Involuntary muscle spasm prevents vaginal penetration.
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#Vaginismus kann viele Formen und auch Ursachen haben. Was man sehr sicher sagen kann: Dein Körper kann dir ziemlich genau sagen, wenn du etwas machst, was du eigentlich nicht willst.Drama Challenge: https://www.liebeschip.de/store/mj8DbBKAUmprogrammierung deines Liebeschips:https://www.liebeschip.de/store/cexFkMDWVlog / Podcast von Dipl.-Psych. Christian Hemschemeier, Institut für Integrative Paartherapie in Hamburg / Berlin. (Wichtige Hinweise findest Du unten im Text.)Am 18.3.2024 erscheint mein neues Buch "Lang lebe die Liebe"!:https://www.amazon.de/dp/B0CXJDLV32(Online) Kurse: https://www.liebeschip.deKurse zu toxischen Beziehungen, Umprogrammierung deines Beuteschemas, Bindungsangst, Verlustangst, Dating, Selbstliebe, Eifersucht, Glück, Dating und ganz vieles mehr! Schau einfach mal vorbei!Wichtige Informationen zu unseren AngebotenIn diesem Online-Angebot werden keine psychotherapeutischen Leistungen angeboten. Die Videos wurden mit größtmöglicher Sorgfalt und durch einen erfahrenen Paartherapeuten erstellt. Sie enthalten jedoch keine Diagnosen, Ratschläge oder Empfehlungen hinsichtlichErkrankungen und darauf bezogener Therapien. Die Videos ersetzen somit keine psychotherapeutische Behandlung. Weitere wichtige Informationen zu unseren Angeboten finden Sie hier: https://www.liebeschip.de/infoImpressum: https://www.liebeschip.de/pages/impressum Hosted on Acast. See acast.com/privacy for more information.
Send us a textDr Natasha Langan, a chartered clinical psychologist and accredited psychosexual therapist, explores how childhood sexual abuse impacts intimacy, and how ADHD in women can increase vulnerability to traumatic relationships and sexual exploitation.• Women with ADHD face higher rates of sexual victimization, unplanned pregnancies, and relationship dissatisfaction• Trauma includes both major events (sexual assault) and smaller experiences that accumulate over time (public humiliation, feeling "different")• Shame plays a central role in both ADHD and sexual trauma, creating beliefs that "something is wrong with me"• Compassion-focused therapy helps address shame by understanding our "tricky brains" that evolved for survival, not happiness• Vaginismus involves involuntary pelvic floor muscle spasms making penetration painful or impossible• Women's pain has historically been dismissed by healthcare providers, creating barriers to proper treatment• Sexual healing requires broadening ideas about what constitutes sex beyond penetration• A multidisciplinary approach combining physiotherapy, psychology, and sometimes medical care is most effective• Sexual health is a fundamental human right that includes pleasure, not just prevention of STIs or pregnancyThanks for listening! You can watch the full episode on YouTube here. Don't forget to follow The Laura Dowling Experience podcast on Instagram @lauradowlingexperience for updates and more information. You can also follow our host, Laura Dowling, @fabulouspharmacist for more insights and tips. If you enjoyed this episode, please subscribe and leave a review—it really helps us out! Stay tuned for more great conversations.
Female Pelvic Pain and Its Relationship to Emotions & Trauma Dr. Adriana Martí When sex hurts, experts still have tons of unanswered questions. Since we don't have much accurate data on the various conditions that make intercourse painful, women often suffer in silence. To help sort this out, Dr. Diana Wiley, a sex therapist, and Dr. Adriana Martí, a pain psychologist, had an informative conversation. Dr. Martí uses the biopsychosocial model, which has emerged as the most comprehensive framework for understanding pain. Coming from a family of physicians, Dr. Marti understood the value of treating the physical body, but she also saw where the biomedical model falls short. That insight led her to embrace integrative, mind-body approaches to care especially for those living with chronic illness or pain. The level of a patient's anger has been shown to be an important predictor of chronic pain symptoms, and cultivating compassion has been shown to positively influence how we process emotions, thus reducing the tendency toward negativity, including anger. Psychological or emotional factors are often involved. Stress, anxiety, depression, guilt, a history of sexual abuse, an upsetting pelvic exam in the past, or relationship troubles can also be at the root of sexual pain. Some women experience vaginismus—an involuntary clenching of vaginal muscles that prevents penetration. Vaginismus is especially common among women who associate their vaginal area with fear or physical trauma. Both the sex therapist and the health psychologist want to include the patient's partner at some point in the therapeutic process. For many couples who have been dealing with a confusing, undefined issue, there is a buildup of resentment and anger. Men often fear hurting their partner. Pleasure can become pain. It is so easy for couples to blame each other and lose sight of the fact that the real problem is a physiological condition, not their partner. Dr. Martí also notes the cultural piece: the expectations related to the family. How does the family relate to pain? In one case, the mother and the grandmother both had pelvic pain. Sometimes the woman gets sucked into the “sick role,” which has the benefit of lowered expectations from the patient, but is ultimately not emotionally healthy. Can pain be unlearned? A study led by Yoni Ashar, PhD, which was published in JAMA Psychiatry, was the first clinical trial of pain reprocessing therapy (PRT). PRT was developed by psychotherapist Alan Gordon to treat primary chronic back pain. Complete details can be found in his book, The Way Out: A Revolutionary, Scientifically Proven Approach to Healing Chronic Pain. There are additional fixes, such as vaginal estrogen or other medicines or creams. Also, pelvic floor therapy (provided by a specially trained physical therapist) can help control vaginal muscles. “Down training” uses a combination of mindfulness, diaphragmatic breathing, meditation, stretching, and visualization to help calm the nervous system. The couple in therapy may be asked to do “outercourse” homework (non-penetrative sex). Some couples put too much focus on penetrative sex and neglect other fun, equally pleasurable sexual activities. Outercourse is a great option because it helps women forget there's a goal, so they can just enjoy the feelings and sensations of the ride! It gets both people out of their brains and into their bodies. Dr. Martí has a private practice where she works with individuals and couples in both English and Spanish. All sessions are done via telehealth. A fifteen-minute phone consultation is the no-charge first step! www.martipsychologicalservices.com
I'm getting all the way into how three incredible women moved from lifelong vaginismus, vulvodynia, and chronic pain to buttery, pain-free sex - yes, really. You'll hear the exact strategies they used, what helped them shift mentally and physically, and how you can apply the same steps in your healing journey. Whether you're newly diagnosed or have been living with painful sex for years, this one is packed with real talk, real hope, and a reminder that your freedom is possible too.To sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
Whether you've never had an orgasm, aren't sure if you're reaching climax, or just want stronger orgasmic sensations that are consistent, this episode is for you. I'm talking about everything that can hold us back from experiencing full body, soul shaking pleasure. You'll learn how to build up to orgasm, what's happening in your body when it works, and how to start reclaiming your right to pleasure, connection, and erotic freedom! LAST CHANCE! There's still time to sign up for Vaginismus 2 VAGILICIOUS Mastercourse from July 1-3rd: https://www.vaginarehabdoctor.com/vaginismus-2-vagilicious-master-course/To sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
I am actually explaining why God likes when you get horny. Yup, I said it. As a Christian pelvic floor physical therapist, I'm breaking down the connection between your body, your sexuality, your pleasure, and your faith. Whether you've grown up in a conservative religious environment or you're just trying to make peace with your body and desire, this one's for you. I'm unpacking sexual shame, biblical truths, and how to honor your body without guilt. If you're listening and painful sex or vaginismus is holding you back from stewarding your sexuality with freedom, I've got something coming up just for you. Let's get into it! Vaginismus 2 VAGILICIOUS Mastercourse from July 1-3rd: https://www.vaginarehabdoctor.com/vaginismus-2-vagilicious-master-course/To sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
Painful intercourse is a horrible experience for many reasons (especially when you're told to just relax or that it's all in your head...). Our guest today, Occupational Therapist Jess Seitz, shares how she uses her degree and personal experience overcoming 8 years of vaginismus to walk women through healing. This isn't just for the married ladies, though, but any woman experiencing pain inserting a tampon, having a pelvic exam, etc. She discusses the keys to success, including addressing the physical, mental, emotional, and even spiritual influences that have an impact. If you experience pain, stinging, burning, pressure, or discomfort and you're not sure if there's anything that can be done, this episode is for you. NOTE: This episode is not appropriate for young audiences and does include anatomical terms and pointed discussion about intercourse. GUEST BIO: Jess Seitz is an Occupational Therapist and creator of the successful Pain-free Intimacy program. How to connect with Jess:PainFree Intimacy website @painfree.intimacy on InstagramOther episodes you might enjoy:Ep. 8: Pelvic Floor 101 (Part 1)Ep. 9: Pelvic Floor 101 with Dr. Rachel Moran (Part 2)Send us a textSupport the showOther great ways to connect with Woven Natural Fertility Care: Learn the Creighton Model System with us! Register here! Get our monthly newsletter: Get the updates! Chat about issues of fertility + faith: Substack Follow us on Instagram: @wovenfertility Watch our episodes on YouTube: @wovenfertility Love the content? The biggest gift you could give is to click a 5 star review and write why it was so meaningful! This podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. Neither Woven nor its staff, nor any contributor to this podcast, makes any represe...
