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Why Doesn’t My Pelvic Floor Evaluation Look Like Dr. Susie G’s? (Patreon)

Published:
2026-07-06 14:07:09
Edited:
2026-07-06 14:11:40
Imported:
2026-10
Tags:

Videos

  • Why Doesn't My Pelvic Floor Evaluation Look Like Dr. Susie G's.mp4

Downloads

Content

Have you ever watched one of my pelvic floor exams and wondered why your evaluation looked completely different?

Watch Male Exam

Watch Female Exam

You’re not alone. It’s one of the most common questions I receive.

In this video, I talk about why pelvic floor evaluations can vary significantly from one provider to another, what factors influence those differences, and how to have productive conversations with your clinician if you have questions about your care.

My hope is that this helps normalize the diversity of approaches within pelvic health while encouraging curiosity, collaboration, and respect for the clinicians working to support you.

I’d love to hear your experiences in the comments. Has your pelvic floor evaluation looked similar to what I demonstrate, or was it completely different?

Medical Disclaimer: This content is for educational and informational purposes only and does not replace individualized medical care. It is not intended to diagnose, treat, or cure any condition. Always consult your own qualified healthcare provider about your specific health needs.

Files

Why Doesn't My Pelvic Floor Evaluation Look Like Dr. Susie G's?

Why Doesn't My Pelvic Floor Evaluation Look Like Dr. Susie G's?

Comments

Alan Ritter

Alex, I will take Because you did not travel to see the Very Best for $10,000.00 Please.

Jules

Hi Dr Gronski, I have a slightly different question. My physio routinely does external perineal, internal rectal, and perineal ultrasound exams on me, but she seems reluctant to talk about using more advanced equipment such as balloon rectal training, pelvic wands or TENS. I suppose she wants to try the more conservative and low risk approaches first, or perhaps she lacks the equipment at her clinic. My main pelvic issue is dyssynergic defefecation. She is now referring me for an anorectal manometry because we have hit a wall after 9 sessions. She wants to continue to do internal work on me while I am on the waiting list. How do I approach her about using more advanced techniques?

Dr. Susie Gronski - Doctor of Physical Therapy

This is an excellent question, Jules! It sounds like your therapist may have exhausted the tools currently available in their toolbox. Sometimes that’s just because of the equipment they have access to in the clinic. Anorectal balloon training is relatively inexpensive and can often be incorporated into pelvic floor therapy. I’d suggest asking your therapist directly whether they offer anorectal balloon training or use rectal dilators (rectal trainers), as either of these approaches may be helpful for dyssynergic defecation. And you can absolutely pin the question on me. Just let them know you learned about these treatment options through my Patreon. 😊

Paul Galinski

Dr. Susie, thanks so much for making the video about why some pelvic floor evaluations don't look like yours. Thanks, too, for the male and female exams that you provided that clearly illustrate your procedures. My own evaluation was different and similar. I went to a pelvic floor physiotherapist with urinary issues and she took a very detailed account of my affliction. We must have spent an hour talking and reviewing. My next appointment was for the physical examination. The external exam was nowhere near as detailed as what you performed in the male exam. She visualized my genitals, perineal area, and rectal area, and poked me with what appeared to be a long Q-Tip, but did not perform hands-on examination externally, which, I believe, would have been appropriate in this instance. The internal exam was similar to yours. My physiotherapist inserted her finger and was very detailed in palpating my pelvic floor muscles, similar to you. I'm not sure if my physiotherapist was uncomfortable palpating my genital area, which could have been valuable in assessing my urinary problems. Anyway, she recommended a series of exercises that I did on a daily basis, which helped, so I guess that's the important feature.

Dr. Susie Gronski - Doctor of Physical Therapy

Thank you for sharing your experience with us, Paul. I’m not able to say why your therapist chose not to perform an external palpation, but it sounds like you benefited from the treatment regardless, which is wonderful to hear! Every therapist has a slightly different evaluation and treatment approach, and I’m glad you found one that helped.

Joel Scheumann

Good Morning, Thank you so much for the helpful outline on what the general principles are for the exam! Going to see a “penis friendly” therapist off of your list this week! Yay! Had been to a different pelvic floor pt for two sessions and didn’t feel they were addressing the issues head on. Have been having some testicular pain along with perineal pain. Is having the therapist check the chords around the testicle an option as well? Just wondering if that is under the spectrum or if I should just set up an appt for the primary. Thanks! Joel

Dr. Susie Gronski - Doctor of Physical Therapy

Hey Joel! For a patient with testicular/scrotal pain, I do assess the spermatic cords. I'm unsure whether or not your therapist will assess this specifically but it's worth asking. Feel free to pin the question on me 😉. I hope you have a positive visit and keep me posted on your experience. I want to esnure folks on my directory live up to their penis-friendliness.