Examination of the female perineum consists of evaluation of the constituent musculo-aponeurotic and sphincteric structures and global assessment of any abnormalities of pelvic and perineal tone. This examination is primarily clinical, starting with guided clinical interview designed to investigate urinary, genital and rectal disorders, based on precise signs followed by detailed examination evaluating trophicity, sensitivity, mobility and tone of support structures and pelvic organs. Complementary investigations (radiological, urodynamic, electrophysiological) are not performed routinely. They should be performed selectively to support or confirm a difficult diagnosis and to objectively assess the results of treatment.