Physiotherapy for overactive bladder

Specialized assessment of pelvic floor muscle function and comprehensive analysis of the causes of intimate and pelvic complaints

Urogynecological consultation and diagnostics are the first and most crucial steps in the effective treatment of pelvic floor disorders. This is not a "regular check-up" but a precise functional analysis of the entire musculoskeletal system that helps understand the mechanism of the problem—not just its symptoms.

At Ambasad Urody in Warsaw, we emphasize medical reliability, discretion, and an individualized approach. Each consultation is conducted calmly, orderly, and based on clinical facts, so that the patient thoroughly understands what is happening in her body and what the real possibilities for therapy are.

At the end of the visit, the patient receives a clear plan of action—without misunderstandings, without generalities, without unnecessary promises.

How does the consultation and diagnostics proceed?

Urogynecological diagnostics are not limited to conversation alone. It is a comprehensive functional assessment that includes several key stages:

• Detailed medical interview

→ past pregnancies and births (natural, cesarean section)
→ surgeries in the abdominal and pelvic area
→ pain complaints, problems with urinary or fecal incontinence
→ pain during intercourse
→ lifestyle, physical activity, occupational burdens

• Posture and movement pattern assessment

→ pelvic alignment
→ tensions in the lumbar spine
→ compensations in the hips and abdomen

• Functional examination of the pelvic floor muscles (if the patient consents)

→ strength, endurance, and coordination assessment
→ checking if muscles are weakened, excessively tense, or inefficient
→ evaluation of muscle response to coughing, tension, position changes

• Scar assessment (after cesarean section, episiotomy, surgical procedures)

→ tissue mobility
→ presence of adhesions
→ impact of scar on pelvic floor function

• Breathing function and diaphragm work analysis

→ diaphragm cooperation with the pelvic floor
→ impact of breathing pattern on intra-abdominal pressure

Each of these elements matters. Many intimate problems do not arise solely from "weakened muscles" but from disturbed coordination, chronic tension, or improper functioning of the entire stabilization system.

Based on this analysis, an individual therapy plan is created.

Who is the consultation intended for?

Urogynecological consultation is recommended for women at any stage of life, especially in cases of:

• urinary incontinence (stress, urge, mixed)
• prolapse of reproductive organs
• feeling of heaviness in the pelvic area
• painful intercourse
• chronic pelvic pain
• pelvic floor muscle tension
• problems after childbirth
• complaints after cesarean section
• pain in the pubic symphysis area
• planning pregnancy or returning to physical activity

It is also a good time for prevention—especially after childbirth or before starting intensive training.

Ignoring initial symptoms usually leads to their worsening. Early diagnosis allows avoiding invasive procedures in the future.

Effects of consultation and diagnostics

Even after the first visit, the patient receives concrete information and a real sense of control over the situation:

• Clear functional diagnosis – understanding the cause of the problem, not just its symptom
• Individual therapy plan – tailored to lifestyle, age, and expectations
• Reduced anxiety and uncertainty – knowledge organizes the situation and provides a sense of safety
• Initial therapeutic techniques – if necessary, the introduction of the first exercises or manual techniques
• Education about daily habits – breathing, physical activity, proper muscle tension
• Awareness of one's own body's work – the patient learns to recognize tension and control pelvic floor muscles

This stage often changes the way of thinking about the problem. Instead of shame and avoidance, a concrete action strategy emerges.

Frequency and further action plan

The consultation is a one-time visit, but depending on the diagnosis, there may be a proposal for:

• manual therapy cycle
• functional pelvic floor muscle training
• scar therapy
• tension therapy
• support with modern technologies (e.g., medical radiofrequency in specific indications)

The therapy plan is always staged—with a clearly defined goal.

Why start with professional diagnostics?

In urogynecology, random exercises from the internet rarely solve the problem. In some situations, they can even exacerbate it—especially when muscles are overly tense, not weakened. Reliable diagnostics allow for precise action. It saves time, money, and—most importantly—health.

