As the average life span of people in our modern society increases, so does the number of patients suffering from symptoms of female aconuresis and descensus genitalis. Thus, awareness of this disease pattern has been raised, and an open dialogue with our patients should be the main concern of a healthy doctor-patient relationship. First medical diagnostics and the initiation of basic therapies can successfully be integrated into everyday clinical practice. The difference between the two major groups of female aconuresis should be taken into account, as well as the distinction between the median and lateral defect regarding the descensus genitalis. A selective and extensive anamnesis - using a medical form if applicable - should be the basis of every urogynaecological examination. In addition to the physical gynaecological examination, a perineal sonography should be considered as a non-invasive diagnostic tool to check the functionality of the pelvic floor as well as to recognize its pathologies.