03/02/2026
⏰ Moms- during a pelvic floor physical therapy exam, layer 1 refers to the superficial pelvic floor muscles just inside the vaginal opening.
Why do pelvic floor PTs talk about clock hours during an exam?
This helps us educate you and provide guidance in our notes for future care OR communication with your wellness team!
We assess each “clock position” for:
☑️ Muscle tone
☑️ Weakness
☑️ Tenderness
☑️ Scar tissue sensitivity
☑️ Coordination
This layer is commonly involved in:
✔️ Pain with in*******se
✔️ Postpartum pelvic pain
✔️ Tampon or cup discomfort
✔️ Burning sensations
✔️ Difficulty relaxing the pelvic floor
This is the layer we teach to stretch gently to prepare for birth OR return to s*x post baby or surgery.