Y'all, today's episode is not about theory. It is about action. I'm walking you through what it really takes to transition from using vaginal dilators to having pain-free, pleasurable sex. We're talking consistency, mindset, muscle recovery, and how to stop making dilation feel clinical and start making it feel sensual. Whether you're single, partnered, or just tired of feeling stuck, this episode is your roadmap to taking control of your body and your pleasure. Let's get to work because buttery, juicy sex is possible for you.Vaginismus 2 VAGLICIOUS 3 Day Master course, July 1-3rd click HERETo sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
Today I am sharing five of my absolute favorite hands-on strategies to help you heal vaginismus and sexual pain faster and with more confidence. If you are like me and you don't have time to wait years to feel better, this one's for you. I'm walking you through exactly what I teach my clients in our one-on-one coaching sessions, tools that actually work and put your healing back in your own hands. Let's reclaim your time and your pleasure, one step at a time!To sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
Episode SummaryWelcome to We Go Boldly the Podcast, where we're diving deep into taking control and becoming the authors of our own stories! In this powerful episode, we speak with Dr. Melissa Donahue, a Licensed Clinical Social Worker and Certified Sex Therapist, about breaking free from limiting beliefs and intentionally crafting a life filled with purpose and authenticity. Dr. Donahue shares her expertise on sexual health, wellness, and how addressing these important aspects of our lives can help us rewrite our personal narratives.Topics DiscussedBreaking free from limiting beliefs around sexuality and relationshipsThe importance of accurate sexual education for personal empowermentHow sexual wellness connects to overall life satisfaction and authenticityNavigating cultural, religious, and personal barriers to sexual healthResources for those dealing with specific conditions like vaginismusCreating intentional relationships that honor your authentic selfAbout Our GuestDr. Melissa Donahue, DSW, LCSW, CST, CSTS is a Licensed Clinical Social Worker and AASECT Certified Sex Therapist and Supervisor. As the owner of MD Counseling, LLC, she is committed to supporting individuals of all backgrounds with sexual health concerns. Dr. Donahue is a national presenter and advocate for comprehensive sexual education, and co-authored a chapter in "The Art of Sex Therapy Supervision." She completed her Doctorate of Social Work at Rutgers University, where she specialized in vaginismus research, creating the informational resource vaginismushealth.com. Dr. Donahue also serves as an adjunct professor at Montclair State University in the Department of Social Work and Child Advocacy. Listen, subscribe, and share your story with us on Instagram @GoBoldlyTogether and use #AuthorMyStoryThank you for tuning in to this episode of We Go Boldly Podcast. We hope you found our discussion insightful and that the strategies we covered inspire you to take actionable steps towards your personal development goals. Don't forget to subscribe, rate, and review our podcast on Spotify, Apple or wherever you get your podcasts, subscribe to our channel on YouTube, and follow us on IG @goboldlytogether, FB @goboldlytogether, or LI @goboldlyinitiative for more updates and exclusive content.Did you enjoy this episode? We would love to hear your thoughts. Head to Apple Podcasts and then rate, review, and subscribe. This way you will get notified once a new episode goes live.CONNECT WITH RIELLY AND TOVAHInstagram: https://www.instagram.com/goboldlytogether/Website: goboldlythepodcast.comFacebook: https://www.facebook.com/Go-Boldly-Together-105942584706928LinkedIn: https://linkedin.com/company/go-boldly-initiativeYouTube: http://bit.ly/boldlyyoutubePinterest: https://www.pinterest.com/GoBoldlyTogether/_saved/Twitter: https://twitter.com/goboldlypodcastPatreon: https://www.patreon.com/wegoboldly Did you enjoy this episode? We would love to hear your thoughts and more about your personal development journey. Head to Apple Podcasts and then rate, review, and subscribe. This way you will get notified once a new episode goes live. Don't forget to find us and subscribe on YouTube too. CONNECT WITH RIELLY AND TOVAHInstagram: https://www.instagram.com/goboldlytogether/Website: goboldlyinitiative.com or https://we-go-boldly-podcast.simplecast.com/YouTube:https://www.youtube.com/channel/UCsPh8gu_ugJqvvnYiuRSyPQLinkedIn: https://linkedin.com/company/go-boldly-initiativePatreon: https://www.patreon.com/wegoboldlyFacebook: https://www.facebook.com/GoBoldlyTogetherPinterest: https://www.pinterest.com/GoBoldlyTogether/
This one is for every woman who's ever felt like her pain stood in the way of her pleasure. In today's episode, I'm getting real with you about what it means to reclaim your body, your voice, and your sensuality, even if you're dealing with pelvic pain, vaginismus, or pelvic floor dysfunction. This episode is all about helping you feel more freaky and fearless in the bedroom and in your life. Get ready to shift your mindset, embrace your body, and take bold steps toward healing and pleasure.To sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
This week, I'm sharing education on one of the most requested topics: how to actually use dilators and pelvic wands to support your healing journey with pelvic pain, vaginismus, or vulvodynia. I'm breaking down the tools, the techniques, the truths, and giving you the real talk you need to feel more confident in your body and your pleasure. If you struggle with vaginismus or vulvodynia this episode is for YOU! it's packed with education, validation, and encouragement for any and all of you navigating painful sex or pelvic floor dysfunction. You got this! My Shop https://www.vaginarehabdoctor.com/at-home-treatment-for-vaginismus/To sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
In this vulnerable follow-up to episode 90 ("Grace for Two"), we (Kiara and Jordan) are opening up about one of the most challenging parts of our marriage: navigating pain with sex due to pelvic floor tension (Vaginismus), wrestling with sexual shame, and learning how to build real intimacy when it doesn't come naturally.This conversation is raw and emotional. We're not experts—we're just two people trying to love each other well through pain, confusion, and grace. We talk about how our bodies and our hearts have been shaped by unmet expectations, and the slow, sacred work of healing together.If you've ever felt broken, ashamed, or alone in your intimacy struggles, this one is for you. You're not alone. And you are so deeply loved—even in the hard places.
