Gynecologist versus pelvic floor pt

Understanding the Difference Between a Gynecologist and a Pelvic Physical Therapist: When to See Each

When it comes to women's health, particularly issues related to the pelvic region, understanding the differences between healthcare providers can be overwhelming. Two professionals often confused are gynecologists (gynos) and pelvic physical therapists (pelvic PTs). Here’s a breakdown to clarify their roles and guide you on when to consult each.

What Does a Gynecologist Do?

A gynecologist is a medical doctor specializing in the female reproductive system. They diagnose and treat a wide range of conditions, including:

Reproductive health issues: Irregular periods, menopause symptoms, and fertility concerns.

Infections: Yeast infections, STIs, and urinary tract infections.

Screenings: Pap smears, pelvic exams, breast exams, and cancer screenings.

Surgical procedures: Hysterectomies, laparoscopies, and more complex reproductive surgeries.

When to See a Gynecologist:

Annual wellness exams

Concerns about abnormal bleeding or discharge

Severe pelvic or abdominal pain

Symptoms of infections (itching, burning, unusual odor)

Birth control consultation

What Does a Pelvic Physical Therapist Do?

A pelvic physical therapist is a licensed physical therapist with specialized training in treating pelvic floor dysfunction. They focus on the muscles, ligaments, and connective tissues in the pelvic region. Treatments often target:

Pelvic floor dysfunction: Incontinence, prolapse, and muscle weakness

Chronic pelvic pain: Pain during intercourse, endometriosis-related discomfort

Postpartum recovery: Addressing issues like diastasis recti and pelvic organ support

Bowel and bladder issues: Urgency, frequency, constipation

When to See a Pelvic Physical Therapist:

Persistent pelvic, hip, or lower back pain

Difficulty controlling bladder or bowel movements

Pain during or after intercourse

Postpartum healing and rehabilitation

Feeling of pelvic heaviness or pressure

Who Should You See First?

If you’re experiencing new, severe, or unexplained symptoms—like sudden pelvic pain, abnormal bleeding, or signs of infection—start with your gynecologist. They can rule out serious medical conditions and, if necessary, refer you to a pelvic PT for specialized therapy.

For chronic issues related to muscle dysfunction, postpartum recovery, or persistent pelvic discomfort without clear medical causes, a pelvic PT may be the right first contact. You often don’t need a referral to see them, which is the case here at Aster & Violet.

Collaborative Care is Key

Many women benefit from a team approach. Gynecologists and pelvic physical therapists often work together to provide comprehensive care. Don’t hesitate to ask your provider if a referral to the other specialist could enhance your treatment.

Understanding these roles empowers you to seek the right care at the right time, ensuring better outcomes for your health and well-being.