She walks in for the fifth time this year. Mid-thirties. Sharp eyes dulled by fatigue. Her folder is thick with prescriptions, ultrasound reports, and urine cultures that all say the same frustrating thing: “normal.” Yet her pelvic floor dysfunction symptoms persist—chronic pelvic pain, urinary urgency, and painful intercourse that no standard test can explain. This is the diagnostic gap that many women with pelvic floor disorders face, and it’s time to talk about how we catch what conventional testing misses.Read more