Physician Prescribed.
Instructor Led.

The first certification bridging gynecological care and the Pilates studio.

A new standard
for prescribed
movement.

Regular exercise is widely recommended in gynecological care. Yet it is rarely formally prescribed — because no clinical framework has existed to translate a diagnosis into structured, safe, instructor-led movement.

PMIC changes that. Pilates is uniquely positioned to deliver this care — its emphasis on breath, core control, and pelvic floor awareness maps directly onto clinical pelvic health goals. PMIC formalizes that connection, giving certified instructors a physician-developed framework to apply with precision.

The class structure remains unchanged. The lens changes. The physician prescribes the lens. The instructor leads.

Three categories.
One framework.

Built for instructors, physicians, and patients — each engaging the same framework from a different entry point.

Instructors & Studios
Clinical credibility, expanded scope, and access to a physician-referred client network — within your existing practice.
Physicians & APPs
A structured method to prescribe exercise therapeutically, with trackable adherence and a trusted network of certified movement professionals.
Patients
Safe, targeted movement aligned with your diagnosis. Measurable outcomes and documentation for HSA/FSA reimbursement.
Prescription Lenses
01
Category One
Downtraining

Exercise to reduce pelvic floor overactivity and downregulate pain pathway sensitization. Prescribed for endometriosis, dyspareunia, interstitial cystitis, and urinary urgency.

02
Category Two
Activation

Exercise to improve pelvic support, load tolerance, and neuromuscular recruitment. Prescribed for postpartum recovery, stress urinary incontinence, osteopenia, and uncomplicated pregnancy.

03
Category Three
Integration

Exercise for long-term health optimization integrated into preventive care. Prescribed for PCOS, metabolic syndrome, obesity, and primary prevention.

Dr. Paulina Noreikaite

DO  ·  SynthoGyn LLC

A board-certified obstetrician and gynecologist, Dr. Noreikaite developed PMIC to address a gap she encountered repeatedly in clinical practice — the absence of a structured framework connecting medical diagnosis to safe, effective, prescribed movement.

"Exercise is already part of the standard of care. PMIC simply gives it the clinical structure it has always deserved."

Bring PMIC into
your practice.

Whether you're an instructor, physician, or patient — we'll send you everything you need to get started.

Thank you. We'll be in touch shortly.

Thank you. We'll reach out as we build our physician network.

Thank you. We'll keep you informed as PMIC becomes available.

Find a certified
instructor near you.

Every instructor and studio listed here has completed the PMIC certification and is authorized to deliver physician-prescribed pelvic movement protocols.
Near me —
certified instructors
Loading directory
Loading directory
Are you a Pilates instructor or studio owner? Fill out the form to apply →

Prescription Forms

Coming Soon
Downloadable prescription forms
for physicians and patients.

PMIC prescription forms will be available here for physicians to prescribe directly, and for patients to print and bring to their provider. Check back soon.

← PelvicProtocol