I would like to talk about a topic that's not always easy to talk about, but is so very important. Dyspareunia or painful sex is something that many women experience. Although it's not something that we just have to put up with. And no, just drinking a glass of wine and trying to relax is NOT the answer. There are things you can do to address the problem. One of the most helpful things is pelvic floor physical therapy.

The average age of onset of menopause is 51 years old. Perimenopause begins in the 40s and continues into the late 50s. Menopause occurs when the menstrual cycle ends permanently due to the decrease in ovarian oocytes as a natural result of the aging process. Given that the pelvic floor tissues are extremely androgen receptive and are a part of the reproductive system, a change in hormonal levels undoubtedly has an effect on these tissues.

If you’ve recently been diagnosed with Polycystic Ovarian Syndrome (PCOS), you probably have many questions that your doctor didn't have time to answer during your 15 minute appointment. So let's start with the most obvious question: What is it? PCOS is a common endocrine disorder that affects 1 in 10 reproductive-aged women. Some common sign and symptoms of PCOS include missed or irregular periods, excess bodily hair, acne, weight gain, infertility and pelvic pain.

So you had a baby and are now having bouts of incontinence. Or maybe you’ve always had pain during sexual intercourse but didn’t realize this was abnormal. Or you’ve had chronic low back pain that hasn't resolved from traditional PT. Pelvic floor dysfunction affects people of all ages and genders and can have a significant impact on the quality of your life. Typically it leads to issues that are uncomfortable and sometimes embarrassing.

A pelvic floor internal exam is a type of physical examination that is performed by a pelvic floor physical therapist to assess the function and health of your pelvic floor muscles. This exam is conducted in a private, comfortable setting and is performed with your informed consent. Typically it involves insertion of a gloved finger into the vagina or rectum to feel the strength, tone, and coordination of the pelvic floor muscles.

As a pelvic floor physical therapist, I have specialized training in the evaluation and treatment of conditions related to the pelvic region. I work with people of all genders to address a variety of issues, including: urinary incontinence, pelvic pain, sexual dysfunction...

You have probably heard some people say, “Oh it is normal to leak after having a baby, that is just what happens.” While it is common to experience leaking, this shouldn't become your new normal. As a physical therapist who specializes in pelvic health, I am trained to help new moms overcome incontinence. I also work with moms who have been dealing with bladder issues for many years.

You crossed the finish line of your pregnancy journey! Three trimesters of hormone changes and muscles adapting to the changes of load while the baby gradually grows. But what about the "fourth trimester" or postpartum period? Typically our instructions are to rest and let the body recover for 6 weeks after having a baby. However, what if we included gentle exercises as part of that rest and recovery?

You may or may not have heard that you can see a physical therapist for prenatal care. The big question is, what can a pelvic floor physical therapist do for the prenatal population? A lot actually! Pelvic floor PT is not exclusive to the pelvic floor region during pregnancy. Below is a list of some of the things that a pelvic floor physical therapist can treat for an individual who is pregnant that are non-specific to the pelvic floor.

Easy answer: as soon as you want! Generally we wait 6 weeks postpartum to begin pelvic floor physical therapy. However, this applies to assessing and treating the pelvic floor muscles only. There are other regions of the body (hips, spine, shoulders, etc.) that are affected during pregnancy and the birthing process which can affect your posture, strength, stability and mobility.