What it is
The pelvic floor is the group of muscles and tissues that supports the bladder, uterus and rectum. Pregnancy, childbirth, menopause, high-impact sport or constipation can weaken it or, on the contrary, make it too tense.
Urogynecology deals with urinary and pelvic floor problems in women, working with gynecologists and other specialists when needed. Talking to a female specialist in a private setting can make things easier.
Draft diagram: to be validated by Dr. Greco before launch.
The female pelvis
- Bladder
- Urethra
- Uterus
- Vagina
- Rectum
- Pelvic floor · the muscles that support the bladder, uterus and rectum
Simplified diagram, not to scale.
What we look at
- Recurrent cystitis and burning
- Leaking urine and urgency
- A feeling of heaviness or bulging in the vagina
- Pain or discomfort during sex
- Vaginal dryness and menopausal symptoms
- Persistent pelvic pain
How it is diagnosed
A urogynecology consultation includes:
- a conversation in which you can describe your symptoms calmly
- a clinical examination and pelvic floor assessment
- when useful, an ultrasound scan and urine test in the same visit
- if needed, further tests such as uroflowmetry or urodynamic testing
Treatment options
Care is built around each patient:
Frequently asked questions
Do urologists treat women too?
Yes. Urology covers the urinary tract of both men and women: cystitis, incontinence, stones and voiding problems. Urogynecology is the area that focuses specifically on women's urinary and pelvic floor health.
I have pain during sex. Who should I see?
Pain during sex often has several overlapping causes: dryness, inflammation, cystitis or tension in the pelvic floor muscles. Talking to a specialist is the first step: a careful assessment helps identify the causes and the right approach, often together with a gynecologist.
Is vaginal dryness only a menopause issue?
It is common during menopause, but it can also appear after childbirth, while breastfeeding, with certain treatments or during stressful periods. Besides the discomfort, it can make cystitis and pain during sex more likely. Several treatments are available and can be chosen with your specialist.
This page provides general information and does not replace a consultation: every situation needs to be assessed by a specialist.