#Menopause stages

[damiva]

[gothhcake]

me today

[valiantvillain]

Finally some screenshots of my Lord of Fortune Hadil. She will absolutely be making moves on Emmrich.

[gentlyepigrams]

There's a post going around Tumblr about how if you're post-menopausal and have bleeding, you should get it checked by your doctor. I brought some minor bleeding I'd had up in a doctor visit earlier this year, prompted by that post, and this week, after a biopsy, I found out I have cancer. It's early stage and the survival odds at 5 years are 99%. I have an oncologist appointment and we may have caught it early enough that surgery alone will be sufficient treatment (no radiation/chemo).

So that post may have saved my life and it may have made my treatment a lot easier too.

If you get into menopause and then start bleeding again, really, get your reproductive innards checked out. The life you save may be your own.

[rosewomanus]

What Is Menopause? A Comprehensive Guide to Understanding the Stages

Menopause marks a significant phase in a woman’s life, signaling the end of reproductive years. But what is menopause exactly? It involves physical, emotional, and hormonal changes that vary from woman to woman. In this detailed guide, we explore the different stages of menopause, including perimenopause, menopause, and postmenopause, to help you better understand what to expect. Gain insights into symptoms, treatments, and tips for navigating this transition with grace. Visit Rosewoman's blog to learn more about what menopause means for your health and well-being.

[shreeisspecial]

Proper nutrition is a cornerstone of good health for everyone, but women have unique nutritional needs that change throughout their lives. From adolescence to post-menopause, a woman's body undergoes various physiological changes that require specific dietary considerations. This blog will explore essential nutrition tips for women at different life stages, helping you make informed choices about your diet to support optimal health and well-being.

[yashodaivffertilitycentre]

Menopause Meaning in Marathi ? मेनोपॉज म्हणजे काय?: लक्षणे, कारणे आणि उपचार

मेनोपॉज,( Menopause) म्हणजे मासिक पाळीची नैसर्गिक समाप्ती, जे स्त्रीच्या जीवनात एक महत्त्वपूर्ण संक्रमण दर्शवते. जेव्हा स्त्रीला सलग 12 महिने मासिक पाळी येत नाही त्याला रजोनिवृत्ती किंवा मेनोपॉज म्हणतात. जेव्हा स्त्रीच्या शरीरामधील स्त्रीबीजग्रंथी (ओव्हरी) वाढत असलेल्या वयामुळे काम करणे बंद करतात. त्यामुळे शरीरामधील हार्मोन्सचे असंतुलन होते ही एक सामान्य जैविक प्रक्रिया असते तथापि, हे भावनिक आव्हाने सादर करू शकते, विशेषत: ज्यांनी त्यांचे कुटुंब पूर्ण केले नाही त्यांच्यासाठी. सुदैवाने, आधुनिक असिस्टेड रिप्रॉडक्टिव्ह टेक्नॉलॉजी (ART) रजोनिवृत्तीनंतरही पालकत्वाची आशा देते, जे पालकत्वाचा आनं�� अनुभवू इच्छिणाऱ्यांना प्रकाशाचा किरण प्रदान करते. याशिवाय, PCOD हा एक महत्त्वाचा विषय आहे ज्याला समजून घेणे आवश्यक आहे. PCOD हा विविध शारीरिक आणि भावनिक समस्यांशी निगडीत असू शकतो आणि त्यावर उपचार आवश्यक असू शकतात. या विषयांवर अधिक माहितीसाठी, PCOD Meaning In Marathi वर क्लिक करा.

मेनोपॉज दरम्यान काय होते? (What happens during menopause?)

मेनोपॉज हे प्रमुख पुनरुत्पादक संप्रेरक इस्ट्रोजेन आणि प्रोजेस्टेरॉनमधील घट दर्शवते, ज्यामुळे अनियमित ओव्हुलेशन होते आणि शेवटी अंडाशयातून अंडी सोडणे बंद होते. या टप्प्यात हार्मोनल असंतुलन शारीरिक आणि भावनिक बदल घडवून आणते, ज्यामुळे स्त्रीच्या एकूण आरोग्यावर परिणाम होतो.

