Is it necessary to do an internal vaginal and/or rectal exam?
Evaluation of the pelvic floor muscles is done via an internal vaginal (female) or rectal (male). Not all patients receive an internal exam, it is done based on your condition and consent. This exam is performed to assess the strength, muscle symmetry and tone, trigger points and specific ability of your pelvic floor muscles to contract and relax. Just like in a neck injury, the muscles need to be treated to promote relaxation and re-gain normal strength. If at any time this causes discomfort for you, please let us know so we can discuss your feelings and perhaps find alternatives for treatment.
