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pelvic floor health during pregnancy
Image courtesy of Shutterstock
Health Digest author Catherine Caruso reached out to me about why pelvic floor health is so important during pregnancy, and of course this being one of our major areas of expertise I was more than glad to answer her questions. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

What's So Important About Pelvic Floor Health During Pregnancy?

If you've never been pregnant but think it may be in the cards for you, here's a mental trick you can try - just imagine strapping a bowling ball to your abdomen for a day and going about your normal routine. Your pelvic floor muscles would let you know soon enough what an extra strain you've put on them, haha! But seriously, in the real world pregnancy doesn't just overtake your life in one day (thank goodness!), and your body has time to adjust to this new task it's been given. That said, there are a lot of issues to be aware of and tactics you can take to make the whole experience go as smoothly as possible, and that's what we are here for.

Catherine's article begins:

Believe it or not, your pelvic floor muscles can actually play an important and essential role during pregnancy. Located at the base of the pelvis, the pelvic floor consists of a group of muscles that help support your pelvic organs, including your bladder, bowel, and uterus (via Better Health Channel). While many people may not even be aware of their pelvic floor muscles prior to becoming pregnant, they can certainly have a significant impact on your health throughout your life, especially during pregnancy and childbirth.

In an exclusive interview with Health Digest, Dr. Heather Jeffcoat, DPT, owner of Femina Physical Therapy in Los Angeles and PT with plusOne, discusses the importance of maintaining good pelvic floor health during pregnancy. According to Dr. Jeffcoat, pelvic floor muscles "serve important functions through all stages of life, but when women start to experience urinary urgency and frequency, bladder leakage or sexual dysfunction, they become intimately aware that this is a region that is deserving of more attention."

As I mention in the article, your pelvic floor muscles are responsible for helping your body perform some of its most basic and essential functions, and during pregnancy they really need to be in peak shape. One great way to improve your pelvic floor health during pregnancy is through a yoga program specifically tailored to pregnancy.

Related: More articles about yoga and pregnancy at Femina PT

And even if everything seems to be going great, it's always a good idea to get assessed by a pelvic health expert to make sure your pelvic floor is ready for the next steps. The article continues:

According to Dr. Jeffcoat, one of the most common signs of pelvic floor dysfunction is bladder leakage, along with urinary urgency and painful sex. In order to make sure this isn't happening, Dr. Jeffcoat recommends going to see a pelvic health physical therapist after 32 weeks of gestation, even if you're not experiencing any symptoms. "I'll often find my pregnant patients are developing overactivity in their pelvic floor muscles," she explains. "With this finding, we start doing pelvic floor muscle relaxation techniques, including specific intravaginal release techniques, mobility exercises for the pelvic floor, hips, and lumbar area, as well as coordinating their breathwork with bearing down to prepare for a vaginal delivery." 

From there the article takes a brief look at what can be done to relax the pelvic floor, and here's one exciting clue... orgasms can help!

When the pelvic floor muscles are in a tonic state of overactivity, it's not as easy to relax them. As a result, breathing techniques, exercises, and even orgasms can help relax your pelvic floor and make your feel more comfortable during pregnancy and childbirth.

There's much more to be learned about pelvic floor health during pregnancy in the full article at the Health Digest website. And if you think you're ready for some pelvic floor therapy, click here to set up an appointment with one of our trained specialists.

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Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by Jackie W.

I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

-- Jackie W., 1/19/17 via Yelp!

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

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