In the deeply important episode of Sky Women's Health Podcast, Dr. Carolyn Moyers is joined by Rachel Henning, a licensed professional counselor and sex therapist, to explore the complexities of vaginismus and the emotion and psycholgical roots of sexual pain. Rachel walks us through:What vaginismus is and how it shows up in women's livesThe use of dilators and therapy in healing painful sexThe impact of religious shame and purity culture on sexual identityHow CBT (Cognitive Behavioral Therapy) and EMDR (Eye Movement Desensitization and Reprocessing) support healingThe role of partnered therapy and relationship satisfaction in recoveryHow to reclaim your narrative, pleasure, and connection with your bodyThis episode is a must-listen for women experiencing pain during sex, those navigating shame-based messages around sexuality, or anyone supporting a partner through this journey.Guest:Rachel Henning, LPC, CSTWebsite: www.rachelhenning.comInstagram: @rachelhenninglpcFacebook: Rachel Henning, LPC CST
Folge 88 des PhysioBib Podcasts ist die zweite Episode unserer Reihe zur Beckenboden Physiotherapie. Wie schon in der ersten Episode wieder unser Gast-Co-Hostin und angehende Beckenboden-Expertin Lotte Heimes. Zusammen haben wir diesmal mit Petra Spalding und Jacqueline de Jong gesprochen, beide sind seit Jahrzehnten in der Arbeit mit Beckenboden Patient*innen und in der Weiterbildung von Beckenboden Physiotherapeut*innen aktiv und arbeiten jeweils in eigener Praxis in der Schweiz. Wir haben mit den beiden in dieser Folge über die Themen Dyspareunie und Vaginismus gesprochen - also den Schmerz beim Geschlechtsverkehr und eine unwillkürliche Verkrampfung der Beckenbodenmuskulatur. Wir haben über verschiedene Ursache der beiden Beschwerdebilder gesprochen und vor allem einen praktischen Blick in die Herangehensweise der Beckenboden-Physiotherapie geworfen. Redaktion: Lotte Heimes & Nils Reiter Produktion: Loïc Luttmann__________________________________________________________________________________________
What if the pain isn't just physical—and what if fixing the body is only half the battle?Sexual pain is one of the most misunderstood issues in medicine. I invited my friend and colleague Dr. Corey Babb to dive into why so many women still struggle with pain, even after their doctors tell them everything looks “normal.” Corey just released his new book A Practical Guide for Female Sexual Medicine, which aims to help clinicians actually treat sexual dysfunction—not just study it.We unpack the deeper reasons patients experience conditions like vaginismus, vestibulodynia, and hypertonic pelvic floor, including trauma, religious shame, and outdated medical training. Corey and I also explore the groundbreaking Pacik method for treating vaginismus, including why Botox and dilators can truly change lives (and minds).But as we both know, treatment is never just about the body. We talk about the psychological side of healing—including why some patients avoid intimacy even after their pain resolves. Corey shares his insights on retraining the brain, rebuilding trust, and supporting patients beyond the exam room.We also discuss why pelvic pain is so often dismissed, how to empower women to advocate for themselves, and why our field still has so much work to do when it comes to teaching clinicians about sexual health.If you've ever been told to “just relax” or “drink some wine” to fix your pain—you'll want to hear this.Highlights:Why sexual pain can persist even after physical treatmentHow trauma and religious shame impact vaginismusThe Pacik method: Botox and dilator therapy explainedWhy desire and intimacy often lag behind pain reliefThe critical need for better sexual health education in medicineIf this episode helped you feel seen or gave you new insights, please leave a review on Apple Podcasts and share the episode with someone who might need it. Your reviews help more people find this important information and advocate for their health!Dr. Babb's Bio:Dr. Corey Babb is a Tulsa native who has dedicated his life to bringing awareness and acceptance to female sexual health. Through education, activism, and empathy, he helps people feel heard and validated, empowering them to find answers in a complicated medical environment. In addition to being a board-certified gynecologist, he is a Fellow of the International Society for the Study of Women's Sexual Health, a Menopause Society Certified Menopause Practitioner and a member in the International Society for the Study of Vulvovaginal Disorders. Currently, Dr. Babb serves on the board of directors for ISSWSH, is a reviewer for multiple sexual medicine journals, is a respected lecturer and educator, and has been featured in numerous national and international publications, as well as the author of A Practical Guide to Female Sexual Medicine (CRC Press).Get in Touch with Dr. Corey Babb :WebsiteFacebookInstagramTikTokGet in Touch with Dr. Rahman:WebsiteInstagramYoutube
Hey y'all! I am diving into how to attract a patient, loving partner when you are living with vaginismus. I am giving you the real talk on recognizing your worth, changing the way you speak about your healing journey, and stepping into your sensuality with confidence. Whether you are dating, married, or supporting a friend, this episode is all about embodying self-love, setting strong boundaries, and walking boldly into the love and life you deserve. Let's get into it!If you're ready to stop living life in fear of pain with sex or the nightmare that you'll never be able to enjoy it, you're perfect for our remote 8 week coaching program! You deserve pain free, buttery & scrumptious sex! Let's talk in a consult to see if you're a fit! Pain free sex could arrive within 3 short months..OR LESS! Click below to schedule a consult with me this week: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions
We are talking about the guilt, shame, and complicated emotions that come with vaginismus and inability to have penetrative sex as a wife. If you've ever felt like you're letting your partner down or carrying the weight of your relationship because of vaginismus or sexual pain, you're not alone. We'll explore how to shift away from blame, understand that your partner is choosing to stand by you, and reframe this challenge as something you can face together as a team. You are not the villain in your own story, and healing is possible.If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions
Taboo to Truth: Unapologetic Conversations About Sexuality in Midlife
Estrogen plays a role in your brain, bones, skin, and even your heart. When menopause hits and estrogen levels drop, the ripple effects can be dramatic—affecting everything from your mood and energy to your libido and long-term health.In this episode, I sit down with Dr. Sadaf Lodhi, a board-certified OB-GYN, menopause expert, sex coach, and host of The Muslim Sex Podcast to talk about everything from the forgotten sex-positive history of Islam to painful sex during perimenopause that is so common but rarely discussed, and the ongoing debate over estrogen hormone therapy. If you're in perimenopause (or just wondering what's ahead), this episode will change the way you see your body—and give you the tools to take charge of your health. Let's dive in!Timestamps:(00:00) Introduction to Dr. Sadaf Lodhi(02:08) Islam and erotology: The surprising sex-positive history(03:58) How colonization erased a sex-positive culture and changed everything(06:30) Religion, sex, and clients: How Dr. Sadaf approaches coaching(07:21) Vaginismus and painful penetration(10:23) Why pain with sex accelerates during perimenopause and menopause(11:19) The role of vaginal estrogen in reducing painful sex(12:03) Why the urethra gets bigger during menopause—and the risk of bladder infections(12:36) Contraindications for vaginal estrogen use(13:05) Why you should use vaginal estrogen even in perimenopause(14:07) Why doctors should start the menopause conversation at 35 (including ovarian insufficiency)(16:03) The hormone therapy debate: What you need to know(17:15) Should women take testosterone?(23:47) The ideal time for estrogen therapy: When to start and why(26:11) Dr. Sadaf's upcoming retreat: Love, Nourish, and ThriveKaren Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastAbout the Guest:Dr. Sadaf Lodhi is a board-certified OB GYN with over 20 years of experience, specializing in sexual and menopausal health. She is the founder of Femme Vie Health, a concierge gynecology practice in New York, and provides telehealth services in Michigan. A certified sexual health specialist and Menopause Society Certified Practitioner, she is dedicated to empowering women through education and advocacy.Dr. Lodhi hosts The Muslim Sex Podcast, making sexual and menopausal health accessible globally. She delivered a TEDx talk on sexual education for physicians and was honored as the 2024 Alumni of the...
