dryness and discomfort after menopause when falling oestrogen thins the vaginal lining, and for mild stress leaking on coughing, sneezing or lifting — that last one considered in selected cases after assessment, and alongside correctly taught pelvic floor training rather than instead of it. The assessment matters more than the choice of device. Dryness from oestrogen loss, a pelvic floor that is too weak, one that is too tight, and prolapse all produce similar descriptions and are treated differently — one examination separates them. Local oestrogen is an established option for menopausal dryness and should be part of the conversation. Number and spacing of sessions are decided after assessment, results vary between individuals, and it is not done during pregnancy or with an active infection. More: https://www.thefitbkk.com/vaginal-rejuvenation-revive-bangkok/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

A positive HPV test with a normal Pap means the virus is present but has not yet caused abnormal changes to your cervical cells. Most HPV infections clear on their own within one to two years, so this result is not a diagnosis of cancer or pre-cancer. It is a reason to follow up on schedule, not a reason to panic. What happens next depends on which type was found. If the test identified HPV 16 or 18 — the two types behind most cervical cancers — guidelines generally recommend colposcopy, a magnified examination of the cervix, without waiting. For other high-risk types with a normal Pap, the usual step is a repeat co-test in about 12 months to see whether your immune system has cleared the infection. It is persistence of the same high-risk type over years, rather than a single positive result, that raises risk. A positive test also says nothing reliable about when or from whom the infection was acquired, since HPV can stay dormant for a long time. See a doctor sooner than your scheduled follow-up if you have bleeding after sex, bleeding between periods, or unusual discharge. And do not skip the repeat test because the first result was reassuring — the follow-up interval is the entire point of the result. More on screening intervals and the vaccine: https://www.thefitbkk.com/cervical-screening-hpv-vaccine/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultations in English or Thai.

An abnormal Pap result almost never means cancer. It means some cells on the cervix look changed, most often because of an HPV infection that the immune system clears on its own. The next step is a repeat test, an HPV test, or a colposcopy — a closer look at the cervix — to decide whether anything actually needs treating. What the wording usually means: ASC-US means the cells are slightly unclear and an HPV test decides whether to repeat or look closer. LSIL means mild changes, which very often resolve without treatment. HSIL means more significant changes that are still not cancer, but are the stage where treatment genuinely prevents it. A colposcopy is an outpatient examination that takes a few minutes; a small biopsy may be taken, which can feel like a brief pinch or period cramp. The most important thing is not to disappear after an abnormal result. Cervical cancer takes years to develop from these changes, which is exactly why follow-up works — the risk comes from missing the next appointment, not from the result itself. If you have had the HPV vaccine you still need screening, because it does not cover every high-risk type. See a doctor to arrange follow-up as soon as you get an abnormal result, and sooner if you have bleeding after sex, bleeding between periods, or persistent unusual discharge. More on screening and the vaccine: https://www.thefitbkk.com/cervical-screening-hpv-vaccine/ THE FIT CLINIC — 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk. Consultation 1,500-3,000 THB depending on complexity, plus a 300 THB clinic service fee. Consultations in English or Thai.

Prolapse stages describe how far the bulge has descended relative to the vaginal opening, not how bad your symptoms are. Stage 1 stays well inside the vagina, stage 2 reaches close to the opening, stage 3 protrudes beyond it, and stage 4 is complete descent. Stage 2 on its own rarely needs surgery. Staging is measured while you strain during an examination, so the same woman can be recorded slightly differently at different visits or at different times of day — prolapse is often more marked by evening. This is why stage and symptoms frequently disagree: some women with stage 2 feel constant heaviness, while others with stage 3 barely notice it. Treatment is chosen from what bothers you, not from the number. Most women start with correct pelvic floor training, a vaginal pessary, and reducing downward pressure by treating constipation, managing a chronic cough and avoiding breath-held heavy lifting. Surgery is considered when symptoms are troublesome and conservative care has not been enough. See a doctor if you can feel or see a bulge at the vaginal opening, heaviness is getting steadily worse, you cannot empty your bladder or bowel properly, or the exposed tissue is sore, grazed or bleeding. The Fit Clinic is on the 8th floor of EM Tower, EMSPHERE, directly at BTS Phrom Phong, open daily 10:00-19:00. LINE @thefitbkk.

No. The HPV vaccine is licensed for adults up to age 45, so being in your 30s does not rule you out. It gives the most protection before any exposure, but very few people have met every high-risk HPV type, so it can still protect you against the types you have not yet encountered. What it does not do is treat an HPV infection you already have, and it does not replace cervical screening. You still need Pap and HPV testing on the same schedule as everyone else, vaccinated or not, because the vaccine covers most but not all of the types that cause cervical cancer. For adults the course is usually three doses over about six months. If you have had an abnormal smear or a positive HPV result in the past, vaccination can still be discussed, but following up that result comes first. See a doctor if you have never been screened, if your last Pap or HPV test was more than five years ago, if you have had bleeding between periods or after sex, or if you simply want to know which vaccine and schedule apply at your age. A short consultation covers your screening history and what is worth doing in which order. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00–19:00. Consultations in English or Thai. LINE @thefitbkk

Yes, in one specific situation. If your pelvic floor is already too tight rather than too weak, more squeezing adds tension to a muscle that cannot relax, and symptoms such as urinary urgency, incomplete emptying, pelvic pain and painful sex can get worse instead of better. A weak floor and an overly tight floor feel remarkably similar from the inside. The reason they get confused is that both can leak. A weak floor leaks because it cannot hold; a tight, overworked floor leaks because it is fatigued and never fully releases between contractions. The signs that point towards a tight floor rather than a weak one are a slow or hesitant urine stream, feeling you have not emptied, discomfort with tampons or during sex, aching in the pelvis or lower back, and Kegels that feel uncomfortable or make you feel more urgent afterwards. That floor needs to learn to let go before it is asked to grip, so treatment starts with relaxation, breathing and stretching rather than more repetitions. See a doctor if you have been doing pelvic floor exercises for two to three months with no change or with symptoms getting worse, if the exercises themselves hurt, if sex is painful, or if you regularly feel you have not emptied your bladder. A single examination tells a weak floor from a tight one, and the two are trained in opposite directions, so it is worth knowing which you have before spending more months on the wrong exercise. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00–19:00. Consultations in English or Thai. LINE @thefitbkk

Around six weeks after delivery is the usual point for a first check, and it is worth doing even if you feel fine. If you are leaking urine, feel heaviness or a bulge, or have pain, do not wait for six weeks — get seen sooner. There is no cut-off; a check years later is still worthwhile. The visit is an assessment rather than a treatment. It covers how your bladder and bowel are working, how any tear or scar has healed, and an examination of pelvic floor strength and coordination — which matters because a floor that is too tight causes symptoms just as a weak one does, and the two are managed differently. Most women are surprised to learn they are squeezing incorrectly, bracing the abdomen or holding the breath, which is why unguided exercises often achieve nothing. What follows is usually correctly taught pelvic floor training and changes to bowel habits so you stop straining. See a doctor sooner rather than later if you are leaking urine or stool, feel a bulge at the vaginal opening, have pain with sitting or intercourse, or cannot feel any pelvic floor contraction at all. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

