Is Internal Evaluation + Treatment Still the Gold Standard?
- Nicole Cozean

- Jul 20
- 2 min read
Is internal evaluation the gold standard in pelvic health? We believe the answer is yes.
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Is internal evaluation the gold standard in pelvic health? We believe the answer is yes.
Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate.
We think it's one of the most important conversations our profession needs to have.
We're going to be diving deep into this topic. But for Part 1, we discuss:
Why this issue matters so much for the future of pelvic health
What the pioneers of our profession fought to establish
The strongest arguments against internal evaluation—and where we think they fall short
Why "access to care" shouldn't mean lowering the standard of care
Why extraordinary claims require extraordinary evidence
(Also, the caveat we shouldn't need....Every internal evaluation should be clinically appropriate and performed only with informed patient consent. Of course.)
Instead, this episode asks a bigger question: What should the gold standard actually be for pelvic rehab?
Learn more about pelvic health with our Clinical Courses
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Challenge the way you think
Make you more confident in your clinical practice.
Allow you to go-at-your-own pace (all online!)
Let you go back to your work: you'll have lifetime access to the lectures and handouts. Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).
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See all the business resources we offer (www.pelvicptrising.com/business), tailored specifically to pelvic health!

Nicole Cozean, PT, DPT, WCS
Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.
Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA
Co-founder of the Pelvic PT Rising and the Rising Podcast.
Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.
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