self release of pelvic trigger points male

In past had Pelvic Floor PT do external PT for pelvic floor with good results (2/week for 24 weeks). Great stuff! I would recommend that you see a local pelvic floor therapist in order to determine the exact cause of your symptoms. Unauthorized use of these marks is strictly prohibited. Regards Linda. Krissy, Im very glad to hear that the Botox is working for you. Use the wand to guide the muscles downwards and give them a bit of a stretch. 2. The good news is that inroads are being made, new research on trigger points is being undertaken, and the medical community is increasingly starting to recognize them as causes of pain. Shes in pain and feels like she constantly has to urinate. vaginal health No one seems to be able to tell me why it appears and why it disappears. I believe I injured my pelvic floor with weight lifting and have developed a trigger point right where my obturator internus is. The most prevalent pain sites were the penis in 90.3% of men, the perineum in 77.8% and the rectum in 70.8%. Manual Therapy Treatment for Penile Pain- A Clinical Case Report with 6-Month Follow-up. elgin mental health center forensic treatment program. We do however, offer links to their research, and their book. Federal government websites often end in .gov or .mil. Im now 55 and have extreme anal pain (my first time to experience it). Essential Elements of Pelvic Pain in Men and Women Recognizing Myofascial Pelvic Pain in the Female Patient with Chronic Pelvic PainMyofascial trigger points of the pelvic floor: associations with urological pain syndromes and treatment strategies including injection therapy, Celeste Cooper, R.N., is a freelance writer focusing on chronic pain and fibromyalgia. Kelly. Features : Shaped for Perfection: Smoothest, most comfortable, and most optimally angled silicone pelvic wand for pelvic trigger point pelvic pain available. Do you have any particular therapist in the metro-Detroit area that you would recommend? Thats what I prefer with all of my patients. We highly recommend Maria Elliot in London. Each physio says I have trigger points in different muscles. She seems very knowledgable and I am hopeful, but wonder what happens it this is unsuccessful. 2012 Jun;187(6):2113-8. doi: 10.1016/j.juro.2012.01.123. For instance, a trigger point in the levator ani muscle can cause a trigger point to occur in the abdomen. I also live in w. michigan and am going through pelvic floor stuff and it is embarrassing. chiropractor pushed on L3 area and felt in groin each time he compressed. By; June 14, 2022 ; washington county jobs . The means of choice is a precise self-massage, that focuses on the trigger point. Please enable it to take advantage of the complete set of features! Ive never really been pain free since surgery. Copyright 2020 Pelvic Health & Rehabilitation. I used to do aero pilates and gave it up months ago. But a battery of tests shows that theres nothing wrong with Janes urinary tract. Went to chiropractor (still going), gyny, and PCP, They thought it was my groin. She offers services such as hormone testing via the DUTCH test, comprehensive stool testing for gastrointestinal health concerns, and integrative health coaching and meal planning. I would recommend that you receive a second opinion from a pelvic floor specialist in order to determine whether altnerative treatment options may be appropriate for you. Ive had pelvic floor dysfunction for 9 years as a result of the pain/straining from interstitial cystitis. Would you like a recommendation for another location? Thank you for sharing Cynthia! Structures addressed. Is there anything out there to help me understand what causes this, because I surely would avoid that whenever I get back to normal again. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. It is relieved by floating in a hot tub but obviously one can not do that all day. supplements I am very interested in learning more about pelvic trigger points and its difficult to find information on this. I believe trigger points are a great deal of my problem (I sit too much) and I have myofascial syndrome and perhaps fibromyalgia. I have trigger points in my leg, back, neck, and shoulder so I believe that old levator ani pain is very familiar and an undiscovered source of some of my chronic pelvic pain. Through treating women in her pelvic rehabilitation clinic, Dr. Amanda recognized the inability of other wands to access the deep, hard to reach muscles in the pelvic floor, so she created her own with better . An official website of the United States government. I really appreciate your advocacy of the role of trigger points in pelvic pain. The main symptoms i have are a hard lump in the lower abdominal that would come and go, post urination sensation and there seems to be an achy feeling and something stuck in the anus/tailbone. Some of the wands vary in price anywhere from $40 to $80. 