RECENT ARTICLES

Pelvic Pain Research: What’s Happening and Who’s Recruiting?

October 23, 2013 | 1 Comment

Pelvic pain research “nerd alert”. You have been warned! Here’s a sampling of some of the great research projects and trials (primarily pelvic pain with some others sprinkled in) listed as CURRENTLY recruiting subjects in the United States and Canada.  Who else hopes the funding dollars are there to support these (crossing fingers)!? Let’s face it: pelvic pain is complex and there’s still a lot to learn from research regarding how to treat these conditions with a multimodal approach. This does not include all of the research going on worldwide…yet!  Please feel free to share (in the comments section) any other research…

Read More

Vaginal Dilator Guide for Patients. Dilators and the Brain? Pain, Fear, and Anxiety

August 30, 2013 | 37 Comments

There are different reasons to use vaginal dilators. This particular post focuses on providing dilator information for women facing fear, anxiety, and/or pain with regard to vaginal touch, finger insertion, gynecology exams, use of tampons, and intercourse. My quest to find valuable, comprehensive resources for a guide for dilator use fell short. This is particularly true with regard to understanding that using dilators is NOT just to “stretch the vagina,” which is often told to patients. I created documents for patients to use and wanted to share (still a work in process, but isn’t it always?!). Dilators provide an excellent…

Read More

10 Common Misconceptions About Pelvic Physical Therapy

August 5, 2013 | 77 Comments

Have you ever heard of pelvic physical therapy before? Many have not, but this specialty can be a crucial part of someone’s complete medical care – for women, men, and even children. As one my patients recently said,  “I had no idea this sort of thing exists, but I’m sure glad I found it because it has been THE missing treatment I have needed for years!”. Guest post: 10 Common Misconceptions About Pelvic Physical Therapy I had never heard of pelvic physical therapy prior to beginning my doctoral program at Duke University. I remember very clearly when I first learned…

Read More

Dear CrossFit and “CrossFit Gynecologist,” I’m Appalled. There’s Help For ‘Peeing’ During Workouts!

June 22, 2013 | 98 Comments

What’s the Issue? Recently, a CrossFit video, entitled, ‘CrossFit – Do You Pee During Workouts?’ was released on YouTube. CrossFit participants were interviewed at the Central East Regional competition.  “CrossFit is the principal strength and conditioning program for many police academies and tactical operations teams, military special operations units, champion martial artists, and hundreds of other elite and professional athletes worldwide.” CrossFit website Watch this video to see what the controversy is all about:

Read More

The Ultimate Pelvic Anatomy Resource

January 12, 2013 | 57 Comments

Articles, Links, and Videos, Oh My! Ever wanted a resource with articles, pictures, and videos of pelvic anatomy all int he same place? Here it is! I’ve been putting this together for a while and am very excited to share this with you! This resource will evolve and update as new, exciting links are found. The content ranges from basic articles to in-depth anatomical reviews. Please leave a comment if you think other links or articles should be included in this resource. As always, thanks for all of the support. If you are a self-proclaimed Pelvic Nerd or just want…

Read More

Toilet Talk: Things You Should Know, But Probably Don’t.

November 5, 2012 | 20 Comments

Parents can relate to the fact that we spend a lot of time potty training children. However, that’s likely the only time we experience “toilet talk”.  When I provide basic bowel and bladder tips to my adult patients, I am always surprised when they say “why didn’t anyone tell me that?”.  So, here’s a list of some of the best tips that every person should know about toilet talk. Don’t force your children to go to the bathroom “just in case” or just out of convenience too often. This presents two challenges: 1. The bladder and nervous system are very…

Read More

Egg-citing Pictures! Egg Released During Ovulation.

October 19, 2012 | 26 Comments

These pictures are incredible! (First time seen clearly on a human female). This was captured by Dr. Jacques Donnez (2008) while he performed a  laparoscopic hysterectomy on a 45-year-old female.  In these photos you will see the follicle (red) – a fluid-filled sac on the surface of the ovary (white) containing the egg. The process lasted approximately 15 minutes. The egg (ovum) is only viable for pregnancy for 24 hours after its release.  However, if sperm were already present at the cervix or in the uterus before ovulation occurred, pregnancy could take place. Sperm typically remain viable for about 72 hours.…

Read More

Ovarian Cancer: Twitter Trends

October 16, 2012 | 0 Comments

September was officially Ovarian Cancer Awareness Month, but the awareness should go on all year. Here’s the latest trending of “hot topics” regarding #ovarian cancer on Twitter in the month of October (2012). Check it out. The links are provided. Women’s Health Mag ‏‪@WomensHealthMag Taking aspirin may reduce your risk of the 5th-leading cause of cancer deaths in women: ovarian cancer ‪http://ow.ly/eui0P  Science Index ‏‪@ScienceIndex_ ‪http://scienceindex.com  Constitutive promoter methylation of BRCA1 and RAD51C in patients with familial ovarian cancer… ‪http://dlvr.it/2KkYs6  Symposier Ob/Gyn ‏‪@SympoOBGYN Economic Impact of Ovarian Cancer Treatments, Annual cost of bevacizumab in the adjuvant treatment of ovarian cancer…

Read More

Is Your Pelvic Pain Related to What You’re Eating?

August 26, 2012 | 4 Comments

It might surprise you to learn that what your diet might be having a very significant impact on your pelvic pain.  Let me explain this idea by telling you a story. The other day, I was having lunch with my family in the city when I got a phone call from a former patient of mine.  Years ago, I was her physical therapist.  I treated her pelvic pain from a physical therapy perspective, and at that time I was just learning more about the importance of nutrition for pain management. Her main complaint was pelvic pain that was debilitating, especially…

Read More

Pelvic Floor, Prolapse, and Transvaginal Mesh Complications. What’s the Connection?

August 22, 2012 | 6 Comments

Featured guest article, by Elizabeth Carrollton who writes about defective medical devices and dangerous drugs for Drugwatch.  How to Keep Your Pelvic Floor Healthy and Strong The pelvic floor is an essential muscle group, supporting pelvic organs, including the bladder, uterus and rectum, as well as contributing to core strength and balance. Childbirth is easier and recovery is faster with strong pelvic muscles; sexual sensation is enhanced; and healthy pelvic floor muscles can even reduce back pain, since they help support the spine.   A weak pelvic floor can contribute to many problems that include urinary stress incontinence (SUI) and pelvic organ prolapse…

Read More