In 2012, The Journal of Sexual Medicine published an article, What we don’t talk about when we don’t talk about sex: results of a national survey of U.S. obstetrician/gynecologists. The results from the survey revealed that though Ob/gyns routinely (63%) assess their patients’ sexual activities, only 40% of them ask their female patients about sexual problems. Sexual problems may include …
Polycystic Ovary Syndrome: what everyone needs to know
Do you know what the most common cause of female infertility is? Polycystic ovary syndrome, also known as PCOS. It is estimated that 15-20% of women will be diagnosed with PCOS at some point in their lives.1 It is the most common endocrine (hormone) disorder for women of reproductive age.2 Approximately 90-95% of women with anovulation (not ovulating) who attend …
The Pelvic Health and Rehabilitation Center Turns 12!
By: Stephanie Prendergast On July 17th, 2006, Liz and Stephanie opened the doors to the Pelvic Health and Rehabilitation Center in San Francisco. Their mission was to improve the quality of life of their patients and to contribute to the dynamic growth of their employees and students. They aspired to educate the community and medical professionals about pelvic …
Your Vagina Is Cleaner Than You Think
By: Sigourney Cross I love taking bubble baths. I use my scented body wash and a loofah down there. Sometimes I wipe so hard I bleed a little bit. I always use scented wet wipes to stay fresh. I wear thongs under my yoga pants. I use a daily scented panty liner just in case I have discharge or urine …
What is Red Cord Physical and Occupational Therapy?
By Sarah Court, PT, DPT, e-RYT Traditionally, the thinking around how to approach low back and pelvic girdle pain has had a singular approach: find the ‘tight’ muscle and stretch it, and then find the ‘weak’ muscle and make it stronger. While it’s true that muscular tone imbalances can and do create the kind of postural disequilibrium …
Helping Medical Providers Understand Transgender Healthcare
As Pride Month comes to a close we share a guest blog from our longtime colleague in San Francisco, Dr. Heidi Wittenberg. Recently Dr. Wittenberg has decided to dedicate 100% of her career to working with transgender persons and we are honored to be working with her. PHRC has always been LGBTQ friendly and supportive, now we are excited …
Putting down the prescription pad: The opioid epidemic and pelvic pain
It should be a surprise to no one that we are in the middle of a serious, nationwide opioid epidemic. And to top that off, a crisis on opioid overdose. Did you know that on average 115 Americans die each day from opioid overdose?2 In October 2017, President Trump declared the opioid crisis a public health emergency and has since …
Antenatal and Postpartum Pelvic Floor Physical and Occupational Therapy as Standard of Care
By Dr. Ann Croghan, PT, DPT, CLC, and CAPP-OB trained with introduction by Stephanie Prendergast, MPT A few months ago I shared a link to an article I was interviewed for in Men’s Health Magazine about postpartum sex on our PHRC Facebook Page. I was disappointed there was not better coverage about postpartum pelvic floor physical and occupational …
What We Didn’t Learn From Sex Ed: The Pleasure Piece
By Melinda Fontaine When you hear mention of “the talk” do you also picture a red faced kid and an adult with sweaty palms talking awkwardly around the topic of the birds and the bees? Thinking back on my childhood, I have to give credit to my parents and teachers for attempting this important task with such bravery. …
Why Your Period Makes You Poop!
Ladies, have you ever felt bloated or backed up the week before your menstrual cycle? What about noticing diarrhea at the start of your menstrual cycle? I know I have. If you’ve been or are pregnant, have you noticed major changes in your digestive system and bathroom behaviors? Below I explore the connection between hormones and changes in your bowel …
Good Vibes Coming At You
May is a great month. Summer is starting to creep in, which in San Francisco means more fog, but if you are a sex nerd like me then you know that May is Masturbation Month. An entire month dedicated to self-love and pleasure. In a prior post, I talked about masturbation in general, including the benefits and a basic “how …
Vulvodynia, Vestibulodynia, and Vaginismus: what’s the difference and why does it matter?
