Has anyone needed Vagina PT or Vagina valium?

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So my doctor figures out my problem.... My pelvic floor is bruised and I'm having spasms. So Pt and Valium is my needy challenge. I'm wondering if anyone had had vagina PT and what to expect? He says the Valium suppository will help the all to relax. But I don't even take pain Meds, so any clue on what to expect???

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  • Posted

    If it's a suppository, it should help you relax also, and maybe stop the spasms to allow you to do pelvic floor excersices.

    PT will help you to define and use the correct muscles to strengthen your pelvic floor.

    Hope it helps you.

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  • Posted

    Valium (Diazepam) suppositories are used frequently in hospital diana because this is more common than you realise and I should have thought this could be your problem. The medication will make you relax a little as well but not as much as if you took it orally. Hopefully it will help. How many did he prescribe you? 
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    • Posted

      Good day Matron. He prescribed 40. Do you know anything about the physical therapy part? Am not comfy with someone massaging my pelvic wall vaginally! 😞😡😖😷😧
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    • Posted

      I can't say I blame you to be honest. It's not something that's done very often in the UK so I don't know much about it at all just what I've read. From what I recall the therapist massages the thighs to begin with then inserts a speculum to allow them to insert a finger to find the trigger points but it's not something I'd recommend soon after prolapse surgery because there will be sutures possibly not dissolved. Have you been recommended to have this diana?
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    • Posted

      Yes my Doctor insisted. But its just weird! ! Not sure I'm going to do it!! Smh. Just awkward😧😷😖😡😞
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    • Posted

      If I'm honest I don't think I would either, just because like you I think it's weird and I don't want someone poking around. It's bad enough having an internal examination. I wonder if it's popular in the USA? I've never heard a doctor recommending it to a patient here in the UK but no doubt there'll be ladies going to see private therapists in places like London.
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  • Posted

    Hi Diana,

    If your muscles lock up, they get tight. Blood does not flow in or out and you get intense pain. The pelvic floor becomes dysfunctional so it could be problematic for bladder and bowel control and incontinence set in. Your Doctor wants to get the pelvic floor muscles to relax, that way the muscles will be able to start to work properly, that will mean it kicks into action when you sneeze to stop you wetting yourself, but also it will stop the pain and discomfort.  Myofascial release massage is a way of targeting the trigger points of pain in muscles, those knotted bits. This is having great results both in the US and here in the UK. Get assessed by your PT if you need to do any myofascial release you can do it yourself with a Therawand after your PT has shown you the areas when the pain is being generated (usually not where you think it is!).  

    Do go to your PT, there are some real pioneers out there like Amy Stein who specialise in pelvic pain, and they will save you years of pain and unnecessary meds. Don't be shy, find out what you need and then decide on your treatment, you won't regret it I am sure.

    I would urge you to try and get this sorted, because if your pelvic floor remains untreated you will start to get deferred pain, this could manifest itself in your back or core muscles (because the pelvic floor does not act in isolation, it works with other groups of muscles)

    Good luck, let us know how you get on, it will help other women in a similar situation.

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    • Posted

      Thank you Stephanie you have helped immensely. My doc did tell me a speculym will be used. I appreciate your time. I will keep you updated 💖
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  • Posted

    I have been to pelvic floor physical therapy for a tight pelvic floor and it was fine.  it really helped.  Would you like me to describe it?

     Also, no speculum was ever used.  There is an internal component but it was a finger in a gloved hand.

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    • Posted

      I have read that most therapists prefer to use a speculum and I have spoken to a friend who is a research urogynaecology nurse (in the UK) and she described the procedure to me and again mentioned the speculum. Apparently to to check inside the vagina and look at the cervix. It's also a safeguard to ensure there's no reason as to why the procedure shouldn't be performed for example if there was an abnormality or any sign of prolapse for instance.
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    • Posted

      I wouldnt want a speculum used right after surgery either.  It's possible that it is different in the US or that they used a speculum once and I don't remember it.  I had PT pre-op so I wasn't as speculum shy.

      For me, most of the PT was gentle massage both internally and on my abdomen.  Trigger point massage like Stephanie said.  We also spent a fair amount of time working on breathing exercises.

      my PT was very gentle and professional.  It wasn't embarrassing or uncomfortable and it helped a great deal.

