#Pelvic Health

[hellyeahscarleteen]

Caitlyn Tivy, the (awesome) pelvic health physical therapist, is back with us again, talking vaginal dilators in a new two-part series.

"Perhaps you’ve heard of dilators — also known as vaginal trainers — before, but you weren’t sure where to learn more about them. Maybe you’ve never heard of them, but you’re looking for ways to manage pelvic pain. Perhaps you’ve already tried using dilators, but weren’t very successful. Regardless, you’re in the right place!

“Vaginal dilator” is the most commonly used medical term for these devices, though many clinicians and researchers are shifting to the term “vaginal trainer.” Many pelvic PTs—myself included!—prefer the term trainer. Not only does “training” sound less aggressive than “dilation”, it also communicates a key concept of trainer use: it should be an active, participatory process in which the user is in control, rather than an experience that is happening to them as a passive recipient.

I also generally refer to these devices simply as just “trainers”. This terminology is inclusive for everyone with genitalia that allow for use of these devices. For these reasons, I’ll use the term “trainer” for the remainder of this article.

If you search online using the terms “pelvic floor trainer” or “vaginal trainer”, you may see ads for other devices designed to help people learn to perform pelvic floor exercises, or “kegels,” properly. These devices are not the same as the trainers we’re discussing here, but not to worry: I’ll include a guide to finding the right type of trainers later!

The trainers we’re discussing here are medical devices used to decrease pain and improve flexibility in the tissues of the vaginal and neovaginal canals.

Trainers can be made from a variety of materials. They are typically cylindrical in shape. At first glance, they can look a bit like sex toys, but that’s not their intended use. Trainers are designed to provide therapeutic stretching and pain relief for the tissues of the vaginal canal. Let’s learn more about the many cases in which trainers can be useful!"

[usmanpuraimaging]

Discover how a Pelvic MRI scan can detect hidden health issues and improve diagnosis. Usmanpura Imaging, Ahmedabad’s leading radiology centre, offers expert imaging services.

[idigitizellp21]

Pelvic Health Matters Signs You Shouldn’t Ignore

Pelvic health is a crucial yet frequently overlooked component of overall well-being, especially for women. The pelvic region supports key organs like the bladder, uterus, and intestines, and when these organs are affected, it can greatly disrupt daily life. Pelvic health problems often present themselves in different forms, but they are commonly dismissed as minor, short-term discomfort. Recognizing the signs of pelvic health issues early on can lead to timely intervention, preventing more severe complications in the future.

Here are 7 key signs of pelvic health problems you shouldn’t ignore.

1. Chronic Pelvic Pain

Persistent pain in the lower abdomen or pelvic region is a red flag. While menstrual cramps or occasional discomfort are normal, chronic pelvic pain lasting more than six months is not. This pain may be sharp, dull, or throbbing and can interfere with daily activities. Common causes of chronic pelvic pain include endometriosis, pelvic inflammatory disease (PID), or fibroids. Ignoring these symptoms may lead to worsening conditions that can affect fertility, sexual health, and overall well-being.

2. Urinary Issues

Frequent urination, urgency, or difficulty emptying your bladder are signs that something may be wrong with your pelvic health. These symptoms could point to a urinary tract infection (UTI), interstitial cystitis, or even pelvic floor dysfunction. Additionally, urinary incontinence, or the inability to control urine leakage, is a sign of weakened pelvic muscles. This is often seen in women post-pregnancy or as they age, but it’s not something to accept as a normal part of life. Early intervention, such as pelvic floor exercises or physical therapy, can make a significant difference.

3. Painful Intercourse

Experiencing pain during or after sexual intercourse, known as dyspareunia, is a common but often dismissed pelvic health issue. This pain can stem from conditions like vaginismus, vaginal dryness, endometriosis, or pelvic floor dysfunction. If you are consistently experiencing pain during intimacy, it’s crucial to seek medical advice. Painful intercourse can affect both physical and emotional well-being, leading to a strain on relationships and decreased quality of life. Treatments like physical therapy, hormone therapy, or medication can alleviate the pain and restore healthy sexual function.

4. Bowel Issues

Pelvic health also impacts bowel function. Signs like chronic constipation, fecal incontinence, or pain during bowel movements may indicate issues such as pelvic floor dysfunction, rectocele (a prolapsed rectum), or irritable bowel syndrome (IBS). Constipation or straining during bowel movements can place undue pressure on the pelvic organs, leading to further complications. Keeping track of bowel habits and seeking treatment when issues arise is critical to maintaining pelvic health.

