Pelvic Floor Physiotherapists vs. Gynecologists – Who Should You See & When?

When it comes to women’s health, knowing which healthcare professional to see can be confusing. Both gynecologists and pelvic floor physiotherapists play essential roles in addressing different aspects of women's health. But how do you know when to visit a gynecologist and when a pelvic floor physiotherapist is the right choice?

In this blog, we’ll explore the scope of practice for both specialists, the conditions they treat, and how they collaborate to provide comprehensive care. By the end, you’ll have a better understanding of when to visit a gynecologist or pelvic floor physiotherapist for your specific needs.

⭐ Key Takeaways

• Pelvic floor physiotherapists and gynecologists play different but complementary roles in women’s health.

• Pelvic floor physiotherapy is the first-line approach for muscle-related issues such as pelvic pain, incontinence, painful intercourse, clogged milk ducts, prolapse symptoms, and postpartum recovery.

• Gynecologists address medical and hormonal conditions such as abnormal bleeding, PCOS, endometriosis, menopause, infections, fertility concerns, and surgical needs.

• Many overlapping symptoms (pelvic pain, painful intercourse, urinary symptoms, postpartum issues) require both specialists.

• Starting with pelvic floor physiotherapy often shortens wait times, lowers costs, and resolves symptoms without medication or surgery.

Pelvic Floor Physiotherapists: Their Role and Scope of Practice

Pelvic floor physiotherapists specialize in the muscles, ligaments, and tissues that support the pelvic organs. These professionals are trained to treat dysfunction in the pelvic floor, which plays a crucial role in bladder, bowel, and sexual health. Many women don’t realize that pelvic floor issues can cause significant discomfort and impairment in daily life, which is why seeing a pelvic floor physiotherapist can be life-changing.

Common Conditions Treated by Pelvic Floor Physiotherapists:

• Vaginismus

• Vulvodynia

• Painful intercourse

• Clogged Milk Ducts

• Urinary incontinence

• Pelvic organ prolapse

• Pelvic pain

• Postpartum recovery (e.g., C-section scar pain, diastasis recti)

• Bowel dysfunction (constipation or fecal incontinence)

• Pregnancy-related pelvic issues

• Preparation for Birth

• Perineal Scar Rehabilitation

• Rehabilitation Post Surgical Procedures, e.g. Hysterectomy, Endometriosis

When Should You Visit a Pelvic Floor Physiotherapist?

• After childbirth to regain pelvic strength

• If you experience pelvic pain or discomfort

• For urinary or bowel incontinence

• If you notice signs of pelvic organ prolapse

• Pain during sexual activity

• To improve core strength and posture during pregnancy

• Treatment for clogged milk ducts

• Pelvic floor Biofeedback

• Annual pelvic Health check-up

Gynecologists: Their Role and Scope of Practice

Gynecologists, on the other hand, are medical doctors who specialize in women’s reproductive health. Their primary focus is on diagnosing, treating, and preventing conditions related to the female reproductive system. A gynecologist's training includes everything from obstetrics (pregnancy care) to hormonal imbalances and surgical procedures like hysterectomies.

Common Conditions Treated by Gynecologists:

• Menstrual disorders (e.g., heavy periods, irregular cycles)

• Polycystic Ovary Syndrome (PCOS)

• Endometriosis

• Cervical and ovarian cancer screenings

• STIs and reproductive infections

• Fertility issues

• Menopause management

When Should You Visit a Gynecologist?

• Annual pelvic exams and Pap smears

• Contraceptive counseling and IUD insertion

• Abnormal menstrual cycles

• Symptoms of menopause

• Pain during intercourse or other reproductive concerns

• For pregnancy and postpartum care

Conditions Treated by Both: A Shared Scope of Practice

While gynecologists and pelvic floor physiotherapists have distinct roles, there are overlapping areas in the conditions they manage. Here’s a breakdown of some conditions treated by both:

1. Pelvic Pain – Gynecologists investigate medical causes, while pelvic floor physiotherapists focus on muscle-related issues. This comprehensive, collaborative approach is necessary for treating conditions such as Endometriosis.

2. Postpartum Care – Gynecologists monitor overall reproductive recovery, and pelvic floor physiotherapists help restore pelvic floor and abdominal muscle function.

3. Urinary Incontinence – Gynecologists might prescribe medication or offer medical interventions, but pelvic floor physiotherapy can offer a conservative, effective alternative.

4. Sexual Health – Both professionals can address pain and discomfort during intercourse, each from a different perspective.

When Should You Visit a Gynecologist vs. a Pelvic Floor Physiotherapist?

It’s crucial to understand when to visit which professional:

• Visit a Gynecologist if you are experiencing abnormal menstrual cycles, or fertility issues, or require a surgical intervention related to reproductive health.

• Visit a Pelvic Floor Physiotherapist if you experience pelvic pain, incontinence, or need postpartum rehabilitation, especially after childbirth.

• See Both if you are recovering from childbirth, experiencing pelvic pain, or dealing with menopause-related issues, as each can provide complementary treatments.
  
  

Why do we recommend checking with Pelvic floor physiotherapy first?