By Stephanie Prendergast, PHRC Cofounder As many as 28% of women experience painful sex at some point during their reproductive years and that sucks. Knowledge is power and May is Pelvic Pain Awareness Month so we want to provide women with useful information about the three most common diagnoses associated with painful sex: vulvodynia, vaginismus, and vesitbulodynia. Differentiating …
Childbirth Medical Interventions and Pelvic Floor Dysfunction
By: Admin As a pregnant woman and pelvic floor physical and occupational therapists, I am surrounded by stories, advice, and opinions about the right way to give birth. Most of us know that pregnancy and childbirth often result in trauma to the pelvic floor and perineum, which can lead to incontinence, pelvic organ prolapse, and painful sex, among …
Posture Revisited: Sitting and the Pelvic Floor
Photo via Joe Loong via Flickr In previous entries, Britt beautifully took us through all things posture (Posture and the Pelvis Part One and Part Deux). Here are some important takeaways from her posts to consider as we explore how sitting may affect your pelvic floor: The diaphragm, trunk (back extensors, transversus abdominis, obliques, etc.) and pelvic floor muscles are …
Got Water?
Other than pelvic health and sex, my favorite conversation topic is cats water! Yes, good old H-2-O! You may recall a post I did a while back that discussed how diet can play a role in pelvic health. I talked about the importance of water intake, but patients still ask me questions about this topic. A majority of people report …
Vaginismus: Real Answers for Sexual Pain
Vag·i·nis·mus /ˌvajəˈnizməs/ Noun noun: vaginismus painful spasmodic contraction of the vagina in response to physical contact or pressure (especially in sexual intercourse). What is vaginismus? Above is the definition that comes up when you google vaginismus. You may have seen blogs or posts on social media about vaginismus or painful sex or may have experienced it …
What’s new in research and clinical care for “Prostatitis” aka male Chronic Pelvic Pain Syndrome (CPPS)?
By Stephanie Prendergast, Cofounder, PHRC Los Angeles If you are a man suffering from what feels like ‘prostatitis’, this blog and our upcoming informational event is for you. Did you know?… 10% of men experience prostatitis-like symptoms at some point in their lives. 97% of these men do not have a prostate or bladder infection yet are …
You are invited to Becoming UnWOUND: A Conversation about Female Sexual Health & Pelvic Pain with Screening of Animated Short Film“Tightly Wound”
By Stephanie Prendergast The Pelvic Health and Rehabilitation Center, Femina Physical and Occupational Therapy, and the Milli, the first Expandable Dilator, are teaming up to bring Shelby Hadden and her animated short film about vaginismus, Tightly Wound, to Los Angeles on Saturday, May 19th! Many of you may know of Shelby and her past struggles with pelvic pain. …
The Blunt Truth About Medicinal Marijuana and Pelvic Pain: Part 2
By Shannon Pacella, DPT, PHRC Lexington First things first: if you haven’t already read the Part 1 to this post, please do so first! There are a few updates since my first post regarding laws and legislature for marijuana (cannabis) use throughout the United States. Updates Currently, 29 states plus Washington, D.C. have legalized the use of medicinal marijuana, …
The Connection Between SIBO and Interstitial Cystitis/Painful Bladder Syndrome (and How to Relieve Both)
By Guest Blogger Jessica Drummond MPT, CCN, CHC One of the reasons that relieving pelvic pain is so challenging is that pain in different systems within the pelvis can overlap. For example, in rats where experimental colitis (colon irritation) was induced, many of the rats also experienced bladder and urethral pain (Yoshikawa et al., 2015). Thus, there is …
The Most Proven IC Treatment: Pelvic Floor Physical and Occupational Therapy
By Guest Blogger Nicole Cozean, PT, DPT, WCS and author of The Interstitial Cystitis Solution Pelvic floor physical and occupational therapy is the most proven treatment for interstitial cystitis. It’s the only therapy given an evidence grade of ‘A’ by the American Urological Association and recommended in the first line of medical treatment. But patients often wonder how …