Pelvic floor physical therapy (PFPT) is a specialized, non-invasive treatment focusing on the muscles, ligaments, and connective tissues of the pelvis. This therapy addresses muscle dysfunction, which can manifest as incontinence, pain, or organ prolapse. This article addresses the common concern regarding hair removal and explains what to expect during a session.
Is Hair Removal Necessary?
Shaving or other forms of hair removal are not required for pelvic floor physical therapy. Grooming choices are entirely personal and do not impact the therapist’s ability to perform an accurate assessment or effective treatment. The therapist’s primary focus is the function and condition of the underlying muscles, not the presence of hair. Hair does not interfere with the tools, manual techniques, or technology used during the session.
What Happens During a Pelvic Floor Therapy Session?
A session typically begins with a detailed conversation about your symptoms, medical history, and goals. This initial discussion is followed by a physical examination that often involves both external and internal assessments to determine the cause of your dysfunction.
The external assessment involves observing posture, movement patterns, and muscle strength in the abdomen, low back, hips, and thighs. The therapist may also use gentle touch, or palpation, on the external tissues of the pelvis and surrounding areas to identify trigger points or tissue restrictions.
An internal assessment, performed only with explicit consent, is often necessary to evaluate the pelvic floor muscles directly. This examination is performed vaginally and/or rectally using a single gloved, lubricated finger; no speculum is used. The therapist assesses the tone, strength, endurance, and ability of the muscles to relax and contract.
Sometimes, specialized equipment like surface electromyography (sEMG) biofeedback is used, involving small electrodes placed externally or internally to monitor muscle activity. The presence of hair does not prevent the proper placement or function of these electrodes or interfere with the manual work. The goal of the internal work is to feel the muscle tissue itself.
Addressing Hygiene and Patient Comfort
While hair removal is unnecessary, maintaining standard personal hygiene is recommended. A simple shower beforehand is sufficient; excessive cleaning or special products are not needed and may mask diagnostic clues. Using scented wipes or douches is discouraged, as these can disrupt the natural pH balance or cause irritation.
Patients should prioritize their own comfort over excessive grooming rituals. A fresh shave can sometimes lead to skin irritation or ingrown hairs, causing discomfort during manual therapy. Therapists are trained professionals accustomed to all body types and grooming choices.
The physical therapist will explain every step of the process and always ask for renewed consent before performing any internal work. Feeling anxious about a first visit is common, but the therapist’s sole focus is assessing and treating muscle dysfunction. The most important preparation is mental, ensuring you feel comfortable discussing your symptoms and goals.