What is pelvic floor training?
Pelvic floor training is strength training of the pelvic floor muscles, the muscles in the pelvic area. This training helps improve the function of the muscles and can be used as a treatment or prevention for pelvic organ prolapse or urinary incontinence.
What is vaginismus?
Vaginismus is a condition where the pelvic floor muscles tighten and make it difficult or impossible to insert anything into the vagina, including tampons, medical instruments, and the penis.
Can women with vaginismus have children?
Women with vaginismus can become pregnant, but it may be more challenging to achieve due to pain or difficulties with intercourse. However, there are treatment options available that can help manage vaginismus and make it easier to conceive.
Can women with vaginismus give birth vaginally?
Women with vaginismus can give birth vaginally, but it may require extra effort and support from healthcare providers to help them relax and open their pelvic floor muscles.
Can vaginismus be cured?
Yes, vaginismus can be treated and managed through a combination of therapy, pelvic floor exercises, medications, and other treatment options. Many individuals experience significant improvement or full resolution of their symptoms with appropriate treatment.
Can pelvic girdle pain (pelvic instability) be prevented?
It is not always possible to prevent pelvic girdle pain, but there are measures that can help reduce the risk and alleviate pain. These may include regular exercise, ergonomic considerations, and lifestyle adjustments.
How do you know if you are exercising the pelvic floor correctly?
A correct pelvic floor contraction should feel like you are tightening around the rectum, vagina, and urethra, combined with a sensation of drawing the muscles inward and upward. You can place a hand on the perineum (the area between the vagina and anus) and feel it lift slightly. Alternatively, you can insert a finger into the vagina and feel the muscles squeezing around it. There should be no downward pressure. The pelvic floor should be trained in isolation while simultaneously relaxing the gluteal muscles, abdomen, and inner thigh muscles.
What can pelvic floor training do for individuals with endometriosis?
Pelvic floor training helps stimulate circulation in the pelvic area. Many individuals with endometriosis may experience pain in the pelvic region due to muscular tension in and around the pelvis over time. Pelvic floor exercises can help alleviate this tension and improve overall muscle function and blood flow in the pelvic area.
How often should one exercise the pelvic floor muscles?
After childbirth, it is recommended to exercise the pelvic floor muscles daily for the first 4-6 months. As a treatment for pelvic organ prolapse or urinary incontinence, daily training for 6 months is recommended. After that, you can transition to maintenance training once a week. Generally, 3 sets of 10 repetitions are recommended, but individualized approaches may be necessary for specific needs.
Can pelvic floor training help with urinary incontinence?
Yes, pelvic floor training is considered the first-line treatment for urinary incontinence. Studies have shown that 74% of women with urinary incontinence experienced improvement after engaging in pelvic floor strengthening exercises.
What is pelvic organ prolapse?
Pelvic organ prolapse is a condition where the bladder, uterus, or rectum sag into or protrude against the vaginal wall. It can feel like a sensation of heaviness in the pelvic area or a feeling of having something in the vagina. Some people may also visually observe the prolapse when examining the pelvic area with a mirror. Pelvic organ prolapse is also referred to as pelvic organ prolapse or genital prolapse. It's important to note that pelvic organ prolapse is distinct from a herniated disc (back prolapse) and they are not the same condition.
What is the pelvic floor muscle?
The pelvic floor muscles are the muscles that form the "floor" of the pelvis. These muscles surround structures such as the urethra, vagina, and rectum. They play a crucial role in supporting the pelvic organs, controlling urinary and faecal continence, and providing stability to the pelvic region.
How can we who do not live in Oslo or have Dr.Dropin nearby get help?
Dr. Dropin also offers video consultations. You do not get to carry out a physical examination, but you can get a lot of useful information and guidance. You can read more about video consultation here, and download the app to book an appointment with Martine (Klinikk Hegdehaugsveien). At fysio.no, quintet.no and vulva.no, there is also a list of physiotherapists and health personnel throughout the country who work with this.
Can regular physiotherapists do a pelvic floor examination?
No, only physiotherapists are specialized in education and training in pelvic floor examination. It is not "ordinary" physiotherapeutic knowledge. At Dr.Dropin, it is currently only Martine at the Hegdehaugsveien clinic who offers a pelvic floor examination.
What should you do if you think you have vaginismus? Is it something you can do yourself?
It is important that you are examined by a gynaecologist to rule out other medical conditions, for example, infections, skin diseases etc. There is a lot you can do on your own. Part of the treatment is about information and understanding of the problem. Many people get better from just that. You can read more about the condition at vulva.no and here.
I have uterine prolapse. Can a pelvic floor exam help me?
It is recommended to carry out a pelvic floor examination to examine the strength and function of the pelvic floor muscles. Continuous strength training of the pelvic floor is always the first measure we work on, both for abdominal prolapse and incontinence. Research shows that 74% get fewer prolapse symptoms after 6 months of continuous and guided pelvic floor training, which is a very good prognosis.