6 years ago I was diagnosed eventually with having Levator Ani syndrome. I read an article on pelvic muscle floor tension by a woman named Jeannette Tries which helped answer some questions and your article also helped and made some things clear. These include, but are not limited to: Child birth injury, pelvic surgery, lumbar disc surgery, prolonged driving or occupations that require prolonged sitting, gait . tx Randi. For more information about her services and to schedule, please visit our, https://pelvicpainrehab.com/blog/2012/05/what-is-a-good-pelvic-pain-pt-session-like/, https://pelvicpainrehab.com/pelvic-pain/726/how-do-i-know-if-i-have-pn-or-pne/. official website and that any information you provide is encrypted She alone coined the term trigger point. Accessibility This report shows relationships between myofascial trigger points and reported painful sites in men with chronic prostatitis/chronic pelvic pain syndrome. Here are the therapists we recommend in your area: Emily Wegmann, PT (919) 571-9912 [emailprotected] Carolina Pelvic Health Center, Jennifer Briggs, PT (919) 571-9912 Carolina Pelvic Health Center, Dear Stephanie Can you help me please? Im so scared that Im going to feel this forever, or that I have IC/urethral syndrome or something that wont go away, even though I know this happened after a regular UTI. Please, any feedback would be greatly appreciated. I am in the Shreveport, LA area and willing to travel out of state if needed. While you are figuring that out, it makes sense to consult with a pain management physician to help you manage your pain. Shes a professional and should be able to handle it as such. I have been seeing a PT for 6 weeks but because of her schedule (vacation) and mine (out of town for two weeks) it has not been consistent and not much relief. It has increased over the years. FOIA We dont have a therapist recommendation located in Vancouver, but I can recommend a couple therapists in the surrounding area. It reappeared four months later and this time stayed for two years. Accessibility If you have pelvic pain, chances are you have trigger points somewhere within or adjacent to your pelvic floor muscles. The PT has been mostly focused on building core abdominal strength. Does this sound strange? Any advice you could offer would be much appreciated. Apart from a few days in the beginning of October, I havent had any relief. Now apply a gentle but firm pressure downwards as you try to relax your pelvic floor. 2019 Apr-Jun;43(2):82-88. doi: 10.1097/jwh.0000000000000131. Will certainly pass on your regards to Carolyn. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Hi, can over masturbation leads to pelvic floor tension and then erectile dysfunction problems without having any pain? Myofascial Pain SyndromesTrigger Points by David Simons and Jan Domerholt, Journal of Musculoskeletal Pain, Vol. I suggest that you discuss alternative treatment options with your therapist in case you fail therapy, but with a qualified PT, this may be unlikely. Trigger point release (therapy) for various parts of your body. Intervention to be administered is manual therapy with myofascial release of trigger points for pelvic floor muscles, pelvis and abdominal musculature. HHS Vulnerability Disclosure, Help Also, ohio state has added a few PTs who specialize in pelvic floor pain. Any words of wisdom for how to get past feeling so utterly exposed, ashamed, fearful, and humiliated? I never seem to get any relief from the second physios internal work so I am a bit lost as to whether physio is my answer. If you would like to do some further reading on trigger points, below are some resources that I recommend: ______________________________________________________________________________________________________________________________________. Hi, I live in Odessa, Texas! Internally through the vagina or externally through the perineum floor? helped me with trigger release in back and thighs. Ive heard good results from it, though, from others. 2022 Nov 7;12(11):2723. doi: 10.3390/diagnostics12112723. trigger point I now have bilateral sciatica and pain from pubic symphysis dysfunction. I have dealt with chronic pelvic pain on and off since 1998. I recently went to see a sexologist to address painful intercourse. However , I will go anywhere! Lesson learned, I should not have been doing squats, while holding heavy weights at my age. As far as your last question, are you asking what else could be the cause of pelvic floor strength in a 52 yr old woman? Im sorry to hear about your husbands situation. What both the doctor and Jane are missing is that the cause of her urinary symptoms is a patch of constricted muscle fibers in a small, out-of-the-way muscle in Janes pelvic floor. Hopefully the Botox will start soon after that and that my body will respond well like yours has. Manual release