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Chloe Pelvic Physio

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03/06/2026

Or pemos or peamos as my auto captions generated 😂😅. But jokes aside words matter, names matter - for better understanding and better patient care. Were you confused my your PCOS/PMOS diagnosis?? Share below x

02/06/2026

If s€x is feeling like going down a dry waterslide…then you need to read this 😅

Cl****al stimulation is extremely important for arousal. Especially during life stages where we may be low in estrogen:

- Postpartum
- Breastfeeding/lactation
- Perimenopause
- Menopause
- And when you ovulation is disrupted: Relative energy deficient syndromes/hypothalamic amenorrhea/and in some prolonged contraceptive use

But help is on the way dear - we need to address any medical factors with your GP/Endocrinologist. And then look at how pelvic Physio and potentially Sexology could help.

You aren’t alone here x

27/05/2026

Were you ever told to not lift above a certain amount due to prolapse?

This is outdated advice that is still doing the rounds. We have no data to suggest that weight training worsens anatomical prolapse.

Do we need to be aware of symptoms? And tracking progression risk? Sure. An increase in symptoms does not mean that your prolapse has worsened. We just need to look at overall load.

But I would argue we need to do this in the same way we would for other niggles/injuries. Work below symptom threshold and use progressive overload. If it’s not tolerated then this is where we can look to use support tools like pessaries and pressure management

I had every pelvic floor risk factor under the sun for my first delivery. I wasn’t working in pelvic health at the time. History of overactive pelvic floor - 2+ hours of pushing, episiotomy, forceps, definitely no where near enough horizontal rest to heal.

I did things differently second time, no interventions, but still had to push out 4.4kg of kid😅.

Despite all of this - I now only notice pelvic floor symptoms pre-period and if I HAVEN’T been training. Hip mobility, glute strength, awareness of breathing mechanics all help. We need to have more empowering and less fear when it comes to prolapse.

The reality is, anatomy changes after vaginal delivery. It has to. But we want to get you to a point where you are asymptomatic and doing the things you love.

This is why I always work with PTs who specialise in perinatal training. Because it is integral to getting the best outcomes. Has prescribed this program for me because I have too much mental load to think of what to do at the gym …and she knows her stuff. And on days where I feel more symptomatic has breathing and movement strategies to help (plus some education from moi 💅🏻).

If you have been diagnosed with prolapse - it’s not the end of the road for movement. We can help x

13/05/2026

At 2-3weeks postpartum many of you tell me you feel like things are falling out of your v@gina 😅

These are the types of symptoms that can feel very overwhelming when you are sleep deprived and trying to get into the swing of newborn life and parenthood adjustment

So that’s why I changed my appointment schedule. I now see all of my patients at 2-3 weeks normally via telehealth to cover:

- Bladder symptoms such as urgency/incomplete emptying/lack of urge or leakage
- Constipation management and hemorrhoids/fissures
- Perineal would care
- Csection incision care
- How to move and sit with the above wounds
- Abdominal wall assessment
- Abdominal wall rehab plus light pelvic floor work and breathing biomechanics
- Starting your home exercise/rehab program
- Discussion around return to exercise (this looks different to everyone and many will start prior to 6 weeks under guidance)
- Birth discussions - looking at possible indications the pelvic floor might need more rest than work! (Long pushing stage/forceps that could contribute to injuries like levator avulsion)

So as you can see there is a lot we go over! If you are feeling a bit lost postpartum I do have extra telehealth availability that won’t show on my online bookings. Reach out if you need help ❤️

11/05/2026

Whoever designed the human body didn’t think long or hard about having to 💩 after a perineal tear or major pelvic surgery 😅😅😅

Let’s be proactive not reactive in managing constipation postnatally. Pack those laxatives 💅🏻

More on how to make that first bowel motion a little less daunting in The Pelvic Physios hospital
bag list - coming soon 👀

