
The Femina Physical Therapy Blog
Featuring original articles by our staff about current events and trends
Explore our insightful blog articles on pelvic health, where we delve into essential topics that empower and educate. From understanding pelvic floor disorders to strategies for conquering infertility, our content is designed for those seeking knowledge and support. We discuss the latest research, expert advice, and practical tips to enhance your well-being and foster a deeper connection to your body.
Featured From the Blog:
Vulvovaginal Moisturizers: Who Needs One & Choosing the Right One

Choosing the Right Vulvovaginal Moisturizer
Assuming you need one, make sure it's got the right ingredient list
There are many reasons why those born with female anatomy may require the use of a vulvovaginal moisturizer throughout their lifetime. As you age, the vaginal and vulvar tissues tend to become drier and less elastic. This change is typically seen around the time one goes through menopause due to the drop in estrogen that occurs. The vulvovaginal tissues are very sensitive to hormonal changes and estrogen is the hormone that controls vaginal lubrication, as well as tissue elasticity and thickness.
Read more: Vulvovaginal Moisturizers: Who Needs One & Choosing the...
Restorative 20 Minute Home Yoga Practice For Chronic Pelvic Pain

Yoga Practice For Chronic Pelvic Pain Can Be a Very Helpful Routine
As stated in my last blog post, yoga can be so beneficial as a pain management tool due to its ability to modulate the sympathetic nervous system3,4 which plays a large role in chronic pain. The exact mechanism of how yoga helps with chronic pain is still being studied, however, it is reasonable to believe the full body relaxation promoted by a yoga practice helps to decrease tension in key muscle groups- including the hips and pelvic floor which are often tight in people with chronic pelvic pain.
Currently, evidence has mostly focused on one hour long practices as an intervention, although there are some studies that report improvements in pain with shorter practices, such as the routine below. As with any mobility/stretching routine, benefits will be seen with more frequent practice, however even twice weekly can help decrease pain.
Read more: Restorative 20 Minute Home Yoga Practice For Chronic...
Lightning Crotch in Pregnancy: How You Can Start Recovering from SPD

What is symphysis pubis dysfunction (Lightning Crotch)?
Symphysis pubis dysfunction (SPD), also known as pubic symphysis dysfunction, anterior pelvic girdle pain, or lightning crotch, is a common musculoskeletal condition that is experienced by pregnant women and can vary from minor discomfort to severely debilitating pain. It is typically characterized by discomfort in the front pelvic area that can radiate to the inner thighs and perineum (think where your pubic bone is).
Read more: Lightning Crotch in Pregnancy: How You Can Start...
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- Written by: Staff
- 29008 Views

Getting back to activities like sex after a hysterectomy can be intimidating.
Learn what a hysterectomy is, how it can affect your sexual function, and what pelvic floor physical therapy can do to help.
What is a hysterectomy?
Acording to the American College of Obstetricians and Gynecologists (ACOG), a hysterectomy is surgery to remove the uterus. It is a common type of surgery for women in the United States.
- Hysterectomy is used to treat many women’s health conditions including:
- Uterine fibroids (this is the most common reason for hysterectomy)
- Endometriosis (although it states this on ACOG, it is more correct for this to state Adenomyosis, which is endometriosis in the uterus. Please be clear -- a hysterectomy is NOT a cure for endometriosis).
- Pelvic support problems (such as uterine prolapse)
- Abnormal uterine bleeding
- Chronic pelvic pain
- Gynecologic cancer
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- Written by: Heather Jeffcoat, DPT
- 12454 Views

If you’re facing a diagnosis of bladder cancer or a similar health concern, sex may be the last thing on your mind.
However, your sex life after a cystectomy (bladder removal surgery) should be a major consideration for any doctor who recommends it.
Sadly, research shows that’s much more likely to be true for men than it is for women. In fact – although sexual function after bladder removal is ‘routinely considered’ for male patients – surgeons in one study discussed complications that could affect pelvic health and sexual function with just 13% of female patients. Worse, the medical counseling those women got after surgery ignored the topic of sex altogether.
Read more: Sex After Cystectomy | What Women Need To Know Before...
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- Written by: Staff
- 11591 Views

How much do we really learn about intimacy, affection, sensual touching and sex while growing up?
A lot of our references for intimacy come from what we see in our families, movies, and for sex, a lot of the time porn. What we are individually exposed to will possibly become what we think is the norm, which can then possibly skew our views towards intimacy with a partner. For instance, if a woman watches porn for a sex reference she may think her vulva has to look a certain way or that she needs to attain an orgasm with penetration or to be intimate with her partner she has to have sex, when that’s not really the case.
Read more: Did You Know There's More Than Just Sex? Sensate Focus Can...
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- Written by: Staff
- 13055 Views

During this time of "safer at home" orders, we have been having to find more creative ways to move at home.
If you are someone that experiences urinary incontinence and/or pelvic organ prolapse you may not be going out now to see a pelvic health physical therapist to guide you through a routine. In this blog post I’m going to go over a few mat pilates exercises I like to do with patients that experience urinary incontinence and/or pelvic organ prolapse (POP). A study done in 2018 by Lausen et al, found that in the group that did mat pilates with standard physical therapy had more positive outcomes with their urinary incontinence, as well as, quality of life.
Read more: 3 Mat Pilates Exercises For Urinary Incontinence and POP
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- Written by: Mary P. Shriver, CMT
- 16134 Views

Chronic pain doesn’t just happen to the body. It effects our thoughts and our feelings.
When pain persists beyond the body's normal healing range, 12-20 weeks (let alone over 6 months or even 6 years) it can make us worried and upset. That worry and upset can make the pain feel worse. In fact, studies now show that unchecked thoughts and feelings can hijack the body/mind setting off a vicious cycle of chronic pain.
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- Written by: Staff
- 5023 Views

Check out these yoga poses for working at home that you can do in your home office setup!
Peform them at least 1-2x during your workday.
Many people working from home with the COVID-19 pandemic are finding themselves sitting hunched over a computer in non-ergonomic work setups -- kitchen counters, hard chairs or stools, or simply propped up in bed. Working for hours in these positions will lead to a stiff neck and shoulders, a sore lower back and tight hips, glutes,and pelvic floor muscles.
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- Written by: Staff
- 5976 Views

What is Anal Incontinence?
Anal Incontinence is defined as the complaint of involuntary loss of liquid or solid stool or the involuntary loss of gas.
It is supposedly an underreported condition because of its stigmatizing nature. It occurs in approximately 50% of women at long-term follow-up after anal sphincter injuries (Gommesen et al., 2019; Haylen et al., 2010; Damon et al., 2006; Cotterill, 2008).
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- Written by: Staff
- 14934 Views

Trigger Point Injections for Chronic Pelvic Pain and Myofascial Pain
A 2018 study by Bartley et al., showed that transvaginal trigger point injections helped reduce chronic pelvic pain, particularly when in conjunction with therapies including pelvic floor physical therapy.
What is Chronic Pelvic Pain and How Common is it?
Chronic pelvic pain affects 1 in 7 women in the United States and can have significant negative affects on quality of life, physical, emotional, and psychological well-being. While there are various causes for pelvic pain, a common definition of chronic pelvic pain is pain that is noncyclical and occurring for at least 6 months (Bartley et al, 2018).
Read more: Chronic Pelvic Pain | Insights on Trigger Point...