techniques: A good PT has a handful of trigger point release techniques in her toolbox. Do you think that I am on the right track? This pelvic floor muscle relaxation method known as Down Training2 helps the pelvic floor muscles to relax and release. Now, the Veterans Hospital is only allowing once every 3 weeks and she wants to do internal PT pelvic floor work. These trigger points can be highly sensitive and painful, and when pressed can refer pain to other parts of the body. Michelle Clark is located in West Kingston, RI. I last saw her a year ago and she was soon stopping work to have her second child, but is now back at work. FitzGerald MP, Payne CK, Lukacz ES, Yang CC, Peters KM, Chai TC, Nickel JC, Hanno PM, Kreder KJ, Burks DA, Mayer R, Kotarinos R, Fortman C, Allen TM, Fraser L, Mason-Cover M, Furey C, Odabachian L, Sanfield A, Chu J, Huestis K, Tata GE, Dugan N, Sheth H, Bewyer K, Anaeme A, Newton K, Featherstone W, Halle-Podell R, Cen L, Landis JR, Propert KJ, Foster HE Jr, Kusek JW, Nyberg LM; Interstitial Cystitis Collaborative Research Network. The Pelvic Health and Rehabilitation Center is a multi-city company of highly trained and specialized pelvic floor physical therapists committed to helping people optimize their pelvic health and eliminate pelvic pain and dysfunction. Epub 2009 Oct 17. This post help us to know everything about pelvic pain trigger points.Not only this it help in exploring the part they play in pelvic pain syndromes.Must say very informative and help post especially for those suffering from such problem. 2005 Jul;174(1):155-60. doi: 10.1097/01.ju.0000161609.31185.d5. now i have muscle guarding with R adductor.. This can be done in the bath or lying down (not standing) Using fingers and thumb, locate tight sore areas. J Urol. 2023 Remedy Health Media, LLC ALL RIGHTS RESERVED. A couple of other books that are very informative about trigger points are A Headache in the Pelvis, by Dr. David Wise, and The Trigger Point Therapy workbook by Clair Davies. The most pain typically occurs after exercise. Patience, life style changes, and a few medications have paid very big dividends. Her information is below. It is not just the complex structure of muscles in the pelvis that can develop trigger points. Get drunk!!?? The following muscle groups can contain trigger points that produce pain and cramping in the pelvis and abdomen: The Adductor Magnus. Recently the surgeon said I should go back to see her, but not convenient to go every week and I was speaking to him about having botox, but now he has said I would get faecal incontinence for 3 to 4 months have you heard of this and what would you recommend please. She has resolved almost all of my discomfort and I no longer feel consistently uncomfortable. Please use the below link to find a pelvic floor physical therapist in your area. Many reasons for this spasticity have been identified and a specialized physiotherapist has treated me 3 times with internal trigger point therapy. You will not believe this, but I have just found this message with your number. He is extremely frustrated. I was just wondering if she is the same one you mentioned and who treated your pain successfully although short term. They seem to carry and cause the same symptoms but have different treatments. Intimate Rose Pelvic Wand with Vibration for Pelvic Muscle Pain Relief - Pelvic Physical Therapy Use for Trigger Point & Tender Point Release - Men & Women. She starts each session with checking my pelvic alignment and then working on my lower abdomen this is great and relaxing no issue at all, just background here. doi: 10.7759/cureus.27077. I would also like to refer you to a blog post that we wrote on pelvic pain specifically: https://pelvicpainrehab.com/blog/2012/07/male-pelvic-pain-its-time-to-treat-men-right/. Is there a support group in West Michigan? I feel stuck and like I cant distribute and load weight through my left leg correctly without getting pain at the different joints. I see that this post is a bit older, but in case it helps anyone I had a similar response to treatment the first time around, and decided to go with PF Botox injections 3 months ago. J Urol. Myofascial pelvic pain described as myalgia condition with local and referred pain patterns, it refers to pain found in the pelvic floor musculature and the connecting fascia. I have several tight trigger points in my pelvic floor. Experts at Rose Physical Therapy use trigger point dry needling can reduce pain in the muscles of the pelvis and perineum. I myself have also been experiencing similar problems with my left lower extremity and pelvic floor ever since a bad ankle injury 7 years ago. I eventually ended up with a Urologist who put me on antibiotics as I had a mushy prostate and that solved it for a short time but it recurred after 4 months and repeating that same treatment didnt solve it. The pelvic floor muscles, the