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Birth Control: Reviewing Your Options and Their Differences

In Pelvic Health, Uncategorized by Elizabeth AkincilarLeave a Comment

By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack    In a post-Roe world, conversations and questions about birth control options are on the rise. Currently, everyone still has a constitutional right to contraceptives. There are many ways to prevent pregnancy, including oral medications, implantable devices, injectable medications, barrier methods, surgical interventions, fertility awareness, and abstinence. There are advantages and disadvantages for …

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Pelvic Neuralgias: General Info, Causes, and Treatment

In Female Pudendal Neuralgia, Male Pudendal Neuralgia, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles When considering neuropathic pain in the pelvis most people think of the pudendal nerve, but there are several other pelvic nerves that can also contribute to pelvic pain!  The genitofemoral nerve supplies a portion of the genitals as well as the front of the thigh. This nerve is sometimes confused with …

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Clitoral Pain: Causes and Treatment

In Female Pelvic Pain, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

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 …

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Are Oral Birth Control Pills a Cause Of Or Solution For Pelvic Pain?

In Female Pelvic Pain, Pelvic Health, Pelvic Pain, Vulvodynia by Stephanie PrendergastLeave a Comment

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 …

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Solutions for Menopausal Women with GSM and Pelvic Floor Dysfunction

In Menopause by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT , Cofounder, PHRC Los Angeles   Most people have not heard of term “Genitourinary Syndrome of Menopause” (GSM). One key reason is that the term did not exist until 2014, when leadership societies recognized that menopausal women were suffering from many more symptoms than just ‘vaginal atrophy’ and vaginal dryness. The expanded GSM term more …

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Postpartum Urinary Incontinence is Common: Here’s How We Can Help

In Pelvic Health, Pregnancy and Postpartum Pelvic Health, Stress Urinary Incontinence by Lauren OpatrnyLeave a Comment

By Lauren Opatrny, PT, DPT, PHRC Berkeley & San Francisco *all names have been changed to maintain patient privacy   Background   Rachel* is a 32 year old experiencing urinary incontinence after giving birth to her baby in December 2020. When she was eight months postpartum and still experiencing incontinence, her doctor referred her to pelvic physical therapy. Six weeks …

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How Pelvic Floor PT Can Help Gynecological Cancer Survivors?

In Female Pelvic Pain, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain, Post-Surgical Pelvic Floor Rehabilitation by Elizabeth AkincilarLeave a Comment

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 …

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Endometriosis: A PT’s Journey to Diagnosis & Treatment

In Endometriosis by Jennifer KeeseeLeave a Comment

By Jennifer Keesee, DPT, PHRC Westlake Village March is endometriosis awareness month, and here at PHRC we want to help spread the word about this complex disease that is often hidden in plain sight. Endometriosis is a condition that affects approximately 10% of women, which also includes trans-men, and those who do not identify as a woman, but were born …

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Healing Female Sexual Pain, and IG Live with Dr. Irwin Goldstein

In Female Pelvic Pain, Male Pelvic Pain, pelvic floor physical therapy, Pelvic Health by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles On February 18th I had the pleasure of interviewing Dr. Irwin Goldstein on Instagram Live. Here is a little background on Dr. Goldstein:   Dr. Irwin Goldstein is the director of San Diego Sexual Medicine, where he maintains his clinical practice, Director of Sexual Medicine at Alvarado Hospital and Clinical …

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What is an expandable vaginal dilator? Meet Milli!

In Female Pelvic Pain by Stephanie PrendergastLeave a Comment

Author: Tracy MacNeal, Materna CEO   This week we are posting about the Milli, the first-ever gradually expanding dilator. Please note PHRC cofounder Stephanie Prendergast is a member of the Materna Scientific Advisory Board and PHRC is posting this blog on their behalf.   Vaginal dilators are often recommended in treatment plans for women suffering from vaginal stiffness and discomfort. …

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Thinking Beyond the Dilators: How Vicki Beat Vaginismus

In Vaginismus by pelv_adminLeave a Comment

By Morgan Conner, DPT, PHRC Los Gatos Sadly, the starting point of this success story is not novel to me as a pelvic floor physical therapist or for many who struggle with primary vaginismus. However, this story has a happy ending (pun very much intended!) as well as an interesting middle. When Vicki (not her real name) married her husband …