मेनोपॉज कधी सुरू होते? (When does menopause begin?)

मेनोपॉज विशेषत: 45 ते 55 वयोगटातील आढळते, जरी प्रत्येक स्त्रीसाठी सुरुवात बदलू शकते. काहींना आधी मेनोपॉजचा अनुभव येऊ शकतो, ज्याला अकाली रजोनिवृत्ती म्हणतात, जे वयाच्या 35 ते 40 वर्षांच्या सुरुवातीला येऊ शकते.

मेनोपॉजचे प्रकार आणि टप्पे (Types and stages of menopause)

रजोनिवृत्तीचे नैसर्गिक आणि प्रेरित श्रेणींमध्ये वर्गीकरण केले जाऊ शकते, जेव्हा अंडाशय नैसर्गिकरित्या फॉलिकल्स तयार करणे थांबवतात तेव्हा नैसर्गिक रजोनिवृत्ती येते आणि वैद्यकीय हस्तक्षेपामुळे प्रेरित रजोनिवृत्ती येते. रजोनिवृत्तीद्वारे होणारे संक्रमण तीन टप्प्यांत हळूहळू उलगडते: पेरीमेनोपॉज, रजोनिवृत्ती आणि रजोनिवृत्तीनंतर. पेरीमेनोपॉज, अनियमित मासिक पाळी आणि गरम चमक आणि मूड स्विंग यांसारखी लक्षणे, रजोनिवृत्तीच्या आधी, ज्या दरम्यान ओव्हुलेशन थांबते, आणि योनीमार्गात कोरडेपणा आणि रात्री घाम येणे यासारखी लक्षणे उद्भवू शकतात. मासिक पाळी सलग १२ महिने बंद झाल्यावर रजोनिवृत्तीनंतर येते, ज्यामुळे अनेक लक्षणांपासून आराम मिळतो परंतु दीर्घकालीन आरोग्य समस्यांचा धोकाही निर्माण होतो.

मेनोपॉज दरम्यान आणि नंतर प्रजनन क्षमता (Fertility during and after menopause)

पेरीमेनोपॉज दरम्यान गर्भधारणा अनियमित ओव्हुलेशनमुळे शक्य आहे, परंतु त्यासाठी वैद्यकीय मदतीची आवश्यकता असू शकते. रजोनिवृत्तीच्या काळात गर्भधारणा करू इच्छिणाऱ्या महिलांसाठी प्रजनन डॉक्��रांचा सल्ला घेणे आवश्यक आहे आणि तणाव व्यवस्थापन आणि निरोगी आहार यांसारख्या जीवनशैलीत बदल करण्याची शिफारस केली जाते. रजोनिवृत्तीनंतर गर्भधारणा अशक्य आहे असा सामान्य समज असूनही, नवी मुंबईतील सर्वोत्कृष्ट IVF केंद्राद्वारे (IVF Centre in Navi Mumbai)ऑफर केलेल्या आधुनिक ART तंत्रांमुळे, हार्मोन रिप्लेसमेंट थेरपी (HRT) आणि इन विट्रो फर्टिलायझेशन (IVF) सारख्या पद्धतींमुळे पालकत्व साध्य करता येते.

मेनोपॉज लक्षणे आणि परिणाम (Menopause Symptoms and Effects)

मेनोपॉजमुळे अनियमित मासिक पाळी येणे, गरम चमकणे, रात्री घाम येणे, मूड बदलणे आणि थकवा यासह अनेक लक्षणे दिसतात. हे फॉलिकल्सची संख्या कमी करून, प्रजनन संप्रेरक पातळी कमी करून आणि योनिमार्गात कोरडेपणा आणि कामवासना कमी करून प्रजनन आरोग्यावर देखील परिणाम करते. लवकर रजोनिवृत्ती, वयाच्या 40 वर्षापूर्वी उद्भवते, अतिरिक्त आव्हाने निर्माण करतात, परंतु अंडी दाता कार्यक्रम आणि अंडाशयाच्या ऊती प्रत्यारोपणासारखे पर्याय गर्भधारणेसाठी मार्ग प्रदान करतात.