At Ambasad Urody Warsaw, urogynecological consultation is conducted by a qualified physiotherapist specializing in women's therapy. We ensure complete discretion, comfort, and a medical approach based on current knowledge and clinical experience.

If you notice worrying symptoms—do not postpone the decision. In the case of the pelvic floor, time really matters.

Specialized physiotherapy focused on restoring the normal function of the pelvic floor muscles – both in cases of their weakening and excessive tension – with an emphasis on the prevention and treatment of urogynecological ailments.

Pelvic floor therapy involves precise work with one of the most important, yet often neglected, areas of the body. The proper function of the pelvic floor muscles determines the quality of life, physiological control, postural stability, and intimate health. At Ambasada Urody Clinic & Spa, therapy is conducted based on functional diagnostics, current clinical knowledge, and individually tailored therapeutic techniques.

How does pelvic floor therapy work?

The effectiveness of the therapy is based on a precise assessment and conscious work with the musculoskeletal and nervous systems. It is not "blind exercise," but targeted actions on the actual cause of the problem.

• Functional diagnostics of the pelvic floor muscles → assessment of strength, flexibility, coordination, and the ability to relax and activate the muscles.
• Normalization of muscle tension → reduction of excessive tension or strengthening of weakened muscles, depending on the diagnosis.
• Manual and fascial therapy → working with deep tissues, scars, and adjacent structures (pelvis, hips, lumbar spine).
• Neuromuscular re-education → learning the correct activation of the pelvic floor muscles in daily activities.
• Functional exercises and breathing → integration of the pelvic floor with the diaphragm and deep trunk muscles.

The entire therapy is conducted safely, respecting the boundaries and comfort of the patient, in conditions of full discretion.

Who is the therapy recommended for?

Pelvic floor therapy is applicable both in treatment and prevention. It is recommended for women at various stages of life.

• for weakened pelvic floor muscles,
• for excessive tension and pain in the pelvic area,
• in cases of urinary, gas, or stool incontinence,
• for feelings of heaviness, "pulling," or discomfort in the lower abdomen,
• after natural childbirth or cesarean section,
• for painful menstruation or painful intercourse,
• in the prevention of pelvic organ prolapse,
• for physically active and sporty women as a preventive measure against strain.

This therapy is for women who want to genuinely improve the functioning of their bodies, not just mask symptoms.

Effects of therapy

The results of the therapy are both noticeable and functional – they directly translate into everyday life comfort.

• improved control of pelvic floor muscles – a greater sense of stability and safety in everyday situations,
• reduction of pain in the pelvic and lower abdominal area – through normalization of tissue tension,
• decrease or cessation of urinary incontinence symptoms – as a result of working on muscle strength and coordination,
• improvement in intimate life comfort – better blood circulation and tissue elasticity,
• improvement in posture and central stabilization – the pelvic floor as the foundation of the entire muscle system.

The effects build up gradually and consolidate with the continuation of therapy and the implementation of home recommendations.

Frequency of treatments

The therapy plan is individually determined, based on diagnosis and therapeutic goals.

• most often 1 visit per week at the beginning of therapy,
• then gradually lengthening breaks as function improves,
• short-term or long-term therapy – depending on the problem and stage of the patient's life.

Regularity and conscious work between visits are crucial for the durability of the effects.

Why choose pelvic floor therapy at Ambasada Urody Clinic & Spa?

This is not standard physiotherapy, but specialized care based on knowledge, experience, and a real understanding of the female body. We work on causes, not symptoms, caring for the long-term health and comfort of patients. If you are looking for therapy conducted reliably, with respect for intimacy and high clinical standards – you are in the right place.

