Looking directly at your sexual problems is not always easy. Sometimes, medical conditions may have limitations or cause pain due to vaginal penetration. Your healthcare provider may recommend that you use a Vaginal Speculum. what are they? Who uses them?

 

This is the first in a series of positions designed for women who have suggested the use of dilators or are currently using Vaginal Speculums. The dilator can be used to keep the vaginal tissue flexible and healthy, or to help restore the vaginal opening and root canal to a size suitable for the patient's sexual activity preferences.

 

Since the late 1980s, Vaginal Speculums have been used in my practice as part of pelvic floor functional recovery therapy. Vaginal Speculums, also known as vaginal trainers or pads, are designed to restore or expand the tissue and muscle tissue of the vaginal opening. They helped hundreds of patients recover or start penetrating activities, which is the common goal of many women. The tool can help improve the comfort of vaginal penetration and can improve the quality of sexual life of women and their partners. Physiotherapists trained in women ’s health are ideal healthcare providers who can introduce and develop dilators. We have the ability and time to evaluate and treat the pelvic girdle, vulva area, and pelvic floor muscles.

 

Women with multiple diseases can benefit from the use of Vaginal Speculums. Based on my clinical experience with dilators, I divided the diseases into 4 types.

 

The first group involves women with anatomical changes in the pelvis. This includes genetic diseases (Müller dysplasia or Meyer-Rokitanski-Kust-Hauser (MRKH) syndrome), surgical operations (after hysterectomy, prolapse repair or gender redistribution surgery), right Drug treatment response (graft versus host disease-GvHD) and cancer patients have sexual problems after receiving radiotherapy, breast cancer treatment and surgically induced menopause.

 

The second group includes women with medical conditions that may cause pain or restricted vaginal penetration or sexual intercourse. This category includes but is not limited to vulvar pain, vestibular gout, vulvovaginal atrophy, vaginal stenosis, lichen sclerosis, painful bladder syndrome, interstitial cystitis, perineal tears, periosteal incision and pelvic pain after delivery.

 

The third group included women with chronic pelvic pain with pelvic girdle (SI joint, coccyx, pubic bone area) and / or bladder and bowel symptoms. In this case, the dilator is usually used as a method of stretching the pelvic floor muscles.

 

The fourth category includes women who are unable to perform gynecological examinations of the pelvis despite their desires and repeated attempts, wear tampon or perform sexual activity through vaginal penetration during menstruation. This condition is called vaginal cramps. Women with vaginal cramps usually need to learn to control muscle reactions, focus on insertion techniques and understand the neuroscience of pain, fear and anxiety. Physiotherapist Tracy Sher (MSPT.CSCS) in the blog's Vaginal Speculum tips and overview provides those women with additional needs to help patients with vaginosis.

 

When working with patients who recommend the use of dilator technology, I often encounter the emotions of many patients. Knowing which dilator to use and having clear instructions can help women recover. With the support of physical therapy, they often change from embarrassment, confusion and frustration to confidence, encouragement and empowerment. Many women have achieved the goal of painless vaginal penetration.

 

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