Painful sex is something so many women experience, yet it's often brushed off as "just the way it is." Spoiler: it's not—and you don't have to just deal with it. That's exactly why we're dedicating this episode to breaking the stigma, debunking the biggest myths, and giving you real, evidence-based answers.We're bringing back Keri Martin Vrbanac, a Registered Physiotherapist and Pelvic Floor Expert, to dive deep into why sex can be painful—from stress and trauma to underlying physical conditions—and, most importantly, what you can do about it.If you've ever wondered why sex hurts, whether it's normal (hint: it's not), and how to actually fix it, this episode is for you. Let's talk about it, because you deserve better.To connect with Keri:Her clinic: www.abodyinmotion.caInstagram: @kerivpelvicptFacebook: Keri V Pelvic PTDon't forget to follow us on Instagram @girlsgonewellnesspodcast for updates and more wellness tips. Please subscribe to our podcast and leave a review—we truly appreciate your support. Let's embark on this journey to wellness together!DISCLAIMER: Nothing mentioned in this episode is medical advice and should not be taken as so. If you have any health concerns, please discuss these with your doctor or a licensed healthcare professional.
Send us a textIn this powerful and heartfelt episode, I sit down with Oriana, a bright and inspiring young woman who happens to also be cherished client, who courageously shares her personal journey with vaginismus. Vaginismus, a condition characterized by involuntary muscle spasms that make penetration incredibly painful, is often shrouded in silence and misunderstanding. Oriana opens up about her experiences, from the initial confusion and emotional challenges to the steps she took toward healing and empowerment. Through her story, we aim to shed light on this often-overlooked condition, providing hope, insight and understanding to anyone else who may be experiencing similar struggles.Support the showDive Deeper On Your Journey: ☆ Book a complimentary connection call with Selin for your hormone health & weight loss goals here.☆ Let's connect on Instagram!☆ Do you or a loved one have painful periods or PMS? The Painless Period Guide will help!☆ This is for the girlies who love to colour!: Purchase the gorgeous Goddess Affirmation Colouring book here.
In this episode we are talking about the emotional side of pelvic floor dysfunction, how it can make you feel unlovable, disconnected from your own body, and even frustrated with the healthcare system. If you've ever felt dismissed or invalidated in your journey with conditions like endometriosis, vulvodynia, or vaginismus, this episode is for you. I'm here to remind you that you are not crazy, your pain is real, and most importantly you are still worthy of love, devotion, and pleasure. We'll talk about practical steps to advocate for yourself, ways to reconnect with your body, and the power of finding the right support system. If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions
Hanna is not pregnant, but would like to be! Today she shares life updates, thoughts on The Grammy's, and gets vulnerable about trying to get pregnant with baby number 2. Vaginismus & Valentine's Day grwm vlog! My favorite jewelry - Ana Luisa!
If you're in your mid-30s and thinking about getting pregnant, this episode is for you! We're continuing the conversation on why the pelvic floor must be part of your fertility journey, how sexual pain can impact conception, and the simple, science-backed ways to improve egg quality. I'm breaking it all down—from the foods that support your reproductive health to the vitamins you need to start prioritizing now. Plus, if vaginismus, vulvodynia, or pelvic pain are holding you back, I've got a plan to help you finally have buttery, pain-free sex so you can get pregnant with confidence. Let's get into it!If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions
Jess Seitz from Pain Free Intimacy joins us today to use The Eden specifically for overcoming negative mindsets with vaginismus. We talk about lies you believe while having vaginismus and how to replace them with truth. The EdenMind-Body-Sex Reset use code SAYWHAT5 for 5% off!
Happy New Year, y'all! In this episode, I'm sharing my big goals for 2025 and diving into a topic that's so important for relationships—keeping the spark alive even when sex is painful. Whether you're navigating pelvic pain, vaginismus, or just looking for ways to connect more deeply with your partner, I've got practical tips to help you feel desired, show love, and spice things up. Plus, I'm inviting you to join the Vaginismus to Vagilicious challenge—a transformative seven-day journey to reclaim your intimacy and freedom. Tune in, take notes, and let's start the year strong!Click below to read to kick off the new year with a new found confidence in your sexual health and pleasure! REGISTER HERE for the Vaginismus to Vagilicious 7 Day Challenge in January 2025: https://the-vagina-rehab-academy.sellfy.store/p/vaginismus-2-vagilicious-7-day-challenge-i-am-2025-edition/ If you register before Dec 26th you will receive a bonus package that includes: A chance to win a Free 1:1 coaching session with the VRD docsA chance to win a Free Sex ToyFree admission to the Pleasure and Erotica Q&AWork with one of our pelvic floor therapists 1 on 1 for pelvic floor dysfunction, sexual pain, or vaginismus by clicking here https://www.vaginarehabdoctor.com/our-services/Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Produced by Light On Creative Productions
It's the countdown to 2025 ya'll! Today we are diving into simple, practical & realistic New Year's resolutions to help relax a tight pelvic floor and improve your pelvic health. I'll share five easy, sustainable strategies that you can start right away to feel more comfortable, confident, and in tune with your body. REGISTER HERE for the Vaginismus to Vagilicious 7 Day Challenge in January 2025: https://the-vagina-rehab-academy.sellfy.store/p/vaginismus-2-vagilicious-7-day-challenge-i-am-2025-edition/ If you register before Dec 31st you will receive a bonus package that includes: A chance to win a Free 1:1 coaching session with the VRD docsA chance to win a Free Sex ToyFree admission to the Pleasure and Erotica Q&AWork with one of our pelvic floor therapists 1 on 1 for pelvic floor dysfunction, sexual pain, or vaginismus by clicking here https://www.vaginarehabdoctor.com/our-services/Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Produced by Light On Creative Productions
In today's episode, I'm talking with Jess Seitz, a trauma-informed pelvic floor occupational therapist and vaginismus recovery coach who helps women around the world break free from the pain and frustration of vaginismus so they can enjoy intimacy without fear. After overcoming vaginismus herself, Jess developed a unique program that's helped dozens of women turn pain into pleasure. We talk about her personal journey, her trauma-informed approach, and how nervous system regulation plays a key role in recovery. Stick around—you won't want to miss it! You can find Jess at: Instagram: https://www.instagram.com/painfree.intimacy/ Website: https://painfreeintimacy.com/ And you can find me at: Instagram: @anna_holtzman Email: anna@annaholtzman.com Website: www.annaholtzman.com --- Support this podcast: https://podcasters.spotify.com/pod/show/from-chronic-pain-to-pass/support
