Strengthening the vagina, what is possible?

Body: 

Hello everyone! I've had a moderate cystocele/rectocele for about 15 years and was never tempted to do anything about it, being a surgery-phobe. However, this year I decided to lose a lot of weight, and have BUT I also had two different bladder infections during the process. The doc-in-a-box said this might be due to a "tipped bladder" which caused me to finally start researching the cystocele problem and to realize that this last infection had caused new droppage, to a very uncomfortable level. By September, I was actively reading all I could on the subject, trying to find out how to fix this without surgery. I still hadn't found this site.

I decided from what I read elsewhere, that if I could but strengthen the walls of my vagina, then the muscles would thicken, and be able to hold back the other organs. One of the things I found online on a weird site was a quote from a Tantra yoga book, with advice on "Strengthening the Yoni". I ordered the book from Amazon.com, to see if there were more details there, and when it came, I read that it was considered possible and desirable to develop the strength and control of the vaginal muscles to a degree where one can ripple the muscles in a motion reminiscent of a hand milking a cow teat.

Now, concurrent with this I had started a thread about pelvic prolapse on a private messageboard with some longtime friends of mine from around the world, desperately seeking advice. One of them is a German midwife who teaches classes to new mothers concerning pelvic floor health and she gave me some excellent advice on posture which has helped, but also assured me that the muscles of the pelvic floor cannot be moved independantly of each other. They move as a unit.

Now, as much as I appreciate her advice - especially as the posture advice mostly parallels that in Christine's book which I found later- I really want the Tantra book to be right, because that would just be really cool to do! I've only been messing with this for about a month, so I have very little control developed. I'm still trying to find which impulse triggers what muscle to fire. But, I do think I can get a bit of a ripple motion going. There is a definite disassociation in that figure 8 muscle- the loop around the anus does contract independantly of the muscle around the ureter. And there are some deep muscles in the vagina that contract independantly of the figure 8 muscles.

I haven't gotten a true ripple motion going yet- and the perionometer I bought shows that my strength is so low that it almost doesn't register on the needle, but I really, REALLY would like to know if any women out there have done this sort of thing. I'm operating under the assumption that the Tantra book was sincere, and that Indian women have been doing this sort of thing for thousands of years, and that it certainly won't hurt me to set my sights that high. If I gain control of the vaginal muscles with that level of finesse.... well, it'll be fun, even if it doesn't help the prolapse!

Anybody heard of this sort of thing? If it's true, then I'm going to consider this whole prolapse of mine a fortuitous happening. I'd have never learned about this sort of thing without the sort of research I was doing, and certainly wouldn't have been inspired to learn how to do it.

edit: removed attempts at emoticons.

Hi Star,

In Western medicine the vagina used to be considered the primary support structure of the uterus, sort of like the trunk of a tree. This concept was dropped sometime during the 19th century when it became obvious that the trunk was almost at right angle to the top of the tree. It also became possible to test the type and strength of vaginal tissue. The smooth muscle layers of the vagina are described as “right and left turning spirals whose crossings produce obtuse angled grids supported by elastic fibers. This arrangement affords a greater capacity for stretch.” (Benson1992) In other words, the type of muscle in the vagina is more stretchy than strong. But hey, these qualities may make it even more conducive to achieving the ripple effect! Go girl.

Here’s an insight into fat loss and prolapse that may be of interest to you:

“Contrary to popular belief, the iliococcygeus is often convex in shape rather than concave. This is the result of pressure from fat within the ischiorectal fossa pushing on the soft belly of the muscle. This pressure, which is directed upward and medially, is developed when force is applied to the ischiorectal fat from below, when sitting or reclining. When loss of ischiorectal fat occurs as a result of massive weight reduction, the under support of the pelvic diaphragm is decreased, thus predisposing toward sagging of the levator muscle, tipping of the levator plate, and subsequent genital prolapse.” (Nichols and Randall 1989)

I see the above scenario not quite as grimly as the good doctors describe, but rather a process that could be ameliorated with strengthening exercises and posture.

