Sunday, February 14, 2016

Education Exercises and Rehabilitation

Too often forgotten, perineum is indispensable to our daily comfort. Tips rehabilitate, through various rehabilitation techniques (or education) perineal to ensure proper maintenance.

Today, nearly one in two women is not aware of her perineum and has trouble locating it. As for women to contract properly ...

The techniques described below will enable women to become aware and to reclaim their bodies, limit or prevent urinary leakage, and increase sexual pleasure and that of their partners by promoting the pelvic muscle tone.


Kegel exercises

Most known even if you do you're never interested in your perineum. The proof even Samantha Jones tells us about the series Sex And The City!
How to do ? It shows a band stretching from your urinary opening to your anus and a point in the middle. Then trying to "raise" the point in her pelvis, as if an invisible cord connected this to your navel. We held this position for 10 seconds, 10 times in a row.

Advantages ? In addition to free, there are many opportunities to implement them in a day: when seeking LA pair of shoes on the internet, watching a movie, incognito mode for a grim meeting or during the subway ride ...

For pregnant women, practice these exercises regularly from your 4th month soften your perineum and limit the risks of an episiotomy, more profits on controlling your urinary sphincter and resume your sex life.

The geisha balls, cones ...

Geisha balls, or smartballs, are more than sex toys: they allow muscles vaginal wall and perineum. Geisha balls can be used in addition to postpartum perineal but only after the perineum has regained some tone, otherwise they may not stay retained in the vagina, because of their relatively large weight. There are different possible diameters and weight: the choice of the diameter depends on the size of your vagina. As for weight, the more it will be heavy and will require good perineal tone. Young women who have never had children choose small diameter smartballs (less than 3 cm).

The insertion of Geisha balls can be facilitated by the use of a lubricant, not to allow the cord to the outside of the vagina. We try to bring the Geisha balls up to 30 minutes a day if it's running Kegel exercises, and several hours if one simply makes everyday tasks.

The use of cones is very effective in the perineal: few minutes a day will help you quickly regain energy in a few weeks, and limit stress incontinence. Vaginal cones are usually delivered by pack including different sizes and weights. After inserting a cone in your vagina, you practice a series of exercises in observing the rod protruding to control the contractions or not working the right muscles. We start with the widest and lightest cone (for the most dilated vaginas), to use the most narrow cone and heaviest (for vaginas "tonic").

Manual re-education and re-education through vaginal probe

They practice with midwives or physiotherapists from two months postpartum. On prescription, these sessions (about ten) are recoverable by your social security fund.

Manual therapy: we practice a vaginal who will guide the patient so that she understands how muscle work and contracting. The maieuticians trained in the technique of CMP® (Knowledge and Control of the perineum) offer women images. Visualization and helps the young mother to be aware of each area of ​​the perineum.

Reeducation through vaginal probe: there are two types. Rehabilitation Biofeedback involves introducing a probe into the vagina of the patient and ask him to gradually contract her perineum. The tonicity of the vagina is evaluated in real time by a monitor. Rehabilitation by electro-stimulation also requires the insertion of a vaginal probe. Then, the therapist setting the machine on the duration and intensity of the contraction by stimulation of the muscles. Basically, you see the weight by electrical patches presented in TV buying. This is the same principle in your vagina.

Looking back at several women, these two practices manual therapy is the most acclaimed, is considered more efficient and regretting the "passivity" of the electro stimulating probe method.

For people with fecal incontinence, know that rehabilitation through biofeedback can you be proposed by a physiotherapist.

You can buy Biofeedback or electrostimulation to practice at home. On some sites, it is even possible to get a care sheet for a partial refund from your health insurance fund.
But I do not recommend stimulators connected to your smartphone: we now know the dangers of pulsed electromagnetic fields, it even creates underpants "anti-waves" to protect sperm. So an "antenna" is avoided to place near her ovaries ...

Gynecological laser

There is now a novelty in the field of pelvic floor rehabilitation: medical laser. This treatment is indicated in patients with moderate urinary incontinence. The YAG laser tip is coated with a kind of speculum. By inserting it in the vagina, the probe will cause stimulation photothermal the production of collagen and tightening the tissue of the vaginal mucosa, guaranteeing a better support of the bladder and a return to normal of the urinary continence.
This technique is noninvasive and painless, that is to say that by not practicing incision, no bleeding or sutures or need for antibiotics or painkillers .

We recommend two sessions before an update as this can sometimes suffice. There are no special precautions to respect, as may be the case for surgery. As long as your doctor working at the time on your lunch break, you can even resume after your activities.

In addition, lasers may now be provided in case of vaginal atrophy or shrinkage of the vaginal duct as an alternative to vaginoplastie.

Warning: it insists that the laser is an instrument solely dedicated to healthcare professionals. Only a medical doctor can practice this kind of intervention.

Vaginoplasty

I will mention this surgical technique only for those who would ask questions on seeing this term online. Vaginoplasty is not a method of pelvic floor rehabilitation. The technique of tightening only aims to narrow the diameter of the vagina leads to aesthetic or sensory purposes (vaginal patency suffering patient can no longer feel the sex of her partner). However, this will not affect the perineal tone, maintaining pelvic floor, urinary or anal incontinence ...

Prevention is better than cure, so start practicing your perineum as soon as possible, even as a teenager. But do not go to the opposite extreme, the risk of causing a depletion of the perineal muscles, or even hypertonia.

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