Los Angeles's best pelvic floor doctor — urogynecologist-supervised pelvic floor strengthening treatment for urinary incontinence, postpartum recovery, and pelvic dysfunction. Evidence-based protocols, no surgery required.
The pelvic floor is a complex group of muscles, ligaments, and connective tissue that spans the base of the pelvis. It supports the bladder, uterus, and rectum, plays a central role in urinary and bowel control, and contributes to sexual function. When these structures are weakened, stretched, overly tight, or poorly coordinated, symptoms can include urinary leakage, pelvic pressure, pain, or diminished quality of life.
Pelvic floor therapy is a non-surgical, evidence-based rehabilitation approach designed to assess and correct these dysfunctions. At Lux R Spa, pelvic floor rehabilitation is supervised by a physician with 14 years of elite urogynecological practice — providing a level of clinical depth that is rarely found outside of academic medical centers.
Unlike generic "Kegel programs," a properly supervised pelvic floor therapy protocol is individualized to each patient's specific findings: whether the floor needs strengthening, relaxing, coordination retraining, or a combination of all three.
Pelvic floor dysfunction encompasses a wide range of conditions. Our rehabilitation program may be appropriate for patients experiencing:
Stress urinary incontinence — leaking urine with coughing, sneezing, laughing, or exercise — is one of the most common pelvic floor disorders. Pelvic floor rehabilitation strengthens the sphincter and urethral support muscles. For patients with persistent or moderate-to-severe leakage, we may recommend combining therapy with IncontiLase non-surgical laser treatment for a more comprehensive outcome.
Vaginal delivery places significant mechanical stress on the pelvic floor. Many women experience persistent weakness, altered sensation, or incontinence months after delivery. A structured rehabilitation program helps restore muscle function, coordination, and confidence before returning to high-impact activities.
Pelvic floor exercises and coordination training may help manage symptoms of mild to moderate pelvic organ prolapse — the descent of the bladder, uterus, or rectum due to pelvic floor laxity. For moderate-to-severe prolapse requiring structural correction, we offer pelvic reconstruction surgery.
Not all pelvic floor dysfunction involves weakness. Some patients have an overly tight (hypertonic) pelvic floor, causing chronic pelvic pain, painful intercourse, or difficulty with bowel movements. These patients require relaxation and release techniques — not more Kegels. A proper clinical assessment is essential before any program begins.
Declining estrogen during and after menopause leads to tissue atrophy, reduced collagen, and weakening of pelvic floor structures. Rehabilitative therapy — often combined with laser tissue restoration — helps maintain function and quality of life through this transition.
Pelvic floor therapy is entirely non-invasive. Sessions take place in-office, and there is no recovery period. Patients continue with their normal schedule between visits.
Dr. Gevorgyan brings 14 years of elite urogynecological practice to every assessment. This is not a generic program — it is clinically guided care with the depth to identify what your pelvic floor actually needs.
Every patient presents differently. Your program is designed around your specific dysfunction — whether that is weakness, hypertonicity, poor coordination, or postpartum changes — not a one-size-fits-all template.
For patients with both muscular and connective tissue components to their dysfunction, pelvic floor therapy may be combined with IncontiLase for a more complete outcome — addressing both the muscular and structural layers.
Pelvic floor rehabilitation builds lasting neuromuscular habits. Patients who complete a structured program report maintained improvement and a foundation for long-term pelvic health.
Unlike pharmaceutical interventions that mask symptoms, pelvic floor therapy addresses the underlying muscular and functional causes of incontinence, pain, and dysfunction.
Your program begins with a comprehensive pelvic floor assessment by Dr. Gevorgyan. This includes a review of your symptoms, medical and obstetric history, and a functional evaluation of your pelvic floor. The assessment identifies whether you have weakness, hypertonicity, poor coordination, or structural issues — and determines the appropriate starting point for your individualized protocol.
Your program will include a structured sequence of exercises designed specifically for your findings. For patients with weakness, this involves progressive pelvic floor strengthening and endurance training. For patients with hypertonicity or pain, the approach prioritizes gentle release, breathing coordination, and relaxation techniques before any strengthening is introduced.
Many pelvic floor problems involve not just weakness but poor coordination — the inability to activate or relax pelvic floor muscles at the right times. Neuromuscular re-education focuses on restoring normal timing and control, which is essential for real-world function: managing leakage during sneezing, maintaining continence during exercise, or eliminating pain during daily activities.
Sessions typically occur weekly or biweekly, with home exercises assigned between visits. Progress is reassessed regularly. For patients combining therapy with IncontiLase laser treatment, sessions are coordinated to complement each other — with laser treatment addressing tissue architecture and therapy optimizing muscular function simultaneously.
Pelvic floor rehabilitation is only as effective as the clinical insight guiding it. At Lux R Spa, your program is supervised by Dr. Anna Gevorgyan — a board-certified OB/GYN with 14 years of elite urogynecological practice, managing some of the most complex pelvic floor disorders in Southern California before transitioning to a focused regenerative and aesthetic practice.
This background matters. Dr. Gevorgyan understands pelvic floor anatomy at a surgical level — enabling her to identify subtle dysfunctions, avoid counterproductive interventions, and design programs that address the actual pathology rather than applying a generic protocol. Most medical spas and even many physical therapy clinics do not have access to this depth of urogynecological expertise.
For patients whose pelvic floor dysfunction has a structural component, Dr. Gevorgyan may recommend combining rehabilitation with IncontiLase laser therapy — a Fotona Er:YAG treatment that tightens vaginal wall connective tissue and improves urethral support without surgery. The combination of laser tissue restoration and targeted muscular rehabilitation often produces more complete and durable results than either approach alone.
Stress urinary incontinence involves two distinct components: muscular (weakened pelvic floor and sphincter muscles) and structural (weakened connective tissue and reduced urethral support). Addressing only one often yields partial results.
At Lux R Spa, patients with stress urinary incontinence may be offered a combined protocol:
Together, these two approaches address both the structural and functional dimensions of pelvic floor dysfunction — often producing more complete and lasting results than either approach in isolation. Ask about our combined protocol during your consultation.
Pelvic floor therapy is one part of a comprehensive pelvic health program. Depending on your condition and goals, we may recommend:
