Significant anxiety surrounding vaginal birth and perineal lacerations
Discomfort with intercourse or speculum exams, now or in the past
Pudendal neuralgia, vulvodynia or other pelvic pain diagnoses, now or in the past
3rd or 4th degree perineal laceration with previous vaginal birth
- Urinary urgency/frequency
NOTE: We do not perform internal pelvic floor examinations on women who are at risk of pre-term labor, have a cerclage or have been diagnosed with shortened cervix or other such risks in their pregnancy. If you are experiencing vaginal bleeding or your bag of waters has opened, we also do not perform internal examinations. Even without internal examination, however, we believe that a perineal wellness consultation can be beneficial in order to learn about birthing strategies and have an external evaluation of pelvic floor motor control. If you have specific questions about your pregnancy, please talk to your doctor or contact us for more information.