Welcome back ya'll! We're diving into creating a transformative three-month plan for pelvic floor relaxation and pain-free sex. Whether you're dealing with vaginismus, pelvic pain, or just want to feel more connected to your body and sexuality, I'm here to guide you step by step baby! I'll share insights on mental readiness, effective exercises, and the importance of pleasure in your healing journey. Plus, I've got exciting resources, like our 7-Day Vaginismus to Vagilicious Challenge, to help you take action today. Let's make this the year you take charge of your pelvic health!Click below to read to kick off the new year with a new found confidence in your sexual health and pleasure! REGISTER HERE for the Vaginismus to Vagilicious 7 Day Challenge in January 2025: https://the-vagina-rehab-academy.sellfy.store/p/vaginismus-2-vagilicious-7-day-challenge-i-am-2025-edition/ If you register before Dec 26th you will receive a bonus package that includes: A chance to win a Free 1:1 coaching session with the VRD docsA chance to win a Free Sex ToyFree admission to the Pleasure and Erotica Q&AJoin our Facebook group HEREIf you are looking for more personalized guidance to help you achieve pain free sex, you can work with us 1 on 1 for pelvic floor dysfunction, sexual pain, or vaginismus by clicking here https://www.vaginarehabdoctor.com/our-services/Work with one of our pelvic floor therapists 1 on 1 for pelvic floor dysfunction, sexual pain, or vaginismus by clicking here https://www.vaginarehabdoctor.com/our-services/Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Produced by Light On Creative Productions
Dr. Janelle Frederick joins Hanna today to chat about the MAPP process of healing your painful sex. They also discuss ways to spice up your sex life while dealing with painful intercourse. Vaginimus 2 Vagilicous 7 Day Challenge 10% off using code: HANNA Follow Dr. Janelle on Instagram! Vagina Rehab Doctor Website https://amzn.to/3Bz15L6
The Vaginismus 2 Vagilicious 7 Day Challenge will show you how to dive deep into the transformative power of pelvic & sexual healing—beyond just pelvic floor exercises—to reclaim your body confidence, erotic pleasure, and deeper connection with your body. Today I am sharing insights on the upcoming Vaginismus to Vagilicious 7-Day Challenge and why true healing requires not just techniques, but also community, mindset shifts, and releasing fear and shame! Whether you're navigating pelvic pain, vaginismus, or simply seeking more ease and joy in your body, this episode is here to empower and inspire you. Tune in, and let's take the first step together! Click below to read to kick off the new year with a new found confidence in your sexual health and pleasure! REGISTER HERE for the Vaginismus to Vagilicious 7 Day Challenge in January 2025: https://the-vagina-rehab-academy.sellfy.store/p/vaginismus-2-vagilicious-7-day-challenge-i-am-2025-edition/ If you register before Dec 26th you will receive a bonus package that includes: A chance to win a Free 1:1 coaching session with the VRD docsA chance to win a Free Sex ToyFree admission to the Pleasure and Erotica Q&AWork with one of our pelvic floor therapists 1 on 1 for pelvic floor dysfunction, sexual pain, or vaginismus by clicking here https://www.vaginarehabdoctor.com/our-services/Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Produced by Light On Creative Productions
Hanna shares her life updates (a big one for Tate!) and her guide to surviving vaginismus during the holiday season! Getting through the holidays with vaginismus is hard, but not impossible. You are not alone! ShopMy The Eden
Start 2025 feeling strong with the V.&Me coaching programme! From mid-January untill April, V.&Me will be running it's ninth online programme where vaginismus warriors come together to connect with themselves and eachother. If you feel ready to try something different and if you wish to create a positive connection with others who can relate, then have a look at the website, check the dates and register your spot on www.audreycairo.com/vandme before the 22nd December.Places are limited but please do reach out to stay in touch for potential future start dates.I hope to meet you then!:)Audrey, V.&MeWhat did you think of this podcast? Click here to let the host know :)Support the showFollow V.&Me on insta @letscallherv and don't forget to like, share & subscribe where possible. For information about V.&Me coaching www.audreycairo.com/vandme
If you're experiencing painful intercourse…stop. And listen to this episode. Jess Sietz, trauma-informed occupational therapist, shares her story of overcoming vaginismus and how you can (and should!) free yourself of painful sex too. ⭐️Love our chats? Leave a review!
In today's episode of Divine Union Podcast, Nicola sits down with Katrin with Love, women's sexual liberation mentor, to talk all about sexual freedom through her journey of overcoming Vaginismus. This episode goes so much deeper than just her story as they discuss the physical and psychological aspects that can cause closure in a female body, which is such a common challenge today for many women during s*x. We dig into topics around safety, masculine and feminine dynamics, as well as erotic wiring for arousal. Such a deep and riveting conversation, we can't wait for you to tune into it.0:00 Intro3:50 From Closure to Spaciousness in Sex7:48 How Distrust of the Masculine Can Live in a Feminine Body16:58 Finding a False Sense of Safety in Control34:15 Erotic Wiiring for Arousal44:15 Expanding your Capacity for Pleasure and PainConnect with Katrin on Instagram: @katrin.with.love , @vaginismus.sisters Katrin's Website: katrinwithlove.comNicola's Website: nicolanavon.comSubscribe to her NewsletterInstagram: @nicolanavonYouTube Channel: @nicolanavonBecause we love to reward effort, email a screenshot of your review of Divine Union to info@nicolanavon.com to receive a free gift. Looking to start your own podcast?Nicola's Top Podcast Tools:Power Up Podcasting CourseBuzzsprout Podcast Hosting Platform*Nicola is an Affiliate for these productsBy accessing this Podcast, I acknowledge that the entire contents are the property of Nicole Navon, or used by Nicole Navon with permission, and are protected under U.S. and international copyright and trademark laws. Except as otherwise provided herein, users of this Podcast may save and use the Podcast only for personal or other non-commercial, educational purposes. No other use of this Podcast may be made, including, without limitation, reproduction, retransmission, or editing.This podcast is for educational purposes only. The host claims no responsibility to any person or entity for any liability, loss, or dam...
Did you know that stress and anxiety can impact incontinence and overall pelvic health? Well listen up, ya'll! In this episode I'll guide you through the different types of incontinence, how pelvic floor muscles react to stress, and ways to regain control over your body. Plus, I'm sharing details on a special buy one, get one free sale on resources in my shop to support you on your pelvic health journey. Listen in to learn how to empower yourself with education and practical tools to improve your pelvic floor health and confidence! Let's get into it! BOSS OF MY BLADDER Workshop for Urinary Incontinence: https://www.vaginarehabdoctor.com/at-home-treatment-for-vaginismus/Our 8 Week 1 on 1 Programs for Vaginismus, Painful Sex, & Vulvodynia Resolution: https://www.vaginarehabdoctor.com/our-services/If you're tired of suffering with intimacy blocks or self esteem issues due to chronic sexual pain or vaginismus, I'd love to talk to see if we can help you overcome this inside our 8 week remote, 1 on 1 coaching program. To schedule a free call with me, just click here: :https://www.vaginarehabdoctor.com/our-services/ Or email me with any questions you have about our coaching program: janelle@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Join my private email club: https://www.vaginarehabdoctor.com/join-my-private-pelvic-floor-email-club/ Produced by Light On Creative Productions
Best-selling author and CEO of Cheek Media Co. Hannah Ferguson unpacks taboos in women's health - from health care to marketing periods as empowering to her own struggles with "rough sex" and vaginismus. WANT MORE FROM HANNAH? Grab Hannah's book Taboo (Affirm Press, $34.99) here. Catch her @hannahferguson_ or on TikTok here. For more on Cheek Media Co. see @cheekmedia.co or listen to her podcast Big Small Talk @bigsmalltalk_pod. WANT MORE BODY + SOUL? Online: Head to bodyandsoul.com.au for your daily digital dose of health and wellness. On social: Via Instagram at @bodyandsoul_au or Facebook. Or, TikTok here. Got an idea for an episode? DM host Felicity Harley on Instagram @felicityharley. In print: Each Sunday, grab Body+Soul inside The Sunday Telegraph (NSW), the Sunday Herald Sun (Victoria), The Sunday Mail (Queensland), Sunday Mail (SA) and Sunday Tasmanian (Tasmania). See omnystudio.com/listener for privacy information.
