Genitourinary Syndrome of Menopause (GSM) can be defined as a collection of symptoms and signs associated with a decrease in oestrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra and bladder.
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Every day, we speak with people who seek our support regarding painful sex. Often their stories include fear, confusion and a poor understanding of the vulva, clitoris and vagina. Many people hold unhelpful beliefs and perceptions of what is and isn’t normal. As Pelvic Health Physiotherapists, part of our role is to educate, enlighten and empower individuals to develop a healthier perspective about their genitals and guide them toward safe, comfortable and pleasurable experiences with their body. Here we explore relatively recent discoveries regarding the clitoris and the relevance to those we see with pelvic health concerns.
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Every day, we speak with people who seek our support regarding painful sex. Often their stories include fear, confusion and a poor understanding of the vulva, clitoris and vagina. Many people hold unhelpful beliefs and perceptions of what is and isn’t normal.
Trauma, neglect and attachment disorders are common and create behavioural, physiological and cognitive adaptations that impact daily function and health via the effects on the neurological, endocrine and immune systems. The experience of trauma can result in loss of trust, feelings of guilt and shame, a decreased sense of safety and loss of hope for the future. These changes can affect the way people approach potentially helpful relationships and make it harder for them to engage with health care practitioners.
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What Is Pregnancy Related Pelvic Girdle Pain (PPGP)? PPGP is pain in the buttock area or sacro-iliac joints (SIJs), the area of the back where the spine joins the pelvis and/or the pubic symphysis (where the pubic bones join together at the front). Sometimes the pain may also be felt in the back of the thigh. People with PPGP often have pain and difficulties with standing, walking, sitting and changing positions (eg rolling over in bed, getting up from a chair). It can have a significant impact on quality of life, ability to work throughout pregnancy and can cause substantial disability.
As pelvic health physiotherapists treating people with sexual pain and supporting them to improve their sexual health, we are often asked what lubricants we use for examinations and what we recommend for personal use. We thought that maybe you might be asked the same thing by your patients – and so decided to research lubricants. Here we share what we discovered and wrote for our patients in their quarterly newsletter.
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Everything we do is programmed and recorded by the brain in unique patterns involving millions of brain and nerve cells, which function like a map. These maps start to develop from the moment we are born and explain some of the processes involved when we learn how to walk, run, or any new activity that becomes second nature.
As pelvic health physiotherapists treating people with sexual pain and supporting them to improve their sexual health, we are often asked what lubricants we use for examinations and what we recommend for personal use.
It may appear a little strange to write a blog about breathing, when it is something that we do 24 hours a day, 7 days a week and have been doing so consciously and subconsciously since we were born! However, just because breathing is automatic, it doesn’t mean that we do it effectively! Many people hold their breath without realising, they breathe into their upper chest only, or they don’t breathe in and out all the way. Being more aware of your breath and optimising the way you breathe can have a profound impact not only on your pelvic health, but your health in general.
This article is a personal story written by one of our patients (she/her) who asked if she could share her journey with Endometriosis and reflect on her experience engaging with one of our Pelvic Health Physiotherapists over the last 18 months. Her honest and powerful story will touch your heart.

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