What to Expect From a Postpartum Pelvic Floor Assessment

If you have never had a pelvic floor assessment, a first postpartum visit is usually gentler than people imagine. It is a conversation and a careful, consent-based check — not something to be nervous about. Here is what actually happens, and when to book. It is a core part of postpartum recovery.

When should I have one?

A common time is around six weeks after birth, often after your first check with your doctor, midwife or OB — but sooner if you are in significant pain or discomfort. There is also no upper limit: an assessment is worthwhile months or years later if symptoms are lingering.

What happens at the visit?

It opens as a conversation — about your pregnancy and birth, how the weeks since have felt, your bladder and bowel habits, and what you would like to get back to, whether that is running, carrying a toddler, or simply feeling like yourself. Your physiotherapist then looks at how your breathing, abdomen and pelvic floor are working together, and often checks for diastasis recti.

The internal examination — optional and explained

An internal (vaginal) examination is the most accurate way to assess the pelvic floor muscles directly, so it is often offered. It is always optional, explained fully beforehand, and only done with your informed consent. Plenty can be assessed externally, and you decide what you are comfortable with, step by step.

What your plan might include

• Restoring core and pelvic floor coordination after birth
• Addressing leaking, urgency or a sense of heaviness
• Easing pelvic, back or scar-related pain, including after a C-section or tear
• A graded return to exercise and the activities you enjoy
• A short home routine that fits around a newborn

Frequently asked questions

Do I need a referral?

No — in Ontario you can book directly. Some insurance plans ask for one to reimburse you, so check your coverage.

Can I bring my baby?

Usually yes. Many parents bring their little one; the clinic is used to it.

What if I had a C-section — do I still need this?

Yes. Pregnancy itself loads the pelvic floor and core, and a C-section adds scar recovery, so assessment is just as relevant.

Talk to a pelvic health physiotherapist in Toronto

Every body is different, and the fastest way to understand yours is a one-on-one assessment. At SOMOM in High Park, Toronto, your visit is unhurried, explained at each step, and always at your pace. Book an assessment whenever you are ready — no referral needed.