Specialized Pelvic Floor and Whole Body Therapy during Menopause – Prevention and Treatment of Intimate and Pain-related Issues

The perimenopausal period is a time of profound hormonal changes that affect the entire female body – not only the menstrual cycle but also the quality of tissues, muscle strength, pelvic stabilization, and intimate life comfort. The decline in estrogen levels leads to a decrease in vaginal elasticity, weakening of the supportive structures of reproductive organs, reduction in muscle mass, and deterioration in bladder control.

Perimenopausal physiotherapy is a medically oriented therapy aimed at restoring musculoskeletal balance, improving pelvic floor function, and protecting against progressive disorders of reproductive organ statics. It is a conscious preventive and therapeutic action – based on functional diagnostics and working with the body in a precise and safe manner.

How does perimenopausal physiotherapy work?

Hormonal changes affect collagen, fascia, and muscle tension. The therapy directly influences the structures that weaken during this period.

The following processes occur in the tissues:

• normalization of pelvic floor muscle tension
  → reduction of both weakness and excessive tension
  → improvement of micturition control and stabilization of reproductive organs
• improvement of trophism and blood supply to intimate tissues
  → better nourishment of estrogen-dependent structures
  → increased elasticity and mechanical resistance
• activation of deep muscles (core)
  → strengthening the cooperation of the diaphragm, transverse abdominal muscle, and pelvic floor
  → improvement of lumbar-pelvic stabilization
• working with fascia and ligaments supporting reproductive organs
  → reduction of heaviness feeling in the lower abdomen
  → limitation of organ prolapse progression
• improvement of pelvic and spine biomechanics
  → reduction of lower back pain
  → improvement of posture and comfort in daily functioning

In selected indications, therapy may be supported by regenerative technologies (e.g., medical radiofrequency), which stimulate fibroblasts and improve the quality of collagen fibers. It is a therapy of functions – not just symptoms.

Who is the treatment recommended for?

Perimenopausal physiotherapy is recommended for women aged 45+ and all patients in the pre- and post-menopausal period who notice the first signs of changes in the pelvic area.

Particularly in the case of:

• stress or urge urinary incontinence
• feeling of organ prolapse
• vaginal dryness and discomfort during intercourse
• pelvic or lumbar spine pain
• weakness of abdominal and pelvic floor muscles
• reduction in sexual life quality
• progression prevention of reproductive organ prolapse
• loss of strength and central stability

It is also a preventive solution for women who wish to maintain fitness and quality of life at a high level for the coming decades.

Effects of the treatment

The effects of therapy are gradual but functionally noticeable and measurable. The most important results include:

• improved bladder control – reduced episodes of urinary leakage, greater freedom during coughing, laughter, or physical activity
• increased elasticity of intimate tissues – improved comfort during intercourse and reduction of dryness feeling
• stabilization of pelvic organs – reduction of heaviness feeling in the lower abdomen
• strengthening of deep muscles – better posture and less spinal overload
• reduction of lumbar pain – resulting from improved central stabilization
• improvement of body awareness – greater control over tension and relaxation of pelvic floor muscles
• increased self-confidence – associated with regaining control over intimate functions

This is a real improvement in life quality, not a temporary solution to the problem.

Frequency of treatments

The therapy plan is determined individually after a detailed consultation and functional diagnostics.

Most often recommended:

• a series of 4–8 visits every 1–2 weeks
• then control visits every 2–3 months
• in prevention – single maintenance treatments several times a year

In the case of technology-supported therapy – the plan may be extended according to clinical indications.

Why choose perimenopausal physiotherapy at the Beauty Embassy?

Menopause is not a disease – but a lack of response to changes can lead to serious functional consequences. Appropriately early-implemented therapy allows for reducing the risk of surgery in the future and significantly improving the quality of life.

At the Beauty Embassy in Warsaw, we work based on medical functional diagnostics, modern technologies supporting regeneration, and an individual therapy plan. We ensure complete discretion, safety, and a realistic clinical approach.

This is an investment in fitness, stability, and women's quality of life for the next 20–30 years.