मेनोपॉज गर्भधारणेसाठी उपचार पर्याय (Treatment options for menopausal pregnancy)

जरी मेनोपॉज स्त्रीच्या पुनरुत्पादक वर्षांचा अंत दर्शवत असली तरी, आधुनिक वैद्यकीय प्रगती गर्भधारणेसाठी विविध पर्याय देतात. हार्मोन रिप्लेसमेंट थेरपी, आयव्हीएफ, अंडी दाता कार्यक्रम, अंडाशयाच्या ऊतींचे प्रत्यारोपण आणि इतर प्रगत प्रजनन तंत्रज्ञान स्त्रियांना मेनोपॉजनंतरही त्यांचे पालकत्वाचे स्वप्न पूर्ण करण्यात मदत करू शकतात. "नवी मुंबईतील IVF उपचारांच्या (IVF Treatment in Navi Mumbai) असंख्य पर्यायांमध्ये, Yashoda IVF Fertility & IVF Centre ही प्रमुख निवड म्हणून उदयास आली आहे. आमची वंध्यत्व तज्ञांची टीम, 15 वर्षांपेक्षा जास्त अनुभवासह, तुमच्या विशिष्ट गरजा पूर्ण करण्यासाठी तयार केलेल्या सेवांची विस्तृत श्रेणी ऑफर करते आणि आम्हाला (Best IVF Centre in Navi Mumbai) नवी मुंबईतील अव्वल IVF केंद्र बनवते."

निष्कर्ष

मेनोपॉज (Menopause) हा स्त्रियांच्या जीवनातील एक महत्त्वाचा टर्निंग पॉइंट आहे ज्यामध्ये शारीरिक बदल आणि मूड स्विंग यांचा समावेश होतो. तथापि, या कालावधीत त्यांची चिन्हे आणि लक्षणे नियंत्रित करण्यासाठी वैद्यकीय संघाकडून मदतीची मागणी करणे हे आव्हान आहे. प्रगत प्रजनन तंत्रज्ञानामुळे रजोनिवृत्तीनंतरही पालक बनणे शक्य झाले आहे. आरोग्य प्रथम आणि सक्रिय व्यवस्थापन रजोनिवृत्तीच्या काळात ��्त्रीची ताकद बाहेर आणते, तिच्या उज्ज्वल आणि गतिमान जीवनासाठी दरवाजे उघडतात. "पालकत्वाकडे वाटचाल करताना, Yashoda IVF Fertility & IVF Centre वर विश्वास ठेवा आणि तुम्हाला योग्य असलेली दयाळू काळजी आणि कौशल्य प्रदान करा. आत्मविश्वास आणि आशावादाने पालकत्वाच्या तुमच्या मार्गावर जाण्यासाठी आजच आमच्याशी संपर्क साधा आणि जाणून घ्या आमच्या (IVF Centre in Navi Mumabi) नवी मुंबई मधील IVF केंद्रा बद्दल.

[casotamasagka-blog]

Review to "Women's DIM Complex" A Perimenopause Supplement (Early Stage)

Before I start, let me clarify that I am only giving my review about this product that I am about to discuss. My write-ups mostly based on my research on the net. I may receive a small amount of compensation in this and a little of something from the purchase made using my affiliate links that you may find here with no cost at your part. My content here directly came from people who purchased…

[fluffypotatey]

it seems i asked a question too close to my mother’s esteem

[hopkinrx]

Menopause: Symptoms And Natural Transition in a Woman's Life

Menopause marks a significant milestone in a woman’s life, signaling the end of her reproductive years and the beginning of a new chapter. This natural biological process can bring about a range of physical, emotional, and psychological changes, often accompanied by a variety of challenges and adjustments. In this article, we will delve into the intricacies of menopause, exploring its symptoms,…

[lowkeyremi]

Slightly suggestive!!

