Women's Pelvic Health Physiotherapy


At Massey & Waitakere Physiotherapy, we offer specialised pelvic health physiotherapy to support women of all ages through sensitive and often complex pelvic health concerns. Whether you're recovering from childbirth, managing bladder or bowel issues, or living with pelvic pain, our experienced and compationate specialist, Elizabeth (Liz) Costabeber, is here to help with care that’s respectful, discreet, and evidence-based.

You're Not Alone

Pelvic health issues are more common than many people realise. Around 1 in 4 New Zealanders over the age of 15 experience pelvic floor dysfunction, with symptoms often emerging or worsening during and after pregnancy. While these challenges can feel isolating or even embarrassing, you don’t have to put up with them or face them alone.

Conditions We Treat


Pelvic floor dysfunction can affect your daily life in many ways. Our specialised physiotherapist is trained to assess, diagnose, and treat a wide range of conditions, including:

Our goal is to help you feel confident, informed, and in control of your body.

Pessary Fitting

A pessary is a small, soft silicone device that sits inside the vagina to support the pelvic organs. It's a simple, non-surgical option that can make a real difference for pelvic organ prolapse, that feeling of heaviness, bulging, or "something coming down" and for some types of bladder leakage.

Pessaries come in many shapes and sizes, and the right one depends on your individual anatomy, your symptoms, and your lifestyle. There's no such thing as a one-size-fits-all pessary, which is why fitting is done in person by a trained clinician rather than ordered off the shelf.

Why women choose a pessary

  • To manage prolapse symptoms without surgery
  • To support pelvic organs during high-impact activity, like running or playing with the kids
  • As a bridge while building pelvic floor strength through physiotherapy
  • For added confidence and comfort in everyday life, at any age or stage

What to expect at your appointment

Your fitting appointment starts with a conversation about your symptoms, history, and goals, followed by an internal assessment so we can choose the right shape and size. We'll often try a few options to find the best fit, then check that it's comfortable while you move, cough, and bear down.

If you'd like to manage the pessary yourself, we'll teach you how to insert, remove, and clean it. Some pessaries are designed to come out for cleaning a couple of times a week; others can be left in for longer and managed at routine clinic visits if you'd prefer we look after that side of things. We'll book a follow-up a couple of weeks later to make sure everything is sitting well and to answer any questions that come up once you're living with it day to day.

Ongoing care

Pessary care doesn't stop at the fitting. We recommend regular check-ins to confirm the fit is still right many women find they need a size adjustment in the first year and to look after the health of the vaginal tissue over time.

Trained with leading pelvic health educators

Liz has completed advanced training in pessary assessment and fitting through Dr Melissa Davidson, a specialist physiotherapist in pelvic health and a recognised clinical educator in this field, giving you confidence you're in well-trained hands.

What to Expect

Your first appointment will start with a detailed consultation to understand your symptoms, lifestyle, and goals. With your consent, we may conduct internal or external assessments of your pelvic floor muscles. Treatment can include:

Our goal is to help you feel confident, informed, and in control of your body.

Health Insurance for Women's Pelvic Health

If you experienced an injury while giving birth on or after the 1st of October 2022 ACC may provide some cover for treatment related to your recovery.

Some Southern Cross Members also have the option to claim Physiotherapy expenses linked to pregnancy and/or childbirth, including pelvic floor rehabilitation, under their day-to-day benefits. Massey & Waitakere Physio are Southern Cross partners – talk to our team about this simple claim process.

Meet Liz

Elizabeth (Liz) Costabeber is our compassionate and skilled pelvic health physiotherapist. She has completed advanced clinical training in pelvic health and brings a warm, empathetic, and professional approach to every appointment.

Liz combines expert clinical knowledge with a gentle, personalised style of care. She creates a safe, empowering space where you can feel heard, supported, and guided toward lasting improvement. Whether you're recovering from childbirth, managing chronic discomfort, or navigating life after surgery, Liz is here to help you regain comfort, confidence, and control.