Specialising in pelvic health for everyone
Women’s Health

Some of the common women’s health conditions we treat include:

Incontinence​

One in three women will experience urinary incontinence at some point in their lifetime. In many cases incontinence can be treated with pelvic floor muscle training and a change in lifestyle habits.

Pelvic Organ Prolapse

50% of women suffer from pelvic organ prolapse. It involves reduced internal support of the pelvic organs (bladder, uterus, rectum). Treatment could include: pelvic floor muscle training, education on good bladder and bowel habits, and a possible pessary fitting.

Pregnancy & Post-Natal

Common pre- and post-natal conditions treated include:

Pelvic Girdle pain

Carpal tunnel syndrome

De quervain’s tenosynovitis

Mastitis / Blocked milk ducts

Abdominal Muscle Separation (Diastasis Recti)

Pelvic Pain

Up to 40% of women report experiencing pelvic pain. Pelvic pain can include the following conditions:

Painful sex (Genito-Pelvic Pain/Penetration disorder), often known as dyspareunia or vaginismus

Endometriosis

Postnatal perineal scarring

Overactive pelvic floor muscles

Bladder pain syndrome

Vulvodynia/vestibulodynia

Men’s Health

Some of the common men’s health conditions we treat include: 

Incontinence

1 in 10 men may experience incontinence and pelvic floor issues during their lifetime. This statistic increases following prostate surgery, with up to 70% of men suffering from urinary incontinence. Besides urge and stress incontinence, men may also experience urinary dribbling as a result of weakened pelvic floor muscles, an enlarged prostate, or post-surgical interventions such as prostatectomy, vasectomy or haemorrhoidectomy.

Bladder education, lifestyle modifications and pelvic floor muscle training taught by a pelvic health physiotherapist have all been shown to be helpful in the treatment of male incontinence.

Pelvic Pain

While urological issues generally increase with age, pelvic pain tends to affect younger men. Pelvic pain is associated with poor sexual health and a lower quality of life. 

Pelvic pain in men can include the following conditions:

Chronic Pelvic Pain Syndrome (CPPS)

Bladder Pain Syndrome

Pudendal Neuralgia

Erectile Dysfunction

Research shows that more than half of men between the ages of 40 and 70 experience some form of erectile dysfunction. Pelvic floor muscle training is simple, safe and noninvasive. A Pelvic Health Physiotherapist can help identify whether your pelvic floor muscle weakness is due to the muscles being excessively inactive or overactive and tense. The treatment approach is different in each case. 

Pre and Post Surgical Rehab

Some of the common surgeries that benefit from Pelvic Health Physiotherapy before and after are: 

Complete or partial removal of the prostate

Colorectal cancer

Inguinal and/or abdominal hernia repair

Post-vasectomy pelvic floor weakness

Children’s Health

Paediatric pelvic floor physiotherapy is a specialised therapy that focuses on pelvic conditions and symptoms for children from 5 to 17 years old.

Some of the common children’s pelvic health conditions we treat include: 

Bedwetting

Bedwetting – (also known as enuresis) is involuntary urination during sleep after the age at which bladder control usually occurs.  If your child is struggling with or bothered by bedwetting, a pelvic health physiotherapist can help you understand the treatments available. 

Constipation

15% of paediatric visits to gastrointestinal doctors are for lower bowel dysfunction, such as constipation. If your child finds it difficult to poo and doesn’t go very regularly, they may be constipated.  Painful bowel movements are also linked with constipation, as either a cause or a result of difficult bowel emptying.

Urinary Incontinence

20% of paediatrician visits are for incontinence problems and young athletes often experience involuntary urine leakage during sport. 

Pelvic health physiotherapy helps children and parents understand the underlying issues contributing to incontinence. Treating constipation and improving pelvic floor muscle awareness and strength can cure incontinence in children and teenagers. 

Faecal Incontinence

This is the involuntary loss of stool (poo). If your child leaks poo or has smears of poo on their underwear, or doesn’t make it to the toilet in time, there are treatment options that your pelvic health physiotherapist can use to manage this bothersome symptom.

