Urogynaecological physiotherapy
Pelvic floor therapy — urinary incontinence, overactive bladder, painful periods, endometriosis, pelvic pain, painful intercourse, fertility support.
The pelvic floor muscles work around the clock and we practically never think about them — until they stop working properly. The symptoms then vary widely: from leaking urine when you cough, through painful periods, to pain during intercourse.
Assessment begins with a detailed history and a functional examination, including an internal examination where appropriate, which allows resting tone, contraction strength and the ability to relax to be assessed. Without that examination, therapy is guesswork — a weak pelvic floor and an overactive one produce similar symptoms but require the opposite approach.
In Wrocław I see women with urinary and faecal incontinence, overactive bladder, painful or absent periods, endometriosis, chronic pelvic pain, scars and adhesions after surgery, painful intercourse, and those undergoing fertility treatment.
What you can come with
Overactive bladder
Needing to pass urine far more often than usual, with an urgency that becomes compulsion — even though the bladder is not full.
Read more →Physiotherapy after surgery in the pelvis
Rehabilitation after gynaecological and urological procedures — preventing complications, speeding up healing and restoring function.
Read more →Absent periods
Menstrual disorders can follow from the position of the pelvis, raised pelvic floor tension, or scars and adhesions in the pelvis.
Read more →Painful periods
Affects up to 25% of young women. The pain divides into cramping and congestive types — both respond to manual pain-relief techniques.
Read more →Physiotherapy and fertility
Support alongside fertility treatment: breathing, releasing pelvic floor tension and osteopathic work on the pelvis.
Read more →Physiotherapy in endometriosis
Endometriosis is treated medically and surgically — physiotherapy improves quality of life and reduces pain alongside that treatment.
Read more →Incontinence of urine, gas and stool
Fewer than half of women report this to a doctor. It responds well to therapy, and it is not a normal consequence of having children.
Read more →Fibroids, adhesions, scars and pelvic pain
Scars pull on muscles, muscles pull on joints — and the result is pain during intercourse, urination or bowel movements.
Read more →Chronic pelvic pain
Pain below the navel lasting more than six months. Women with pelvic pain typically have raised pelvic floor tone.
Read more →Painful intercourse (vulvodynia, vestibulodynia, vaginismus, dyspareunia)
Chronic pain of the genitals and pain during intercourse, often with normal gynaecological findings — physiotherapy can relieve it considerably.
Read more →Read on the blog
Book a visit
Appointments are booked online through znanylekarz.pl. If you are not sure whether physiotherapy is right for your problem, call me — we will sort it out in a few minutes.
In-person visit: 200–220 zł · Monday to Friday, 9:00 – 20:00