sling-like group of muscles that support the pelvic organs, can become tight or restricted for various reasons. They have not dealt with a case of this there. Besides pelvic muscle dysfunction,"trigger points can also develop because of restrictive tissue after injury, infection, or surgery or because of problems in other areas around the pelvis that radiate pain. Conclusions: In 10 patients who underwent electromyography mean resting pelvic floor tension decreased from 9.73 to 3.61 microV., which was a 65% improvement. Hi! Hip flexor group of muscles. We do not have a therapist recommendation in Spokane, WA but I can recommend a therapist in Seattle and Bellevue. I always welcome a professionals advice thats well versed in pelvic pain. J Man Manip Ther. and transmitted securely. Serrano-Imedio A, Calvo-Lobo C, Casaas-Martin C, Garrido-Marin A, Pecos-Martin D. Diagnostics (Basel). I hope you have found some relief. So trigger point maps do exist complete with referral patterns, and that goes for the pelvic floor too. Thanks so much, Vickie. Much relief can be found with calming the mind and learning to feel emotions, along with trigger point work and stretching and strengthening the muscles with yoga or Pilates or some other physical activity. The referral from the urologist had told her that I was having pelvic spasms (as I was) and she assumed that was what was happening. 2002;65 (4):653-661. He is giving up hope and turning into a very old man. Furthermore, 5 of 7 painful sites could be reproduced at least 50% of the time (p <0.05). Wishing you relief and roll on 23rd Aug. Anne, Dear Linda. An official website of the United States government. incontinence We are just now trying to strengthen. 2009 Dec;182(6):2758. doi: 10.1016/j.juro.2009.08.173. Unauthorized use of these marks is strictly prohibited. I am starting to believe this may be a muscular issue with my pelvic floor? of course i am terrified to do this on my own. Serrano-Imedio A, Calvo-Lobo C, Casaas-Martin C, Garrido-Marin A, Pecos-Martin D. Diagnostics (Basel). Can you refer me to anyone here? It does get elevated to a 7-8 depending on certain movements/exercises. Bookshelf Her willingness to work with men and women is also really important. I want to head this problem off before it gets worse. Hi Liz, Thank you so much for this post. It's definitely not miraculous.2 It's experimental and often fails. Since your symptoms have gone away in the past with PT, they likely will do so again. recovery your mental health is very important also. Mindfulness For proper treatment, its important to understand that the source of our pain can be localized (such as in the muscles in the diagram) or well away from pelvis. How would you recommend i proceed. A combination of manual physiotherapy and specific relaxation training effectively treats patients with chronic prostatitis/chronic pelvic pain syndrome. Vaginal Dilators Hetrick, D. et al (2003) Musculoskeletal Dysfunction in Men With Chronic Pelvic Pain Syndrome Type III: A Case-control Study. Im sorry, but we do not have recommendations for Ohio at this time. How long would you recommend this protocol and are there any trained PTs in the Daytona to Jacksonville area , as I will return there in November? In Female Pelvic Pain, Male Pelvic Pain by Stephanie PrendergastAugust 20, 2012139 Comments. Those who do not understand the role of trigger points in chronic pelvic pain may suggest traditional therapies, such as, Kegel exercise, which can worsen symptoms unless trigger points are brought under control. It went away and stayed away for TEN YEARS only to reappear recently as suddenly as it went away. Are you unable to come see us in person? But, I will say that it sounds like you can benefit from appropriate pelvic floor PT. Is this correct? Exercise benefits. It is important to have people to support you. Trigger points can be a source of pain in any part of the pelvic floor and cause the affected muscle (s) not to function properly. It sounds like you may have a pelvic floor disorder. (2018) reviewed the cases of one hundred one women with a mean age of 44 years who had a total of 257 separate visits for pelvic floor muscle injections. thanks. There are latent trigger points, which are dormant, but have the potential to cause trouble. Thank you for sharing this post with us. I am a 67 year old male and have been experiencing pain in the lower abdomen for 8 months. Bethesda, MD 20894, Web Policies my 23 yr old daughter has chronic pelvic pain due to 4 surgeries for endometriosis since 2007. For that reason, Im dedicating this weeks blog post to them. Im so sorry to hear about the issues your father is having. My question is do you think that dry needling might be effective as hands on work doesnt seeme to be getting to the heart of the pain. She says the pelvic muscles are much softer that when we began. In addition, he or she MUST be knowledgeable about the mapped out regions where trigger points typically occur within the pelvic floor as well as the dozens of referral patterns. 