That is called splinting, and it usually points to a rectocele — the wall between the rectum and the vagina has weakened, so stool collects in a small bulge instead of passing straight through. Pressing changes the angle and empties the pocket. It is common after childbirth and it is treatable. It often comes with a dragging or heavy feeling low down that is mildest in the morning and worst by evening, and sometimes with a sense that the bladder never fully empties either, because the front wall can drop in the same way. Chronic constipation and straining make it worse, which is why treatment usually starts with softening stool and changing how you sit and push, together with correctly taught pelvic floor training, and a vaginal pessary where it suits. Surgery is considered when symptoms interfere with daily life or other approaches have not worked — it is not the starting point. See a doctor if you need to splint every time, if you can feel a bulge at or outside the vaginal opening, if there is bleeding, if you have repeated urinary infections, or if you cannot pass urine at all. All of this can be assessed in a single pelvic examination. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

Yes — THE FIT CLINIC is on the 8th floor of EM Tower, the office tower attached to EMSPHERE on Sukhumvit Road, and EMSPHERE connects directly to BTS Phrom Phong station. From the platform, take the exit into EMSPHERE, then go up to EM Tower on the 8th floor. It is a covered walk the whole way, which matters in the rain and in the heat. Coming by taxi or Grab, ask for EMSPHERE on Sukhumvit Road, opposite Benjasiri Park, and go to the EM Tower entrance rather than the shopping mall doors. If you are coming from Thong Lo or Ekkamai it is one or two BTS stops; from Asok it is one stop. Practical points people ask about. Prams and pushchairs come straight up from the station without stairs, and children and family members are welcome in the room. The clinic is open daily 10:00-19:00, including weekends, so a visit does not have to come out of a working day. You will see a female specialist. Consultations are conducted in English or Thai, and written enquiries by LINE, WhatsApp or email are welcome. The consultation fee is ฿1,500-3,000 depending on the complexity of your case, plus a ฿300 clinic service fee, and treatment is quoted separately after the assessment. Message us on LINE @thefitbkk before you come and we will tell you what your visit is likely to involve, so nothing is decided on the spot. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, Sukhumvit Road, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

Most patients need somewhere between one and seven days, and which end of that range you land on depends on what the assessment finds rather than on what you booked. Day one is always an assessment: your history, an examination where appropriate, and an explanation of the options that apply to you. Some treatment can begin on the same trip. Some is better planned and started later, and you will be told which before anything is decided. If you are already coming to Bangkok for other reasons, it is worth messaging us before you fix your dates — a short conversation about your symptoms usually makes the likely length clear. Practical things worth knowing. You will see a female specialist. Consultations are conducted in English or Thai, and written enquiries by LINE, WhatsApp or email are welcome. The consultation fee is ฿1,500-3,000 depending on the complexity of your case, plus a ฿300 clinic service fee, and treatment is quoted separately after the assessment. The clinic is on the 8th floor of EM Tower at EMSPHERE, directly on BTS Phrom Phong, which is straightforward from most hotels in the city. One thing to be clear about: we do not currently offer video follow-up once you have flown home. If your case is likely to need ongoing review, say so early and we will tell you honestly whether travelling for it makes sense for you. Message us with your symptom, when it started and your travel dates, and we will tell you what your visit is likely to involve before you commit to anything. Results vary between individuals. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

Yes, if it becomes a habit. Occasionally waiting is harmless, but repeatedly holding on for hours overstretches the bladder, and an overstretched bladder empties less efficiently. Urine left behind is where infection breeds, which is why recurrent urinary tract infections are common in exactly this group. There is a second problem that is easier to miss. When you finally go, you are usually rushing — straining to finish before getting back to a meeting. That trains the pelvic floor to bear down instead of relax during voiding, and over time it can make emptying harder rather than easier. Warning signs that it has started to matter: the stream takes a moment to start, you never quite feel finished, stinging that comes and goes, a dragging ache low down by the afternoon, or the opposite — needing to go far more often, because a bladder that has been mistreated can become oversensitive rather than sluggish. What helps: aim for the toilet every three to four hours rather than waiting for a strong urge, and equally, do not go "just in case" — both extremes confuse the bladder. Sit properly with your feet on the floor, do not hold your breath or push, and wait twenty to thirty seconds and try again before standing. Keep drinking normally; cutting water so you can avoid the toilet concentrates the urine and irritates the bladder further. See a doctor if you get more than two or three urinary infections a year, if urination burns or contains blood, if you never feel empty, if you also leak, or if there is fever with back pain. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

A pessary is a small, flexible silicone device fitted inside the vagina to support a prolapse. When it is the right size and correctly positioned you should not be able to feel it — if you can feel it, the fit is wrong, not the idea. It is one of the main non-surgical options for pelvic organ prolapse. It works mechanically rather than chemically: it holds the vaginal walls and the organs behind them in position, which relieves the dragging heaviness, can improve difficulty emptying the bladder, and in some women reduces leaking. Fitting is done by a specialist and often takes more than one attempt, because pessaries come in several shapes and sizes and the first one tried is not always the one you keep. Practical things women ask. You can usually continue normal activity, exercise and sex depending on the type fitted. Some pessaries you remove and clean yourself; others are checked and cleaned at review appointments. Vaginal oestrogen is sometimes used alongside it to keep the tissue healthy, particularly after menopause. Many women use one for years, and it does not prevent you choosing surgery later. Tell your doctor promptly if you have new bleeding or discharge, pain, difficulty passing urine, or if the pessary slips or you become aware of it — all of those mean it needs checking or refitting, not abandoning. Suitability, type and fit are decided after an examination, and results vary between individuals. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

Not necessarily. A soft bulge you can feel at the vaginal opening is usually pelvic organ prolapse, and for mild to moderate prolapse most women are managed without surgery. What it needs first is an examination to establish which organ has descended and how far — that determines everything else. It happens when the muscles and connective tissue supporting the bladder, uterus or bowel are stretched or weakened, most often after childbirth, around menopause as oestrogen falls, or with anything that repeatedly raises abdominal pressure — chronic cough, constipation and straining, or heavy lifting. Typical signs are a dragging or heavy feeling low down that worsens through the day or after standing, a bulge you can feel or see, difficulty emptying the bladder or bowel completely, and sometimes leaking or discomfort during sex. Non-surgical options include pelvic floor rehabilitation with correct technique, treating the constipation or cough that keeps driving pressure downward, and a vaginal pessary — a support device fitted by a specialist that many women use successfully for years. Surgery is one option among several, not the automatic answer, and it is discussed after assessment rather than before. See a specialist promptly if the bulge is getting larger, if you cannot empty your bladder or bowel, if there is bleeding or pain, or if it is interfering with daily life. Results vary between individuals, and your options are explained after an examination. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

No — leaking during exercise is a sign that your pelvic floor cannot yet handle the load, not a reason to stop moving. It is called stress urinary incontinence, it is very common in active women, and most improve without surgery by training the pelvic floor and adjusting the load while they do. Impact and heavy lifting raise pressure inside the abdomen sharply. If the pelvic floor cannot brace fast enough, a little urine escapes — most often during running, skipping, box jumps, heavy squats and deadlifts. Start with correct Kegels: squeeze as if holding in urine, hold 5 seconds, rest 5 seconds, 10 reps, 3 sets a day, keeping the abdomen, buttocks and thighs relaxed. Add one quick squeeze just before the effort, breathe out on exertion rather than holding your breath, and temporarily swap high-impact work for cycling, swimming or lower-step versions while you build strength. Give it at least 3 months, and treat constipation or a chronic cough at the same time, because abdominal pressure is what makes it recur. See a specialist if leaking continues after 3 months of correct practice, if you need a pad to train, if you feel a bulge or heaviness in the vagina, or if you are avoiding exercise you want to do. Assessment comes first, and your options are explained after an examination — non-surgical ones exist, and results vary between individuals. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong, Bangkok. Open daily 10:00-19:00. LINE @thefitbkk

The consultation is ฿1,500–3,000 depending on the complexity of your case, plus a ฿300 clinic service fee. That covers the visit itself: your history, an examination where appropriate, and an explanation of your options. Treatment is quoted separately after the assessment, so nothing is charged without being discussed with you first. The range exists because cases differ. A straightforward preventive check sits at the lower end; a complex urogynecology assessment needing more time and more detailed examination sits higher. You will be told which applies to you before anything proceeds. Costs not included in the consultation fee: laboratory tests, imaging, medication, vaccines, and any procedure. Each is quoted before it is carried out. If you are travelling to Bangkok and need an indication of total cost before you fly, describe what you need when you message us and we will give you a realistic range rather than a single number that later changes. If cost is a concern, say so. It is a normal question and asking it changes nothing about the care you receive. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong. Open daily 10:00–19:00. LINE @thefitbkk

With correct pelvic floor training, most women notice a real difference in six to twelve weeks, and the full result is judged at three months — improvement before two or three weeks is unusual, so an early lack of change does not mean it is failing. Bladder retraining for urgency typically shows progress within six weeks. The most common reason for no improvement at three months is not a failed treatment but an incorrect contraction: studies consistently find many women train the abdomen or buttocks instead of the pelvic floor. That is why one assessment early on is worth more than months of unguided practice. Device-based options such as magnetic stimulation are usually courses of several sessions over a few weeks, and are chosen when the muscle cannot yet be activated voluntarily. Two honest caveats: results depend on doing the exercises daily rather than occasionally, and factors that raise abdominal pressure — chronic cough, constipation, heavy lifting — pull results backwards if untreated. See a doctor if three months of correct, consistent practice has changed nothing, or sooner if leaking worsens, burns, or comes with blood. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong. Open daily 10:00–19:00. LINE @thefitbkk

Match the clinic's specialty to your actual problem, and prefer one that starts with an assessment rather than a package. Leaking, prolapse, and postpartum issues belong to urogynecology — a distinct sub-specialty from general gynecology — while screening and pregnancy care are general gynecology. The right specialty matters more than the biggest name. Practical markers that separate clinics: whether the doctor examines and explains before proposing any treatment; whether you can message first on LINE or WhatsApp and describe your problem in writing; whether consultation is available in a language you speak comfortably; and whether opening hours fit your life — evening and weekend availability matters if you work. Location on the BTS makes follow-up visits far easier to keep. Be cautious of choosing on promotional price alone. The correct treatment follows from the correct diagnosis, and a discounted package for the wrong problem is more expensive than an accurate consultation. A good clinic will also tell you when you need nothing done at all. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong. Open daily 10:00–19:00. LINE @thefitbkk

Waking more than once a night to pass urine is called nocturia, and it is not an inevitable part of getting older. In women it is usually driven by an overactive bladder muscle, a pelvic floor weakened by childbirth, falling oestrogen around menopause, or fluid that pools in the legs during the day. Most cases improve without surgery. That last cause surprises people. Fluid that collects in the legs while you are upright returns to the bloodstream once you lie flat, and the kidneys clear it overnight. Elevating your legs for about 30 minutes in the early evening, stopping drinks two hours before bed, avoiding caffeine after early afternoon and alcohol in the evening, and emptying your bladder fully before sleep will settle a meaningful share of cases within a few weeks. Pelvic floor exercises — squeeze and hold 5 seconds, 10 repetitions, three times a day — help suppress the sudden urgency that wakes you. See a doctor if you wake twice or more every night, if the urge outruns you and you leak, if urination burns or contains blood, if your ankles swell, or if three months of these changes make no difference. Broken sleep is worth taking seriously — it affects blood pressure, weight and mood more than most women expect, and a bladder diary usually points to the cause faster than any test. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong. Open daily 10:00–19:00. LINE @thefitbkk

Urinary incontinence is treated in Bangkok at urogynecology and women's health clinics, and at the urology or gynecology departments of the major hospitals. Look for a clinic that starts with a pelvic floor assessment rather than a procedure, because most women improve without surgery once the type of leaking is correctly identified. The first visit is a conversation and an examination, not a treatment. You will be asked how often you leak, what triggers it — coughing, sneezing and laughing point to stress incontinence, while a sudden urge you cannot hold points to urge incontinence — how many times a day and night you pass urine, and what you drink. A urine test rules out infection, and a pelvic floor examination checks whether you can contract the muscle correctly, which a surprising number of women cannot at first. Bringing a two or three day record of toilet trips and leaks makes that first visit far more useful. From there the first line of treatment is non-surgical for almost everyone: correct, consistent Kegels, bladder retraining, and adjusting caffeine, constipation and weight. Surgery is only discussed if several months of that has not helped. See a doctor sooner rather than later if you need a pad every day, if leaking is getting worse, if urination burns or has blood in it, or if your bladder never feels empty. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong. Open daily 10:00–19:00 · LINE @thefitbkk · Tel/WhatsApp +66 92 294 6555

A urogynecologist treats pelvic floor problems: leaking urine, sudden urinary urgency, a bulge or heaviness in the vagina (prolapse), vaginal laxity after childbirth, and bladder changes around menopause. See one when a bladder or pelvic floor symptom is the main thing bothering you, rather than periods, fertility or pregnancy. A general gynecologist covers the whole of women's health; a urogynecologist sub-specialises in the bladder, the urethra and the muscles that support them. Most of the care starts non-surgically — correct pelvic floor training, bladder retraining, and adjusting caffeine, constipation and weight — with procedures considered only if several months of that does not help. Book an appointment if leaking or urgency is changing what you do: avoiding exercise, planning routes around toilets, or wearing a pad most days. Also come in if you can feel a bulge at the vaginal opening. Blood in the urine, pain when passing urine, or fever should be reviewed promptly. The Fit Clinic — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, right at BTS Phrom Phong. Open daily 10:00-19:00. Consultations are in English or Thai; message LINE @thefitbkk before your visit and we will arrange language support where we can.

