Contact
Messages come to me, Esther, and I read all of them. Before you write, please read both lists below, because the second one is longer than the first and that is not an accident.
Please get help elsewhere if it is urgent
This inbox is checked when I have time, not around the clock, and I am not a clinician. If you have new bladder or bowel trouble with back pain, numbness around the saddle area or new weakness in both legs, if you cannot pass urine at all, if you are bleeding heavily after childbirth, or if you feel frighteningly unwell after a birth or an operation, stop reading and use your local emergency number. The disclaimer opens with the full list of symptoms that need somebody today. Please do not wait for a reply from me.
What we can answer
- Whether something on the site is unclear, badly explained, or contradicts itself.
- Where a particular figure came from, and which guideline or review it sits in.
- A correction. If we have got something wrong, tell us the article and the sentence, and we will check it and fix it. See the editorial policy for how corrections are handled.
- Which of the bodies on the registers page is the right one to look somebody up in for the country you are being treated in.
- General questions about what a pelvic health assessment or a course of treatment usually involves, answered in the same general terms the articles use.
What we cannot answer
- What is wrong with you, or what your symptoms mean. Nobody here has examined you.
- Whether your pelvic floor is weak or overactive, which is the single most consequential question on this subject and the one that genuinely requires an assessment.
- Whether the exercises you have been given are the right ones, whether you are doing them correctly, or what you should do instead.
- Anything about medication, including topical and vaginal treatments.
- Whether to have surgery, or whether a particular operation is a good idea for you.
- A recommendation of a named physiotherapist, clinic or practice. We do not name individuals, in either direction.
- Anything at all about the counselling practice that used this domain before 2024. It closed, and we have no connection to it and no records from it.
I usually reply within a few days. It is one person and a slow inbox, so please be patient.
What must not go in an email
Continence, bowel function, sexual function, obstetric injury and pregnancy loss are among the most sensitive categories of personal information there are, and they are treated as special category health data under data protection law in the UK and the EU. Ordinary email is not a safe or appropriate place for any of it, and we cannot store it securely because we have no system designed to.
So please do not send: bladder or bowel diaries, photographs of any part of your body, scan reports, operation notes, clinic letters, your obstetric history, or the name of a clinician you want to talk about. If any of that arrives anyway, we will use it only to write back to you and then delete it, and we will not quote it anywhere.
The forum is public and permanent, which is a separate warning: nothing posted there should identify your employer, your hospital, your due date, or anyone else involved in your care.
Post
Credence Therapy Notebook c/o WeWork 200 Spectrum Center Drive Irvine, CA 92618 United States
Please do not post clinical records or photographs either. The answer will be the same and the envelope will be shredded.