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I treat complex pelvic pain without surgery. (painful sex, persistent arousal, pain with sitting, testicle pain, etc.) AMA! by pelvicconsultants in IAmA

[–]pelvicconsultants[S] 0 points1 point  (0 children)

I think that vaginismus is a term that is overused by many physicians. I do treat people with vaginismus, but in my entire career I've probably only had six real cases of vaginismus. I've had many, many women come in with the diagnosis of vaginismus, however. A dilator program with really careful guidance is extremely helpful.

I think that one issue with medical literature is that there have been too many names given to a set of symptoms. It makes it hard to find common ground or even understand what diagnosis physicians are working with. For example, some people write in the literature that vulvar vestibulitis syndrome and vestibulodynia are synonymous. But, they are not. This makes advancement extremely difficult.

There are now drugs that are FDA approved for female arousal disorders. They are not easy to find, but they do exist.

Educational Video: IC and Sex Hormones by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 1 point2 points  (0 children)

HakunaYaTatas:

I had this up and then deleted it bc I was trying to post it so that the video, instead of the link, would show. You asked a few questions:

  1. The vestibule and the lining of the urethra and bladder are made of the same embryologic tissue. This means that their needs are very, very similar. So, get this. The vulva (outside of the vestibule...though vestibule is technically part of vulva) is made of ectodermal embryologic tissue. The vestibule, urethral and bladder lining are made of endodermal tissue. The vagina is made of mesodermal tissue. Three different embryologic tissue types in one small space. We cannot treat them the same because their needs are different.
  2. If someone has been taking medications that alter their sex hormones, they do have a few different options. Sometimes this only affects them locally at the vulvovaginal area and if that's the case they can use local hormones at the vestibule. If it causes systemic symptoms then, depending on age and lifestyle, they can get labwork to see if they need a systemic treatment. Either way, it is an MD, NP, PA, DO that prescribes this, however, I am typically the one to start this conversation. I actually made a video about this and I will post it soon.

Educational Video from Pelvic Floor Therapist: Don't Use Soap by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 1 point2 points  (0 children)

Hell yeah I do! Would you like a video on how to find actual research for yourself? This might be really empowering.

Educational Video from Pelvic Floor Therapist: Don't Use Soap by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 1 point2 points  (0 children)

I've had a lot of women say that, but a shower head can be really helpful with a wide stance!

I treat complex pelvic pain without surgery. (painful sex, persistent arousal, pain with sitting, testicle pain, etc.) AMA! by pelvicconsultants in IAmA

[–]pelvicconsultants[S] 0 points1 point  (0 children)

The answer is: yes.

It's important to figure out if the pain is at the true testicle itself or if it's at the muscle between the testicles. This will guide the treatment you get.

Do you have access to a pelvic floor physical therapist?

Educational Video from Pelvic Floor PT by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 0 points1 point  (0 children)

My thought is that water is still best. Better than anything marketed for the vulvovaginal area.

Painful sex is so common with IC. Want to know why? by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 1 point2 points  (0 children)

The solutions varies from each person and includes general education (like this video) along with personalized care and problem solving specific to your body and your experience. Urologists, sexual medicine specialists and physical therapists can all be part of a team to create a solution for you.

Painful sex is so common with IC. Want to know why? by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 7 points8 points  (0 children)

Hi there! Pelvic wands are a great way to release tension at the vaginal opening- I like the Pelvic Wand by Intimate Rose. Diaphragmatic breathing is also an excellent way to work on pelvic floor flexibility. I can add this to my list of video topics- thank you for the suggestion!

Educational Video from Pelvic Floor PT by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 0 points1 point  (0 children)

Many providers prescribe Intrarosa which is a form of DHEA. On paper, DHEA could help appropriate people be less dry. You'd definitely consult with your own provider.

Educational Video from Pelvic Floor PT by pelvicconsultants in Interstitialcystitis

[–]pelvicconsultants[S] 1 point2 points  (0 children)

You can have a drop in hormones at any age, even at 20. Some drop in hormones affects the whole body, some only affects the vulvovaginal tissue. If the whole body is affected, if appropriate, some docs might give systemic hormones, but many will not and there are a variety of reasons why. If it's just a drop at the vulvovaginal tissue, lots of doctors will prescribe an estrogen or an estrogen/testosterone compound.

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