In this episode, we dive deep into a topic that affects many women but isn't often talked about—vaginismus. This debilitating condition can cause intense discomfort, making intimacy and everyday life challenging. Joining us is Dr. Chandrika Parmar, a renowned gynaecologist, fertility specialist and Director of Genea Fertility Melbourne City. Dr. Parmar's compassionate, patient-centred approach has helped countless women navigate their reproductive health, and today she brings her expertise to this important conversation. Together, we explore the causes, symptoms, and treatments for vaginismus, offering hope and support to those affected.This episode is proudly supported by Genea Fertility
If you're experiencing painful sex or have vaginismus, this episode is for you
In this episode, we review the high-yield topic of Vaginismus from the Reproductive section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Are you feeling shame around your pelvic floor dysfunction? Are you scared to talk about your experience around sexual pain or vaginismus? Today I am addressing the importance of releasing shame and secrecy around pelvic floor health issues and sexual dysfunction. I want to encourage you to share your story and understand that you are not alone. We'll talk about how these conditions can affect anyone and how embracing community and support can be the key to overcoming them! Plus, I'll be sharing some exciting details about an upcoming event that could be a game-changer for your journey to healing! Join me, and let's break the silence together.Join my Global Vaginismus Awareness Day Conference on September 15th from 2-6 pm Central Timehttps://the-vagina-rehab-academy.sellfy.store/p/global-vaginismus-awareness-conference/To work with a VRD pelvic floor physical therapist 1 on 1 to help you overcome vaginismus, sexual pain, and pelvic floor dysfunction then click here to schedule a free consult with me: https://calendly.com/d/cn6f-4vw-353/1-on-1-complimentary-vaginal-fitness-screening-session Or email me with any questions you have about our coaching program: janelle@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Join my private email club: https://www.vaginarehabdoctor.com/join-my-private-pelvic-floor-email-club/ Produced by Light On Creative Productions
A short announcement from your host Audrey Cairo about the upcoming coaching programme.Find more information on https://www.audreycairo.com/vandme or keep an upcoming short workshops on https://www.eventbrite.co.uk/e/vme-lets-name-it-not-shame-it-tickets-139455778989So what did you think? Click here to let us :)Support the Show.Did you like the podcast? Why not buy V.&Me a coffee to support - https://buymeacoffee.com/v.andmepodcast
Hanna is giving you her best advice today! From husbands writing in about vaginismus, to helping 18 year olds make a decision about college, she really covers it all! Pixie Cup Skyn Condoms Follow on Instagram! YouTube
In today's episode, I am sharing a topic that I encounter often as a pelvic floor physical therapist specializing in vaginismus and sexual pain. As an expert on this topic I understand how vaginismus, a condition that affects millions, can become a part of your identity and the challenges that come with overcoming it. I want you to know why it's important to recognize that vaginismus is just a phase and how you can start taking steps towards reclaiming your life and confidence. If you're ready to move forward and need guidance, I offer some practical options to help you on your journey. So Listen up y'all when I say vaginismus is not something that needs to define your life. Let's take the first step together.Click to join the Global Vaginismus Awareness Conferencehttps://the-vagina-rehab-academy.sellfy.store/p/global-vaginismus-awareness-conference/To work with a VRD pelvic floor physical therapist 1 on 1 to help you overcome vaginismus, sexual pain, and pelvic floor dysfunction then click here to schedule a free consult with me: https://calendly.com/d/cn6f-4vw-353/1-on-1-complimentary-vaginal-fitness-screening-session Or email me with any questions you have about our coaching program: janelle@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Join my private email club: https://www.vaginarehabdoctor.com/join-my-private-pelvic-floor-email-club/ Produced by Light On Creative Productions
OT Pioneers: Intro to Pelvic Floor Therapy opens Sept 16-20, 2024Introducing the Functional Pelvic Practitioner Levels and Certification - for OTPs Craving a Structured and Recognized Path to Specialize in Pelvic HealthTrauma Informed Pelvic Health Certification with Lara and LindseyMore about my guest:Jess Seitz is a trauma-informed pelvic floor occupational therapist and founder of Pain-Free Intimacy, where she works as a vaginismus recovery coach to help women from around the world break free of the pain and frustration of vaginismus to enjoy intimacy the way it was intended. She has a background in nervous system regulation and chronic pain management and uses this to offer a unique approach to vaginismus recovery. Jess was inspired to help others after having healed from a long journey of vaginismus herself- a journey full of set-backs, poor advice, loneliness, and inconsistent progress. Wanting to help other women see the progress they're desiring, with genuine support and care, she developed a comprehensive vaginismus program that has helped dozens of women turn pain into pleasure. Where to find her: Facebook page with free resourcesJess' Website @painfree.intimacy Pick up your recordings of the OTs in Pelvic Health Summit 2024 here. ($100 off + 1.6 CEUs!)____________________________________________________________________________________________Pelvic OTPs United -- Lindsey's off-line interactive community for $39 a month! Inside Pelvic OTPs United you'll find: Weekly group mentoring calls with Lindsey. She's doing this exclusively inside this community. These aren't your boring old Zoom calls where she is a talking head. We interact, we coach, we learn from each other. The power of these community calls is staggering. Plus, she's got a lineup of experts coming in you don't to miss (see the P.S.). Highly curated forums. The worst is when you post a question on FB just to have it drowned out with 10 other questions that follow it. So, she's got dedicated forums on different populations, different diagnosis, different topics (including business). Hop it, post your specific question, and get the expert advice you need. Private podcast. Miss a group coaching call? Not a problem, the audio is uploaded to a private podcast so you can listen on the go. Turn your commute into a transformativeMore info here. Lindsey would love support you in this quiet corner off social media! ...
Josh Spurlock, founder of My Counselor Online, is BACK in another incredible episode with Alana and Tiera where he unpacks sexual disorders and dysfunctions. You don't want to miss it! Vaginismus: 8:45 Sexual Aversion: 10:12 Orgasms: 12:08 Orgasm Disorder: 30:15 Links from today's episode: The previous episode with Josh Spurlock My Counselor Online (use our link to get $25 off your first month!) Join Unite & Ignite Want more from Kingdom Sexuality? Come hang out! Instagram Facebook Group Patreon Website
Dr. Ellison Melrose // #ClinicalTuesday // www.ptonice.com In today's episode of the PT on ICE Daily Show, Dry Needling Division faculty member Ellison Melrose discusses the benefits of utilizing dry needling as a treatment for sexual dysfunction in women. Take a listen to the episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our Extremity Management course or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION ELLISON MELROSEGood morning PT on ICE Daily Show I am coming to you live from Durango, Colorado this morning in my truck so excuse the background, but we are here to talk about First of all, my name is Dr. Ellison Melrose. I am lead faculty with the dry needling division of ICE. I am coming to you today to talk about dry needling in the pelvic health space, particularly for sexual dysfunction in females or in women. And I wanted to highlight two common diagnoses we have, which is vulvodynia and vaginismus. So let's dive right into that. First, I want to highlight in 2018, there was a joint report done by both the International Urogynecology Association and International Continence Society that overviewed sexual function and dysfunction. They did a deep dive into things like the proper screening, what proper history or physical subjective objective exam would look like. And then they had a huge section on the prevalence of pelvic floor dysfunction in folks that had sexual dysfunction as well. So that's what I wanted to highlight today. We, in the pelvic floor practice or pelvic floor space, we see it often where pelvic floor dysfunction and sexual dysfunction is highly linked and correlated. what I, what this report, um, highlighted is that there's actually 37 different diagnoses of sexual dysfunction that can be attributed to some form of pelvic floor dysfunction. And that's a lot, right? So, um, there granted, I mean, if you look at all of the, the nitty gritty diagnoses, um, we may be thinking maybe we're over medicalizing this, patient population a little bit with specific diagnoses, but it highlights the fact that there's so many people out there that have pelvic floor dysfunction that is contributing to a form of sexual dysfunction. 