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Sex and Sexuality

Irritant Information

By Riva Preil

On June 9, we posted a fantastic YouTube video on our website entitled “Detox the Boxâ€, a parody on a popular Justin Timberlake song from Saturday Night Live. This entertaining and informative video encourages viewers to request that Tampax, Always, and Procter and Gamble remove irritants from their feminine hygiene products by signing a petition.

As a pelvic floor physical therapist, I STRONGLY AGREE with their message. Vaginal irritants can cause vulvar and pelvic floor muscle irritation and pain. Natural-fiber pads and unscented products are healthier for the pelvic floor than scented products. Tampons appropriate for a particular menstrual flow should be used (rather than “playing it safe†with a larger than necessary tampon).

While on the topic of vaginal irritants, allow me to take this opportunity to mention several other DOs and DON’Ts

DO:

  1. Wear loose fitting underwear that does not restrict blood flow to the groin (due to tight fitting elastic)
  2. Sleep without underwear
  3. Use fragrant free detergents
  4. Use Dove bar soap, Neutrogena, or Basis
  5. Use soft, white, unscented toilet paper
  6. Wear loose/baggy sweatpants during exercise

DON’T:

  1. Don’t wear girdles or support stocking pantyhose– they restrict blood flow to the perineum and limit necessary circulation
  2. Don’t use a douche. EVER. Not pelvic floor friendly, to say the least
  3. Avoid extremely hot water on the vulva
  4. Never use a blow dryer on pubic hair
  5. Avoid toiletries with fragrances, propylene glycol, and sodium lauryl sulfate
  6. Avoid scrubbing the vulva while bathing
  7. Refrain from wearing Spandex, thongs, and wet bathing suits

A happy pelvic floor contributes to a happier YOU! Have you discovered any unique or helpful products on your quest towards vaginal health? Please feel free to comment and share any thoughts you have about products that have contributed your pelvic floor health. The comment that receives the most “likes†on Facebook will receive a prize! And on behalf of your fellow females, please sign the petition to “Detox the Boxâ€!

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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