No. Consultations at The Fit Clinic are held in English or Thai, so you do not need any Thai to be seen. If you would be more comfortable in another language, message us on LINE before your visit and we will arrange language support where we can. Bring previous scans or lab reports in whatever language they were issued. Medical vocabulary, not everyday conversation, is what usually trips people up, so it helps to write down three things before you come: your main symptom, roughly when it started, and any medication you are taking. Photographs of earlier test results on your phone are fine — lab values read the same in any language. Please do not put off a visit because of the language barrier. Urinary leakage, a bulge you can feel at the vaginal opening, pelvic pain, or any bleeding after menopause all need proper assessment, and delaying only narrows the treatment options. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong. Open daily 10:00-19:00. LINE @thefitbkk

No — you rarely have to stop training. What matters is how you lift. Heavy loads combined with breath-holding push down on the pelvic floor, and that downward pressure is what makes leaking or prolapse symptoms worse. Adjusting the load, breathing out on the effort, and strengthening the pelvic floor usually let you keep exercising. Signs a weight is too heavy for your pelvic floor right now: leaking during the lift, a dragging or bulging feeling afterwards, or needing to hold your breath to finish the rep. Switching to lighter weight with more repetitions, and exhaling as you push or lift, takes pressure off the pelvic floor while you build strength. Pelvic floor training and core work done alongside your normal routine usually improve both symptoms and performance. If you leak or feel heaviness during everyday activity rather than only at the gym, or symptoms are getting worse over a few weeks, have it assessed — most cases are managed without surgery. THE FIT CLINIC — Aesthetic & Urogynecology, 8th Floor EM Tower, EMSPHERE, BTS Phrom Phong. Open daily 10:00-19:00. LINE @thefitbkk

Yes. Many private clinics in Bangkok consult in English, and some can arrange Japanese or Chinese language support on request. You do not need fluent Thai to be assessed for urinary leaking, vaginal dryness, or pelvic heaviness — the examination itself is physical, and symptom questionnaires are available in several languages. When you book, ask specifically which language the doctor consults in, rather than assuming the reception staff and the physician are the same. It also helps to write down your main symptom, how long it has lasted, any births or surgeries, and your current medications before the visit. A short written note removes most of the language friction from a first consultation and makes the assessment faster. Do not wait it out if leaking is shaping your daily routine, if you are waking more than once a night to urinate, or if you notice burning, blood in the urine, or a bulge. These are the points at which a cause should be identified rather than managed with pads. THE FIT CLINIC consults in English and publishes patient information in Japanese, Chinese, Korean, Arabic, Russian and Burmese — message LINE @thefitbkk before booking to confirm language support for your visit. EM Tower, EMSPHERE, BTS Phrom Phong, open daily 10:00–19:00.

They are different problems and the treatment differs, so telling them apart matters. Stress incontinence leaks when pressure rises — coughing, sneezing, laughing, lifting — and comes from a weakened pelvic floor. Urge incontinence is a sudden need you cannot postpone, from an overactive bladder. Many women have both. A specialist assessment establishes which pattern is driving your symptoms before any treatment starts, because strengthening the pelvic floor helps the first far more than the second, while bladder retraining and other approaches target the urgency. Guessing wrong means months of effort aimed at the wrong mechanism. Most cases improve without surgery. At THE FIT CLINIC we assess both patterns and use non-surgical options such as the Dr. Arnold Magnetic Chair, which contracts the pelvic floor while you sit fully clothed with no downtime. If you are leaking, planning your day around bathrooms, or avoiding exercise because of it, it is worth having the cause identified. EM Tower, EMSPHERE, BTS Phrom Phong, open daily 10:00–19:00, LINE @thefitbkk.

Recurring vaginal itching and irritation are often caused by yeast or bacterial imbalances, which thrive in the heat and moisture of hot, humid weather. Wearing breathable cotton underwear, avoiding harsh soaps and douching, and changing out of damp clothes quickly all help. If it keeps coming back, that repetition itself is the signal to get it checked. Repeatedly reaching for over-the-counter creams can mask an underlying cause — such as a specific type of infection, a skin condition, or blood-sugar issues — that needs proper diagnosis to treat for good. At The Fit Clinic (EM Tower EmSphere, open daily 10:00–19:00, LINE @thefitbkk), our specialists can identify the exact cause and give you targeted, lasting treatment rather than temporary relief.

Very heavy periods aren't something you simply have to live with. Soaking through a pad or tampon every hour for several hours in a row, bleeding for longer than seven days, or passing clots larger than a coin can signal heavy menstrual bleeding (menorrhagia) and often points to a cause worth evaluating. Common contributors include fibroids, polyps, hormonal imbalance, or changes in the uterine lining, and ongoing heavy loss can lead to iron-deficiency anaemia that leaves you tired and short of breath. If your periods are disrupting daily life, getting heavier, or you feel constantly exhausted, see a gynecologist — most causes are very treatable. At The Fit Clinic (EM Tower, EmSphere, open daily 10:00–19:00), our specialists can assess and treat this; consult on LINE @thefitbkk.

Normal vaginal discharge is usually clear to milky white, has little or no odor, and changes in amount and texture across your monthly cycle — this is actually a sign of a healthy, self-cleaning vagina. It becomes a concern when discharge turns green, grey, or cottage-cheese-like, smells strongly fishy, or comes with itching, burning, or pelvic pain. These changes can point to a yeast infection, bacterial vaginosis, or an STI, all of which are straightforward to diagnose and treat. You do not need to douche or wash inside with antiseptic — that upsets the natural balance and can make things worse. If your discharge suddenly changes and does not settle, see a specialist. At The Fit Clinic, our doctors assess discharge concerns and overall vaginal health privately — open daily 10:00–19:00 at EM Tower, EMSPHERE; consult on LINE @thefitbkk.

Yes, it's very common — and yes, it can improve. After childbirth many women notice looseness, dryness, reduced sensation, or leaking when they cough or exercise, because pregnancy and delivery stretch the pelvic-floor muscles and vaginal tissues. These changes are not something you simply have to accept; most respond well to treatment. Options range from pelvic-floor rehabilitation and strengthening to non-surgical treatments such as radiofrequency or laser that help tone tissue, improve moisture, and restore comfort and confidence — the right plan depends on your symptoms and goals. If leaking, heaviness, pain, or a bulging sensation is affecting daily life, it's worth getting assessed. At The Fit Clinic (EM Tower, EmSphere, open daily 10:00–19:00), postpartum and pelvic-floor concerns are evaluated privately by specialist physicians, and many women find they can feel like themselves again. Ask us on LINE @thefitbkk.

