Bowel Dysfunction: 

We love being able to help our women with prolapse find their ability to move without symptoms and fear. We address pelvic floor muscle tone, abdominal strength and pressure management to address symptoms. We also address any underlying bladder or bowel dysfunction. We can help guide our women into decisions like pessaries or surgery options feeling fully informed and confident. Pelvic floor function is so important to optimize pre and post operative if surgery is the best case for your prolapse. We can help with cystoceles, rectoceles, uterine prolapses and vaginal vault prolapse. 

Women’s Pelvic Health Conditions We Specialize In:

Urinary leaking affects women as young as 20 years old and affects up to 80% of women after menopause. We help women with all kinds of bladder dysfunction including leaking, urgency, frequently urinating, painful urination, frequent UTI’s, difficulty emptying the bladder or controlling urine stream. We can also help significantly with interstitial cystitis, or painful bladder syndrome. The pelvic floor muscles are commonly the culprit and addressing any pelvic floor dysfunction is the answer to lasting relief to bladder issues.  

Bladder Dysfunction:

We help with all kinds of bowel dysfunction, most commonly constipation. Pelvic floor dysfunction can be responsible for half of cases of chronic constipation. This can include painful passing of bowels, straining and difficulty emptying. We also help with fecal incontinence, rectocele or rectal prolapse affecting bowel function, chronic hemorrhoids or anal fissures. 

Pelvic Organ Prolapse: 

We can help with generalized aches and pains that commonly arise from lower back pain - 95% of women with lower back pain (that have never been pregnant) have pelvic floor dysfunction. We also help with hip pain, tailbone pain, SI joint or sacral pains and abdominal pain that seems to be unresolved or failed other traditional therapy methods. Many times the pelvic floor muscles are involved and require a full-body approach addressing the pelvis, spine, hips and pelvic floor. 

Aches & Pains: 

Sexual dysfunction and pain is extremely common, but not normal. We can help with specific diagnoses like vaginismus and vulvodynia, as well as dyspareunia (painful sex). You may also experience difficulty or pain with pap smears, pelvic exams and insertion of tampons/menstrual products that we can help with. We can also help with painful orgasms, difficulty orgasming and common changes through menopause including vaginal dryness and insertional pain. 

Sexual Dysfunction & Pain: 

Hysterectomies are one of the most common female surgeries performed in the US. Common issues that can arise following a hysterectomy include prolapse and painful sex. We love to provide education pre-op and optimize pelvic floor function to prevent any potential pelvic floor issues. Post operative, we optimize pelvic floor function and help you learn how to manage pressures with movement and lifting, maintain good bladder and bowel health and guide you through recovery and your goals of getting back to sexual activity and/or exercise. 

Hysterectomy Prep & Post Op: 

Women go through many changes in menopause due to the decline of estrogen, leading to GSM - genitourinary syndrome of menopause - that commonly causes changes to the vulva, bladder function and sexual function. We can help identify skin changes, work with your multidisciplinary team with our recommendations to advocate for evidence based treatment options, and optimize pelvic floor function to prevent and resolve bladder, bowel and sexual dysfunction. We also know that cardiac disease is the number one risk factor to women in menopause, so we help women maximize their exercise potential without fear of pain, leaking or prolapse to reduce their risk of cardiac disease. 

Menopause Prep:  

Painful periods affect over 90% of adolescents, and many of them that continue to have pain are later diagnosed with endometriosis. We have many treatment strategies we can employ to help manage period pain. We can also help with education (what’s normal and what is not), period and symptom tracking to advocate for further management with your GYN or PCP to help identify potential endometriosis for proper treatment. We also help with diagnosed endometriosis and/or adenomyosis for pain management and postoperative recovery. Many patients with endometriosis and/or adenomyosis also struggle with bladder and bowel dysfunction and painful sex that we can help with. 

Dysmenorrhea (Painful Periods):