:-) Christine

Interesting! The tantra book described the structure as concentric muscle rings stacked on top of each other, but I couldn't feel any evidence of that in my attempts to get the muscles to respond. Spirals oughta do the same thing, though!

I've only lost 40 lbs so far, with 20 more to go- and not much of that has been abdominal fat yet. I'm one of those persons who carries most of their weight in buttocks, hips and thighs and that's where the most dramatic change has been. I don't think I've lost enough to really change interabdominal pressure much... My theory was that with the loss of 40 lbs of fat cells, that my estrogen level might have dropped considerably over the past 8 months. I'm 43 and probably starting to get some hormone drop anyway, I just figured this sudden loss of fat-produced estrogen might have triggered the sudden worsening. Kind of like simulated menopause!

That Nichols and Randall study is definitely something to keep in mind, though. Those last excess 20 lbs of mine will probably take a higher percentage of fat from the abdominal cavity than previously- so if I hadn't started workng on this, I'd run a big chance of getting worse as I get smaller! Whereas I'd have expected the situation to get better, as the pressure in the abdomen gets less. Very strange. Oh well, I'll keep an eye on it.

Thanks! :)

Hi Midwest Star

You clever girl, losing all that weight. I really hope you can keep it up and make the changes to stay where you want to be. I guess when you lose a lot of weight you also lose a lot of volume, so all the bits that were kept apart by fat inside you would be a bit floppy in a smaller volume. I have heard it said that this is a good reason to lose weight more gradually. It allows your body to adjust as you go, so you don't end up feeling like a bassett hound (if you will excuse the comparison) after slimming down. Your body will adjust after a while. In the meantime, I guess you just have to adapt. You are now in a different body.

I have noticed since working on my prolapses, and the associated pelvic floor muscles, that I have much more vaginal and perineal sensation than I used to have before I made friends with 'down there'. Yes, there is a degree of control that you can develop. I can do a few new tricks these days. ;-) I'll have to go back to my Tantra book and do a bit more study. It all sounds like fun. I can think of worse things to do at traffic lights!

I wouldn't take too much notice of the machine thingy, particularly if it is only making you feel that the muscles are weak. The measurements may be more useful in measuring your progress over a period of time. What does your partner think? He is the one who will really know what is happening in your vagina. I suggest that you put the machine thingy back in its box in a dark cupboard for a while until you are feeling a bit stronger and more confident, and can keep it in its place!! Methinks we can get a little obsessive about measuring things sometimes.

Keep up the good work. The whole posture thing will probably have changed for you as well in a differently balanced body. You might like to revisit that as well. Good luck. Keep calling in with progress.

Cheers

Louise

I should probably clarify a bit about the N&R quote.

The “belly” of any muscle is its largest, most ‘meaty’ part, as opposed to when it narrows out to connect onto bone. N&R are not speaking about the abdomen.

The fat accumulations they are referring to are also known as the “rectal pillars” and are located on either side of the rectum, between it and the sit bones. These fat pads sit under and help support the pelvic diaphragm.

Christine,
I thought you were talking about interabdominal fat, which hasn’t changed much on me yet. The spot you are talking about, in the sit bones area, has dropped in size quite a bit. It feels rather bony down there compared to the considerable padding I used to have! I suppose I have lost whatever support I had in that area, and that was probably what did trigger my latest descent of the cystocele. OK. Past that hurdle… it’s good to know why.

Louise,
The perineometer is actually encouraging. I only use it once a week to measure progress. When I started this a month ago, I could just barely twitch the needle- not even one millibar of pressure was being exerted. Last week, I was up to 2 millibars, and this week I’m up to 3. So, it’s encouraging that I’m making progress. My husband isn’t much good at judging grip strength, and hopeless at telling me which muscles are firing, so I do my “training sessions” without him for the most part. Fingers provide better bio-feedback! We are having fun on with what I’m learning to do, though, and he really likes the idea of a strong grip down there. Even though I’m not strong yet (at 3 Hg) I’ve elicited a gasp or two so far. Kind of an interesting change after 24 years together!

I don’t know if the gadget I got – a Pelvexiser made in Austria- is the same as what is used clinically or if the pressure measured has anything to do with any other sort of clinical device. All I can use it for is to measure my own progress, as I don’t know what if the way it measures could even be compared to another device.

LOLLLLLLL!!

You go girl. You're on the right track I think. There are some things that guys just don't get.

I had a 'nil response' experience after my second preganancy. I became hyperstimulated as a result of infertility treatment and my whole abdominal cavity blew up like a balloon at the very beginning of the pregnancy right through until about 10 weeks when the placenta took over producting progesterone and the cysts gradually subsided. I had football-sized cysts on each ovary which resolved as the pregnancy progressed. At the height of the problem I was unable to eat and could only sip drinks, and could hardly breath at all. Quite a bit of intraabdominal pressure I suspect! By the end of the pregnancy my pelvic floor was permanently bulging, and post partum I couldn't budge any pelvic floor muscles at all. They had been stretched to the limit for nine whole months, and there was no way I could move them by thought alone. I had a couple of electrical stimulation therapy treatments which woke the nerves up a bit, so I could at least move the muscles. From then on it was just practice, and everything eventually recovered its tone. Human bodies are amazing things. I think that now you have got these little muscles moving, they will recover tone quite quickly.

You are on the way. Keep enjoying your yoni.

Cheers

Louise

This week, the bit poking out of me seems different. Before, it was soft and mushy and ... well now it's different. It's not "out" so much anymore, and the surface is firmer to the touch. Also, I can get the anterior wall of the vagina to respond. Before, it just kind of didn't do much when I was trying to get the muscles to fire. It would move a tad when all the other muscles were clenched, but now there is definite movement of it's own.

I'm getting control of that group of muscles! And when now when I get the muscles around the ureter to contract, the front wall of the vagina follows. AND I can trigger the anal area muscles separately, so that if I clench the ureter area followed by the front wall of the vagina closely followed by the anal area, I get a clunky sort of ripple motion going. I can't keep it up for more than a few contractions, but IT WORKS. :)

I tried to show my husband when he woke up, but I'd already worn out the muscles for the morning and he didn't feel much. But I can do it! :) Knowing it's possible makes quite a difference.

Oh, and I should tell you that I think I had a bit of hysterical paralysis going on in my nether regions. Last week after reading Christine's book and seeing those picture that included a visible clitoris, I got out a mirror to see if I could find mine. I couldn't, it was completely hidden, but with the help of a flashlight and my husband, we located it. It had no more sensation than the rest of the skin down there. From what I've read since, there should be thousands of nerve endings on that structure, yet I didn't feel anything other than the occasional stab of pain kind of like a finger poked in the eye.

Another zone that is numb on me are my nipples. When my first daughter was born and was put to the breast it HURT. After a day or so, it stopped hurting, but to this day I've had no more sensation in the nipples than normal skin.

I'd heard the term "hysterical paralysis" before, and googled to see if the term could apply to my condition. What I found was a site on hypnosis, that claimed that many conditions of numbness or paralysis can be cause by the mind, and can be cured by hypnosis. I thought back as to what could have possibly caused me to do this to my groin, since I don't recall when this might have happened. The nipples were a pretty cut and dried case. Unbearable pain caused me to shut off the nerves. And they stayed shut off.

When I was a child I was horse crazy like so many little girls. My family moved out to the country just before I hit puberty, and soon got me a horse. I rode that horse all the time, and as the saddle was too heavy for me to put on her myself, I often rode her bareback. IT HURT at first. But soon didn't. I think that was the trigger. I'd wanted a horse so long that nothing was going to stop me from riding her, pain or no pain, so my mind shut off the nerves in self defense.

So, I read some things online about self-hypnosis, ordered a hypnosis book and read it and proceeded to unblock the nerves to those supposedly erogenous zones. I've had partial success. I can feel a gentle touch now, but the most alarming thing is that now my jeans hurt my groin area! The inseam hurts the clitoris, and I wear jeans to work everyday. At home, I can wear my baggy clothes from before the weight loss, but at work I need to wear stuff that looks at least like it fits. I keep standing up and pulling the seam *down* but I think I'm going to have to change my clothes and buy some skirts and/or dresses.