Yes, it can. Your pelvic floor and deep core muscles work together as a support system for your spine and pelvis, so when they are weak or poorly coordinated, the lower back often compensates and becomes strained. This is why persistent back pain sometimes eases only once the pelvic floor and core are properly assessed and retrained. A weak pelvic floor can also appear alongside urinary leakage or a heavy, dragging feeling in the pelvis. If your lower back pain keeps returning despite rest, massage, or painkillers — especially if you also notice bladder changes or have been pregnant — it is worth having your pelvic floor and core evaluated rather than treating the back alone. At The Fit Clinic (EM Tower, EmSphere, open daily 10:00–19:00, LINE @thefitbkk), our specialists assess this connection and guide pelvic-floor and core rehabilitation.

Painful sex after menopause is usually caused by lower estrogen thinning and drying the vaginal tissue — part of GSM (genitourinary syndrome of menopause). It is very common and treatable. Options include vaginal moisturizers and lubricants, doctor-guided local (topical) estrogen, and tissue-rejuvenation treatments, so you do not have to simply accept the discomfort. The right approach depends on how severe your symptoms are and your health history, so a personalized assessment matters. If dryness, burning, pain, or bleeding are affecting intimacy or daily comfort, it is worth getting checked rather than enduring it. At The Fit Clinic (EM Tower, EMSPHERE, open daily 10:00–19:00; LINE @thefitbkk), specialist physicians assess and treat menopause-related vaginal and urinary changes privately.

Yes, it's worth getting checked. Bleeding after sex, between periods, or after menopause is not normal and can be an early warning sign of cervical cancer, as well as of infections, polyps, or hormonal changes. It doesn't always mean something serious, but it should never be ignored. Early cervical cancer often causes no symptoms at all, which is why regular Pap smears and HPV testing matter even when you feel fine. If you notice unusual bleeding, unusual discharge, or pain during sex, see a gynecologist to find the cause. The Fit Clinic offers private evaluation and women's health care daily 10:00–19:00 at EM Tower, EmSphere (LINE @thefitbkk).

No — washing inside the vagina with antiseptic solutions, or douching, is not recommended. The vagina cleans itself and relies on good bacteria (lactobacilli) to maintain its natural acidity. Antiseptics and internal rinses strip those bacteria away, upsetting the balance and often causing irritation, stronger odor, unusual discharge or infection. Clean only the vulva — the outside — using warm water or a gentle, pH-balanced wash, and avoid scented products, harsh scrubbing and internal rinsing. Many women who notice an odor assume they aren't clean enough and wash more aggressively, which tends to make the problem worse rather than better. If odor, itching, burning, or a change in the color or amount of your discharge persists, washing harder won't fix it — those are signs worth having checked, as they can point to conditions such as bacterial vaginosis or a yeast infection. The Fit Clinic assesses and treats abnormal discharge, vaginal irritation and recurrent infections privately with specialist doctors at EM Tower EMSPHERE, open daily 10:00–19:00 (LINE @thefitbkk).

Mild period cramps that ease with rest, a heat pack, or over-the-counter pain relief are usually normal. Period pain is a warning sign when it is severe, gets worse over time, stops responding to usual pain relief, or disrupts work, school, or sleep — this can point to conditions like endometriosis, adenomyosis, or ovarian cysts. Pain during sex, very heavy bleeding, or pain outside your period also deserve a check. If a heat pack is the only thing getting you through each month, do not just push through it — see a doctor to find the cause and the right treatment. At The Fit Clinic (EM Tower, EmSphere, open daily 10:00–19:00; LINE @thefitbkk), women's and gynecological concerns are assessed privately by specialist physicians.

Yes. Even with no symptoms, most adult women benefit from a routine gynecological check about once a year, because conditions like early cervical changes, HPV, fibroids, or mild pelvic-floor weakness often cause no symptoms at first. Regular visits catch problems early, when they're simplest to treat. Go sooner if you notice irregular bleeding, unusual discharge, pelvic pain, urine leakage, or pain during sex, and before trying to conceive. How often you need screening can vary with your age, history, and risk factors, so it's worth asking your doctor what's right for you — a check-up is quick, private, and judgment-free. At The Fit Clinic (EM Tower, EMSPHERE, open daily 10:00–19:00), our specialists provide confidential women's health and gynecological care. Book on LINE @thefitbkk.

Yes. Bladder training is a well-established, non-surgical technique that gradually retrains your bladder to hold more and reduce the sudden urge to go. You urinate on a set schedule and slowly extend the time between trips, so the “gotta-go-now” feeling eases over a few weeks. It works best combined with pelvic-floor (Kegel) exercises and simple habit changes, such as cutting back on caffeine, and a bladder diary helps you track progress. If urgency, frequent trips, or leaks don’t improve after a few weeks — or you notice pain, burning, or blood in your urine — see a doctor. At The Fit Clinic in EM Tower EMSPHERE (open daily 10:00–19:00), our specialists design a personalized bladder-retraining and pelvic-floor plan. Consult on LINE @thefitbkk.

Bladder leaks, urgency, and pelvic-floor weakness become more common with age because the muscles and tissues that support the bladder naturally lose strength and estrogen levels fall after menopause, often on top of past childbirth. But 'common' does not mean normal or untreatable — these symptoms can almost always be improved, and are not something you simply have to live with. As we age, the pelvic-floor muscles that support the bladder, uterus, and bowel weaken, and lower estrogen thins the vaginal and urethral tissues, which can lead to leaks, a sudden urge to go, waking at night to urinate, or a heavy, dragging feeling in the lower belly. Many women improve with pelvic-floor (Kegel) training, small bladder-habit changes, and non-surgical options, and an ongoing personalized plan works best. If these symptoms disrupt daily life or keep getting worse, see a doctor rather than waiting them out. At The Fit Clinic (EM Tower, EmSphere, open daily 10:00–19:00, LINE @thefitbkk), urogynecologists assess and treat age-related bladder and pelvic-floor concerns at every stage of life.

Air coming out of the vagina, sometimes with a sound like passing gas, is called vaginal wind or 'queefing.' It happens when air trapped in the vagina is released, most often during exercise, yoga, sex, or changing positions. It is very common and usually completely harmless. That said, frequent or bothersome vaginal wind can sometimes be linked to weakened pelvic-floor muscles (often after childbirth) or vaginal laxity, so pelvic-floor (Kegel) exercises may help. If it occurs alongside urine leakage, a bulging or heavy sensation, or discomfort, see a doctor for an assessment. The Fit Clinic treats pelvic-floor and vaginal laxity concerns, open daily 10:00-19:00 at EM Tower, EmSphere (LINE @thefitbkk).

A mild, natural scent is normal and shifts a little across your cycle. But a strong, fishy, or foul odor — especially with unusual discharge, itching, or irritation — usually points to an imbalance in vaginal bacteria (bacterial vaginosis) or an infection, not to poor hygiene. Washing more or douching often makes it worse by stripping your natural balance. Odor can also change with sweat, hormones, your period, or certain foods. Skip douching and harsh, scented soaps — gentle external cleansing with water is enough. See a doctor if the smell is persistent or strong, or comes with abnormal discharge, itching, burning, or pelvic pain, as these can signal an infection that needs treatment. The Fit Clinic (EM Tower, EMSPHERE, open daily 10:00–19:00) can pinpoint the cause and treat it properly — reach us on LINE @thefitbkk.

