Pelvic Floor Physical Therapy: Why Comfort and Communication Matter for Your Pregnancy Journey and Beyond

Pregnancy is a transformative time, and it can sometimes bring physical challenges—especially for your pelvic floor. Whether you're navigating your first pregnancy or preparing for postpartum recovery, pelvic floor physical therapy (PT) can be a powerful tool to support your well-being. Yet, the idea of pelvic floor therapy can feel daunting for many. It’s normal to experience some initial discomfort or embarrassment, but finding a provider you trust and maintaining open communication can make all the difference in your therapy experience.

At the Inclusive Provider Directory, we believe that everyone deserves access to affirming, respectful care, and that’s exactly what pelvic floor PTs can provide. Let’s explore why comfort and communication are key to making the most out of pelvic floor therapy and how it can benefit you during pregnancy, postpartum, and beyond.

Comfort And Communication Are Key - Making The Most Out Of Pelvic Floor Therapy

Pelvic Floor PTs: Professionals Trained to Support You

It’s perfectly natural to feel hesitant about pelvic floor therapy, especially if it’s your first time. 

After all, the pelvic region is highly personal, and the thought of discussing or working with this area might bring up feelings of vulnerability. However, inclusive pelvic floor physical therapists are trained professionals who are sensitive to these concerns. Their goal is to create a respectful and safe environment where you can openly discuss your symptoms, concerns, and goals without feeling judged.

Pelvic floor therapy involves understanding the muscles, ligaments, and connective tissues that support your bladder, uterus, and bowels. Whether you’re experiencing pain, incontinence, or other pelvic issues, your therapist is there to listen, educate, and work with you toward healing. Building trust and comfort with your therapist is the first step toward a successful treatment experience.

Why Open Communication Is Crucial

One of the most important aspects of pelvic floor physical therapy is communication. From your initial consultation to your ongoing sessions, being open with your therapist about your comfort levels, symptoms, and any concerns you have is essential. Remember, your therapist is not only trained to treat your pelvic floor but also to listen to you and adjust the treatment plan as needed.

Here are some ways to foster open communication with your pelvic floor therapist:

  • Ask Questions: Don’t hesitate to ask questions about the therapy process, what to expect during each session, or any terminology you may not understand. Your therapist will be happy to clarify and guide you through the treatment plan.

  • Express Discomfort: If any part of the therapy makes you feel uncomfortable—physically or emotionally—it’s important to voice this. Pelvic floor therapy is highly individualized, and your therapist can modify techniques to ensure your comfort.

  • Share Your Fears and Anxieties: Many people have fears or anxieties about their pelvic health, especially after childbirth or during pregnancy. Being open about these feelings allows your therapist to provide reassurance and adapt the treatment to meet your emotional needs as well.

Your therapist is there to support you, and communication is key to ensuring the best possible outcome.

Your therapist is there to support you, and communication is key to ensuring the best possible outcome.

What to Expect During Your Initial Consultation

The first step in pelvic floor therapy is the initial consultation, which can set the tone for the rest of your sessions.

During this meeting, your therapist will focus on getting to know you, your health history, and your goals for therapy. Here’s what you can expect:

  1. Patient History and Discussion: Your therapist will begin by taking a detailed patient history. This includes your current symptoms, medical background, pregnancy and birth experiences (if applicable), and any specific concerns you may have. Don’t worry about sharing personal details—your therapist is here to listen and provide care in a supportive environment.

  2. Education on Pelvic Anatomy and Function: As part of the consultation, your therapist will provide some basic education on pelvic floor anatomy and how it functions during pregnancy and postpartum. Understanding how your pelvic floor works can help demystify the therapy process and empower you to take charge of your healing.

  3. Opportunity to Ask Questions: This is your time to ask any questions you may have about pelvic floor PT, from what the therapy involves to how it can help with specific issues. Use this time to ensure you feel comfortable with your provider and the treatment plan. A strong therapist-client relationship is built on mutual understanding and trust.

  4. Goal Setting: Based on your discussion, your therapist will help you set specific goals for therapy. Whether your focus is reducing pain, managing incontinence, or preparing for postpartum recovery, your therapist will tailor the treatment to your unique needs.

We’re committed to connecting you with providers who prioritize respect, inclusion, and your overall well-being

Take the Next Step Toward Pelvic Health

While it’s crucial to have supportive relationships with your partner and close friends, finding a broader support system can also be incredibly beneficial. Joining a community of individuals who understand what you’re going through can provide comfort, resources, and a sense of belonging.

Pelvic floor physical therapy is a deeply personal and often transformative experience. By finding a therapist who makes you feel comfortable, communicating openly, and setting clear goals for your therapy, you’re taking a proactive step toward maintaining your pelvic health during pregnancy and beyond.

At the Inclusive Provider Directory, we’re committed to connecting you with providers who prioritize respect, inclusion, and your overall well-being. Ready to find a pelvic floor therapist near you? Browse our directory today and take the first step toward a healthier, happier pregnancy journey.


By ensuring that you feel empowered, understood, and respected, pelvic floor PT can be an incredibly positive and effective part of your perinatal care. If you’re experiencing pelvic discomfort or simply want to take proactive steps toward maintaining your pelvic health, consider reaching out to a therapist today. Below are a few Pelvic Floor Physical Therapists that identify as inclusive you may want to check out.

Meghan O’Hara
Radiance Physical Therapy, LLC
Flora Physical Therapy

Erin Spahr (she/her)

Erin Spahr is a licensed therapist, mother, intersectional feminist, podcast host, and maternal mental health advocate. Erin uses a feminist lens in her work with mothers and strives to help mothers free themselves from oppressive societal expectations and find more self-confidence and self-compassion.

She hosts the Feminist Mom Podcast where she discusses the intersection of feminism and motherhood with inspiring guests. Erin recently launched the Inclusive Provider Directory, a directory that serves as a vital link connecting mothers, birthing individuals, and families in the United States and Canada with perinatal providers who prioritize inclusivity and identity-affirming care.

Erin sees clients in her private practice (available to folks in North Carolina and Maryland). She lives in Raleigh, North Carolina with her husband and two kids.

https://www.erinspahrtherapy.com
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