2022 Jul 20;14(7):e27077. fuzhou international mail processing center to uk green lady lounge dress code. Teach self-MFR techniques such as with pressure or foam rolling. Over the past year at the Pain Care Clinic we have noticed a marked increase in men of all ages enquiring about myofascial release as a treatment . bladder control I live in Bucks County, PA. Do you know any PTs in my area that you might recommend? After seeing two urologists, two neurologists, three PTs, a general surgeon, pain physician, and massage therapist, we contacted a physiatrist who determined trigger points were causing my levator ani pain, tightness, and burning. With Lori, its impossible to know exactly what part trigger points played in the creation of her pain cycle. The concise book of trigger points: a professional and self-help manual. Complicated story so far regarding doctors comments, but if you would like I could explain on phone. Do you know of a physical therapist in the Raleigh North Carolina area? Pain sensation at each anatomical site was reproduced by palpating at least 2 of 10 designated trigger points. I suggest seeking a third opinion if both of your physical therapists are unable to answer the questions that you have., I have bee experiencing pelvic discomfort and muscle spasm in the last few months. Im sorry but without evaluating you to uncover exactly what your pelvic floor impairments are, I can not give you any specific advice about treatment. Hi Can you recommend a therapist in CIncinnati Ohio? J Womens Health Phys Therap. Unfortunately, an evaluation is essential to determine the cause of your symptoms, but from your description, pelvic physical therapy seems to be beneficial for you. My doctor used 50 units of botox into the anal sphincter muscles (as I am a male). The main symptom for me is urgency ! it was probably the left obturator just inside the anal sphincter area (does that make sense?). Sacral neuromodulation: new applications in the treatment of female pelvic floor dysfunction. Bookshelf If so how did it go? It is very important that your physical therapist and doctor help you figure out what exactly is causing your pain. Can anyone please tell me a best estimate for how long until I see results? If they are different, how can i tell which i have? Next I had the cortizone nerve block no help. Thanks in advance for your help. The tightly contracted fibers that form a trigger point effect blood supply to the nearby tissue, which in turn makes the area hyperirritable when compressed. Secondly the second physio I saw says trigger points are only when the pain radiates from where she presses (the first physio never said this). He too is reluctant to look for/treat the trigger point on the bottom of my pelvic floor by the sits bone. I was instructed to kegel during the estim contraction. Are you able to recommend any therapists who specialize in PFD in women? The immediate effect of soleus trigger point pressure release on restricted ankle joint dorsiflexion: a pilot randomised controlled . i really dont know what happened or if its even possible that one release could do that much. Pelvic floor dysfunction can be caused by many things, including inflammation, irritated nerves, restricted blood flow, pushing or straining to urinate, and is aggravated by conditions like Interstitial Cystitis (IC / BPS), prostatitis, vulvodynia, vaginismus, pudendal neuralgia, lichens sclerosis/planus and dyspareunia (painful sex). She should be able to help you with this. I suffer of constipation / urinary hesitancy and erectile dysfunction. My urogynecologist said it was myofascial pain resulting from the pain of the UTI, and Ive been going to pelvic floor therapy once a week for a month now. Had a sona gram, ct scan, bone scan, and MRI of lower back. Their average assessments of pelvic floor pain on a scale of 1 to 10 dropped from 7.5 at baseline to 4 at 6 months; 39% of patients reported a greater than 50% reduction in pelvic muscle sensitivity. It allows you to massage irritable, tight or sore trigger points in the pelvic floor musculature to relieve pelvic discomfort and pain. Stress can cause people to clench the pelvic floor in a subconscious protectionary manner, leading to trigger points, or knots, in the pelvic floor muscles. Trigger points play a role in the vast majority of pelvic pain syndromes. The pelvic floor therapist has been good for me even though the thought of it was not. The cost for this service is $75.00 per 30 minutes. Increasing abdominal pressure, as one does with core strengthening, will increase pelvic floor muscle tone. Their information is located below. Im sorry about all that you are going through. 