Yes. Repeatedly straining to pass hard stools pushes downward on the pelvic floor muscles and the nerves that support your bladder, uterus and vagina. Over months and years that repeated pressure weakens those supports, and chronic constipation is a recognised risk factor for urinary leakage and pelvic organ prolapse. Reducing the load helps: enough fibre, fruit and vegetables, enough water, regular movement, and not sitting and bearing down for long stretches. Resting your feet on a low stool and relaxing rather than pushing hard also eases the strain. If constipation is persistent, or you have already noticed leaking, a bulge, or a heavy dragging feeling, see a doctor — pelvic floor problems respond best when treated early. The Fit Clinic treats pelvic floor weakness, urinary incontinence and prolapse (EM Tower, EMSPHERE, open daily 10:00–19:00, LINE @thefitbkk).

The women most at risk of pelvic organ prolapse are those who have had several vaginal deliveries, are past menopause, regularly lift heavy loads, carry excess body weight, have a chronic cough, or strain with constipation. Each of these repeatedly stretches or pressures the pelvic floor, weakening the support that holds the pelvic organs in place. Family history and connective tissue disorders can also play a part. Early signs include a heavy, dragging feeling in the vagina, a bulge you can feel or see, or urine leaking when you cough or lift. Prolapse tends to progress slowly, so it is worth being assessed as soon as symptoms begin — early cases often respond to pelvic floor training and non-surgical treatment. The Fit Clinic assesses and treats pelvic organ prolapse and related pelvic floor problems; you can book a consultation on LINE @thefitbkk.

Most women can begin non-surgical treatment for postpartum urine leaks or vaginal laxity around 6 weeks after delivery, once initial healing is complete and after a check-up confirms you're ready. Gentle pelvic floor (Kegel) exercises can usually start much earlier, within days, as soon as they feel comfortable. The right timing depends on your delivery type, whether you had tearing or a C-section, and if you're breastfeeding — some energy-based treatments (such as vaginal laser or radiofrequency) are postponed until after you finish breastfeeding. At The Fit Clinic we assess your recovery and recommend a safe, personalised plan. If leaking, heaviness, or looseness is still bothering you beyond about 3 months postpartum, it's worth booking a check-up rather than waiting.

Feeling like you can't fully empty your bladder, or having to strain, wait, or push to start urinating, is called incomplete emptying or urinary retention. It often comes from a weak or overly tense pelvic floor, bladder muscle problems, pelvic organ prolapse, or a blockage — not simply from drinking too little. Left unaddressed, it can lead to repeated urinary infections and discomfort. If you suddenly cannot urinate at all and feel pain or pressure, treat it as an emergency and seek care immediately. For ongoing difficulty, a urogynecologist can pinpoint the cause with a simple assessment and treat it — often without surgery. The Fit Clinic evaluates and cares for women's urinary and pelvic floor problems at EM Tower EMSPHERE, open daily 10:00–19:00 (LINE @thefitbkk).

Recurrent UTIs — two or more urinary tract infections in six months, or three or more in a year — usually happen when bacteria repeatedly reach the bladder. Common triggers include sexual activity, not fully emptying the bladder, holding urine too long, and menopause-related tissue changes. Many cases are preventable and treatable. Staying well hydrated, urinating after sex, avoiding holding urine for long periods, and treating vaginal dryness after menopause all help lower your risk. If UTIs keep coming back, or you notice burning, urgency, cloudy or bloody urine, or pelvic pain, see a doctor instead of self-treating repeatedly — recurrent infections should be properly evaluated to rule out underlying causes. The Fit Clinic assesses and treats recurrent urinary tract infections alongside related bladder and pelvic-floor concerns, open daily 10:00–19:00 at EM Tower EMSPHERE (LINE @thefitbkk).

For most healthy pregnancies, staying active is not only safe but beneficial — regular, moderate movement supports your strength, mood, and sleep and can make labour and recovery easier. Unless your doctor advises otherwise, choose gentle activities like walking, swimming, prenatal yoga, and pelvic floor exercises rather than complete rest. Avoid contact sports, activities with a fall risk, heavy straining, and lying flat on your back for long periods in later pregnancy — and stop and seek care if you notice bleeding, pain, dizziness, or contractions. Because every pregnancy is different, a tailored plan and a prenatal check give you the confidence to stay active safely. The Fit Clinic (EM Tower EMSPHERE, open daily 10:00–19:00, LINE @thefitbkk) can assess you and design a movement plan suited to your stage and health.

Yes. Caffeine (in coffee, tea, and many soft drinks), along with carbonated drinks, sugary beverages, and alcohol, are common bladder irritants that can trigger urgency, frequency, and leaks in a sensitive bladder. Cutting back and replacing them with plain water often noticeably eases symptoms within a few weeks. Drinking too little backfires too — concentrated urine irritates the bladder more, so aim to sip water steadily through the day rather than gulping large amounts at once. Alongside these simple swaps, pelvic floor training and in-clinic treatments can further reduce leaks and urgency. If urgency, leaks, or burning when you pee persist, it's worth getting checked. The Fit Clinic (EmSphere EM Tower, open daily 10:00–19:00, LINE @thefitbkk) can assess the cause and tailor treatment.

If you've done Kegels for months and still leak urine, the most common reason is technique. Many women unknowingly tighten the abdomen, thighs, or buttocks — or hold their breath — instead of isolating the pelvic floor muscles, so months of effort don't build real strength and the leaks continue. A specialist can confirm you're contracting the correct muscles and, if needed, use biofeedback or technology such as the Dr. Arnold magnetic chair to rebuild pelvic floor strength. If leakage persists despite regular practice, or is getting worse, it's worth being properly assessed. At THE FIT CLINIC we offer pelvic floor evaluation and non-surgical treatment for urinary leakage — contact us via LINE @thefitbkk or visit EM Tower, EMSPHERE, open daily 10:00–19:00.

Vaginal laxity after childbirth is not permanent. The vaginal tissues stretch considerably during delivery, and some natural recovery occurs over the first 6–12 months. However, many women find that tone does not fully return on its own — particularly after multiple or difficult deliveries — and non-surgical treatments can significantly restore tightness and sensation. MonaLisa Touch CO₂ laser and InMode Votiva radiofrequency both stimulate collagen remodelling within the vaginal walls, improving tone, lubrication, and sensitivity with no surgery or downtime. At THE FIT CLINIC, treatment is typically recommended from 6 weeks after delivery and is tailored to your individual recovery. To find out which option suits you, contact us via LINE @thefitbkk or visit EM Tower, EMSPHERE, open daily 10:00–19:00.

