Sexual Counseling and Pelvic Floor Physiotherapy
Talli Rosenbaum, Msc., PT
Inner Stability, Ltd
Women who have difficulty with sex, because of pain or vaginismus (the muscles of the vagina contract upon attempted penetration), are anxious about penetration, but wish to conceive and give birth, may have special needs regarding the experience of pregnancy and childbirth. Pelvic examinations, for example, may be particularly difficult, and preparing for childbirth in a way that minimizes birth interventions may be particularly important
The postpartum period may be particularly challenging for maintaining physical intimacy with your partner. Fatigue, nursing, hormonal changes and the demands of a new baby can put sex on the back burner. Dryness and discomfort during intercourse may also affect sexual desire and arousal. Help is available for this as well
I combine counseling, behavioral therapy, and exercises to help you through the pregnancy and birth, as well as to enjoy a pain-free, and satisfying sexual life.
Tip to Help Relax Pelvic Floor Muscles:
The pelvic floor is important for maintaining bladder control, keeping the pelvic organs stable, and for sexual function and pleasure. The pelvic floor muscles definitely get stretched with pregnancy and delivery and this may weaken them. Women who have an overactive pelvic floor, or “tight” vaginal muscles, need to be particularly aware of learning to relax the pelvic floor, to help avoid childbirth complications.
Inhale and feel your breath enter your belly and pelvis, as you exhale, contract your vaginal muscles while pulling your naval to your spine. Hold for a few seconds and then release. Pay attention to the release of the pelvic floor. Rather than push forcefully during labor and delivery, remember to gently release the pelvic floor. Make sure to exhale and not hold your breath. This will help avoid trauma to the pelvic floor and the perineum from the delivery.
Bet Shemesh Hanurit 2
Jerusalem: Kanyon Yisrael Yad Haruzim 18
Tel Aviv : Lieberman 10