Pelvic floor & women's health physiotherapy
Leaking, heaviness, or pelvic pain are common, but they are never something you just have to live with. Guided by specialized pelvic floor physiotherapist Sandra Astruga, our 1:1 consultations bring clinical expertise into practical support tailored to your body.
Berlin Mitte
In-person sessions
Hands-on clinical assessment, targeted manual therapy, and tailored pelvic floor treatment at our clinic in Berlin Mitte. Ideal if you are based in Berlin and looking for in-person care.
From Anywhere
Online consultations
1:1 online consultations providing expert symptom analysis, guidance, and personalized movement plans. Ideal if you prefer to receive support from the comfort of your home.
Common reasons women book with us
Pelvic floor assessment
Not sure what's going on, or simply want to understand your pelvic floor better? An assessment gives you a full picture of what's happening, what's driving your symptoms, and where to go from there.
Pelvic floor dysfunction
Feeling like your pelvic floor is too tight, too weak, or just not working the way it should. Whether that shows up as leaking, heaviness, or difficulty relaxing.
Leaking (urinary incontinence)
Leaking when you sneeze, cough, laugh or jump. Sudden urgency that's hard to control. Or a combination of both.
Diastasis recti
The abdominal separation that can happen during pregnancy and doesn't always resolve on its own. You might notice doming or a gap along the midline of your abdomen when you sit up, or a belly that doesn't feel like yours anymore.
Prolapse (pelvic organ prolapse)
A feeling of heaviness, pressure or bulging in the pelvic area. More common than most women realise.
Painful sex and vaginismus (dyspareunia)
Pain during or after sex, involuntary tightening that makes penetration painful or impossible, and discomfort linked to birth scars, episiotomy or hormonal changes.
Scar tissue
Manual treatment for perineal tears, episiotomies and caesarean scars, helping to reduce sensitivity, improve mobility and make the tissue feel like yours again.
Pelvic and period pain
Menstrual pain that disrupts your daily life, pelvic girdle pain during or after pregnancy, and other symptoms that just won't go away. This includes pudendal nerve pain, chronic pelvic pain, and other conditions that are often hard to pin down.
Bowel and gas leakage (faecal incontinence)
Difficulty controlling wind, loose stools, or urgency without enough warning.
Pregnancy and postpartum care
Birth preparation, perineal or caesarean scar recovery, returning to exercise safely, and rebuilding strength after having a baby.
About Sandra
Sandra is a physiotherapist specialised in pelvic floor and women's health, working in this field since 2017.
She has trained and worked across Germany, Spain, Italy and Argentina, including at leading centres such as the ISAR Klinikum Beckenbodenzentrum in Munich and Deutsches Beckenbodenzentrum in Berlin.
About Sandra
Sandra is a physiotherapist specialised in pelvic floor and women's health, working in this field since 2017.
She has trained and worked across Germany, Spain, Italy and Argentina, including at leading centres such as the ISAR Klinikum Beckenbodenzentrum in Munich and Deutsches Beckenbodenzentrum in Berlin.