05/05/2026

Or as I like to call it - the clench and pray 😅

Pelvic floor muscle training is bread and butter for pelvic physios. And it’s the recommended first line treatment and gold standard for stress urinary leakage

However, HOW you do those exercises and the rationale behind them is important. Here are some factors that contribute:

- The internal urethral sphincter is weakened - this is often the case if you struggle to stop the flow while toileting (intrinsic sphincter deficiency)
- The fascial supports that give the urethra a firm back stop are stretched or damaged (urethral hypermobility)
- There is a lack of coordination and neuromuscular control of the pelvic floor or a lack of strength

The above are the main mechanisms. But the following can often contribute:
- There is already a pressure mismatch in the abdominopelvic region - like sucking in stomach/gripping the diaphragm
- Chronic constipation increases forward pressure on the bladder
- Low estrogen environments decrease “plumpness” of blood vessels around the urethra which help closure pressure. Often postpartum and during menopause

It’s not just about a weak pelvic floor. And it’s also a good reminder that overactivity of the pelvic floor can still cause weakness.

Often the cause is is a mix of a few of the above. Want to know what’s contributing to yours? That’s what we are here for 💪🏻

23/04/2026

I’ve had Endo patients who present with the classic heavy, extremely painful periods. To the point where they can’t leave bed, vomit or need to present to the Emergency Department.

However, I have also had MANY patients come to me for help with “recurrent UTIs”, chronic constipation and pain with passing bowel movements or s€xual pain - and they have never been asked about their periods.

For some they too have painful periods on top of these symptoms. But for others they have pain but not to the severity they associate with Endo. Or they are on hormonal birth control which has helped the pain and bleeding - but not the other symptoms.

Endometriosis is often associated with a higher prevalence of overlapping pain and systemic conditions such as bladder pain syndrome, vulvodynia, and coeliac disease. Emerging evidence also suggests a link with hypermobility spectrum disorders.

Connecting the dots is important.

# heds

21/04/2026

Most patients look at me like I’m crazy when I say they need to “Moo to Poo” 😅😂🐮💩

BUT - this can be a really helpful technique when you have a pattern of straining and tensing the pelvic floor rather than letting go to pass a bowel motion.

In this video the changes are subtle - but you can see tightening of the anorectal with the breath hold style straining we see in constipation.

You still need to generate pressure - pooping isn’t completely passive. But how you generate that pressure is important. Ands that’s where moo to poo comes in

Repetitive straining to pass a bowel motion tenses the pelvic floor. This isn’t ideal if we have pelvic pain such as Endo or any form of Seggsual pain.

This tension and strain can also worsen or contribute to prolapse overtime and worsen bladder leakage. When we prepare for v@ginal birth this is also a pattern we want to reverse - tensing with downward pressure can lengthen the second stage of birth.

A population I see this in a lot is chronic constipation patients who also suffer with an@l fissures. The thing with fissures and hemmarhoids is that we need to treat the underlying mechanism that contributed to them in the first place - poor emptying biomechanics + f***l loading and firm stool. Fissures really struggle to heal well when there is repeated strain tightening the external an@l sphincter and decreasing blood flow.

So if you are doing everything right but constipation is still there? A pelvic floor assessment could be worth looking into.

***patient consented to this video being shared***

08/04/2026

Pain with seggs is often dismissed with advice like
“just relax”
“have another drink”
“it’ll get better with time”

But here’s the truth:
pain is information, not something to ignore

Pain with seggs can be linked to pelvic floor tension, hormonal changes, endometriosis, nervous system sensitivity, scar tissue, skin conditions or a combination of factors.

It is not a lack of effort.
It is not something you should push through.
And it is not something that is “wrong” with you

You deserve proper assessment, nuanced care, and trauma informed support.

Pain with seggs can affect up to 20% of women. That’s not rare - but being dismissed should be.

If this resonates, it might be time to look beyond the one-liners and get real answers.

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