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Did you know pelvic floor therapy exists? That’s right—there are specialized physical therapists dedicated to your vaginal health. They can help address issues like incontinence, enhance sexual experiences, and restore pelvic stability after childbirth. So why isn’t this common knowledge?
I can’t be the only one who was in the dark about this. After having children, I thought I’d be dealing with urinary accidents for life. I also assumed that my intimate experiences with my partner would never feel the same post-birth. Then one day, after a sneezing mishap that resulted in a shattered phone when I panicked and squeezed my legs together, a doctor friend informed me that my issues could be resolved. What?! I wasn’t destined for a lifetime of discomfort?
For nearly ten years, I had been accustomed to the ritual of quickly crossing my legs whenever I sneezed. I carried spare underwear in my purse and car for emergencies, and I relied on incontinence products like pads and bladder supports. So, I finally decided enough was enough and faced my fears by visiting a urologist to find out what was going on with my lady parts. I chose to see a urologist first because a diagnosis and referral is typically needed for a pelvic floor therapist.
I was diagnosed with a weakened bladder neck—essentially, a “wonky” connection between my bladder and urethra, along with potential nerve damage. Thanks a lot, kids.
After discussing possible surgery to fix my “wonky” bladder neck, my urologist referred me to a pelvic health therapist. While I was excited to take steps toward regaining control over my bladder, I was also nervous about what the therapy would entail.
Dr. Emily Carter, a pelvic health physical therapist, explained that pelvic floor therapists help restore function, alleviate pain, and improve coordination and strength in the pelvic area. This type of therapy isn’t just for moms who want to stop peeing themselves or women who experience pain during intercourse. It’s beneficial for everyone, regardless of gender or age, as all humans have pelvic floor muscles. It can even assist with chronic lower back pain, constipation, and abdominal discomfort. Who knew?
If you’re like me, you might think Kegel exercises are the answer. However, Dr. Carter insists that each individual should be assessed to identify the specific causes of their issues. Kegels may not be the solution for everyone. Treatment can include pelvic floor biofeedback, muscle coordination training, breathing exercises, behavioral retraining, progressive loading exercises, and relaxation techniques.
My Experience So Far
So, what has my experience been like? I’m currently three weeks and two sessions into my pelvic floor therapy. To be honest, it feels a bit strange. It’s akin to visiting your OB-GYN, but with a hands-on approach. While my therapist is professional and strives to make me comfortable, it takes some getting used to. Nevertheless, I’m eager to regain as much function as possible. Interestingly, Kegel exercises are part of my recommended treatment.
If this information feels overwhelming or intimidating, you’re not alone. Dr. Carter acknowledges that pelvic floor therapy is an underutilized specialty and that there’s a lack of access to qualified providers. She believes women deserve answers and solutions to their health issues, especially regarding sensitive topics like sexual and bladder health. To help, she authored a book titled “Healing from Pain: Your Guide to a Fulfilling Sex Life,” making her methods accessible to everyone.
What I’ve realized is that the vulva, vagina, and other structures in the pelvic region are just as anatomical as your shoulder or knee. If you experience pain, discomfort, or functional issues, they deserve attention and treatment.
Ultimately, a little discomfort once a week to address a chronic issue that impacts my daily life is a worthwhile trade-off. My advice? Seek out a pelvic health therapist near you and embark on your journey toward a healthier, drier, and potentially more satisfying sexual life.
Additional Resources
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Summary
Pelvic floor therapy is a specialized form of physical therapy that addresses issues related to the pelvic floor, such as incontinence and pain during sex. It’s beneficial for individuals of all genders and ages, and treatments can include various techniques beyond Kegels. Many people remain unaware of this option, leading to prolonged discomfort. Seeking help from a qualified pelvic health therapist can lead to improved quality of life and function.