“Brat’s down,” your husband murmurs quietly with a mischievous look in his eyes.

“Thank you for putting Shoko to sleep babe.” Katsuki nods firmly. You’re sitting on the couch minding your own business but you can see the blonde staring at you out of the corner of your eye.

“What? Is something wrong?” You ask wiping your face, thinking that there may be some chocolate cake crumbs left on your mouth.

“No it’s just… our other three brats are at sleepovers ‘n Shoko’s down for the night with Mina comin’ ina few minutes.” His lip turns upward at the corner; just acknowledging the fact that all four of your kids are occupied for the night.

“And..?” You ask with a knowing smirk.

“And, we have finally have some time for a date.” Katsuki’s not wrong. With his line of work he often doesn’t come home until late and when he does come home early you guys are busy with your four children.

It seems you two are always missing each other. The passion is still there of course, it just feels like you guys don’t have the time to just enjoy each other’s company, which you both knew that would be the case going into parenthood, but it’s still something you’re learning to get used to.

“Seems that way, huh? Are we gonna get some dinner then do something else?” You can’t remember the last time you and Katuski went out to dinner without the kids with you.

“Was thinking dinner and a lil bit of fun after that.” You know what he’d implying by “a little bit of fun” by the way he licks his lips.

“That fun better involve some condoms, because I’m done having kids.” He chuckles at that, and that’s when you truly realize how much time the two of you have spent together. When he laughs there are little wrinkles around his eyes and you usually hear him complain about the occasional grey hair growing on his head.

“Fuck rubbers, I’ll pull out.” Katsuki folds his arms just hearing the word condoms.

You snort at his statement, and he glares, “I don’t see what’s so funny.”

“You say you’ll pull out. Every. Single. Time. And guess what? We have a seven month old baby now.” It’s your turn to fold your arms at Katsuki’s ridiculousness.

“That’s different, I was trying get you knocked up.” Your eyes widen and you gasp loudly, “Katsuki!”

“You seriously didn’t realize it?” His lips turn upward again and you chuck a pillow at him which he catches and throws back at you with more force.

“Condoms. That’s final.” He groans quietly as to not wake the baby.

“God, we haven’t used condoms in years. Aren’t you getting to the age of menopause anyway?”

“Are you serious??? I am NOT that old.” You know he’s joking by the way he snickers.

“Fuck, fine. I’ll go buy some. Just for you.” He says it with a grimace on his face, but you know deep down he’s okay with it because he’ll do anything to make you comfortable.

“Thank you baby. I’ll go get ready for dinner while waiting for Mina.”

“Damn, I don’t even know what size I’d be.” The blonde scratches his chin in thought.

“Probably a small.” He charges to the couch to lift you up over his shoulder.

“Put me down!” Your demand is followed by a shriek when he slaps your ass, hard.

“Take it back then.” Back in the earlier stages of your relationship, Katsuki never held back with slapping your ass, but now that you guys have kids, you’ve deemed it inappropriate. You were used to it back then but now it’s caught you off guard since it’s been so long.

“Take what back?” The innocence you fein doesn’t faze your husband at all.

“Take back what you said about my monster sized cock.”

Now you can’t help but laugh at that. “Do you always have to be so childish, Katsuki?

“S’not childish it’s the truth.”

“Okay your dick is big, put me down.” He huffs, clearly not satisfied with your answer, but he puts you down anyway.

10 minutes later he returns from the convenience store, with no bag in hand.

Mina had arrived while he was gone and the two of you had been catching up for a little while.

“So, Katsuki… where are the condoms?” You ask when you realize he has nothing in hand.

“They didn’t have my size.” He says cheekily and you’re sure that was far from the truth.

“Really?” You say sarcastically.

“Really. Anyway, thanks Raccoon Eyes for stepping in to watch our baby.” Mina giggles at his implications earlier.

“You two have fun!!!” You roll your eyes, but you’re secretly very excited to spend time with your husband one on one.

