Pain with Sex? Don't Miss this Step! | Pain With Sex | Beyond The V



This step gets missed when you are having pain with sex.

In this video, I will tell you exactly what that step is, and even share a Bonus tip for this process

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Want to know the thing that gets missed in treating pain with sex? I want to tell you!

I’m Pauli. A Women’s Health Physical Therapist and this is Beyond the V Women’s Health. I am on a mission to shed light on the lack of care, the lack of conversation about these uncomfortable topics and to create resources for you and provide help. I created this channel because no mom or woman should have to struggle when there are answers.

So this component often gets missed in treating pain with intercourse and the reason is, is because a lot of us, and I’m guilty of this too, we focus so much on getting the muscles moving and so much on getting the muscles relaxing and being able to tolerate the insertion of a tampon or penetration with intercourse or tolerating a speculum that we forget one of the functions of the pelvic floor.

So yes, we need those muscles to relax and lengthen so that insertion and penetration is possible without pain, but the other thing we’re forgetting is that a strong pelvic floor can be the thing that allows those muscles to better relax. Sometimes this might seem a little counterintuitive, right? So if our muscles are supposed to contract, relax, and then lengthen, wouldn’t we want to be focusing on this, like that downward motion? More than we would want to be on this part? But if you think about how muscles get strong, we have to tax them enough to break down that muscle and we do that by lots of movement.

So by nature of you strengthening those muscles, you’re able to contract and relax and that’s allowing that muscle to move through that available range of motion. Now, let me clarify. I think or at least I’ve seen this flying around on the internet that you shouldn’t do kegels unless you check with your provider. One I definitely would say that, but number two the timing of you implementing this if you have tight muscles or if you have pain with intercourse and you’re working on getting those muscles to relax the timing is everything. If you do it too soon, yes you can make those tight muscles even tighter because you’re trying to move them and they don’t really have anywhere to go there’s a specific timing that’s important. So I’ll tell you this if you notice ‘man I feel like I’m making progress I’m maybe about 30 to 40 or more better’ whether that’s inserting a tampon you’re getting a little bit closer or feeling more confident to having pain with intercourse then that is the time that I would tell you to start strengthening your pelvic floor.

Let me give you a little bonus tip – kegels are not the answer. What I would tell you to do is to really start using your hips in all three planes so if you’re going to be doing lunges do them to the front do them to the side and then do them at an angle. If you’re going to do squats, put your feet in different positions so you’re getting lots of different angles. That will allow you to target your pelvic floor and to help it get stronger. So don’t forget this important step if you need help with the timing reach out to a pelvic floor physical therapist in your area.

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