Preparing for Sex Postpartum

What is a diastasis? Most people know the diastasis as a separation of the rectus abdominis muscle. While this is not completely wrong, it is also not completely true either. A diastasis is actually a thinning of the linea alba which is a connective tissue sheath that lies in the middle of the abdominal wall and connects the abdominal muscles.

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.

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.

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 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.

Pelvic floor physical therapy treatment has been associated with treatment for women especially since the pelvic floor is directly impacted from childbearing and birthing. However, men can also benefit from pelvic floor physical therapy. This blog will discuss some of the symptoms that men may experience in the pelvic floor that can be addressed by a pelvic health physical therapist.

Before I discuss treatment options (including a pelvic fitness program you've probably never heard of), let's learn about prolapse. What is a prolapse? What does it feel like? What causes it?‍ Prolapse is a medical term to describe the descent of an organ. This can happen in different areas of the body but in regards to the pelvic floor, it can occur in the anterior and posterior wall of the vaginal canal. There are 3 main types of prolapses...

Erectile dysfunction (ED) may occur anytime after the age of 20. By age 40, the prevalence increases by 10% each decade. ED can be caused organically such as vascular and neuro dysfunctions, post surgical, post trauma, hormones, and medications. ED can also be due to psychological dysfunction, age, pain-related, activities, situational, and behavior.

You just returned from your 6-week follow up appointment with your medical provider and they cleared you to return to activities and sex. What are the first thoughts that go through your mind? Are you excited? Or hesitant? Maybe nervous or scared? Some moms are thrilled and get right back to it. Great! BUT the majority are on the other side...

Yay!!! You’re having a baby! It is a very exciting time for your growing family! For 9 months, the baby has been growing in your abdomen with the body changing to accommodate and nurture the growing baby. But eventually… The baby is going to be leaving their current residence. This may cause some anxiety for you or it may not. Many people take classes prior to feeling more prepared. However, the reality is that every baby, every mother, and every birth is different.

True or False? Male pelvic pain is always associated with dysfunction of the prostate. The answer is FALSE. While the prostate can be associated with pelvic floor dysfunction at times, it is generally not the primary cause especially for pelvic pain. Approximately 2-16% of men may experience pelvic pain. Pelvic pain may also be associated with bladder, bowel, and/or sexual dysfunction.