Yes. The pelvic floor muscles can be a contributing factor in pelvic dysfunction. An internal pelvic floor exam allows the therapist to accurately assess the strength of the pelvic floor muscles. In addition, the therapist can also determine if tension or scar tissue may be contributing to your symptoms. The exam is done by inserting a gloved finger into the vaginal or rectal canal and assessing the surrounding muscles. The assessment can greatly assist the therapist in determining a proper plan of care. This typically lasts just a few minutes (there are no stirrups or speculum involved). The internal pelvic assessment is not required to participate in pelvic physical therapy, but it can help you to meet your goals more quickly.