By Amanda Stuart, PT, DPT, PHRC West Los Angeles The vagina, like the gut, hosts its own ecosystem of microorganisms, known as the Vaginal Microbiome (VMB). When there’s a disruption in this ecosystem (dysbiosis), it can lead to various infections affecting genital and reproductive health. These infections may include bacterial vaginosis (BV), aerobic vaginitis (AV), cytolytic vaginosis, vulvovaginal candidiasis …
10 Common Behaviors that Can Lead to Pelvic Pain
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack Pelvic pain is a complex condition that can have various causes, including medical conditions, injuries, and certain behaviors. In this blog, we will discuss 10 common behaviors that can potentially lead to pelvic pain(and potentially chronic pelvic pain). It’s important to note that while these behaviors may contribute to pelvic pain, they …
Prioritizing Mental Health: A Necessity, Not a Luxury
By Emily Tran In the realm of chronic pain management, the intricate link between physical suffering and mental well-being cannot be overstated. Mental health counselors specializing in chronic pain populations often emphasize that chronic pain is more than a physical condition; it deeply impacts one’s mental health, potentially leading to or worsening conditions such as depression, anxiety, and stress. …
Dealing with Clitoral Phimosis
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Clitoral phimosis, while not widely discussed, is a condition that affects many worldwide. It’s characterized by the formation of adhesions or scar tissue that covers the clitoris, causing discomfort, pain, and sexual dysfunction. Understanding and managing this condition can significantly improve the quality of life for those affected. What is Clitoral Phimosis? …
A Guide to Menstrual Products
By PHRC Admin Menstruation is a natural part of life for most. However, navigating the world of menstrual products can be a daunting task, given the variety of options available today. This guide aims to break down the different types of menstrual products on the market, their benefits, and why you might choose one over another. Traditional Disposable Products …
10 Tips to Decrease Your Pelvic Pain
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack Pelvic pain can significantly impact your quality of life, but there are steps you can take to decrease or minimize this discomfort. In this blog, we will discuss 10 tips that can help alleviate pelvic pain and promote overall pelvic health. Put a stool under your feet when having a bowel …
An Unsettling Reality Exposed by “The Retrievals” Podcast
By PHRC Admin & Co-Author Cecilia Plaza, J.D Have you listened to The Retrievals podcast series? In a world where pain is subjective, women often find themselves marginalized, dismissed, and even ignored when it comes to their own experiences of pain. This issue has recently been brought to light through a thought-provoking podcast called “The Retrievals,” hosted by Susan …
Clitoral Pain: Unmasking Common Culprits
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles The sole purpose of the clitoris is to be a source of pleasure. For anyone who has experienced provoked or unprovoked clitoral pain their experience can be the opposite and very alarming. There are a number of reasons why people may have clitoral pain and there are also solutions. However like …
National Breast Cancer Month: Raising Awareness
By PHRC Admin Team October is National Breast Cancer Month, a time to raise awareness about this deadly disease that affects millions of people across the globe. Approximately one in eight women will be diagnosed with breast cancer in their lifetime, making it the most common form of cancer among women in the United States . This month …
September Marks Gynecologic Cancer Awareness Month
By Emily Tran, PHRC Westlake Village September marks Gynecologic Cancer Awareness Month, an important time to raise awareness about the importance of early detection and preventive measures for several types of gynecologic cancers. Gynecologic cancers refer to several different types of cancer that affect women’s reproductive organs, including cervical, ovarian, uterine, vaginal and vulvar cancer. While these cancers …
Success Story: How Stacey Recovered from Leaking and UTIs at PHRC
By Emily Eckmann, DPT, PHRC West Los Angeles Stacy’s History Stacy is a woman in her 60s who came to PHRC seeking help for her urinary incontinence that had progressively gotten worse over the last five years. She was eight years into menopause and had seen several gynecologists who did not find ‘anything wrong with her bladder.’ She …
Dyspareunia: Symptoms and Associated Conditions
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles What is dyspareunia? A high number of people with a vagina suffer from painful versus pleasurable sex, including before, during or after sexual encounters. Superficial dyspareunia refers to pain at the opening of the vagina, whereas deep dyspareunia refers to feelings like something is being ‘hot’ or painful, deeper inside. …
Tight Lipped: You’re Not Alone; Patient-Led Communities
By Tight Lipped, guest blogger. “My doctor in college told me that my partner simply ‘didn’t know what he was doing’, and that’s why it felt like his penis was hitting a wall inside me.” “When I saw a doctor for my vaginal pain, he told me to use a cucumber to stretch out my vagina.” “So many doctors …
What is Persistent Genital Arousal Disorder (PGAD/GPD)? Part 2
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles In 2021, a panel of experts published a consensus and management of care paper on Persistent Genital Arousal Disorder/Genito-Pelvic Dysesthesia (PGAD/GPD) in the Journal of Sexual Medicine. The paper describes a treatment algorithm involving five different therapeutic targets for PGAD/PGD! The paper describes how clinicians newer to treating this diagnosis can …
What is Persistent Genital Arousal Disorder (PGAD/GPD)? Part 1
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Persistent Genital Arousal Disorder (PGAD) is a syndrome characterized by unwanted genital arousal in nonsexual situations and was first described in 2001. The syndrome is being studied and in 2021 the International Society for the Study of Women’s Health (ISSWSH) published new guidelines about PGAD, broadening the term to genito-pelvic dysesthesia …
Clitoral Pain: Causes and Treatment
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles There are a number of treatable causes of clitoral pain, yet often patients are misdiagnosed and this distressing symptom can persist. Hormonal deficiencies associated with birth control pills, acne medications, and age can lead to thinning of hormonally sensitive structures, such as the clitoris and clitoral hood. This can lead …
Are Oral Birth Control Pills a Cause Of Or Solution For Pelvic Pain?
By Stephanie Prendergast, MPT, Cofounder, PHRC West Los Angeles A frequent question from social media: “I have Vestibulodynia and painful bladder syndrome. I am almost symptom free except for near or during my period. My hormone levels are fine. My urologist prescribed testosterone cream because he found atrophy. At the same time I have another doctor telling me that …
How Pelvic Floor Physical Therapy Helped Megan Eliminate Rectal Pain and Bowel Dysfunction
By Kim Buonomo, DPT, PHRC Lexington Introduction Megan (mid-50 year old cisgender female) started seeing me in September 2021. She had a history of bowel dysfunction since giving birth to her daughter in the late 1990’s. She described her symptoms as a pattern of alternating constipation and diarrhea, associated with bloating, hemorrhoids and abdominal discomfort. She thought for a …
A Q&A About Clitoral Pain
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles & Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack What are the possible causes of clitoral pain? How can each of these things cause it? There are several possible causes of clitoral pain. This list of causes is not exhaustive, but are the most common causes of clitoral pain. It could be …
How Pelvic Floor PT Can Help Gynecological Cancer Survivors?
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack Receiving a gynecological cancer diagnosis is wrought with emotions: fear, grief, confusion, anger, among others. Additionally, the number of medical providers that one will encounter throughout the treatment process is many. One of the important members of your interdisciplinary cancer care team is a pelvic floor physical therapist. The five gynecological cancers …
Pelvic Hip Pain, A Patient Success Story
By Jillian Giannini, DPT, PHRC Pasadena, Jennifer Keesee, DPT, PHRC Westlake Village and Emily Schwerdtfeger, BA, PHRC Westlake Village “I’m the exception, right?” “It could never happen to me.” Emily is a 25 year old female that has had left hip pain for five years now. She describes her hip pain as: Achy or sharp In front of L …