Kelly AlhooiePelviBiz, Pelvibiz · Healthcare Business Strategy Assistant

Cash Based Practices | What to Say When a Pelvic Health Patient Cancels for Her Period

25 Aug 2026 · 2 min

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1:34

In this short instructional monologue, Kelly Alhooie provides a ready‑to‑use script for pelvic health clinicians in cash‑based practices when a patient cancels an appointment because she is on her period. The script reassures the patient that treatment can be adapted to her comfort level, outlines two main options—external‑only pelvic floor lengthening (stretching the perineal body) or proceeding with internal work if she wishes—explains the clinical rationale that menstrual‑related muscle cramping and tightness can actually make treatment beneficial, and gives practical logistics (extra chuck pad, informing the therapist, confirming the next appointment). The overall aim is to maintain patient engagement, reduce cancellations, and convey that menstrual cycles are not a barrier to effective pelvic floor therapy.

Chapters

All right, so this is an objection of someone calls and they says, or emails and says, I'm on my period and I don't wanna come in today. And this is what we're gonna say to them. We can always work around your period. If you are uncomfortable, then we can stick to external lengthening of your pelvic floor. There's so much that can be done so that if you're uncomfortable, we don't have to do any internal work. We'll just stick to all external lengthening, so around the perineal body, We'll do some stretching there, and that's so beneficial for, and then state their goal, to help improve pain with intercourse, or to help improve leakage. If you're comfortable, we're 100% comfortable, we don't mind doing internal while you're on your heaviest day or your lightest day. We'll just put down an extra chuck pad, and we have so many patients that come in on their menstrual cycle, and we treat them. It's not like the gynecologist, we don't need to see anything, we keep you covered. But it's actually, we have found, a really good time to come in on your menstrual cycle because most things and most muscles actually get kind of crampy, like with your abdominals, and then also transvaginally. There's some tightness that typically happens while you're on your menstrual cycle, and we can go ahead and lengthen that and decrease any discomfort that you're having. So we would love to see you. Just let the therapist know when you come in if you're comfortable with that or if you're not comfortable with that. But can't wait to see you Tuesday at 5 o'clock. Bye.