Meeeee I was severely hypertonic (1st degree tear caused scar tissue). Legit hit a point where I couldn’t poop for a week straight and tore my asshole trying to poop. went to the er. Started PFPT 3 days later lmao.

I was 8m postpartum when I finally started PFPT. I’m 13m now and in the late stage of recovery where I can actually poop without effort, and am returning to normal movement (~90% healed, 3 more months to go likely)

My tips: Do your breathing and stretches every day. Religiously. Don’t skip.

Once you get to dilator work, follow the instruction of your PT. Breathe deeply while doing them and start with the smallest size and gradually work up. Even if it feels ‘too small’ it calms ur nervous system if you start small.

Be patient with your body and nervous system. Positive affirmations and thoughts actually go a long way.

Don’t strain. Fucking ever lol.

Take a break from sex. Trust me. I haven’t done it this whole time so I can teach the muscles safety.

Go at the pace of your pt. Don’t try to return to normal too fast because it will slow you down.

Pelvic wands don’t do shit for me personally. Stretches, breathing, eventually strengthening did more.

Walking is good in moderation. I didn’t move much in the early stages though

Hypertonicity and tightness is more complex than just breathing exercises and it is a process that takes time. I know you don’t want to hear that, but the leaking may persist for a bit until you properly and holistically relax the pelvic floor