Testimonials
I saw Tamara after having sustained some pelvic floor injuries after the birth of my first child. She was gentle, kind, empathetic, and above all, professional. I followed her for over a year postpartum. Even as many of the prognosis/diagnosis from the varying specialists wasn’t clear or kept changing, the care and recovery I felt after every visit from Tamara was CONSTANT. Across my year long recovery journey, I have been to many urogynaes, a couple of women’s health physios in both the private and public arenas, but I do feel that Tamara stands out amongst the lot in her provision of care and knowledge on women’s pelvic floor. I have since referred a couple of my friends to Tamara, and will remember this clinic as a place of recovery and hope. Thank you Tamara! C.C
I’ve been coming to Physio Down Under for a year now after the birth of my second child and it has been a life-changing experience. The team are absolutely amazing, very empathic, professional they really know their stuff. They have helped to fix my body and get me back to 100% fitness and confidence! Thanks again! (L.K)
I was recommended Physio Down Under about a year ago and it has been without doubt one of the best physiotherapy clinics that I have been to. Tamara, the physio that I have been seeing, is an excellent physio and I would recommend her without a doubt to my friends and family. She is not only an excellent physio, Tamara is very caring, knowledgeable, competent, and always follows up after appointments. In fact, I have been to many specialist doctors in Singapore and Tamara was the one person with who I felt most confident. (T.L)
I’ve come to Leah with a postnatal trauma of my pelvic floor and my confidence. I had a difficult birth that resulted in stress incontinence and pelvic prolapse. For a year I was misdiagnosed and had a few professionals dismissing the problem. On my first visit, Leah was able to diagnose me correctly on various parameters which was a crucial step in finding the appropriate path to getting better. She offered me various treatment options, educated me on my issue drawing solutions from around the world. Together we’ve tried a few that worked wonders. She also helped me navigate my second pregnancy and delivery to minimise any further damage. Today I am better physically and emotionally thanks to Leah! (A.Y)
Monica is very professional and knowledgeable, but never judgmental (which I feel is invaluable in this area of “women’s issues”). I always find her very ethical in her approach with me, in that she believes in equipping me with the skills I need to help myself with my problems. But the most important reason I have been seeing Monica all these years, through my pre-natal and post-natal times, is that I am confident that each time I see her I am getting help from the very best in this field. (P.L)
I have been attending Sudha’s mat class for about a year now. She’s a great teacher whose enthusiasm for her subject shows through. Her classes are small enabling her to be precise, informative and attentive. I leave the class feeling far more aligned and flexible – time well spent! (G.L)
I met Monica Donaldson 5 years ago after my hysterectomy. I had a prolapse that resulted in surgery. My core muscles needed strengthening. Meeting Monica at this time was the key to my recovery and well-being. 5 years on I am a totally different person, standing tall (literally and figuratively), moving from strength to strength. Monica’s professionalism coupled with her gentleness has made me so comfortable and self-confident in the way I treat my body. Meeting her once a week is keeping my body like a well-oiled machine! (V.J)
I can honestly say seeing Tamara was life-changing. I had a bad prolapse which had impacted my quality of life for years and had been told by two gynecologists that the only solution was surgery. In one appointment Tamara recommended a pessary and within a month my life had changed. I was back to running, tennis, jumping on trampolines - all with no problems. I highly recommend Tamara - she is extremely knowledgeable, caring, and has the most up-to-date knowledge of treatment options for prolapse. (J.L)

Our Blog

The bounce back: Your body after baby

22 October 2021

A pertinent topic that is too little discussed, let alone prepared for—recovery after giving birth. Vogue Singapore focuses on common conditions affecting women as a result of pregnancy and delivery

Diastasis of the rectus abdominis muscles.

Storks Nest Global August 2019

Returning to running after having a baby

Storks Nest Global August 2019

What to Expect When You’re Expecting In Singapore

Expat Living Magazine March 2019

Physio Down Under is featured as part of the expert panel, where we comment on pelvic floor muscle dysfunction, and carpal tunnel syndrome.

Tackling Taboos

Expat Living Magazine January 2019

Read about how Tamara and Monica saw a need for a dedicated women’s health physiotherapy practice in Singapore, and how Physio Down Under came to life.

Sex after Childbirth

Storks Nest Global January 2019

More expert advice on returning to pain free and enjoyable sex after having a baby.

Five Signs and Symptoms you shouldn’t ignore after having a Baby

Storks Nest Global November 2018

9 facts about abdominal separation

March 20, 2015

Abdominal separation, otherwise know as diastasis rectus abdominis muscle, affects at least 60% of women post birth. Learn how to check if you have a separation in this article.

Sex after Pregnancy

Feb 24, 2015

Returning to sex after having a baby can often be daunting. This article offers great tips to help make returning to sex pain free and pleasurable.

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