Thanks sir once again ...
Really this patient is my close relative so frankly I'm so shy when i'll do test of perineum so,i told her this test of alternative method the second one then she did it by her self (may i'm wrong to let my patient to do the test by her self but really i cann't do this to her by my self ...) so her test was negative and then i advice her to strenghten her pelvic floor she felt well when do that excercises but her main promlem (pain felt down)still increase when she being nervous...
Regards