45% of women that have urinary incontinence will complain of sexual dysfunction at some point in their life. Of that 45%, 34% of that is hyposexual desire disorder. Um, and 44% of those are a brand of sexual pain disorder, which is either dyspareunia or a non-coital, so a genital pain that's not associated with intimacy. And that's what I wanted to highlight. Two most common diagnosis that we see in the clinic that can be challenging for us as pelvic floor PTs often are both vulvodynia and vaginismus. And we'll kind of get into potentially why these can be challenging diagnoses for us. DRY NEEDLING FOR VULVODYNIA Um, but for vulvodynia, the clinical definition of this is anyone that has had pain in or around the vulva region for at least three months without a clear ideology of symptoms. So they don't have, They've had negative cultures, so they don't have either fungal or bacterial infection going on here. And so there's this idiopathic pain presentation in the vulva region. And then vaginismus is a recurrent or a persistent muscle spasm of the pelvic floor, which inhibits any form or enables penetration and there's different forms of vaginismus and different diagnosis underneath that umbrella of vaginismus. And we can kind of dive into that when we talk about vaginismus specifically. I wanted to highlight these two diagnoses particularly because without a proper diagnosis, oftentimes the internal assessment can either be very challenging or it can be very non-therapeutic and actually traumatizing to some of these folks. So if we don't have a particular subjective exam that allows us to understand what is going on with our patients, the whole pelvic floor assessment may be not therapeutic. So for both of these diagnoses, everything starts in the subjective exam. Let's start with vulvodynia. So vulvodynia, oftentimes folks may have symptoms similar to that of a yeast infection or a UTI that then kind of snowballs from there. They may have actually had recurrent yeast infections or UTIs in the past and are familiar with those symptoms, but, and so they do their normal treatment with that, which a lot of times is either over-the-counter medication or they might phone up their OBGYN and say, well, let's get some of these either antifungals or antibiotics on board ahead of time while we wait for the culture. Well, culture comes back negative and the symptoms are still persisting. Sometimes they may get taken away with some of the medication a little bit, but the symptoms overall typically will persist past that. Um, and for folks that have this at this point, it is no longer a, um, you know, bacterial or yeast causing these symptoms. There is a brand of neuropathic pain going So a lot of times they have either had this for quite a long time, at least three months, they've seen other providers that have either provided a medical treatment or something that has been ineffective. And so symptoms have continued. When we think about neuropathic pain and the chronicity and the persistent pain or the chronic pain side of things here, this actually heightened symptoms typically. Um, other subjective things that you might see in these folks is that they may have, um, some sensitivity to, uh, like touch in, in the vulva region, right? So wearing specific type of clothing may be uncomfortable where they may have other brands of, uh, nerve related symptoms like itching or burning. Um, which oftentimes are two symptoms that we think about for either a yeast infection or ATI. And so that's why they get mismanaged in their medical treatment. So it all starts in the subjective exam. And while an internal assessment in these folks isn't out of the question, it can definitely be helpful. It doesn't always, it's not the most efficient way to go about treating this pain presentation. when we think about neuropathic pain, we need to think about, okay, why is this nerve so irritated? And a lot of times in vulvodynia, they see that there is either a irritation of the nerve. Sometimes there can even be, you know, some, some changes in the myelin sheath of these nerves. So there's actual nerve damage associated with it. Depending on maybe what the original cause of the, nerve irritation was. And so when we dive into, we've highlighted their subjective complaints, we know what's going on here, where do we go from there, the internal assessment may be valuable in order to see is this maybe a hypertonicity issue. So if we have tight pelvic floor musculature, can we teach them to relax their pelvic floor and allow for improved blood flow to the pudendal nerve that could be contributing to some of these symptoms. So there is a lot, there is value in that. And I believe that there is, um, oftentimes in the pelvic health space, we are so used to, um, you know, trying to treat, the patient's symptoms ourselves, whereas we can teach our patients to help themselves with learning how to relax their pelvic floor. So there is a benefit in the vulvodynia patient population to utilize the internal assessment. But when we think about efficiency, so how can we treat a neuropathic pain presentation the most efficiently in our in our clinical setting? I am in the dry needling space, and so we use dry needling a ton outside of the pelvic floor world for treating various different brands of pain, one of which is neuropathic pain. So dry needling can be a super efficient tool to improve, to talk to the nervous system and do a nervous system reset to the nerve in question, which oftentimes is the lupudendal nerve. So dry needling is a very efficient tool in order to improve those neuropathic symptoms. With that being said, everything we do physically, manually, we need to highlight that this is a persistent pain diagnosis at this point. And so we need to be utilizing our pain neuroscience education. um, educating these folks about, um, what, what happens to our nervous system when we have had pain for a long period of time. Um, and, and that pain doesn't necessarily equal damage at this point or else everything that we do with our, our manual skills or dry needling, uh, will only get us so far. Right. So, um, vulvodynia again a lot of times these patients come in to us with chronic symptoms so they've been going at this for a very long time they've had typically a medical mismanagement where they've been having some medications on board that weren't helping their symptoms they have a lot of sensitized nervous system and so we want to make sure that we are using the most clinically efficient tool to treat these symptoms. Oftentimes as well, you might actually get some reproduction of symptoms with dry needling when we're approximating the pudendal nerve or getting close to that pudendal nerve, which can be helpful in almost diagnosing, right? So using our tools to help with localizing their symptoms. So that is how we would use dry needling in a case for vulvodynia and in a patient population where we would still likely be able to utilize the internal assessment. DRY NEEDLING FOR VAGINISMUS Now let's pivot to vaginismus. Let's talk a little bit more about different diagnoses under the umbrella of vaginismus and then how we would and why we would use dry needling in this patient population. So, Vaginismus, there's two different diagnoses and underneath that we have two other subdivisions. So we have both primary and secondary vaginismus. So again, a reminder vaginismus is either a persistent muscle spasm of the pelvic floor. It's either persistent or it's associated with something and we'll get into that. Primary means that this has been forever. So this has always been an issue. Um, sometimes there may be a congenital malformation of the genital track on board with this patient population as well. Um, and if that is the case, even things like typically their first, um, like, uh, association with any form of penetration, uh, is oftentimes a, when they get their menstrual cycle. So, um, having a tampon and they're unable to actually insert a tampon into their vagina. Um, from there, then they, they often with this congenital, um, malformation or having it be a primary diagnosis is they, they often are treated fairly medicalized in that state and, and they may require some form of surgical procedure to, widen the vaginal canal. So that's primary vaginismus. Secondary vaginismus is acquired. So it wasn't always an issue, but it could be acquired from a form of trauma. So either an emotional or a physical trauma that then caused muscles in the pelvic floor to spasm. And this can be either global. So what I mean by global is that it's every time anything is enters the vaginal canal, there is a muscle spasm associated with that or it's situational, meaning that things like inserting a tampon may be possible, but physical intimacy with, um, or sexual intimacy is not possible. So there's no, uh, penetration available during, uh, sexual intimacy. Um, so those are the different kind of clinical or, diagnosis we find under the umbrella of vaginismus. Oftentimes in pelvic floor PT, we will see, um, a lot more probably of the secondary vaginismus in that they've, you know, they've never had, they hadn't always had issues, but then something caused or something triggered an issue, which causes the pelvic floor muscles to, um, to spasm, right? And that could be a traumatic birth of vaginal delivery. It could be a sexual trauma. So a, um, yeah, a sexual assault or something of the sort. It could be a, uh, traumatic pelvic exam by their OBGYN, uh, which we've, I see a ton in the clinic and, um, so it could be, a natural physical trauma with that. And then it could also be heightened with a, um, an emotional trauma as well. So a lot of times, I mean, this is a very intimate part of our body. And so there's a lot of times a very, uh, pertinent, uh, or very prevalent emotional, well, um, 70%, I would say probably about 70% of your initial evaluation evaluation, is going to be a subjective exam. Understanding the why behind these patient symptoms is crucial to dictate the course of your treatment or even the course of your assessment in that initial evaluation, right? Like, are we going to be doing an internal assessment on these folks? And a lot of times, probably, probably not, right? So what does day one look like or our initial evaluation look like with folks that have vaginismus? and how and what does our course of treatment look like for them. So typically education goes a long way with folks that have had either a physical or an emotional trauma that has caused muscle spasms here, right? So teaching folks about the anatomy of the pelvic floor musculature uh, why they feel like there's a brick wall when they try to insert a tampon. Right. Um, how, uh, what a Kegel is. Right. So anytime people have any association with the pelvic floor, they are often just think, Oh, I should