Pelvic floor physical therapy

Okay.

So let's talk a little bit about pelvic floor physical therapy.

Now, if there's one thing that I want you to know, it's that, you know, pelvic floor PT, I wish somebody had told me, honestly, after I had had a baby to get pelvic floor PT, because I think it is so, so important.

All right.

ACOG recommends pelvic floor physical therapy as a first line of treatment for general pain and pain with penetration.

Okay.

So this is its first line approach.

And it can be any type of penetration.

I don't know what to do.

They just send them directly to pelvic floor physical therapy, which actually is a good thing, but it actually can be detrimental.

And I'll tell why.

Because when you don't know why you're sending the patient to the pelvic floor physical therapy, when you don't know if the pelvic floor dysfunction is primary, meaning it happens just on its own, it's a solely just pelvic floor dysfunction.

Versus secondary, it's, oh, I have pelvic floor dysfunction because there's an issue.

It's like I use the analogy of a boxer in the ring.

It's the muscles just keep tightening because no one actually addressed what was causing the muscles to tighten.

So I always say everyone gets a referral.

Yes.

Pelvic PT.

If a woman is suffering from a hormonal deficit causing tissue thinning, why would a doctor send her to a physical therapist?

Because the body has an incredibly long memory for pain.