5. Prolapse Symptoms

Pelvic organ prolapse occurs when one or more pelvic organs drop from their normal position due to weakened pelvic floor muscles. This condition often affects women after childbirth or menopause. Symptoms of prolapse include a feeling of heaviness or pressure in the pelvic area, a bulge in the vaginal area, or difficulty inserting tampons. Prolapse can worsen over time if left untreated, leading to further discomfort and problems with urination or bowel movements. Treatment options range from lifestyle changes and physical therapy to surgery, depending on the severity.

6. Unexplained Lower Back Pain

Lower back pain is often associated with issues in the spine, but it can also be a symptom of pelvic health problems. Conditions like pelvic inflammatory disease, endometriosis, or fibroids can cause referred pain in the lower back. If you experience lower back pain that doesn’t improve with traditional treatments or coincides with other pelvic symptoms, it’s worth exploring whether a pelvic issue may be the root cause.

7. Abnormal Bleeding

Irregular periods, spotting between cycles, or postmenopausal bleeding are all signs that should prompt immediate medical attention. While many cases of abnormal bleeding may be benign, such as hormonal imbalances or the onset of perimenopause, it can also be a sign of more serious conditions like uterine fibroids, polyps, or even cancer. Early detection and treatment are key to preventing the escalation of these conditions.

Take Action Today: The Importance of Pelvic Health

Neglecting pelvic health symptoms can lead to long-term consequences, including chronic pain and fertility problems. However, many pelvic health conditions are treatable, especially with early detection. Consulting a healthcare provider, such as The Best Gynecologist in Mumbai, can help you receive an accurate diagnosis and personalized treatment plan. In many cases, simple lifestyle changes, pelvic floor exercises, or physical therapy can effectively address the issue and restore well-being.

Preventive measures such as maintaining a healthy weight, engaging in regular pelvic floor exercises, and staying hydrated are essential to protecting pelvic health. Moreover, paying attention to your body and recognizing the early signs of pelvic dysfunction will allow you to seek help sooner and prevent long-term complications.

Your Body Is Talking: Listen Up

Pelvic health is essential to a woman’s overall well-being, and ignoring signs of dysfunction can lead to significant physical and emotional challenges. Whether it’s persistent pain, urinary concerns, or unexpected bleeding, these are signals from your body that shouldn’t be overlooked. Take the time to discuss these symptoms openly with your gynecologist, empowering yourself to manage your pelvic health for a healthier, happier future.

[aspire-physiotherapy]

Embark on a journey to holistic well-being with Aspire Physiotherapy, where we redefine healthcare through specialized Pelvic Floor Physiotherapy London. Explore the transformative world of pelvic floor rehabilitation. Discover how our dedicated therapists, state-of-the-art techniques, and compassionate care can restore your pelvic health and enhance your overall quality of life.

[damiva]

Pelvic health practices are important in maintaining bladder, bowel, and reproductive function. Strong pelvic floor muscles prevent issues like incontinence and prolapse, enhancing overall quality of life and sexual well-being.

[eh-fandomtrash]

Hey, if you have any abdominal or pelvic surgery, including and especially bottom surgery(!), seek out pelvic health physical therapists.

There’s an entire network of muscles called your pelvic floor and it can have a lot of impact on your quality of life.

[dorianbrightmusic]

Also very important: vaginismus can be comorbid with something called overactive pelvic floor, which is when your muscles are basically stuck ‘on’ all the time. Paradoxically, this can actually lead to similar symptoms to having your pelvic floor be too weak (and they can go together, which is truly incredible). Doing kegels for a weak-but-not-overactive pelvic floor is a great idea. Doing kegels with an overactive pelvic floor, on the other hand, can make it worse, because it’s tightening the muscles instead of relaxing them.

Untreated pelvic floor dysfunction and vaginismus will not fix themselves, and may worsen over time. If you’re having pain with intercourse, struggle to use tampons, experience ongoing vulvodynia, have ongoing constipation, or urinary symptoms, please, please see a pelvic physiotherapist. Do not wait for it to hurt more or otherwise get worse, especially since it’s very treatable.

Vaginismus can also sometimes present as ‘I literally can’t feel anything touching my vagina’. Yes, even when it otherwise hurts. Yes, even when it’s ’not that bad’. Loss of sensation is not normal, and should probably get checked out.

