Urinary incontinence

Urine leakage can occur due to weakness or tightness of your pelvic floor. The treatment differs greatly depending on whether you are leaking because you have an overactive or underactive pelvic floor.

Women can have urine leakage with stress—coughing, sneezing or movement, or with urge to urinate or both.

Each condition requires an individualized and unique approach to allow you to get dry.

Women of all ages can leak---young women who have never been pregnant, pregnant women, post-partum moms and older women. Even women who are athletes can have leaking. Its important to understand that leaking in any of the above women is not normal!

References:

https://medlineplus.gov/urinaryincontinence.html

Sexual pain

Three out of five women have pain with sex.

Sexual pain can be devastating to women of all ages, as it interferes with our ability to engage with our partners and loved ones in an intimate way.  In can lower our self-esteem and self-worth as women, and interfere in our ability to connect with the most fundamental part of our lives, our relationships.

Whether you are a young woman starting her sexual life, a new bride struggling with pain with intercourse, a post-partum mom who is not able to engage in sex due to pain or a mature woman who is struggling with sexual pain, in-orgasmia or arousal dysfunction, help is at hand.

I have a unique approach to sexual pain that I have developed over many years of working with women of all ages who are struggling with sexual pain and dysfunction.

I have had the privilege of being a part of numerous women’s journey to achieve sexual wellness, some of whom faced sexual abuse in the past, others who had lost relationships due to sexual difficulties, and others who have started enthusiastically on sexual lives only to face roadblocks they are not able to overcome on their own.

I want you to know that I am here to assist you on this journey, and provide you with treatment, resources and education you need to move forward with successful sexual lives.

Do kegels improve orgasms?

“Have mind-blowing sex: learn how to do your Kegels.” “Amazing orgasms, ladies do your Kegels!” These were just some of the headlines that greeted me as I researched what was being said in the popular media regarding pelvic floor exercises and improving sexual function in women. S

I  found a few recent and past research studies that have tried to study pelvic floor exercises and sexual function in women.

In 1984, researchers studied a small group of women who were able to achieve orgasm through intercourse less than 30% of time. These women were given kegels, and another group (control group) was given no exercises. Strength gains were noted in the exercise group but neither the exercise nor control group achieved increased orgasms, or improvements in sexual frequency.

In a more recent study, 32 sexually active post-menopausal women, who had the ability to contract their pelvic floor muscles were given 3 months of physical exercises including pelvic floor muscle training with biweekly physical therapy visits and exercise performed at home three times a week with the hope of improving orgasm. Pelvic floor muscle strength was significantly improved after 3 months, but this study found no effect on sexual function.

 Messe and Geer asked a group of women to perform vaginal contractions while engaging in sexual fantasy. A second group was asked to engage in sexual fantasy without the contractions, and yet a third group was given the task of vaginal contractions but no sexual fantasy. The results indicated that performing vaginal contractions with sexual fantasy improved arousal and orgasmic ability. Initially, this group made better gains than vaginal contractions alone and fantasizing alone. However, with a second test session one week later, no further gains were noted in the ability of this group to improve sexual arousal or orgasm. Messe and Geer speculated that inc

The most interesting finding was reported by an older study done by Roughan. Roughan et. al. expected women with orgasm difficulties to improve after 12-week period of pelvic floor strengthening exercises, compared to a group that practiced relaxation and an attention control group. No difference was found between the orgasmic ability of the two groups.

The majority of women studied here had no reported pelvic floor dysfunction. Perhaps, contrary to popular opinion and against the advice of women’s magazines, women with healthy pelvic floors may not benefit from pelvic floor exercises any more than they would from relaxation training, or mindful attention to sexual stimuli.

So, what then, will increase our mojo in bed, you ask? Stay tuned for the next blogs…