©𝐋𝐎𝐖𝐊𝐄𝐘𝐑𝐄𝐌𝐈 All works are written by me! Please do not copy, translate, or upload onto other sites thanks!

Interested in other dad!bakugo works? Check out:

Morning with the kids, He wants a big family with you (drabble) and When you give birth (drabble) !

tagging: @omitea and @satorisoup hope you guys enjoy!!! 😂😂

[affableramen]

Kinktober list (updated) Genshin Impact only

(Starting from Oct 2 as I’m still sick after hospital)

Changes may occur in process

And minors DNI, this content is mature

FIRST WEEK

their “donts” in sex (Wriothesley, Tartaglia, Neuvillette, Pantalone, Capitano, Dottore, Alhaitham, Dainsleif, Baizhu)

aphrodisiac (established rel. Pantalone, Neuvillette)

dry humping smau (Wriothesley, Tartaglia, Neuvillette, Pantalone, Capitano, Dottore, Alhaitham, Baizhu)

how long they last headcanons (Wriothesley, Tartaglia, Neuvillette, Pantalone, Capitano, Dottore, Alhaitham, Dainsleif, Baizhu)

how loud / emotional in bed they usually are headcanons (Wriothesley, Tartaglia, Neuvillette, Pantalone, Capitano, Dottore, Alhaitham, Dainsleif, Baizhu)

SECOND WEEK

asking them if they masturbate to you headcanons (pre-rel.)

they ask you if you liked having sex with them last night smau (early stage of rel.)

slight fem dom (consensual): Pantalone, Neuvillette, Wriothesley

alhaitham solo (wedding night)

asking them to pull your hair

who comes first?

their love language when they want sx

them when a kiss gets too hot

THIRD WEEK

them accidentally hurting you during it (smau)

asking their favourite bdsm equipment (smau)

you walk in on them relieving stress

Don’t forget that our banker is nearing menopause, so be gentle with him ‼️

[blorbocedes]

For the trope mash-up: didnt mean to turn you on + innocent physical touch for franco 'milf-hunter' colapinto and checo/lewis

okay hear me out. what if checo was a woman instead 🤭🫣

Checo's had a fucking year.

The car is shit. She's been saying for so long but now they finally believe it as even Redbull’s wunderkind Max struggles in it. Every other interview, news cycle is about her retiring, her being unceremoniously kicked out as drivers salivate for her seat, her middling performance due to early pre-menopausal hormones? Just 2 years ago, she was the Mexican Queen of Defense, and now it's 'is she Redbull’s DEI hire?' The stories have become outlandish, announcing her second pregnancy and retirement at Mexican Grand Prix. That's why after Daniel, who had very clearly been brought in to replace her, was switched mid season she posted the Wolf of Wall Street clip on her instagram to make it clear: I’m not fucking leaving.

So forgive her if she's been seeking a little respite elsewhere.

There's a hot, young Argentine at Williams that's been eyeing her. Checo’s a woman on the F1 grid, she's been eyed like that thousands of times, most of it unwanted. Although, it fell off after she birthed the twins and her tits never returned to their glory days. So it's a little flattering reminder she's still got it. Being able to speak in the same language also helps, not having to translate everything for doublespeak. They have rapport.

“How old are you?” Checo asks at the club. She's not there to celebrate, she just needs a drink. Franco’s at the stage where finishing a race is cause for celebration.

“Twenty five.” Franco replies in her ear entirely too quickly, with a grin.

Checo raised an eyebrow. She didn't keep track of the rookies but she sure as hell knew they weren't doing twenty five year old rookies anymore.

A group of tourists seem to recognize her, probably fans and she's in no autographing mood so she pulls Franco in closer in front of her, to block her five foot four self from the world. He misreads the signal, but is all too happy to step in closer; personal space be damned.

“Okay. I lied. I didn't want to freak you out.” Franco confesses sheepishly.

Checo drinks her whiskey, assessing it. “I was winning karting races while you were in diapers, yes?”