And OP’s tips for pelvic symptom management are so, so important. So, please, keep them in mind.

got a good grade in physical therapy because i ordered a sex toy life is fun

[thepelvicplace1]

According to research, about 1 in 4 women have pain with intercourse. This is unacceptable. A pelvic PT specialist like myself can treat this in minimal time. A lot of patients are able to see and feel results after just 1 treatment at The Pelvic Place Physical Therapy. In 2-6 weeks, you can be enjoying pain-free sex. It doesn’t matter if your pain is from vaginismus, vaginal dryness, or surgery/medication induced. Pelvic physical therapy is a holistic evidence based treatment approach that yields instant results when performed by skilled pelvic specialists. Reach out to The Pelvic Place PT for an evaluation if you are in or around the Houston Area. We also offer home visits and telemedicine consults as well for your convenience. Call us or check out our website for more information. Phone: 713-344-0838 www.PelvicPlacePT.com

[pelvictech]

THE UNSEEN POWER OF CLITORAL STIMULATORS: PELVIC DEVICES EXTRAORDINAIRE

It's time to delve into a topic that's been under the radar for too long: the clitoral stimulator. More than just a sex toy, this powerful tool has a profound impact on pelvic health. However, the subject remains shrouded in mystery and often, misunderstanding. Let's demystify the clitoral stimulator and highlight why it's a pelvic device par excellence. Reference: https://pelvictech.com/blogs/news/the-unseen-power-of-clitoral-stimulators-pelvic-devices-extraordinaire

[christinejames34]

Pelvic Health Red Deer: Comprehensive Care for Your Well-Being

Pelvic health is a vital aspect of overall well-being, often overlooked until problems arise. Reactive Clinic in Red Deer is committed to providing comprehensive care and support for individuals seeking to improve their pelvic health. Our expert team of healthcare professionals is dedicated to helping you achieve a higher quality of life through specialized pelvic health services.

Why is Pelvic Health Important?

The pelvis plays a crucial role in supporting your body's core functions, including posture, movement, and reproductive health. Pelvic health Red Deer encompasses a wide range of issues, from pelvic pain and incontinence to conditions affecting sexual function and pregnancy-related discomfort. Neglecting pelvic health can lead to physical discomfort, emotional distress, and a reduced quality of life.

Our Pelvic Health Services

At Reactive Clinic, we understand that every individual's needs are unique. That's why we offer a personalized approach to pelvic health care. Our experienced practitioners work closely with you to assess your specific concerns and create a tailored treatment plan. Some of the services we provide include:

Pelvic Floor Physiotherapy: Our skilled physiotherapists use evidence-based techniques to address pelvic pain, incontinence, and muscle dysfunction.

Pelvic Health Education: We believe in empowering our patients with knowledge about their bodies. We offer educational resources to help you better understand and manage your pelvic health.

Pre- and Post-Natal Care: Our team supports expectant mothers with care designed to alleviate discomfort during pregnancy and aid in postpartum recovery.

Pelvic Pain Management: If you're experiencing chronic pelvic pain, we offer effective pain management strategies to improve your daily life.

Sexual Health and Dysfunction: We provide a safe and compassionate environment to address issues related to sexual health and function.

Why Choose Reactive Clinic?

Expertise: Our team of healthcare professionals specializes in pelvic health, ensuring you receive the best possible care.

Compassion: We understand the sensitive nature of pelvic health issues and provide a compassionate and supportive environment.

Personalized Care: Your journey to better pelvic health is unique, and we tailor our services to meet your individual needs.

Holistic Approach: We consider your overall well-being, incorporating lifestyle changes and therapeutic techniques to achieve lasting results.

Investing in your pelvic health is an investment in your overall well-being. Don't wait until issues escalate—visit Reactive Clinic in Red Deer to take control of your pelvic health journey. Contact us today to schedule a consultation and embark on a path toward a healthier, more comfortable life.

[jnh-lifestyles-saunas]

Detroit Lakes, Minnesota's integrativetherapiesandwellness.com is a holistic pain relief, posture restoration, pelvic rehabilitation and hormone optimization clinic that also offers sessions in their Ensi 2 person.

