This is an assessment of your pelvic floor muscles' ability to contract, relax, and elongate. The assessment consists of the physical therapist observing your vulvar tissue and palpating with one finger externally first to assess for pain or tenderness. Your physical therapist may ask you to “Kegel” or squeeze like you are stopping the flow of urine, cough, and bear down which allows the therapist to understand how your musculature is currently functioning. The therapist may then place one finger inside the vaginal canal and palpate the three different layers of pelvic floor muscles. Depending upon your symptoms internal palpation may be suggested to be performed in the anal canal. Ultimately, an internal pelvic floor muscle assessment allows your therapist to assess the muscle tone, strength, endurance, motor control, and sensation which will lead to the development of your individualized treatment plan to help you achieve your goals!