It makes her feel old just saying it. She doesn't know how Fernando does it.

Franco nods, pupils going dark.

“And…” she raises her left hand, eyes pointing to her wedding ring.

Franco smirks. “I don't mind if you don't.” He leans in for the kiss, and Checo leans back denying him. Too public. She's learned from that mistake. She does put her left hand on his nape, stroking it and praising the boldness. It's dangerous, sleeping with another driver. When you're a woman, it gives them too much power. That's why Checo never acted on Max's obvious interest. But Franco doesn't have a seat next year yet... as temporary and harmless to her prospects as it gets.

“Come on,” Franco’s voice betrays the frustration underneath the trying hard to be suave, “I know you're thinking it too. You'd rather be on a boat with me than this totally lame club. And what I might lack in experience, I can make up for in stamina.” He practically purrs in her ear.

“A boat? Williams is not paying you that much.” Checo laughs, even as she entertains the line about stamina. James is a penny pincher to a fault. And Franco might get F1 groupies impressed with that line, but as the primary breadwinner she knows a little better.

Franco’s undeterred. “Your boat then. I can be your yacht boy.”

Now wouldn't Checo love to be sunning on a boat, no kids running around, being waited on hand and foot by an eager, younger man who can go for round two in ten minutes. God, she hasn't been filled up in a satisfying way in so long, her cunt throbs at the fantasy, aided by the tall, warm body in front of her.

Checo bites her lower lip, and looks around. Nobody around them in paying attention to the dark corner they're in anymore. She takes Franco’s hand and places it over her breast, holding his gaze. For all his smooth-talking, Franco seems momentarily stunned, mouth parting in surprise. He has naturally red lips, Checo wants to bite on it. He tentatively squeezes her breast, and after seeing her nod, starts kneading it, thumb trying to find her nipple through the layers of her polo shirt and sports bra.

“Can I please eat you?” Franco’s voice is husky as he begs.

[letters-to-lgbt-kids]

My dear lgbt+ kids, 

The idea of finding a lump in your breast is scary. If this ever happens to you, you may panic and think about cancer - so let’s talk about what to do if this happens. 

It may feel like a hard irregular mass. Or you may feel like there’s a pea or a marble under your skin. Or maybe one area of your breast feels thickened (or just different) from the rest of it. Maybe it isn’t directly a lump but you feel like one breast, or a part of it, changed in size or color, looks dented or looks red/inflamed… in any of these cases, the first step you wanna take is a no-brainer:

You call your doctor, tell them what’s up and ask for an appointment. (This should ideally be a gynecologist, because they’re the experts on breast cancer. But if it’s difficult to get an appointment there or you feel more comfortable going to your primary care doctor, you may also call them first. They will send you on to a gynecologist if they consider it necessary.) 

The most important second step is: calm down. 

At first glance “calm down” may seem like bad advice here. Fear can be a helpful emotion because it motivates you to do the right thing in potential dangerous situations, and worrying about cancer when you find a lump in your breast is a good example for that - you need to worry about it, so you’ll take it seriously and get it checked out! An early diagnosis and quick treatment can save lives. 

But after you already took the right step and called your doctor, when all that’s left to do is waiting for your appointment, panicking is no longer helpful. The best thing you can do now is trying to stay calm and optimistic. Some facts that may help: 

If you are below 40, and especially if you are below 30, remember that breast cancer is considered possible but rare in your age group. (Important: this is not a free pass to just ignore breast changes! Get them checked out anyway! But it can be comforting to know that it’s not statistically likely that you’ll get a cancer diagnosis when getting them checked out.)

Regardless of age, even if you are above 40, know that there are plenty of other, more harmless explanations for breast changes, including lumps. Again, this doesn’t mean “don’t take it serious”, but it’s good to keep in mind while waiting for your doctor appointment: it could be something as simple as natural changes in your hormones (for example related to your period or to menopause), it could be a fibroadenoma (a benign lump that is completely harmless but can be surgically removed if it bothers you), it could be a simple cyst, it could be the result of a small injury you don’t even remember happening, it could even be a skin infection … 

About 20% of all lumps turn out to be cancer. That means that the chances are good that your doctors appointment will bring the relieving news that you don’t have it! Don’t think of it as “I definitely have cancer and need to go to the doctor because of that”, but as “I go to the doctor for peace of mind, to confirm that I do not have cancer”. 

