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Polycystic Ovary Syndrome: what everyone needs to know

In Female Pelvic Pain by pelv_admin2 Comments

  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 …

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Your Vagina Is Cleaner Than You Think

In Female Pelvic Pain by Sigourney CrossLeave a Comment

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 …

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Why Your Period Makes You Poop!

In Female Pelvic Pain by pelv_adminLeave a Comment

  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 …

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Good Vibes Coming At You

In Female Pelvic Pain by pelv_adminLeave a Comment

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 …

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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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Got Water?

In Female Pelvic Pain by pelv_admin2 Comments

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 …

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Vaginismus: Real Answers for Sexual Pain

In Female Pelvic Pain by pelv_adminLeave a Comment

  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 …

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You are invited to Becoming UnWOUND: A Conversation about Female Sexual Health & Pelvic Pain with Screening of Animated Short Film“Tightly Wound”

In Female Pelvic Pain by Stephanie PrendergastLeave a Comment

  By Stephanie Prendergast   The Pelvic Health and Rehabilitation Center, Femina Physical 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. Her journey …

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The Blunt Truth About Medicinal Marijuana and Pelvic Pain: Part 2

In Female Pelvic Pain, Male Pelvic Pain by Shannon Pacella2 Comments

  By Shannon Pacella   First things first: if you haven’t already read the Part 1 to this post, please do so by clicking here!   There are a few updates since my first post regarding laws and legislature for marijuana (cannabis) use throughout the United States. Currently, 29 states plus Washington, D.C. have legalized the use of medicinal marijuana, …

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The Connection Between SIBO and Interstitial Cystitis/Painful Bladder Syndrome (and How to Relieve Both)

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast2 Comments

  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 …

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The Most Proven IC Treatment: Pelvic Floor Physical Therapy

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast4 Comments

  By Guest Blogger Nicole Cozean, PT, DPT, WCS and author of The Interstitial Cystitis Solution   Pelvic floor physical 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 does treating …

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The Twisted Trunk: Implications for Abdominal and Pelvic Pain

In Female Pelvic Pain by Sigourney Cross4 Comments

  By Sigourney Cross   While attending the 3rd World Congress of Abdominal and Pelvic Pain Conference last October in Washington, DC, I had the pleasure of listening to the lecture of Dr. Diane Lee, BSR, FCAMPT, CGIMS. Dr. Lee discussed the impact that altered pelvic biomechanics and non-optimal function in the abdominal wall and pelvic floor have on pelvic …

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A Biopsychosocial Approach to Vulvodynia

In Vulvodynia by pelv_adminLeave a Comment

  Throughout my years of practice I’ve treated many women with vulvodynia. I’ve noticed that it’s rare for women to return to 100% solely with physical therapy treatment; even though their musculoskeletal impairments may have returned to normal, some women continue to feel pain. In my experience, it takes a team of practitioners to treat vulvodynia, such as a physician …

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Mechanistic Interplay among Peripheral, Spinal and Brain Adaptions to Chronic Visceral Pain

In Female Pelvic Pain, Male Pelvic Pain by pelv_admin2 Comments

  For those of you following our journey through the 3rd World Congress on Abdominal and Pelvic Pain (#WCAPP17), here is another light-bulb lecture explaining the interconnections of chronic visceral pain. The presenter, Melissa A. Farmer, PhD, is a researcher at the Feinberg School of Medicine at Northwestern University with a long-standing relationship with the International Pelvic Pain Society (the …

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Autonomic Dysregulation in Functional Gastrointestinal Disorders

In Female Pelvic Pain, Male Pelvic Pain by Melinda FontaineLeave a Comment

  By Melinda Fontaine     At the 3rd World Congress on Abdominal and Pelvic Pain organized by the International Pelvic Pain Society, Professor Qasim Aziz spoke about Autonomic Dysregulation in Functional Gastrointestinal Disorders. Qasim Aziz, MBBS, FRCP, PhD is Professor of Neurogastroenterology at Barts and The London School of Medicine and Dentistry at Queen Mary, University of London. Professor …

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The Peripheral Nervous System, Interstitial Cystitis, and Pelvic Pain

In Female Pelvic Pain, Male Pelvic Pain by Katie Hunter6 Comments

  By Katie Hunter   I had the pleasure of attending Dr. Kenneth Peters’ lecture on the role of the Peripheral Nervous System(PNS) in the development and management of pelvic pain. Kenneth Peters, MD is a urologist practicing at Beaumont Hospital in Royal Oaks, MI, who specializes in treating complex pelvic pain including interstitial cystitis. For more information on Dr. …

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This is Us: a look inside PHRC

In Female Pelvic Pain, Male Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast2 Comments

  By Stephanie Prendergast   January is often the time to reflect on the past year and set goals for the future. So, in that spirit, we thought it would be fun to dedicate this post to a few top Pelvic Health and Rehabilitation Center events of 2017….and a peak forward to 2018. In no particular order, here’s what happened …

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Positive Affect Helps Mitigate Chronic Pain: Building a Positive Piggy Bank

In Female Pelvic Pain, Male Pelvic Pain by pelv_adminLeave a Comment

  Many patients find that managing chronic pelvic pain conditions can sometimes be difficult. Oftentimes there is no one “thing” or pathology that symptoms can be tied to which, understandingly, can be frustrating or overwhelming. More accurately, chronic pelvic pain is a complex interaction of both physiological and psychosocial components. It is not only the body but the mind and …

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Urologic Chronic Pelvic Pain & Manual Pelvic Floor Physical Therapy

In Female Pelvic Pain, Male Pelvic Pain by Shannon PacellaLeave a Comment

  By Shannon Pacella   While attending the 3rd World Congress on Abdominal and Pelvic Pain organized by the International Pelvic Pain Society, I had the privilege of listening to Rhonda K. Kotarinos, DPT, MS give a lecture on the topic of urologic chronic pelvic pain and manual physical therapy. Rhonda K. Kotarinos, DPT, MS is a Doctor of Physical …