Pelvic floor physiotherapy is underused relative to how common pelvic floor dysfunction actually is, partly because symptoms are often normalized rather than flagged as treatable.
Symptoms warranting an assessment include: urinary leakage with coughing, laughing, or exercise; pain during penetration; a sensation of pelvic heaviness or pressure; and persistent lower back or hip pain without another clear cause.
A physiotherapist can determine through internal assessment whether the underlying issue is weakness, over-tension, or a combination — a distinction that's difficult to make accurately through self-assessment alone.
Following a professional assessment, home-based tools such as biofeedback trainers can support consistent practice between appointments, particularly when weakness has been confirmed as the primary issue.
https://inwonderstate.com/products/pelvic-trainer-kiwi/ is one such biofeedback-based training device suitable for home use.