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Did you know that pelvic floor therapy exists—a physical therapist specifically for your vagina? These professionals can address issues like incontinence, enhance sexual experiences, and provide pelvic stability after childbirth. So why isn’t this common knowledge?
I can’t be the only one who was completely unaware. After having kids, I thought I was destined to live with the embarrassment of incontinence forever. I also accepted that my sexual experiences would never be the same post-baby. But after a particularly embarrassing moment where I shattered my phone while trying to hold my legs together after a sneeze, a doctor friend informed me that my issues could be resolved. Really? I’m not doomed for life?
For nearly a decade, I had been used to the routine of crossing my legs every time I sneezed, carrying spare underwear in my bag, and relying on incontinence products. It was frustrating to feel so out of control when it came to such a basic bodily function.
Finally, I decided to put my fears aside and consult a urologist about what was happening with my pelvic health. I initially saw a urologist because you typically need a diagnosis before being referred to a pelvic floor therapist.
The diagnosis was a weakened bladder neck—the area connecting the bladder to the urethra, which the urologist humorously referred to as a “wonky” bladder neck, along with some potential nerve damage. Thanks, kids.
After discussing the option of surgery to correct my “wonky” bladder neck, I was referred to a pelvic health therapist. Though I felt a surge of hope about finally addressing my incontinence issues, I was also curious and a bit anxious about what the therapy sessions would entail.
Dr. Sarah Thompson, a pelvic health physical therapist, explained that these specialists aim to restore function, alleviate pain, and improve the strength and coordination of the pelvic floor. Interestingly, pelvic floor therapy isn’t just for mothers struggling with incontinence or women experiencing pain during sex; it can benefit anyone since all genders and ages possess pelvic floor muscles. It can even assist with chronic lower back pain, constipation, and abdominal discomfort—who knew?
If you’re like me, you may be thinking, “Why not just do Kegels?” Dr. Thompson clarified that each individual requires an assessment to identify the specific causes of their concerns, and Kegels may not always be the best solution. Depending on your situation, treatment could involve pelvic floor biofeedback, muscle coordination training, breathing exercises, and relaxation techniques.
So, what has my experience been like? I’m now three weeks and two visits into therapy, and it’s definitely an unusual experience. It’s reminiscent of visits to an OB-GYN, but with a more hands-on approach. While my therapist is professional and strives to make me comfortable, it does take some adjustment. Nevertheless, I’m committed to regaining as much functionality as possible, and yes, Kegel exercises are indeed part of my treatment.
If you’re feeling overwhelmed or anxious about this information, rest assured you’re not alone. Dr. Thompson acknowledges that pelvic floor therapy is a largely underutilized area of healthcare, and there’s a significant gap in access to qualified pelvic floor physical therapists. She believes women deserve comprehensive answers and treatments, especially regarding sensitive topics like sexual health and bladder issues. To help address this, she even authored a book titled Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve, making her techniques accessible to all.
What I’ve learned is that the vulva, vagina, and other parts of our anatomy are just as important as any other body part, like your shoulder or knee. If you’re suffering from pain, discomfort, or loss of function, it’s crucial to seek evaluation and treatment.
Ultimately, dedicating a little time each week to address a persistent issue that impacts my daily life is worth it. I encourage you to find a pelvic health therapist in your area and embark on your own journey toward a healthier, drier, and potentially more fulfilling sexual life. For additional insights, consider checking out this related blog post and resources like Cryobaby and Johns Hopkins Fertility Center for further guidance on pregnancy and home insemination.