Vaginal dilators are tools that help stretch and expand the vaginal introitus (or opening) and surrounding tissues. Dilators come in many shapes, sizes, and material types but all utilize the underlying strategy of desensitizing and stretching the tissue gradually and progressively. Most often dilators are prescribed for conditions that cause pain with vaginal penetration. Common...
One of the most frequently asked questions we get as pelvic floor specialists from our female patients is “is it normal that I have pain with sex?” While it is common, it is not and does not have to be accepted as “normal.” According to statistics from the American College of Gynecology (ACOG), 75% of...
As more research about the novel coronavirus COVID-19 is developed, it is important to consider the effects of the disease on the pelvic floor and associated body systems and functions. The implications are both direct, i.e. affecting the cells of the bladder and small intestine, and indirect by disrupting function in the pulmonary system, in...
Does cycling contribute to men’s pelvic floor dysfunction? There is conflicting evidence on the effect of cycling and pelvic floor dysfunction in men. As the sport becomes more popular, especially here in Boulder, it is imperative to review the current literature to understand the effect, if any, this sport has on your pelvic floor and...
Endometriosis is a chronic inflammatory condition that affects 1 in 10 women of reproductive age worldwide. Classically, symptoms of endometriosis are painful menstrual cycles and chronic pelvic and abdominal pain, though a myriad of symptoms exist including rectal pain, abdominal bloating, back pain, bladder and bowel dysfunction, and pain with sex. Current treatment regimens for...
Word choice and verbal instruction impacts how one performs a pelvic floor muscle contraction. Previous research on women suggests that around 40% of women do not perform a kegel or pelvic floor muscle contraction correctly with verbal instruction and 25% of them were doing something that would increase the likelihood of leaking such as holding...
Pelvic floor muscles play an important role in sexual function for both men and women as they help increase and maintain blood flow to the genitals during sexual arousal. Both strength and motor control are important for proper muscle function anywhere in the body, including the pelvic floor. The prevalence of erectile dysfunction is unknown,...