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    • Posted

      The speculum is removed before the procedure takes place, it's only used as an aid to help in an examination. It's recommended apparently because some women have a prolapse for instance and aren't aware they have. There are other disorders of the vagina or pelvic floor area that need to be ruled out as well. I know to a lot of us who have had or have a prolapse that may sound strange but I know it happens quite often. As I said to diana I had very little knowledge of this procedure and that's why I sought advice from a friend.
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    • Posted

      Yes please elaborate. I am aware all docs and therapist are different. My doctor did mention his Put figures use a speculym for proper fiber placement. Either way I'm scared. Thank you love 👍
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    • Posted

      Thank you Matron. I appreciate everyone input no one is wrong here BC every doctor and therapist is different. My doctor did Not give me a binder, I knwe about it from a friend and bought myself one! Honestly I have no idea his women recover without one!! My doc did inform me that the Put will be using a speculym did proper finger placement, I just dont know if it stays . I truly appreciate every person trying to help me figure things out. What a God send you all are👼💋👼💋 Its very scary process!
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    • Posted

      Hello diana. The speculum would be used to check internally and I've been told that it may have to be used if the vagina is "tight" for instance to allow access
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    • Posted

      OK, I will elaborate diana.

      I saw a PT because my pelvic floor was in spasm.  This was pre-op.  I had a rectocele that needed surgery but my doctor wanted me to do PT first.

      On my first visit it was mostly evaluation.  I undressed from the waist down and had a sheet over my lap.  I really don't remember a speculum.  What I do remember is that she used a glove and lube and was checking my pelvic floor.  She seemed to be evaluating for herself how tight it was and also was pressing and asking me to tell her a pain score.  She checked several things internally and also on my abdomen.  She gave me breathing exercises and we practiced them.

      In future visits, she did trigger point massage internally and on my abdomen.  Always the gloved hand internally and always gentle and polite and professional.  In general I was laying on a bed with knees up and she was sitting next to me on the exam table.  It was much more comfortable than a pelvic exam with stirrups as I was in a comfortable position.  Also, she generally was looking at my face, not my bits, except to enter.  

      She did not use the biofeedback to evaluate strength of my pelvic floor at my initial visit.  She didn't seem to think it worked well to evaluate pelvic floor strength while it was in spasm.  She said it was like telling someone whose hand is clenched in a fist to squeeze tighter.  It doesn't really tell you what their hand can do.

      I have read that in general therapists like to relax the pelvic floor and then once it is out of spasm work on kegels.  You aren't supposed to do kegels while you are trying to get out of spasm bc it makes it worse.  My pelvic floor was really bad so we never got to that point.  I was told that for me, I should just not do kegels.  Ever.  We never did use the biofeedback or the electrodes that would be placed internally so I can't comment on what that is like.  I think, though, that if your pelvic floor is in spasm your early PT will be more like mine.  After it is out of spasm and doing well, then you can work on strengthening if needed.

       

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    • Posted

      Just butting in here Dorry, hope you don't mind, but I found this very interesting. Thanks for sharing but can I ask, when you've had internal examinations have your legs been in stirrups? It's just here in the UK it's not the norm.
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    • Posted

      for a pelvic exam or pap smear, yes they have always used stirrups.   I have always heard them called stirrups but really its the little foot holders that come out of the exam table.  You scoot your butt to the bottom of the table and the feet go in the little foot holders, with your knees up.  

      I looked it up online to see if I am nuts to call them stirrups, but the webmd article about pelvic exams also calls them stirrups so it isn't just me.  Do you use something different in the UK?  Or is it just a terminology difference?

      I used not to care about using them.  Now it really aggravates my back, so having the pelvic floor PT be in a comfortable position was very nice.

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    • Posted

      Yes they are stirrups and in hospital we say that we are putting a lady in the lithotomy position. In the UK most doctors just expect us to lie down, feet flat on the table and open our legs 😂
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    • Posted

      ah, got it.  Nope, never had a pelvic exam by a doctor done that way.  Always stirrups.
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    • Posted

      You ate correct Matron. Thank you so much for your time. My Therapist Always uses one. Not cool, not fun! Had first session today. Creepy and awkward but it helps!!! I would recommend it, but I Hate it!!!
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