Women's Pelvic Floor Physical Therapy in St. Charles County, MO
You Deserve to Feel Comfortable in Your Body.
Pelvic pain, bladder leaking, and pelvic pressure don’t have to be your new normal. We offer personalized pelvic floor care can help you feel better, move comfortably, and get back to living life with confidence.
Pelvic floor symptoms are often dismissed as “normal,” leaving many people to live with discomfort without realizing help is available.
At Optimize Physical Therapy & Wellness, we’re passionate about changing that through education, awareness, and personalized care. By looking beyond individual symptoms and understanding how your pelvic floor, core, breathing, and movement work together, we create a more comprehensive approach to helping you feel and function your best.
At Optimize, we offer Pelvic Floor Therapy for Every Stage of Womanhood
1 in 4 women suffer from pelvic dysfunction.
Yet many women with symptoms are never properly diagnosed. Even fewer are referred to pelvic floor physical therapy.
Signs that your Pelvic Floor
is looking for help.
- Pelvic Pain & Muscle Dysfunction
- Pelvic pain and pressure
- Pain with intercourse or penetration
- Tailbone pain
- Low back pain, SI joint pain, and hip pain
- Hip popping and movement-related discomfort
- Bladder & Bowel Concerns
- Urinary or bowel urgency and frequency
- Bladder or bowel leakage (incontinence)
- Constipation and difficulty with bowel movements
- Symptoms associated with interstitial cystitis or painful bladder syndrome
- Women's Health & Hormonal Changes
- Painful periods (dysmenorrhea)
- Pelvic floor symptoms associated with endometriosi
- Pelvic congestion syndrome
- Menopause-related pelvic floor and bladder changes
- Pelvic organ prolapse, including cystocele and rectocele
- Pregnancy, Postpartum & Post-Surgical Recovery
- Pregnancy-related pelvic floor concerns
- Postpartum recovery and return to activity
- C-section recovery and abdominal scar mobility
- Diastasis recti and other core dysfunction
- Recovery following hysterectomy or other pelvic surgeries
Your pelvic floor is central to your body’s functioning, so dysfunction can look different for everyone. It is also not an area that health care providers think to refer out for often. If you think you could benefit from pelvic floor therapy but are not sure, please reach out!
Your symptoms are worth addressing, even if you've been experiencing them for years.
View our treatment services
Pelvic Floor Follow-Up
We’ll begin by discussing your symptoms, health history, and goals before assessing how your body moves and functions. Your evaluation may include standing posture, hip and leg strength and flexibility, back mobility, breathing patterns, core function, and pelvic floor coordination.
If you feel comfortable and give consent, we may also perform an internal vaginal or rectal examination to assess pelvic floor strength, coordination, mobility, and scar tissue. An internal exam is always optional, and your care will be guided by your comfort level and preferences.
Continue building on your progress with a follow-up pelvic floor therapy sessions. During each follow-up session, we’ll revisit the plan established at your initial evaluation and focus on helping you move, feel, and function better.
Pelvic Floor Initial Evaluation
$160 for a 90-minute session
This session is designed for returning patients following their initial evaluation.
$140 for a 60-minute session
Your first pelvic floor physical therapy appointment is an opportunity to connect the dots between your symptoms, movement, and overall function.
What to expect:
Who this is for:
- Pelvic organ prolapse or pelvic pressure
- Pain with penetration or intimacy
- Bladder leaking or difficulty controlling urgency
- Constipation or difficulty with bowel movements
- Low back, hip, or pelvic pain
- Pain associated with menstruation
- Pregnancy-related pelvic floor concerns
- Postpartum recovery and changes in pelvic floor function
Leave With a Plan:
By the end of your evaluation, you’ll have a better understanding of how your pelvic floor is functioning, what may be contributing to your symptoms, and what steps you can take toward improvement. You’ll receive a personalized home exercise program, a plan for moving forward, and an email summary of your visit so you can feel informed and supported every step of the way.
Designed for individuals experiencing pelvic floor dysfunction; from painful periods to pregnancy, postpartum, and menopausal!
Who this is for:
This follow-up service is for anyone who has completed an initial pelvic floor physical therapy evaluation within the past six months and is ready to continue working toward their goals.
What to expect:
Each session builds on your previous visit, allowing us to monitor your progress, adjust your treatment plan, and address any new or ongoing concerns. You’ll leave with practical strategies, exercises, and guidance to help you continue making progress at home and feel more confident in your body.
We Assess How Your Body Works
What to Expect From Pelvic Floor Therapy
We Create Your Personalized Plan
01.
02.
03.
We Listen First
We'll discuss your health history, symptoms, concerns, and goals in a supportive, judgment-free environment.
Your therapist will evaluate relevant movement patterns, strength, flexibility, breathing, core function, and pelvic floor coordination. An internal examination may be offered when appropriate, but it is never mandatory.
Together, we'll identify the next steps that make sense for your body. You'll receive individualized guidance, exercises when appropriate, and practical strategies to help you work toward your goals between appointments.
While we do not bill insurance directly, many patients choose to use HSA or FSA cards for eligible services. Some insurance plans may also offer out-of-network reimbursement—though coverage varies.
We’re always happy to provide a detailed receipt (superbill) upon request so you can check with your insurance provider if reimbursement is available.
Optimize is a self-pay, out-of-network practice. This allows us to provide longer, one-on-one sessions without the limitations often required by insurance companies.
- Longer appointments
- Personalized, unrushed treatment
- Care driven by your needs—not insurance restrictions
Frequently Asked Questions
Absolutely not. Pelvic floor concerns can affect women who have never been pregnant, women whose children are grown, and women at every stage of life. You don't need to be a mom to benefit from pelvic health care.
.
It is NEVER too late.
Whether it’s been 6 months… or 26 years… your pelvic floor is made of muscles and connective tissue. Muscles adapt at every age, and we can retrain them.
You don’t have to live with leaking, pressure, or pain just because someone once told you it’s “normal” or “part of aging.” It’s not.
Never. It’s an option, not an obligation. We have plenty of external techniques that are just as effective.
The number of sessions depends on your symptoms, goals, and response to treatment. Some people may benefit from a few visits, while others with persistent or complex conditions may benefit from longer-term care or occasional maintenance appointments. Your therapist will help determine an appropriate plan with you.
I am an out-of-network provider, which means your treatment plan is based on what you need, not what insurance approves. I provide superbills for reimbursement upon request.
Yes — HSA/FSA cards can be used for therapy sessions (and sometimes wellness sessions depending on your plan).
