Not necessarily. Not everyone needs to have an internal pelvic floor physio exam, because we can make very accurate assumptions about the issue by taking an in-depth history.  Also, many GP’s are now doing more of an exam instead of just doing a pap test, so there’s no need to duplicate. But, if you do need an exam, know that it’s a totally normal part of our day. It can even be a good experience! 98% of women comment that they’re very happy having had an exam, because they feel better knowing what’s going on with their Pelvic Floor. Many women say they would prefer not to have an exam initially, but once they start working on a program, they come back and want to confirm what they’re feeling (or not feeling).