Live Demo: Pelvic Floor Muscle Rectal Exam for Pelvic Floor Dysfunction and Anismus (Patreon)

Here’s another Patreon exclusive live model demo showing how I perform a pelvic floor rectal exam for conditions like pelvic floor dyssynergia, anismus, and fecal incontinence.

Dyssynergic defecation is when the pelvic floor muscles struggle to relax voluntarily, like when you’re trying to poop. Anismus is when the anal sphincters have a hard time relaxing during pooping or anal play, which can lead to pelvic floor pain, anal spasms, or that golf ball-in-the-rectum feeling. Fecal incontinence is the involuntary loss of stool.

In this live demo, I walk you through the whole process, from how I cue my patients to what I’m assessing when my finger’s up the bum. We go over muscle tone, coordination, sensation, and how I cue contraction, relaxation, and yes, even the “poop my finger out” instruction.

Give it a watch and let me know—how do you feel about an anorectal exam? If you’ve been nervous about one, did this help ease that at all? What questions came up for you after watching? Drop them in the comments.

Huge shout out to our model for making this video possible. ❤️

Disclaimer: This video is for educational purposes only. It is not intended to substitute medical care or advice from your provider. Always seek care from a qualified professional for your medical questions and concerns.