A preconception check-up is a health assessment for women planning to get pregnant, ideally done a few months before trying to conceive. At THE FIT CLINIC it typically includes a review of your menstrual and medical history, a pelvic and ultrasound check of the uterus and ovaries, and screening for concerns such as anemia, hormone imbalance, and infections that could affect pregnancy. The goal is to spot and address any issues early, so you can begin your pregnancy journey as healthy and well-prepared as possible.

Persistent fatigue that doesn't improve with rest can have many causes, and several are linked to women's health — including hormonal changes around perimenopause and menopause, thyroid problems, iron-deficiency anaemia, and poor sleep quality from nighttime bladder urgency or hot flashes. Ongoing exhaustion is worth investigating rather than dismissing as simply being busy or stressed. At THE FIT CLINIC our specialists can review your symptoms and history and guide you on appropriate evaluation and next steps. To book a consultation, contact us via LINE @thefitbkk or call 092-294-6555 — we are at EM Tower, EMSPHERE (8th floor), open daily 10:00–19:00.

No. Long-term use of hormonal birth control pills does not cause lasting infertility. For most women, fertility returns within a few weeks to a few months after stopping the pill, though for some it can take a little longer. If your period has not returned within three months of stopping, or you have been trying to conceive for 6 to 12 months without success, our doctors at THE FIT CLINIC can evaluate you and check for other causes. You can book a consultation via LINE @thefitbkk; we are open daily 10:00-19:00 at EM Tower, EMSPHERE.

A pelvic exam is usually quick and should not be painful — you may feel mild pressure or brief discomfort, but our specialist explains each step beforehand and you can ask to pause or stop at any time. You don't need to do anything special to prepare; it helps to wear comfortable clothing, empty your bladder before the exam, try to relax your pelvic muscles, and, where possible, schedule it when you are not on your period. Regular pelvic exams are an important part of preventive care, helping detect cervical changes and other concerns early, so fear of discomfort shouldn't keep you from being checked. To book, contact us via LINE @thefitbkk or call 092-294-6555 — we are at EM Tower, EMSPHERE (8th floor), open daily 10:00–19:00.

Yes. Every treatment plan at THE FIT CLINIC begins with a one-on-one consultation. Our specialist reviews your concerns and relevant medical history, and for skin and body treatments we carry out a detailed skin and body analysis so we can recommend the options best suited to you rather than a one-size-fits-all approach. You can arrange a consultation via LINE @thefitbkk; the clinic is at EM Tower, EMSPHERE, open daily 10:00–19:00.

Ovarian cancer is often called a 'silent' disease because its early signs are subtle and easily mistaken for digestive trouble or stress — persistent bloating, feeling full quickly, pelvic or lower-abdominal pressure, and needing to urinate more often. The key is persistence: if these symptoms are new for you and last longer than two to three weeks, it is worth getting checked rather than waiting. At THE FIT CLINIC, our gynecology specialists can assess your symptoms with an internal examination and pelvic ultrasound and guide you on any further testing needed, since earlier evaluation generally allows more options. To book an assessment, contact us via LINE @thefitbkk or call 092-294-6555 — we are at EM Tower, EMSPHERE (8th floor), open daily 10:00–19:00.

As a general guide, cervical screening usually begins in your early 20s: a Pap smear is commonly recommended every 3 years, or a Pap smear combined with an HPV test every 5 years for women aged 30 and over — though your doctor may suggest a different interval depending on your history and previous results. At THE FIT CLINIC, Pap smears, HPV testing, and HPV vaccination are all part of our preventive gynecology care, and our specialists will tailor the right screening schedule for you. To book a screening, contact us via LINE @thefitbkk or call 092-294-6555 — we are at EM Tower, EMSPHERE (8th floor), open daily 10:00–19:00.

It depends on your individual situation. While breastfeeding, estrogen levels are naturally lower, which can affect vaginal tissue and how it responds to energy-based treatments such as laser or radiofrequency, so we often recommend waiting until after your postpartum recovery or until you have finished breastfeeding for the most reliable results. The right timing is best decided during a personal assessment with our specialist. Book a consultation via LINE @thefitbkk or call 092-294-6555 — we are at EM Tower, EmSphere (8th floor), open daily 10:00–19:00.

Perimenopause often begins in the 40s and can appear as irregular periods, vaginal dryness, hot flashes, disrupted sleep, mood changes, and new bladder urgency or leakage — all linked to gradually declining estrogen. These symptoms can show up years before periods fully stop, so you don't need to wait until menopause to seek help. If they're affecting your daily life, comfort, or intimacy, a consultation with our specialists at THE FIT CLINIC (EM Tower, EMSPHERE, open daily 10:00-19:00) can clarify what's happening and outline options suited to your stage. You can book via LINE @thefitbkk.

Waking more than once a night to pass urine is called nocturia, and while it is common it is not something you simply have to live with. It can stem from an overactive bladder, hormonal changes around menopause, drinking fluids late in the evening, or other medical factors that deserve assessment. At THE FIT CLINIC our urogynecology specialist can help identify the cause and discuss options such as bladder training, adjusting fluid timing, pelvic floor strengthening, or other medical treatments. If nighttime trips to the bathroom are disturbing your sleep, you are welcome to book a consultation via LINE @thefitbkk.

The Dr. Arnold Magnetic Chair is a non-invasive treatment that strengthens the pelvic floor muscles using high-intensity focused electromagnetic (HIFEM) energy. You sit fully clothed on the chair for about 28 minutes while it delivers thousands of supramaximal muscle contractions — comparable to performing thousands of Kegel exercises in one session. Most people describe the sensation as a gentle tingling and a tightening of the pelvic floor rather than pain, and there is no recovery time, so you can return to your normal day immediately. At THE FIT CLINIC it is commonly used for urinary incontinence, pelvic floor weakness after childbirth, and mild prolapse, with a typical course of around 6 sessions. Your doctor will confirm whether it is suitable for you during a consultation. To learn more, contact us via LINE @thefitbkk or visit EM Tower, EMSPHERE, open daily 10:00–19:00.

An overactive bladder (OAB) causes a sudden, urgent need to urinate, frequent bathroom trips, and sometimes leakage before you reach the toilet — it is a treatable medical condition, not a normal part of aging. It happens when the bladder muscle contracts on its own before the bladder is full, which is different from the stress leakage caused by sneezing or exercise. At THE FIT CLINIC, our urogynecology specialist first identifies the cause, then may recommend non-surgical options such as bladder training, pelvic floor rehabilitation, the Dr. Arnold Magnetic Chair, lifestyle adjustments, or medication tailored to you. To find the right plan for your symptoms, book a consultation via LINE @thefitbkk or visit us at EM Tower, EMSPHERE, open daily 10:00–19:00.

We specialize in urogynecology, aesthetic gynecology, mommy makeover programs, and preventive gynecology including HPV vaccination and Pap smears.

THE FIT CLINIC is at the 8th Floor, EM Tower, EMSPHERE, Sukhumvit Road, Bangkok, Thailand. Accessible by BTS Skytrain at Phrom Phong station.

Most treatments are minimally invasive or non-invasive with little or no discomfort. We ensure a positive, comfortable experience.

