FAQ 

If you’ve never visited Happy Down There Physiotherapy or a pelvic health physiotherapist before, you probably have some questions! We may have answered them here, but if there’s anything you want to know that’s covered, you can reach us at info@happydownthere.ca or 604.362.8977.

Are you a sex therapist?

No. I’m a registered physiotherapist, with a specialization in pelvic health. That said: I do have a special interest in sexual health - not only is it closely linked with the part of the body I treat, I also think it’s a huge part of our overall quality of life. If you are looking for support when it comes to your sexual health that’s beyond my care, I work closely with a network of professionals who are experts in that area, and we can collaborate to provide you with the best possible care.

Is your examination like a doctor or OBGYN/GYN examination?

No. I don’t use a speculum, which is that thing that is placed into your vagina. Doctors and gynecologists usually utilize pressure to feel the uterus and other organs in your pelvic region. I am using my fingers to feel the tissue inside your pelvic region to assess tone, strength, coordination and endurance, presence of scar tissue etc. If you feel any discomfort, I’ll use my skills as a physio to make sure any pain is alleviated, and you feel comfortable and supported. This isn’t meant to be torture!

I don’t want an internal examination or treatment. Is that OK?

That’s totally cool with me. Internal examinations or treatments are not mandatory. We can do an external examination of your body, and I will never force you to do anything you’re not comfortable with. I should note that for a comprehensive assessment and treatment for the pelvic floor muscles, an internal examination is recommended. If you prefer to only have an external examination/assessment performed, then just note that it might not be the most accurate assessment, that’s all! Also, you can always try an internal examination and change your mind anytime, withdraw consent and we can terminate the internal examination whenever you want.

What should I wear to my session?

Wear something comfortable. Stretchy material is good because when you are clothed, I will move your hips and legs, your arms etc. I don’t JUST look inside your vagina and/or anus! I treat the whole body.

Do I need to shave or wax before my appointment?

Definitely not! You do you. You are beautiful as you are. No need to change for anyone, especially me! Come as you are.

Does my vagina and/or anus look normal?

What is normal, anyways? Everyone is unique. If there is a condition that I think requires further investigation, I would treat your condition or symptom. But, nothing is normal and it would be boring if we all looked the same. I will never be grossed out, or think that you’re weird or a freak, trust me.

I’m on my period. Should I still come?

Yes, so long as you are comfortable with it. In fact, if you are comfortable with me examining you while you are on your period, it’s good to come and see me because hormonal fluctuations can affect tissues and pain levels. We will be able to compare your objective assessments across your menstrual cycle.

Do I have to wear a mask to my session?

Yes, please! Wearing a mask and focusing on infection prevention and control remain top priorities. Masks have two potential functions. They may protect the wearer of the mask from exposure (personal protective equipment), or protect individuals from exposure to respiratory aerosols/droplets from the mask wearer, referred to as source control. We follow the directions provided by the Provincial Chief Medical Officer of Health (CMOH), the B.C. Ministry of Health’s guidance for the health sector, and the sector-specific workplace safety guidelines. These standards of procedures may change as the pandemic evolves.

Do I have to do a rectal examination?

Nope. Not at all. It’s just an option that I put out there. If I recommend it because it’s a treatment for the tailbone or if you only have an anus, and no vaginal opening. You’re always in control. You tell me what you want to do in the session.

How long until I start seeing results?

This depends on the complexity of your condition. I sometimes treat clients only 3 times, but then again, I can treat some clients for a few weeks or months. It really depends on you and your condition.

Can I have an internal examination while I am pregnant?

For sure, but only after your first trimester. If you are experiencing a healthy pregnancy, I often say come and see me around 17-20 weeks. If you are a high-risk pregnancy, ring me up and let’s chat further.

How soon should I see you after I give birth?

Depends. If you have a healthy pregnancy and the labour and delivery without complications with minimal trauma to the tissues, then you can even come and see me 4-6 weeks postpartum. If you had a C section, wait for about 8-12 weeks. Remember: I offer free 15  minute consultations so there’s no harm in calling me.

I already tried Kegels, and they didn’t work. Now what?

Yeah, so...Kegels aren’t the only answer. Sometimes, they can actually make things worse. The majority of people do it wrong anyways. I would recommend you get a full assessment of your pelvic floor muscles and surrounding tissues and muscles so we can find the right exercises for your specific needs.

Are you going to ask intrusive questions about my sex life?

You’re in control of the session. If you want to discuss anything specific, I’ll always give you an opportunity to ask questions or give me feedback. Sometimes I may need to ask you some uncomfortable questions to support your goals better, but you are always welcome to say you’re not comfortable with a question.

My first session is 1 hour long. Are we going to do an internal examination for the WHOLE HOUR?

No way! The internal examination is only 5 to 10 minutes. Most of the first session is about your personal health history, getting to know each other, discussion of your goals and what’s important to you. We also need to develop a personalized care plan for you – because you’re unique and special - and that takes some time.

What if I smell funny “down there”? Or different? 

There is a natural odour that comes with the pelvic region. If there is a definite change in odour, let me know because it may require further investigation. I would encourage you NOT to use any fragrances before coming to see me – or even anytime!!

Why are your services so expensive?

You are not paying for 1 hour of my service. You are paying for 17 years of my hard work, education and commitment packed into 1 hour. I am confident of my background and continue to strive to be the best that I can be with continuing education. I will utilize all my knowledge and skills to support your recovery.

Will my benefits cover pelvic health physiotherapy? 

Happy Down There is an approved provider for Extended Health Insurance. Official receipts will be provided after each session to be submitted to your Insurance Provider. Please contact your Extended Health Care Insurance Provider for further information.

Why did you become a pelvic health physio?

First of all, I don’t see the vagina or anus as a yucky part of the body. I see my work objectively and understand that the pelvic region is just another part of the body that needs assessment and examination. There is stigma around sexual health, and people often don’t want to talk about it. I’m here to change that because, well, I’m kind of a rebel like that. On a personal level, I also know what it’s like to spend years with persistent pelvic pain and being unable to have penetrative sex. I want to make sure others get the help that I did.

I’m LGBTQ+. Will I be welcome at your office? 

YES x a million! I am really passionate about supporting the gender diverse and transgender population because I am, like everyone else, living within and around these communities. I believe that all people deserve and have the right to a safe and welcoming space for rehabilitation. I strive to educate myself more on care for underrepresented populations.