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Wrap it Up: Condoms 101

In Pelvic Health by Rachel GelmanLeave a Comment

By: Jandra Mueller and Rachel Gelman Here at PHRC we talk a lot about birth control. Primarily, hormonal oral contraceptives, but there are so many other options. This post will take an in-depth look at one of our favorite contraceptives: condoms. HISTORY Yes, jimmy hats, rubbers, french letters. They have been called many names, but at the end of the …

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How Pelvic Floor Physical Therapy Can Serve the Transgender/Gender Non-conforming Population: Part 2

In Transgender Health by Shannon PacellaLeave a Comment

By: Elizabeth Akincilar Last week, Shannon Pacella, DPT, taught us how physical therapy can benefit transgender individuals prior to gender affirming surgery and for those who choose not to undergo gender affirming surgery. You can read her blog here. This week, I present Part two, where I will explain why physical therapy for transgender individuals after gender affirming surgery should …

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How Pelvic Floor Physical Therapy Can Serve the Transgender Population: Part 1

In Transgender Health by Elizabeth Akincilar-Rummer2 Comments

By: Shannon Pacella Earlier this summer, Dr. Heidi Wittenberg wrote a blog post enabling medical providers to understand transgender healthcare needs, which you can read here. Following Dr. Wittenberg’s lead, I was fortunate enough to attend an educational course focused on the physical therapy evaluation and treatment of transgender patients, and I believe it is imperative to convey how important …

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Fistula: The other F Word

In Pelvic Floor Dysfunction by Kim BuonomoLeave a Comment

Image by: erpete By: Kim Buonomo When I was asked to write a blog article, I wasn’t sure what topic I should write about. I read a lot of our previous articles for inspiration and realized a couple things: 1) The women who work here really know their stuff about the pelvic floor; and 2) No one has written an …

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Mindfulness Meditation: Is it actually effective for treating chronic pain?

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast1 Comment

  By Elizabeth Akincilar   Mindfulness meditation. Even if you’re not exactly sure what it is, I’m going to bet you’ve heard of it. It has gotten a lot of attention recently. It’s everywhere. It’s not like the mediation of 20 years ago. Back then meditation was considered “alternative” or  “fringe” that few people practiced, especially in western countries. Now, …

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Sex Therapy and CBT for Pain with Sex

In Female Pelvic Pain by Nicole DavisLeave a Comment

  By Nicole Davis   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 …

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Polycystic Ovary Syndrome: what everyone needs to know

In Female Pelvic Pain by Malinda WrightLeave a Comment

  By: Malinda Marshall   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 …

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The Pelvic Health and Rehabilitation Center Turns 12!

In Pelvic Floor Dysfunction by Stephanie PrendergastLeave a Comment

  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 …

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Your Vagina Is Cleaner Than You Think

In Female Pelvic Pain by Sigourney CrossLeave a Comment

Photo courtesy of: Scrubbing Bubbles   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 …

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What is Red Cord Physical Therapy?

In Pelvic Floor Dysfunction by Stephanie PrendergastLeave a Comment

  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 …

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Antenatal and Postpartum Pelvic Floor Physical Therapy as Standard of Care

In Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast4 Comments

  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 therapy in …

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Why Your Period Makes You Poop!

In Female Pelvic Pain by Julia ZaitsevLeave a Comment

  By Julia Zaitsev   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 …

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Good Vibes Coming At You

In Female Pelvic Pain by Rachel GelmanLeave a Comment

  By Rachel Gelman   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 …

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Vulvodynia, Vestibulodynia, and Vaginismus: what’s the difference and why does it matter?

In Vulvodynia by Stephanie Prendergast1 Comment

  By Stephanie Prendergast   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 between these …

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Childbirth Medical Interventions and Pelvic Floor Dysfunction

In Pregnancy and Postpartum Pelvic Health by Natalie Christopherson2 Comments

  By Natalie Christopherson   As a pregnant woman and pelvic floor physical therapist, 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 other …

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Posture Revisited: Sitting and the Pelvic Floor

In Pelvic Floor Dysfunction by Nicole Davis3 Comments

Photo via Joe Loong via Flickr   By Nicole Davis   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.) …

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Got Water?

In Female Pelvic Pain by Rachel Gelman2 Comments

      By Rachel Gelman   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 …

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Vaginismus: Real Answers for Sexual Pain

In Female Pelvic Pain by Jandra MuellerLeave a Comment

  By Jandra Mueller   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 …