Yes. Consultations are conducted in English or Thai. Written enquiries — LINE, WhatsApp and email — are answered in English, Thai, Chinese, Arabic, Russian, Japanese, Korean and Burmese, and interpreter support can be arranged in advance on request. Many of our patients travel to Bangkok from overseas.

The number of sessions depends on your assessment and varies between individuals. Your specialist will plan this with you and explain it after examining you.

Absolutely. Strict patient confidentiality is maintained in a safe, private, and judgment-free environment.

Call or WhatsApp +66 92 294 6555, LINE @thefitbkk, email bkkgyne@gmail.com, or use the contact form. Open daily 10:00 AM – 7:00 PM.

No referral needed. Book directly with us for any women's health concern — from preventive check-ups to specialized treatments.

Aesthetic gynecology focuses on the appearance and comfort of intimate areas — including vaginal rejuvenation, tightening, brightening, and labial contouring. Urogynecology addresses functional pelvic floor disorders such as urinary incontinence, pelvic organ prolapse, and pelvic muscle weakness. At THE FIT CLINIC, both specialties are offered under one roof for comprehensive women's intimate health care.

Yes. At THE FIT CLINIC, urinary incontinence — including stress and urge incontinence — is commonly managed without surgery. The Dr. Arnold chair by DEKA uses high-intensity electromagnetic technology to stimulate pelvic floor muscle contractions while you remain fully clothed. Pelvic floor rehabilitation and bladder training are also core parts of treatment. The right combination and the number of sessions depend on your assessment, and results vary between individuals — your specialist will explain the options after examining you.

MonaLisa Touch is a fractional CO₂ laser treatment for vaginal and vulvar tissue. At THE FIT CLINIC, it is used to treat vaginal atrophy, dryness, painful intercourse (dyspareunia), mild urinary incontinence, and hormonal changes from menopause or cancer treatment. The therapy is non-hormonal, virtually painless, requires no downtime, and typically involves 3 sessions spaced 6 weeks apart.

Pelvic organ prolapse (POP) occurs when the bladder, uterus, or rectum descends into or beyond the vaginal wall due to weakened pelvic floor support. Symptoms include a feeling of heaviness, pressure, or a visible bulge in the vaginal area, often worsening after prolonged standing. At THE FIT CLINIC, mild to moderate prolapse is managed non-surgically using pelvic floor rehabilitation with the Dr. Arnold Magnetic Chair, MonaLisa Touch CO₂ laser to restore tissue support, and InMode Votiva radiofrequency therapy. Severe prolapse may require surgical referral, which our urogynecology specialists can coordinate.

Vaginal rejuvenation refers to non-surgical treatments that restore the tone, moisture, sensitivity, and structural integrity of vaginal tissue. At THE FIT CLINIC, this includes MonaLisa Touch fractional CO₂ laser, InMode Votiva radiofrequency (FormaV and FractoraV), and the O-Shot PRP therapy. It is suitable for women experiencing vaginal laxity after childbirth, vaginal dryness or atrophy from menopause, reduced sensitivity, mild urinary incontinence, or discomfort during intercourse. Treatments are non-surgical, require no general anaesthesia, and have minimal downtime.

THE FIT CLINIC offers a comprehensive Mommy Makeover programme designed for postpartum recovery, available from 6 weeks after delivery. Treatments include: pelvic floor rehabilitation with the Dr. Arnold Magnetic Chair to address weakness and urinary leakage; MonaLisa Touch and InMode Votiva for vaginal comfort and dryness; C-section and episiotomy scar treatment using laser and radiofrequency; Morpheus8 fractional RF microneedling for stretch marks and skin laxity; post-baby body contouring; and a full postpartum pelvic floor and hormonal health assessment. We also treat diastasis recti (abdominal muscle separation) and painful intercourse after birth.

Yes. Genitourinary Syndrome of Menopause (GSM) — which causes vaginal dryness, irritation, painful sex, and urinary symptoms — can be treated effectively without systemic hormones. At THE FIT CLINIC, we offer MonaLisa Touch CO₂ fractional laser, which stimulates collagen and glycogen production in vaginal tissue to restore natural lubrication and elasticity. InMode Votiva radiofrequency also remodels vaginal tissue and improves moisture. These treatments are one option for women who cannot use, or prefer not to use, hormonal therapy. Whether they are suitable for you — including if you have a history of cancer — is decided at an assessment with the doctor, not in advance. How long any benefit lasts, and whether maintenance is appropriate, varies between individuals.

Both are non-surgical intimate wellness treatments, but they use different technologies. MonaLisa Touch uses fractional CO₂ laser energy to create micro-channels in vaginal tissue, triggering collagen regeneration — particularly effective for dryness, atrophy, and mild urinary incontinence. InMode Votiva uses bipolar radiofrequency (RF) energy: FormaV delivers gentle heating for tissue tightening and moisture improvement, while FractoraV provides fractional RF for deeper tissue remodelling. Votiva tends to produce a more gradual warming sensation and suits women with sensitive tissue or those seeking body contouring of the external vulvar area. Our doctors will recommend the most appropriate treatment based on your specific condition.

Yes. Vaginismus — involuntary tightening of the vaginal muscles that makes intercourse, gynecological exams, or tampon use painful or impossible — is a treatable condition. At THE FIT CLINIC, our urogynecology team offers a tailored programme combining pelvic floor physiotherapy, progressive dilation therapy, and Botulinum toxin (Botox) injections to the vaginal muscles where appropriate. We also treat other causes of painful intercourse (dyspareunia) including vaginal dryness, vestibulodynia, vulvodynia, lichen sclerosus, and post-surgical scarring. Vaginismus responds to a structured, staged plan in most cases, but what is realistic for you is discussed after assessment rather than promised in advance, and results vary between individuals.

Bladder leakage triggered by physical activity, coughing, sneezing, or laughing is called stress urinary incontinence (SUI) — the most common type of incontinence in women. It is caused by weakness in the pelvic floor muscles and urethral sphincter, often following childbirth or with age. At THE FIT CLINIC, the primary treatment is the Dr. Arnold Magnetic Chair, which delivers rapid electromagnetic contractions of the pelvic floor while you sit fully clothed, with no recovery time. MonaLisa Touch and InMode Votiva further strengthen the urethral and vaginal support tissue. The number and spacing of sessions are decided after assessment and results vary between individuals. Correctly taught pelvic floor training runs alongside any device work rather than being replaced by it.

Yes — Bangkok is one of Asia's leading medical tourism destinations and THE FIT CLINIC is equipped to serve international patients from across the region and globally. Our urogynecology specialists are trained in internationally recognised procedures and use FDA-approved devices including the Dr. Arnold chair by DEKA, MonaLisa Touch, and InMode Votiva. Consultations are conducted in English or Thai. We provide full consultation records, treatment summaries, and follow-up communication for patients continuing care in their home country. Most non-surgical treatments have zero downtime, allowing patients to travel the same day or the next day.