Research and our clinical experience has shown that all women preparing for vaginal birth can benefit from perineal preparation, but those with any of the symptoms below may gain even more: 

  • 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.