be doing Kegels. Right. Um, and teaching them what, what a Kegel or what a pelvic floor muscular muscle contraction is and educating like the benefits of relaxing the pelvic floor. And this is just all done through education. So no even physical touch or assessment has been done at this point, but just educating folks around the anatomy of the pelvic floor. Anatomy and physiology of the pelvic floor can go a long way here. We also want to educate about vaginismus itself. So vaginismus is another brand of chronic pain, right? So these folks have typically had pain for an extended period of time, Um, there's not a diagnostic criteria for, for duration of symptoms like there is for vulvodynia. Um, but there is a pain cycle on board here, right? So it all starts in the brain. So it, it either the, the brain perceives an emotional trauma due to either a physical trauma or, or purely emotional that registers discomfort or, or fear associated with, uh, penetration either from a previous, uh, you know, exam with a speculum from a previous sexual encounter, um, from a trauma traumatic birth, right? So the brain remembers those things, which is then going to be causing, it causes muscle guarding. So public for guards, the tight muscles in the public for cause the penetration to be painful. or impossible at sometimes. And then this difficulty in pain reinforces that alarm, the amygdala alarm that's going on up in the brain, right? That reinforces that this is a threat, right? The nervous system then remembers this pain, and so every time our brain is their, their brain is thinking about, you know, either having to go to the OBGYN or having a sexual encounter, anything like that. Um, it is going to remember that and we are going to get the same physical symptoms as the, the tight muscles, um, which is often going to lead to, you know, decrease blood flow to the nervous system, which is going to cause potentially, you know, perceived as pain by these folks. And so they're going to avoid those, uh, you know, avoid whatever is causing this pain cycle, right? And those folks, which ultimately, especially if this is a sexual nature is going to, um, reduce the desire to either have sexual intimacy with their partner or, um, and it's, it's going to reduce that, that overall desire, which is then going to, again, any thought of that intimacy is going to be threatening. So discussing that, that pain cycle with these patients can be very therapeutic and, and helpful in that this isn't their fault, you know? So the nervous system, I like to say it's smart, but dumb, right? It remembers things and not always for the right reasons. And so education about anatomy, physiology, about the vaginismus pain cycle, can take up a majority of your initial assessment with these folks. I also like to do, again, a guided pelvic floor relaxation series with my folks, even if we're not doing an internal assessment. So on day one, these folks, we may not be getting into an internal assessment. We may never get into an internal assessment, but we do want to teach them how to um, feel their pelvic floor muscles and, and learn how to relax them. And so sometimes, um, I will educate them on how to do some self biofeedback either with tactile cueing, um, just medial to their ischial tuberosities sitting on, um, you know, a yoga ball or something like that, where we have some, uh, tactile cueing to the, um, perineal region or the pelvic floor area. Um, and, and teaching them about, again, the anatomy and that when, We're breathing. We're trying to make some of these muscles move. Increasing movement in these tissues is going to increase blood flow to the tissues, which is going to reduce irritation to the nervous system. So teaching them how to relax their pelvic floor without even doing any physical touch yourself can also be helpful. This is a patient population where after we kind of break down and help them understand the why, I like to highlight other tools we have in our toolbox as physical therapists, right? A lot of times when these folks, um, come to pelvic floor PT, they, they've done their research. So they know often that pelvic floor PT equals an internal assessment, which they've had done by their OBGYN and it's maybe been traumatic in the past or Um, they know any form of penetration is, is traumatic. And so, um, right out the gate, I'll say, you know what, that is a tool we have in our toolbox. The internal assessment's a tool. It is gold standard for assessing how the pelvic floor muscles function, but is not everything that we do here at pelvic floor PT. And I introduced dry needling. And I know that seems like for folks that have, don't have vaginismus or don't have trauma associated with penetration, they're like, Isn't dry needling more of a threat than an internal assessment? And for folks that have vaginismus, oftentimes it's not, right? So dry needling the pelvic floor muscles can be an amazing tool as we don't necessarily need to do an internal assessment. on these folks, we know there's likely not going to be anything therapeutic initially with that initial internal assessment. So if we can utilize dry needling in the earlier stages of our pelvic floor PT with these folks, it can be an amazing tool to talk to the nervous system, you know, put a break in that pain cycle associated with the muscle spasms or the tight pelvic floor musculature. It's a beautiful kind of what I like to say control or delete to the nervous system and so it can really help with Retraining that cycle of you know, these muscles Have more control other than just muscle spasm, right? and so if we can take some of the the heightened neuropath or the heightened symptoms down with a tool like dry needling, it may allow us to either ourselves or them do a form of stretching or manual therapy where they can improve the tissue's mobility as well, right? SUMMARY So I could probably talk about this stuff all day. I've already been on here for almost 25 minutes, so I'm going to stop it here, but I want to kind of summarize everything we talked about today. Um, I, we kind of went into a recent report done in 2018 that dove into some pelvic floor dysfunction in, um, sexual function and sexual dysfunction. And we dove into two specific diagnoses today. We looked at vulvodynia and vaginismus clinically and how we can utilize things like dry needling for either treatment or even, um, diving into a little bit of some diagnostic, uh, with, utilize with dry needling as well. Um, and so, uh, while we're, you know, dry needling, the pelvic floor is a fairly unique, um, skill. Uh, there's a lot we can do with dry needling outside of the pelvic floor as well for these folks. And so, um, for those that are in this space, I highly recommend taking our lower body dry needling course if you haven't already, We go into needling for the lumbar spine, the glutes, muscles that surround the sciatic nerve. And so again, taking those principles and utilizing them in the pelvic floor space can be really helpful as well. So we have some courses upcoming this fall. We have, let me pull it up right here. We have a lower body course, I believe in Scottsdale, Arizona, in the beginning of September. We, for those that have taken lower body or upper body, we have two advanced courses coming to you this August. So we have our, our juggling summit up in Seattle and the second weekend in August. And then we have one down in Longmont, Colorado at the second to last weekend in August, um, right before Labor Day. Uh, we have a ton of lower body courses coming to you this fall. So hop onto ptlnice.com and check out what courses we have, um, coming to you. Um, if you guys don't see something in your area, feel free to reach out to us and, um, we can look at getting something booked near you as well. Well, hopefully you guys have a great rest of your Tuesday and enjoy the holiday this week. Bye. OUTROHey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
Hey y'all! In today's episode, we're diving deep into a topic that many of you have asked about: how long does it take to beat vaginismus and other pelvic pain conditions? We're exploring everything from the common struggles and symptoms to the realistic timelines for recovery. Whether it's difficulties with penetration, vulvodynia, or pelvic floor issues, we're here to talk about the hope and real progress you can make. Remember, this journey is about improving your quality of life and feeling connected to your body. To work with a VRD pelvic floor physical therapist 1 on 1 to help you overcome vaginismus, sexual pain, and pelvic floor dysfunction then click here to schedule a free consult with me: https://calendly.com/d/cn6f-4vw-353/1-on-1-complimentary-vaginal-fitness-screening-session Or email me with any questions you have about our coaching program: janelle@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Join my private email club: https://www.vaginarehabdoctor.com/join-my-private-pelvic-floor-email-club/ Produced by Light On Creative Productions
Today we delve into a crucial topic: overcoming vaginismus using dilators. I'll guide you through understanding how these tools can transform your experience with pain, intimacy, and pelvic health. Whether it's painful pap smears, difficulties with tampons, or challenges in your sex life, we'll explore practical strategies to regain control and comfort. Grab your notebook, because this episode is packed with essential insights and steps to help you on your journey. Let's get started and tackle this together!To work with a VRD pelvic floor physical therapist 1 on 1 to help you overcome vaginismus, sexual pain, and pelvic floor dysfunction then click here to schedule a free consult with me: https://calendly.com/d/cn6f-4vw-353/1-on-1-complimentary-vaginal-fitness-screening-session Or email me with any questions you have about our coaching program: janelle@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Join my private email club: https://www.vaginarehabdoctor.com/join-my-private-pelvic-floor-email-club/ Produced by Light On Creative Productions
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