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Is internal pelvic floor therapy always required?

Topic:Symptoms
Affected areas:pelvicsystemicback
An illustration of a female sitting down, hunched over in discomfort.

Not always. Whether internal work is needed in pelvic floor therapy depends on your symptoms, your exam findings, and your goals, and we tailor the plan to you.


We’ll explain what internal techniques involve, why they may (or may not) be recommended, and what alternatives can be used instead. Nothing is performed without your clear, informed consent, and you can pause or decline any part of treatment at any time. If you’re unsure what’s appropriate for you, our team can help you understand your options and decide on a plan that feels safe and manageable.

Unsure About Pelvic Floor Therapy?

Our specialists will tailor your treatment based on your unique symptoms and goals. We'll guide you through your options, ensuring you're comfortable every step of the way.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420