[thescrumblingmidwife]

Hi! I know other people have sent similar asks before but I thought I'd send my own just to be sure. I can't fit more than a finger... up there. And even then its a tight fit. That's enough for me but I'm worried about if I go for a pap smear (I think that's what its called, I have a bad memory): something has to go up there right? Will it fit? What happens if it doesn't? Is it going to be a hassle to request a woman? How much do I need to "clean up"? No pressure to respond right away, I get that you're busy. I just wanna know what to expect. Thank you! 😊❤

Hi Anon!

How old are you? You don't need a pap smear until 21, and you don't need a pelvic exam at all before then unless you've got some kind of complaint or you want to get fitted for an IUD. If you are 21+ and have had zero sexual contact, you can discuss a modified schedule with your provider.

PELVIC EXAMS

Reminder - pelvic exam is when the doctor/midwife examines your pelvic area and vagina. This can include the use of a speculum or not, and be done for a number of reasons. Pap smear is a screening test where we take a cell sample (like a cheek swab) from your cervix to check for HPV/precancerous lesions. A pap smear is usually conducted in conjunction with a pelvic exam, but not all pelvic exams include a pap smear, as you don't usually need one every year.

Let's go through your questions one by one. But first I want to start by saying that medical consent is the same as regular consent - you have a right to refuse or defer any procedure or examination, or to stop one at any time. You have the right to fully understand everything you're consenting to, and ask as many questions as you need to feel comfortable. If you make an initial appointment with an OBGYN or midwife, and she doesn't pass the vibe check, you are not obligated to go through with the exam. It can be scary to stand up to someone who seems like they're in a position of power, but you should know that you can.

"Something has to go up there, right?"

At your first GYN appointment, nothing has to go anywhere. You'll meet with a provider, she'll take your full medical history, your menstrual and sexual history, your family history, ask if there are any concerns you want to discuss. At this point, you should talk to her about your issues with insertion and your anxiety about it. She may want to have a look (literally just eyeballs) to ensure there's nothing going on, but she will ask permission before doing any touching, and explain everything she's doing. If she thinks it's worth attempting a pelvic exam, she would start very slowly and only with your full buy-in. It may be necessary to try to figure out if you've got an underlying problem.

When a pelvic exam is warranted (like when you need a pap), the provider may first insert fingers while pressing on your belly (called a bimanual exam) to assess your anatomy, and then use a device called a speculum, which allows us to actually see the inside of the vagina (speculum exam). The speculum will be lubricated, and the provider will coach you through the insertion process. You can also ask about inserting it yourself. Usually, you lie back and put your legs up in stirrups, and are coached to let your knees fall out and give a deep breath out, so as to relax your pelvic floor muscles, while the speculum is inserted down and back (towards your tailbone) in a smooth motion. You'll then feel a bit of pressure as the blades of the speculum are slowly opened so the provider can peek through. It shouldn't hurt, but it can be uncomfortable. I don't know anyone who actively enjoys speculum exams, but most people would say they're not too bad. The whole thing is over in a matter of seconds.

"Will it fit?"

Speculums come in a wide range of sizes, in plastic or metal (if metal, it will be warmed). You can ask for the smallest speculum they have (they make pediatric-sized speculums, so there are definitely small ones - see middle device in the image below, about the size of a finger). The provider will use one that should fit based on your history, anxiety/preferences, and her visual inspection of you - but don't be afraid to speak up.

"What happens if it doesn't?"

If you have an anatomical variation that means even a pediatric speculum could not fit, the provider will likely catch this before you get to the speculum stage. If you've got something going on like vaginismus, this will help her diagnose you. The most likely scenario is that you just need a competent and compassionate provider you trust and some good coaching. But what will NOT happen is the provider trying to jam something into you that doesn't fit!

"Is it going to be a hassle to request a woman?"

Absolutely not. It's very normal to have gender preferences with medical providers, especially for something so sensitive. Just ask for a female provider when you're requesting your appointment. You can also ask to see a midwife -- we're something like 96-99% female-identified, with most of the rest being AFAB trans/GNC/NB. (There ARE a few male midwives, but they're really rare).

"How much do I need to 'clean up'?"

If you've got time and it would make you feel better, take a shower before you come, wash with soap and water like normal. But if you can only get in on your lunch break or something, that's fine. Otherwise, you don't need to do anything! I promise your pubic hair is not so forest-like that we will not be able to examine you. Don't douche, or use any fragrances or lotions unless you would like some patient education about how you should not use "feminine products."

Okay Anon, that's an initial GYN visit in a nutshell!