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.
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:
Postpartum recovery (e.g., C-section scar pain, diastasis recti)
Bowel dysfunction (constipation or fecal incontinence)
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:
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.
Postpartum Care – Gynecologists monitor overall reproductive recovery, and pelvic floor physiotherapists help restore pelvic floor and abdominal muscle function.
Urinary Incontinence – Gynecologists might prescribe medication or offer medical interventions, but pelvic floor physiotherapy can offer a conservative, effective alternative.
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:
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.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.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.
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.