Working with a skilled pelvic floor physical therapist can be hugely beneficial in identifying where and what the problem is, and helping you move forward from pain! (jessicarealept.com)
If she feels like she is still bearing down for the exhale, even after you cue the deep inhale, it's a good idea to refer her to a trusted pelvic floor physical therapist who does internal biofeedback. (coreexercisesolutions.com)