I'm going to have to wear "girl clothes"! (cries) Either that, or numb out my clitoris again. NOT! The muscles down there are responding so much better with the nerves unblocked that I really can't do that and expect to continue to make progress.

I hope this hasn't been too weird for everyone, but it was a real problem and had a real solution... and might have something to do with why everything got so weak down there in the first place.

Thanks so much for sharing this very interesting issue. I hurt myself once on a boy’s bike when I was little and the pain was like none I’d ever known. I didn’t know riding could cause what you describe, but it makes a lot of sense. The breasts, clitoris, and uterus are all connected by common nerve pathways.

Nothing is too weird for wholewoman as long as it’s helpful and healthy. Women do not have the same weirdness as men – it’s just not in our hormones. Not that we don’t have our own sexual, moral, and mental illnesses, but they are radically different than men’s. So…not much we can’t talk about and all relate to.

The "numbness" of the clitoris isn't something I could really know was wrong, seeing as how it happened so early in my life. The nipples going numb was a definite clue, but one I didn't know how to follow up on until 19 years later!

The illustrations in your book were the final key to the puzzle, Christine. I'd discounted tales of clitoral sensitivity as mere hype, yet when I saw *visible* ones in the diagrams, I got to wondering if maybe I was a mutant or something and didn't have one- since the zone didn't act like an erogenous zone and I'd never seen anything like that when looking at my cystocele with a mirror. But it's there all right. And now that I can feel it, my husband says it is visible when stimulated. So, I'm not a mutant! ;-) Well at least in that particular area!

I've just had a self-imposed sexual handicap for most of my life. The things we do to ourselves!

I am pleased that the associated muscles are working better now. By the time I get to my urology appointment in 1.5 weeks, I bet she won't even suggest surgery. :-)

sorry about that!

Hi again MidwestStar

Didn't have time to develop this one the other day, but here goes.

First, the clitoris. We commonly know the clitoris to be a tiny little knob, a kind of mini-penis which in some women is visible, but in others very well hidden, to the point of being almost undetectable. It is another one of those little bits of female anatomy that is misrepresented in the diagrams in the text books. But that is another story.

The structure of the clitoris is much more extensive than that, splitting backwards into a fork, where each of the two parts runs down the length of the inner lips of the vulva. Its nerve pathways are quite extensive in the general area. This is one of the reasons that women generally like to be touched all over the vulval area, as part of arousal. We have nerve endings in places you would think were impossible!!! Touch on the clitoris itself in the early stages of arousal can be quite painful and unpleasant, but with long slow gently caresses all around the genital area and all over the rest of the body it feels quite different when your partner finally gets to the clitoris. Well, that's the theory anyway if you have a partner who is happy to wait that long. So start off by waking up the general area, instead of zooming in on the target straightaway, and just enjoy the journey, using whatever feels good, fingers, feather, paintbrush, your partner's tongue, lips, whatever. Use lubricant if you prefer to.

The nipples are a bit the same. Hands up anybody who likes having their nipples played with, better than having their whole breasts played with? Faced with a choice I would take both please.

As far as I know the nipple itself is a bit short on nerve endings compared to the areola (the big darker area around the nipple)which seems to have the most. The breast surface itself is also richly endowed with nerve endings. So I suggest that you work inwards slowly and softly from the perimeter of the breast towards the nipple to make those little boob nerves really jump around. Again, make yourself comfortable and enjoy the journey.

When a baby is sucking at the breast she takes the nipple part, the long pointy bit, way back into the back of her mouth, and she mouthes the areola and the ducts below the areola, with her tongue against her hard palate, squeezing the milk out of the ducts. This is where all the nerve endings are for the mother, and it is this stimulation of the areolar surface that sends the hormonal message to the breast tissue to send some milk down.

You will also notice a baby playing with her mother's breasts, often gently stoking and patting them all over while feeding. This reinforces the mother's desire to just sit there while the baby finishes her meal. What woman worth her salt is going to get up and walk off while there is somebody gently caressing her boobs? ;-) Not me, that's for sure. So the nipple is only part of the story. Enough nerve endings to transmit pain if the baby is not latched on properly, but not an excessive amount, as all the nipple does during feeding is sit passively at the back of the baby's mouth squirting milk down her throat.

