Stress incontinence Urge incontinence and overactive bladder Urinary urgency and frequency Nocturia (waking to urinate at night) Incomplete emptying or hesitancy

Bowel urgency and incontinence Constipation Anismus and dyssynergic defecation Obstructive defecation

Genitourinary syndrome of menopause (GSM) Pelvic floor dysfunction Strength and load training through menopause

Women's Health Physiotherapy in Bristol & Bath

Specialist Physiotherapy for Women's Pelvic Health

Pelvic health physiotherapy for women, delivered with clinical depth and unhurried care.

Personalised Women's Health Support That Meets You Where You Are

Pelvic health issues are common in women — leakage, urgency, prolapse, pelvic pain, recovery after birth or surgery — and they remain under-treated. Too many women are told that symptoms are normal after children, normal after menopause, or that there is nothing to be done.

At Pelvix, women’s pelvic health is the foundation of the clinic. We see women through every stage —young adults, pregnancy, the postnatal year, perimenopause and menopause, and beyond. Our clinic in Keynsham, serving Bristol, Bath and surrounding areas, works alongside local GPs, gynaecologists, urogynaecologists and consultants when joined-up care is helpful.

Every consultation is private, unhurried and led by you. Your pelvic health physiotherapist is HCPC-registered and has gone through specialist training to equip them with the skills needed to work in pelvic health. Nothing is too embarrassing and nothing too trivial.

Conditions We Treat

Bladder concerns

Stress incontinence
Urge incontinence and overactive bladder
Urinary urgency and frequency
Nocturia (waking to urinate at night)
Incomplete emptying or hesitancy

Bowel concerns

Pelvic organ prolapse

Pelvic and sexual pain

Pregnancy and postnatal care

Menopause and beyond

Pre- and post-gynaecological surgery

Pelvic floor dysfunction

What Happens at Your First Appointment

A full history. We start by talking. Bladder, bowel, sexual function, pain, menstrual and gynaecological history, pregnancies and births, surgery, medication, exercise, sleep, work — the picture matters. Many women have never been asked these questions properly before. We take the time to really listen.

A physical assessment. Depending on your symptoms, this may include looking at how you move, how you breathe, posture, hip and lower-back mobility, and the muscles around the abdomen and pelvis. Where it’s clinically appropriate and only with your explicit consent, a vaginal examination allows us to assess pelvic floor tone, strength, coordination and any prolapse directly. We’ll always explain what we’re proposing, why, and what the alternative is.

A clear plan. You’ll leave with a working diagnosis (or a short list of what we need to rule in or out), a treatment plan that fits the rest of your life, and an honest sense of how long things are likely to take.

What Treatment Involves

Pelvic health physiotherapy is based on exercise, manual therapy and education — with a small number of advanced tools used where the evidence supports them. Your plan may include:

Pelvic floor retraining — strengthening, relaxation, or coordination work depending on what your muscles actually need. A weak pelvic floor and an overactive pelvic floor look similar from the outside; they need very different care.
Bladder and bowel retraining — practical, evidence-based techniques that retrain habits and urgency
Manual therapy — hands-on work for the muscles, joints and connective tissue around the pelvis, hips and abdomen.
Biofeedback and real-time feedback — so you can see and feel what your pelvic floor is doing.
Scar therapy — for Caesarean and abdominal scarring.
Postnatal and return-to-running rehab — graded, individualised programmes.
Strength and load training — particularly relevant through perimenopause and menopause.
Breathing and nervous-system work — particularly for pelvic pain and overactive pelvic floor.
Pessary signposting and education — for women exploring conservative prolapse management.
Lifestyle and education — fluids, fibre, training load, sleep, stress and the small day-to-day changes that often make a big difference.

Between Appointments

Most women benefit from a short, well-designed home programme rather than a long, vague one. We’ll show you exactly what to do, how often, and what good technique feels like. For pelvic floor exercises, we sometimes recommend the NHS-supported Squeezy app to help you stay consistent.

Pricing

Please see our pricing page for more information. We are also recognised by most major insurers.

FAQ

Will I need an internal examination?

Not always. A vaginal and/or rectal examination is the most accurate way to assess pelvic floor tone, coordination and prolapse, but we’ll only suggest it if it’s clinically helpful, and you’ll always be in full control of whether it happens. Many women are assessed and treated effectively without one.

I've just had a baby — when can I come in?

Postnatal assessments usually start from around six weeks for vaginal birth and six to eight weeks following a Caesarean, in line with NHS guidance. If you have concerns before then, get in touch — we can speak by phone, give early-recovery advice, and book you in as soon as it’s appropriate. The Mummy MOT is designed specifically for this.

I'm pregnant — is it safe?

Yes. Pelvic health physiotherapy during pregnancy is safe and well-evidenced, particularly for pelvic girdle pain, low-back pain, bladder symptoms and birth preparation. The Pregnancy MOT is designed specifically for this.

How many sessions will I need?

It depends on the problem. Many women see meaningful change within four to six sessions; persistent pelvic pain, prolapse rehabilitation and complex postnatal recovery often need a longer course. We’ll give you an honest estimate at your first appointment.

Can physiotherapy really help prolapse?

Yes. For many women with mild to moderate prolapse, supervised pelvic floor muscle training can reduce symptoms and is recommended as a first-line conservative treatment. Where surgery is being considered, pre-and post-operative physiotherapy supports better outcomes.

What if I'm on my period?

It’s absolutely fine to come. If you’d prefer to reschedule an internal examination, just let us know (although we can still assess you effectively if you’re menstruating).

Is it confidential?

Yes. Your records, the conversation and everything in your appointment is private. We only share information with other clinicians with your explicit written consent or where required by law.

Book your women's health appointment

Same-week appointments are often available. No GP referral needed.