For many pelvic and pelvic floor related conditions, an internal assessment may be recommended. Depending on the condition and related structures, this assessment may include visual inspection and palpation of the perineal region and palpation and testing of muscles and other tissues through the vagina and/or rectum. We pride ourselves in creating a professional and safe environment for you and only proceed at a pace and level that is comfortable for you. You are in control and may stop treatment at any time for any reason. Depending on findings during the internal assessment, internal treatment may be recommended at subsequent visits, at your consent. Your therapist will explain in detail what is recommended, why, and alternative treatments.