Hands-on assessment: Part of your evaluation will be a hands-on assessment from your certified Physical Therapist. Depending on the reason for your visit and your pregnancy status, this assessment might include the recommendation for an internal pelvic floor muscle assessment. n internal exam is helpful in assessing the deep layer of pelvic floor muscles for strength, length, endurance, and coordination. It can also be useful to assess for any scars that have formed since delivery if you are postpartum. The choice to have a pelvic exam is entirely yours, and you can change your mind at any point. If you and your physical therapist decide that an internal pelvic exam is appropriate, it will be done in a private room where you will be given a sheet to cover any other areas. The exam consists of a gloved finger being inserted either vaginally or rectally to assess your muscles.