Now you may think “But what if I’m in those 20%?”. Well, in that case, it would still be a good thing that you noticed that lump/change and got it checked out - in early stages, breast cancer is often curable with the right treatment! The sooner you get the diagnosis, the quicker you can start lifesaving treatment. If the cancer is caught and treated in an early stage, your survival chance is pretty high. At stage 1 or 2, almost all patients survive (over 90%)! Even at stage 3, more than 70% survive. So even if your lump turns out to be cancerous, it wouldn’t be an automatic death sentence. 

So, to recap: if it ever happens, take it seriously and call your doctor - but stay calm and optimistic while waiting for your appointment. 

With all my love, 

Your Tumblr Dad 

[pis3update]

Gynecology and Obstetrics Career by MadiMods

"You will need Nraas Careers for this mod to work!

This is a rabbithole career with 10 levels, 6 opportunities and 6 custom tones. This career uses EA uniforms and can be found at the Hospital.

Job Offer Become a guardian of reproductive health and empower women at every stage of life. From puberty to pregnancy and menopause, you'll provide vital care to ensure women's safety and health. You’ll delve into pediatrics to help adolescents navigate their first steps into adulthood, assist in childbirth as both a doula and midwife, and offer compassionate care throughout the transformative journey of motherhood.

...continued + more pictures on MTS."

More Info + Download @ MTS.

[butchpeace]

Pelvic Floor Health for Detrans Women

A disclaimer before we start: I am not a doctor, a PT, or an expert of any kind, I just noticed there was a lack of information about pelvic floor health in the detrans (and trans) communities and I wanted to compile the information that I’ve gained. If there are any issues or you have any wisdom to share, please DM me! I plan to add to this post and edit it over time as I learn more.

95% of females who have been on testosterone report pelvic health issues, which can include urinary leakage or retention, bladder pain, difficulty emptying the bladder, general pelvic pain, pain with sex, vaginal dryness, vaginal atrophy, vaginismus, anal issues, and more. (Source)

Here’s a discussion with a pelvic floor expert on the issues faced by females who have been on testosterone.

If you’ve experienced any of these problems, you’re not alone, and there are things you can do!

Vaginal Atrophy

The vast majority of detransitioning women (and females who are transitioning) have vaginal atrophy, which is a thinning and weakening of the tissues that line the vaginal wall. Atrophy can lead to pain during sex, or with regular movement, bleeding due to small tears in the vaginal lining, narrowing of the vaginal canal, urinary issues, and more.

Because testosterone affects our ovaries, we can think of this issue as something similar to GSM (Genitourinary Syndrome of Menopause). Many of our symptoms mirror what happens to women as they age and their estrogen production decreases.

Treatments for Atrophy

1. Vaginal estrogen comes in the form of creams, suppositories, and insertable rings.

2. Vitamin E suppositories have been found to be as effective as vaginal estrogen in some studies. (Source)

3. Sea Buckthorn oil capsules have been shown to be effective in vaginal health. (Source)

4. Regular sexual activity can help by filling the vaginal wall tissues with blood, which can help to revitalize those tissues.

There are also many options for dryness, including vaginal moisturizers, aloe, coconut oil, and more. Sometimes the simplest natural options can be the most effective! Always talk to your gynecologist and do your own research on products you’re considering buying and make sure the ingredients are safe. Some people may experience yeast infections and other issues when using certain products.

Vaginal atrophy itself is to blame in many cases for the urinary symptoms that many of us report, and treating the atrophy may be all that’s needed in order to improve the urinary symptoms.

In other cases, we also need to look at overall pelvic floor health. I would argue that taking care of your pelvic floor is essential for any woman at any stage of life, since it can help with so many things!

