Spring Pelvic Health 101 is Coming

Fiona McMahon, DPT, PT

Pelvic Health 101 is back with some old favorites like, “Something’s wrong with my what?” and “Why is pooping so difficult?” We have also added a new course on pediatric pelvic floor issues.

If you have questions, we have answers. Join us for lectures and question and answer opportunities with expert pelvic health physical therapists, childbirth educators, and nutritionists. Please reserve your spot early at pelvichealth-101.eventbrite.com. Remember spots fill up quickly. As always, light refreshments will be served.


Tune in! Blog Talk Radio: Persistent Genital Arousal Disorder

Stephanie Stamas, DPTblog-talk

We have exciting news! Our very own physical therapist, Dr. Stephanie Stamas, will have the honor of interviewing Dr. Irwin Goldstein on the talk radio show, The Pelvic Messenger. Dr. Goldstein is an expert in sexual medicine and world-renown physician specializing in the treatment of sexual dysfunction and pain. He is currently the Medical Director of Sexual Medicine at Alvarado Hospital in San Diego, Director of San Diego Sexual Medicine, Editor-in-Chief for The Journal of Sexual Medicine and President of The Institute for Sexual Medicine.

Dr. Goldstein will be discussing the often-sensationalized topic of Persistent Genital Arousal Disorder, or PGAD. The International Society for the Study of Women’s Sexual Health (ISSWSH) defines PGAD as “a persistent or recurrent, unwanted or intrusive, bothersome or distressing, genital dysesthesia (abnormal sensation) unassociated with sexual interest.” This condition has gotten more and more media attention over the past decade as several magazines have covered individual’s personal struggles. The most unfortunate aspect of PGAD is people perceptions of the condition as possibly “desirable.” Magazine headlines reading “I Have Orgasms All Day Long” misconstrue the fact that it is a pain condition and that the orgasms are painful, not pleasurable, which can be devastating.

There are several theories behind why this condition occurs, ranging from excessive sensory information from irritated nerves, tight pelvic floor muscles that can cause changes in the local nerves and genital tissues and/or a decreased inhibition of the central sexual reflex in the brain. Often, PGAD is a subset of a larger group of disorders known as Chronic or Persistent Pelvic Pain.

With over 35 years of experience, it will be an honor to pick Dr. Goldstein’s brain on diagnosing PGAD and effective treatment techniques that he has used in this patient population. To learn more about PGAD, make sure to listen in on Sunday, February 5th at 3 PM EST at http://www.blogtalkradio.com/pelvicmessenger.

Never Too Soon

By Riva Preil

Unfortunately, male sexual dysfunction is extremely common after radical prostatectomy (RP).  Some of the manifestations of sexual dysfunction include erectile dysfunction, anejaculation (inability to ejaculate), climacturia (orgasm-associated incontinence), and changes in penis length.  Pelvic floor physical therapy has been recommended to help decrease these symptoms…but when should the exercises be initiated?  Is it ever too soon?  And could starting a pelvic floor strengthening program too early be dangerous or harmful in any way?

Fortunately, a recent study reported in Cancer Nursing (March-April 2012) addresses this topic, and the answer is that it is safe for men to perform pelvic floor exercises immediately following catheter removal.  In this randomized controlled clinical trial, researchers assigned 35 men to an experimental group and 27 men to a control group.  The experimental group performed daily pelvic floor strengthening exercises immediately after catheter removal, and the control group performed similar exercises which were initiated three months post-operation.

The results of the experiment were that men in the experimental group demonstrated LESS sexual dysfunction than the control group.  Not only does pelvic floor physical therapy improve continence, but it also promotes restoration of potency.  Therefore, pelvic floor physical therapy is indicated for ALL male patients post prostatectomy…and the sooner, the better!