I’m Jandra, and I am a pelvic floor physical therapist here at PHRC, and the Director of PHRC Encinitas. I am very excited to announce that I have just completed my Master of Science degree in Integrative Health and Nutrition from Maryland University of Integrative Health. A little about me: a few years ago I was on the doctor train, …
Vulvodynia Resource List
May is Pelvic Pain Awareness Month and 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 5 videos and blog posts that we hope people find useful. This week, in our …
NEW COURSE: Advanced Management of Complex Pelvic Pain Syndromes
By: Stephanie Prendergast, MPT After a five year break from traveling, lecturing, and teaching courses Liz and I are excited to announce that we are re-entering the classrooms! Many people who know us or follow us on social media know our work promoting pelvic floor physical therapy at medical conferences, my leadership role as the first physical therapist to …
Book Review: Why Pelvic Pain Hurts
By: Rachel Daof “Imagine the following: You feel a sudden new, surprising and sharp pain in your thumb while you’re at the office. You look at it and inspect the thumb. You touch it and feel around to see if there is anything out of the ordinary. You move it around. You discuss it with your coworkers and even show …
5 Tips to Reduce Vulvodynia Symptoms
Vulvodynia can affect up to 25% of women in their lifetime.1 The vulva is the anatomical term for the external genitalia in women that includes the clitoris, labia, mons pubis, and vestibule (vaginal opening). Vulvodynia has received specific diagnostic terminology as we now know there are various causes and presentations of symptoms that can be considered “vulvodynia”.3 Box 1 contains …
Happy New Year!
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 2018….and a peak forward to 2019. In no particular order, here’s what happened and what’s …
Managing Life on or after “The Pill”
By: Jandra Mueller If you are a female reader of our blog, have experienced painful intercourse, and happened to have come to the Pelvic Health and Rehabilitation Center (PHRC) for treatment, then you are probably familiar with our talk about how systemic birth control like oral contraceptives (OCPs) or “The Pill,” may be the underlying culprit. The pill is a …
Sex Therapy and CBT for Pain with Sex
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 …
Vulvodynia, Vestibulodynia, and Vaginismus: what’s the difference and why does it matter?
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 …
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 …
A Biopsychosocial Approach to Vulvodynia
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 …
When Sex Hurts: A Diagnostic Algorithm
Most people know that I am a fan of sexy science. So when I saw that the World Congress on Pelvic Pain (WCAPP) had an entire section dedicated to sexual dysfunction I was pretty stoked. You may already be imagining some very arousing presentations; or you may think listening to a talk on intercourse would induce the same amount …
3rd World Congress on Abdominal and Pelvic Pain Pain Updates, Part I
By Stephanie Prendergast Last month, pelvic pain enthusiasts traveled from all over the globe to attend the 3rd World Congress on Abdominal and Pelvic Pain in Washington, DC. The World Congress on Abdominal and Pelvic Pain is joint scientific meeting between the International Association for the Study of Pain Special Interest Group on Abdomino-Pelvic Pain, Convergences in pelvic-Perineal …
How to Stop Worrying and Obsessing About Pelvic Pain Symptoms
By Lorraine Faehndrich If you’re suffering with pelvic pain it’s very likely that you’ve spent a lot of time worrying and obsessing about your symptoms. Maybe you’ve spent hours online searching for answers, reading stories of others’ experiences with pelvic pain, or participating in “support” groups that leave you even more stressed, worried and fearful than you already …
How Diane beat Vulvodynia
By Diane I suffered with pelvic pain for years. I want to share my story, so others won’t have to suffer needlessly. It started in February 2009 when I tried having sex with my boyfriend. Intercourse was extremely painful, and each time, my perineum tore a bit. I’d be sore for days afterward. Eventually I’d heal, but it …
Solving Female Sexual Dysfunction
By: Dr. Lisa Valle What if the cure for adding more luster to your life is a fulfilling, sex life? But what happens when a woman feels distress about her sex life? Or she experiences sexual pain? Is there anything that she can do about it? The answer is an emphatic yes! There is an …
Tips for Coping With Persistent Pelvic Pain
By Jessica Newman, LMHC Living with persistent pelvic pain is, by definition, painful physically. What can be hard to talk about (especially for folks with pelvic pain) is just how emotionally distressing the pain is. And because the mind and body are a functional whole (think: a Mobius strip) emotional distress can trigger or amplify physical pain and …
Posture and the Pelvis: Part Deux
“Share the load” – Samwise Gamgee “It’s all about the base ” – Meghan Trainor “Drop it like it’s hot” – Snoop Dogg Some different quotes from last time, but after reading today’s post you’ll understand how Samwise, Ms. Trainor and Dr. Dogg are all talking about posture and the pelvis, and they didn’t even know it. …
Foul! What the Media Got Wrong about Women’s Health!
Over the last year, the media has come under increasing scrutiny: visit almost any website, and you’ll see that the terms “fake news” and “alternative facts” have taken over the headlines and the comments section. Now, I love the people who produce pieces that aim to educate the community, especially when the subject is women’s health and the author is …
Pelvic Pain and Childbirth. Dr. Mark Conway tells us what we need to know.
By Elizabeth Akincilar-Rummer As we learned in a recent previous post by Stephanie Prendergast, the vast majority of women are not well informed when it comes to their pelvic floor, pregnancy and childbirth. In fact, 93% of women felt like they were insufficiently informed about their pelvic health! Unlike the rest of the population, many of our patients …
Love and Vaginismus: Mary’s story of personal growth
By Melinda Fontaine Mary is an amazing story because in a matter of months, she went from not having any penetrative sex for many years to having unrestricted intercourse with her partner. When Mary was a young woman, she saw a gynecologist for a routine exam. Now, lying on the exam table with your butt almost falling off the …
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