Pelvic Floor Muscle Issues

Pelvic floor health issues can be divided into 2 types - Hypotonicity and Hypertonicity. Both types can lead to bladder issues, among other things.

Hypotonicity is the classic type many women experience after having children or during menopause. It’s also described as having a weak pelvic floor, and kegels are often the best treatment. The YouTube playlist at the end of this post includes videos for beginner and advanced kegel exercise methods and yoga.

Hypertonicity is the opposite type, where the pelvic muscles are chronically tight. For this, the treatment is to use muscle release methods to relax the pelvic floor. Remember - Relaxed muscles are the best at doing their job.

Anxiety can also be a factor in hypertonicity! If you’re often anxious, get used to checking how that feels in your pelvic floor. Many young women experience bladder leakage or discomfort, feeling like you have to go when you don’t, or pain with sexual activity, due to anxiety which causes overly tight muscles.

You wouldn’t think at first that Hypertonicity could lead to urinary symptoms like leakage, but when your muscles are overly tight, they just don’t work the way they should.

Sitting a lot and generally not getting much exercise also causes muscles in the pelvic floor, hips, and hamstrings to tighten and become shorter, so stretching these areas is very helpful.

And when you have a urinary issue, or you’re dealing with the aftermath of childbirth, surgery, or any other medical trauma to the pelvic floor, there can be a tendency to reflexively tighten your muscles all the time, for fear of what might happen if you don’t. Some people with hypertonicity also experience their symptoms getting worse if they do a lot of kegel exercise. In these situations, kegels can become counterintuitive.

That said, using methods to address both types can be the best option for some people. As long as you listen to your body, keep track of how each method makes you feel, and talk with a doctor or pelvic floor PT if you have serious concerns or don’t understand how to do something, you should be able to figure out something that will help!

Vaginismus is also a very common condition that’s connected to hypertonicity and potential mental causes. You’ll know you have Vaginismus if you’ve always had trouble inserting things into your vagina, or if your partner has had trouble with it. Many women describe it as a sensation of the vagina closing up when faced with something trying to get in. You may find that at certain times or with certain objects, you have no problem, and at other times or with other objects, you do. Stretches and massages for hypertonicity can often help with Vaginismus.

Prolapse is a relatively common issue in women who have had kids and older women in menopause. This can also cause urinary symptoms. The incidence of pelvic floor prolapse in females on testosterone is not known, but due to atrophy weakening the walls of the vagina, it’s possible that testosterone will increase your risk. It’s also more common in people who have had a hysterectomy.

Tools

1. Vaginal dilators can be helpful for people who have trouble with Vaginismus or feel like their vagina is small. These are also helpful for people who have difficulty inserting fingers

2. A pelvic wand or vibrator can help you with massage to loosen muscles, if needed

4. Kegel trainers come in various types and can help you perform kegels more effectively if you know that your issue is hypotoniticy

5. Pessaries can help in cases where atrophy has led to pelvic floor prolapse. Make sure you get diagnosed before using one!

6. Your hands! Don’t underestimate the power of using your hands for external or internal massage

The biggest thing to take away from this post is this - Don’t be afraid of your vagina or pelvic floor! Don’t be afraid to try things that may help you improve whatever issues you’re having.

Your vagina is a normal part of your body, and especially when you’re experiencing issues, that’s when it’s time to really learn about it and understand what’s going on. If you’re anything like me, you’ve gone your whole life being too afraid or too uninformed to do certain things or explore your body in certain ways. We need to reduce the fear, stigma, and awkwardness of vaginal and pelvic floor issues, and the first step is to get to know your body. 💪

Exercises

I’ve put together a playlist of YouTube videos that have helped me in this process, which I will continue to add to. I hope they help you too!

And again, please DM me with any information you think is helpful or stories about what worked for you.

And if you’re a medical professional, I would love for you to review this post and suggest edits or additions.

Please share this with all your friends! My intention is for this to be a community resource we can use to spread awareness✌🏼