2002 Feb 15;65(4):653-60. . Below are the therapists we recommend in Virginia: Pierce Kristen Warrenton VA (540) 316-2680 [emailprotected] Rich Jennifer Roanoke VA (540) 982-2273 [emailprotected] Gryski Joanne PT Herndon VA (703) 222-5973 [emailprotected] Miller Amanda DPT Richmond VA (804) 270-7754 [emailprotected] Pagliano Carrie PT Arlington VA 2024444180 [emailprotected] Brown Carolyn PT Virginia Beach VA 7573742373 [emailprotected] Simmons Camille PT Alexandria VA (703) 849-8142 [emailprotected] Oxford Kathy DPT Richmond VA (804)330-9105 [emailprotected] Morris Lydia PT Richmond VA (804)285-0148 [emailprotected] Pesavento Kathy PT Vienna VA (703)963-3466 [emailprotected] Silvers Janet PT Burke VA (703)531-2410 [emailprotected] Kalina Clare PT Fairfax VA (703)591-9088. Yoga ball therapy can help stretch muscles of the pelvic floor, and after treatment will respond to strengthening (to avoid further problems.). Effectiveness of external myofascial mobilisation in the management of male chronic pelvic pain of muscle spastic type: A retrospective study. I will ring you next week and thanks so much for number. They produce pain locally and in a referred pattern and . I saw that you had pelvic floor injection for a tight pelvic floor (although this post was from 2014). Due to COVID-19, we understand people may prefer to utilize our services from their homes. Your article has helped calm me down, but I am still really scared. Thanks. Ive had a very difficult time finding the right person to treat this issue. While going perpendicular along the muscles direction, when you come across a trigger point, you will feel a very noticeable change. Bottom line, the resting tone in my pelvic floor was extremely high in spite of 7 hours of yoga and pilates a week. Please enable it to take advantage of the complete set of features! Best regards, Anne, I have just found a PT on pelvic issues who works at Mater Dei Hospital and St Annes Clinic Carolyn Sultana. Have been despairing of finding anyone who has ever heard of it and would be most grateful if you can let me know where I can find the womens PT specialist you mention. I keep my hopes up that I can once again enjoy life without pelvic pain. lubricant We suggest talking to your provider about this. self release of pelvic trigger points male. Materials and methods: Hi! Clinical Review of Neuromusculoskeletal Complementary and Alternative Approaches for the Treatment of Chronic Pelvic Pain Syndrome. Please feel free to contact our San Francisco office after the holidays for a complimentary 15 minute consultation. . If PT is not a good choice right now cognitive behavior therapies, guided imagery, or pharmaceuticals may be useful. vaginismus Without the support of a wonderful PT, I dont know how I would have coped. I would however, recommend that you create a consistent treatment plan and maintain it for a minimum of 8 weeks in order for your body to adjust to therapy. I spoke to PT pelvic floor ther therapist as part of my history.. Im shaking just typing this. This does not happen during the day. Awesome article and so very well explained. The anesthetic is simply on board to soothe and numb the tissue. Its almost unbaearable at times. I can recommend a few therapists, depending on your location. Lets have a chat about what we understand is actually going on first.. Do y. Many men experience lower urinary tract symptoms (LUTS) in association with Chronic Prostatitis / Chronic Pelvic Pain Syndrome (CP/CPPS), or prostate conditions such as Benign Prostatic Hyperplasia (prostate enlargement). However recently I have experienced spasms in my pelvic floor making me feel like I have to urinate frequently. What you may not know is that myofascial trigger points, shortened pieces of muscle fiber that form a knot and shorten the muscle involved, play a role of their own in this painful disorder. My PT is a wonderful therapist who understands this condition and has specialized in pelvic floor cases exclusively. Im focusing on TMS ( Tension Myoneural Syndrome) and meditationpretty desperate and despairing, but Im walking around, so it beats a lot of thingsthere is something out there that will help that I have yet to find apparentlyhappy to connect if you want to [emailprotected]. Your Jane Doe story above sounds like me. She was able to work with my family physician, urologist, and exercise therapist to pinpoint treatments which would alleviate my pain while we worked to find the underlying cause. It is so hard to see our loved ones deal with chronic pain. It is characterized by adverse symptoms of tender points, myofascial trigger points (MTrPs) in skeletal muscles. Vaginal Balm I am still a little at a loss as to what to do about my symptoms. i have had one rectal internal session so far. I am back in PT and working diligently with a therapist to help me get back to a better quality of life again. Vaginal Discharge

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