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Managing Life on or after “The Pill”

In Female Pelvic Pain, Pelvic Health by Jandra MuellerLeave a Comment

  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 …

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Part 1 of 2: What is a good pelvic PT session like?

In Pelvic Health by Katie Hunter2 Comments

By: Katie Hunter Pelvic Health and Rehabilitation Center is proud to announce that we now have eight locations across the country. Our newest locations include Walnut Creek, CA, Bedford, NH and Westlake Village, CA. We pride ourselves on our constant commitment to give the best possible care for our patients. Patients suffering from long-standing pelvic conditions are often shuffled around …

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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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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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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 …

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A Biopsychosocial Approach to Vulvodynia

In Vulvodynia by Malinda WrightLeave a Comment

  By Malinda Marshall   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, …

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3rd World Congress on Abdominal and Pelvic Pain Pain Updates, Part I

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

  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 …

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How to Stop Worrying and Obsessing About Pelvic Pain Symptoms

In Female Pelvic Pain, Male Pelvic Pain by Kristin Leli8 Comments

  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 …

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How Diane beat Vulvodynia

In Vulvodynia by Erika Toronto1 Comment

  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 …

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Solving Female Sexual Dysfunction

In Female Pelvic Pain by Kristin Leli2 Comments

  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 …

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Tips for Coping With Persistent Pelvic Pain

In Female Pelvic Pain, Male Pelvic Pain by Erika Toronto2 Comments

  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 …

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Posture and the Pelvis: Part Deux

In Female Pelvic Pain, Male Pelvic Pain by Britt Van Hees3 Comments

  By Britt Van Hees   “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 …

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Foul! What the Media Got Wrong about Women’s Health!

In Female Pelvic Pain by Rachel GelmanLeave a Comment

  By Rachel Gelman   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 …

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Pelvic Pain and Childbirth. Dr. Mark Conway tells us what we need to know.

In Pregnancy and Postpartum Pelvic Health by Elizabeth Akincilar-Rummer1 Comment

  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 …

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Pelvic floor physical therapy for vulvodynia: a clinician’s guide

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast12 Comments

  By Stephanie Prendergast   Recently I was asked to write an article about pelvic floor physical therapy for the treatment of vulvodynia, which will be published later this year as a tool for gynecologists. Since our blog readers are a combination of clinicians and people with pelvic pain I figured I would share it here too. Warning: it is …

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Jagged Little Pill: Part Two

In Female Pelvic Pain, Vulvodynia by Joshua Gonzalez, MD4 Comments

  By Joshua Gonzalez, MD   After reading my last post, Jagged Little Pill, many of you who have had similar suspected OCP-related problems may be thinking there’s no hope.  Trust me, you are not doomed if you’ve ever taken an oral birth control and you have symptoms of vulvodynia.  My goal this week is to reassure you that you’re …

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Jagged Little Pill: How Oral Contraceptives Wreak Havoc on the Female Body

In Female Pelvic Pain, Stress Urinary Incontinence, Vulvodynia by Joshua Gonzalez, MD7 Comments

    By Joshua Gonzalez, MD   The advent of oral birth control pills in the 1960s was heralded as a huge victory for women’s rights.  Finally, women could take control of their bodies and their fertility.  Since then, oral contraceptive pills (OCPs) have become ubiquitous in reproductive aged women with nearly 10 million women today using The Pill as …

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New Classification System for Persistent Vulvar Pain

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast2 Comments

            By Stephanie Prendergast   In a previous blog post  I described my experience while participating in an International Nomenclature Consensus Conference. As you may recall, the motivation for a consensus meeting originated  because there was “an unmet medical need for a comprehensive, evidence-based set of vulvovaginal pain diagnoses that can be easily utilized by …

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What is Vulvodynia? The International Consensus Conference on Vulvodynia Nomenclature

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast19 Comments

By Stephanie Prendergast What is Vulvodynia? Is it a symptom, a disease, or a syndrome? What does the term ‘Vuvlodynia’ mean to people with vulvar pain, pelvic pain specialists, medical professionals, and the community in general? In a previous blog post I wrote about how in the pelvic pain world, diagnosis does not dictate treatment. Many pelvic pain diagnoses simply describe the …