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Summary from IPPS 2019: Chronic Pain in Endometriosis

In Endometriosis by pelv_admin2 Comments

By: Morgan Conner, DPT, PHRC Los Gatos In October I had the pleasure of attending the International Pelvic Pain Society’s Scientific Meeting with a number of my colleagues here at PHRC. On the second day of the main conference, Catherine Allaire MDCM, FRCSC gave the James E. Carter keynote lecture titled Endometriosis: Towards Prevention of Chronic Pain. There were two …

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Enjoying Sex While Healing From Pelvic Pain

In Female Pelvic Pain by pelv_admin13 Comments

This week, long-time colleague Lorraine Faehnedrich guest blogs for PHRC. Lorraine’s bio and information on her courses can be found at the end of the post. On April 2 Lorraine will be interviewing our own Katie Hunter about how pelvic floor physical therapy can help women recover from painful sex. Stay tuned to our social media for more details! From …

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Pelvic Pain Explained: Endometriosis + Resource List

In Endometriosis by Jandra Mueller2 Comments

By Jandra Mueller, DPT, PHRC Encinitas At PHRC we want to do our part to help people better understand pelvic pain syndromes and more importantly, help people suffering with these diagnoses get the help they need to recover. Since knowledge is power we created 6 videos and blog posts that we hope people find useful. This week, in our sixth …

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IPPS 2019: Sexual Health and Sexual Pain Across Cultures

In Pelvic Pain by pelv_adminLeave a Comment

By: Nina Chou This year’s IPPS meeting was held in Toronto, Canada, which is one of the most diverse cities in North America. In fact, the official motto of the city is “Diversity is our Strength.” Today, I want to recap a lecture on the impact of culture on sexuality by Beatrice “Bean” Robinson, PhD. Dr. Robinson is a licensed …

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How Pelvic Floor Physical Therapy Helped Me Recover From Vaginismus

In Female Pelvic Pain, Vaginismus by pelv_adminLeave a Comment

Last month, Sigourney shared Martha’s Success Story, told from her perspective as Martha’s pelvic floor physical therapist. This week, Martha was kid enough to share her experience, in her own words. We hope her story provides hope for the many, many other women suffering from primary vaginismus or other causes of painful sex. We are sharing many success stories this …

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Finding Pleasure in Something that was Always Painful: Sam’s Success Story

In Female Pelvic Pain, Transgender Health by Shannon PacellaLeave a Comment

By: Shannon Pacella, DPT, PHRC, Lexington Sam came to the Pelvic Health and Rehabilitation Center in the beginning of May this year, after her primary care physician recommended seeing a pelvic floor physical therapist as she reported having pain with vaginal penetration. Here’s what Sam had to say: “I am 41 years old, and spent most of my life completely …

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Thrive with Age: Menopause Solutions

In Menopause by Stephanie PrendergastLeave a Comment

“It’s NOT all downhill from here! When you learn how to find balance in your life and in your hormones, it’s really possible to feel vital through perimenopause, menopause and beyond.” DR. AMY DAY, FOUNDER, THE WOMEN’S VITALITY CENTER IN BERKELEY, CA Too many women are silently struggling through bothersome symptoms of perimenopause and menopause on their own. Women often …

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Recovery From Vaginismus and Painful Sex: Martha’s Success Story

In Female Pelvic Pain by Sigourney CrossLeave a Comment

By Sigourney Cross, DPT, PHRC Walnut Creek Vaginismus is characterized as an involuntary spasm or contraction of the muscles around the vagina. This makes it very difficult for women to insert tampons, receive pelvic exams by their doctors and can also make sexual intercourse nearly impossible and painful. It can affect women anywhere from their teenage years to later in …

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Hormonal Changes in Menopause and What You Can Do About It

In Female Pelvic Pain, Menopause by pelv_adminLeave a Comment

By: Rachel Daof, DPT Los Angeles PHRC members, Stephanie Prendergast, Courtney Edgecomb, and I, Rachel Daof, went to a dinner to discuss Intrarosa with guest speaker Dr. Irwin Goldstein. One of the major points of the night was this: menopause is a chronic progressive, degenerative condition, and it does not improve without treatment. This hit home to all of the …