Vaginismus
Today, September 21, 2010, I evaluated a classic case of vaginismus. Martha is a 40-year-old female referred to physical therapy by a sex therapist/psychologist. Martha had undergone psychotherapy for the past 6 months to deal with her inability to tolerate sexual intercourse. Penile penetration into her vagina since age 18 was impossible and her partners in the past have told her that they feel “a wall” at her vaginal opening. Any repeated attempt at penetration resulted in pain. Martha’s medical history includes obesity, heart murmur, gallstones, and uterine fibroids. The fibroids...
Read MoreVulvodynia and Pregnancy
Hannah Hannah is a lovely 23 year old female referred to physical therapy with a diagnosis of pelvic floor muscle dysfunction and vestibulodynia, bilateral hip pain, and clitoral pain. Her past medical history includes fatigue, seasonal allergies, nosebleeds, chronic migraines, sciatica, and a hernia repair (age 5). She is married to a supportive spouse and they had recently moved to NYC from Israel. Her medications included topical estrace cream, vitamin D and B12, and medication for her migraines. She has a history of severe constipation, evacuating only twice weekly (normal is 1 – 2...
Read MoreProtatitis/Chroinc Pelvic Pain
Ivan Ivan was self referred to us (after reading the website) due to right sided testicular pain and pelvic pain upon sitting. He is a 34-year-old male with a supportive wife and a medical history of prostatitis and hemorrhoids. He is a technology manager, which requires him to sit daily. His other symptoms of urinary urgency/frequency began 1 year ago. At that same time, he and his wife were having intercourse very frequently to conceive and he experienced pelvic pain the entire day after intercourse. Ivan’s urologist referred him to a physiatrist (a doctor of rehabilitation) where he...
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