In many cases, it can be beneficial to visit a pelvic floor physiotherapist before scheduling an appointment with a gynecologist, especially for conditions that overlap between both specialties. There are a few key reasons why:

1. Faster Access to Care
   Pelvic floor physiotherapists often have shorter wait times compared to gynecologists, allowing you to address your symptoms sooner. Since pelvic floor physiotherapy is considered primary care, you don’t need a referral to see a specialist. This means you can book your appointment directly and begin treatment as soon as possible.

2. Comprehensive Assessment
   Pelvic floor physiotherapists are trained to evaluate and treat muscle, nerve and other soft tissue-related issues, which can often be the root cause of pelvic pain, incontinence, or discomfort. By visiting a pelvic floor physiotherapist first, they can assess whether your symptoms are related to pelvic floor dysfunction. If they identify a muscle issue, they can treat it effectively and save you the need for additional appointments.

3. Insurance Coverage
   Pelvic floor physiotherapy is often covered by insurance plans, making it a cost-effective first step in addressing your symptoms. By starting with pelvic floor therapy, you can receive treatment for muscle-related issues sooner without needing a referral from another healthcare provider.

For conditions like pelvic pain, urinary incontinence, or postpartum recovery—where both gynecologists and pelvic floor physiotherapists can provide care—it's often wise to begin with a pelvic floor physiotherapist. They can clear up any muscle-related concerns, and if the issue persists or seems related to hormonal changes or reproductive health, they can guide you to a gynecologist for further evaluation.

❓FAQs

• What is the main difference between a pelvic floor physiotherapist and a gynecologist?

  A pelvic floor physiotherapist treats muscular, nerve, and soft-tissue dysfunction of the pelvis. A gynecologist is a medical doctor who treats hormonal, reproductive, and surgical conditions.

• When should I see a pelvic floor physiotherapist instead of a gynecologist?

  If your symptoms involve pain with intercourse, urinary leakage, pelvic heaviness, postpartum issues, constipation, painful insertion, or clogged milk ducts, pelvic floor physiotherapy should be your first step.

• Should I see a pelvic floor physiotherapist before seeing a gynecologist?

  Often, yes. Pelvic floor physiotherapists can identify and treat muscle-related causes quickly. If the issue is medical or hormonal, they will direct you to a gynecologist.

• Can pelvic floor physiotherapy replace gynecologist visits?

  No. Each serves a different role. Pelvic floor physiotherapy treats muscular and functional issues, while gynecologists treat reproductive and hormonal conditions.

• Do both providers treat painful intercourse?

  Yes, but from different angles. Physiotherapists treat pelvic floor dysfunction, tension, or weakness; gynecologists investigate infections, hormonal causes, or medical concerns.

• If I have pelvic pain, who should I see first?

  A pelvic floor physiotherapist. Pelvic pain often has a muscular or nerve component that physiotherapy can treat immediately.

• Should I see both during pregnancy or postpartum?

  Yes. Gynecologists monitor medical needs; pelvic floor physiotherapists restore pelvic floor function, core strength, bladder control, and mobility.

• Is pelvic floor physiotherapy covered by insurance?

  Yes, most extended health plans cover pelvic floor physiotherapy. Many patients choose it as their first step because it does not require a referral.

• How do I know if my symptoms are pelvic floor related or medical?

  If your symptoms involve pain, leakage, difficulty relaxing, constipation, or heaviness, start with pelvic floor physiotherapy. If symptoms involve abnormal bleeding, hormonal changes, infertility, or suspected infections, book with a gynecologist.

Why Choose Ova in Burnaby, BC?

At Ova, located in North Burnaby, British Columbia, we specialize in pelvic floor physiotherapy tailored to women's health. Our expert, compassionate care supports your journey toward wellness, making us a trusted provider for residents across Burnaby, the Lower Mainland, and throughout British Columbia.

We offer a comprehensive range of services designed to meet your unique health needs, from pregnancy and postpartum care to pelvic health, sexual wellness, and treating conditions like incontinence and pelvic pain. Our specialized treatments include Biofeedback therapy, Ultrasound Treatment for Clogged Milk Ducts, and convenient virtual pelvic floor physiotherapy sessions, ensuring you receive the highest level of care no matter where you are.

For urgent conditions like Clogged Milk Ducts, we understand the importance of quick intervention, which is why we offer Emergency Appointments to provide immediate relief outside of regular hours. These sessions are designed to ease your pain and discomfort promptly, so you can return to your routine with peace of mind.

At Ova, we take a holistic approach to pelvic health, focusing on pain management, recovery, and long-term wellness. Whether you’re seeking relief from pelvic pain, preparing for childbirth, or recovering postpartum, we are committed to delivering personalized care in a warm, supportive environment.

If you’re looking for professional pelvic floor physiotherapy, contact Ova today to schedule your appointment. Let us support you on your journey to better health.

Ready to Begin?

Don’t wait. The sooner we start, the sooner you can feel relief. Space is limited due to high demand, but if you are ready to take the first step toward recovery, we are here to support you every step of the way.

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📌Related Blogs on Our Website

➡️Tight Jaw, Painful Pelvis: The Hidden Link

➡️Vaginismus & The Role of Pelvic Floor Physiotherapy

➡️Painful Menstrual Cycles and Pelvic Floor Physiotherapy

➡️Painful Intercourse: Why It Happens and How We Treat It

➡️Restoring Bladder Control: Treatment of Urinary Urgency and Frequency

📌External Resources

⏩Mayoclinic-pelvic floor physical therapy

⏩Webmd-Pelvic Floor Therapy