Also a spa is a great tool for enlivening all the nerves all over your skin. Just be careful about where you direct the jets. There is quit a bit of pressure behind all that air and water which can force water into places where it wouldn't normally go. Turn the air bubbles on too. That is quite a different sensation. Just gently caress your skin all over, and consciously enjoy the sensation as your hands and fingers trace paths all over your skin. Close your eyes, and visualise the paths and the sensations in colour. Put some music on as well.

You might also be able to bribe (or otherwise encourage) your partner into massaging you all over, however you like it. Men are generallly thought to only have strong, pleasant sensations in about two places on their bodies. This is not strictly true. Most will admit to liking having their nipples played with. Many men really like being massaged all over their breasts and the rest of the body too, but will normally express appreciation only by grunting and falling asleep, in that order. This is not to be taken personally. It's just what men do, so make sure that you take it in turns to do the first massage. Otherwise you may not ever get one. Another plus is that it gives them something to think about while you are getting aroused and doing your 'nerve ending' workout.

Enough of my erotic instructions. Just enjoy your body, make friends with it and give it some pleasure. You will be rewarded. Use it or lose it? You bet!

Cheers

Louise

A month later...

Last night, I discovered another set of muscles inside. There are now 4 separate zones I can control independantly and reliably. The pelvic floor muscles around the clitoris, the pelvic floor muscles around the anus, the front wall of the vagina close to the opening and something deep inside, beyond the reach of my fingers.

And I can trigger them in a rippling motion. I'm not strong yet- but the control is growing. :) I assume the longer I keep at this, the better the control will get and the stronger the muscles will become. I'm still doing 2 twenty minute sessions per day, using a couple of fingers for biofeedback. My cystocele is hardly noticable anymore, and certainly not bothersome. This is working. :)

And the side effects are fun. :)

Hi Midwest Star,

Thanks for sharing your experiences. I was just looking for advice both on preventing new pelvic problems (I had severe pelvic pain after my first pregnancy) and improving vaginal strength. Would you mind sharing the title of the tantra book you use?

Thanks for posting your progress and good luck!

Hi MidwestStar

You're going greatguns! I wonder what else you're going to discover about that bod of yours? I like your descriptions of the muscles. We all need to make friends with our sexual bits. After all they can give us so much pleasure.

Cheers

Louise

I don't think it would be working as well if I were just doing the pelvic floor exercises. I can feel a textural change on the vaginal wall that still sags. It's firmer and not so mushy/squishy. If I were only working the pelvic floor muscles, I'd still be trying to close the door against all that internal pressure. The change in the vaginal wall decreases the amount of pressure on the pelvic floor, I think. And, of course, The Posture takes pressure off the pelvic floor muscles too. :)

There are still spots on the upper front wall of the vagina near the cervix that are mushy, and I think that corresponds to the areas that I don't have any control over yet, but it's hard to tell. I expect that the areas under conscious control will expand if I just keep at it, and once I *get* those muscles I can start strengthening them too.

Blueberry, the Tantra book I got that described "how to strengthen the yoni" was called "Tantra: Cult of the Feminine" by Andre Van Lysebeth. I didn't actually follow all the advice, but just knowing it was possible was half the battle. I bought a different Tantra book later called, "Essence of Tantric Sexuality" which is much more interesting from a metaphysical aspect- but it does not include the detailed explanation in the Van Lysebeth book.

Another thing that helped was learning that there are both "fast twitch" and "slow twitch" muscle fibers in the vaginal area. I *found* the muscles doing fast little twitches, and slowly increase my control over the areas with that technique- but I also alternate with long, slow contractions so that both types of muscle fibers get a workout.

The muscles seem to fail after about 20 minutes, so I don't work out any longer than that anymore. Twice a day, once in the morning before getting up, and once in the evening when I go to bed. And I always, ALWAYS am squeaky clean down there before "exercises" or sex. I'm rather paranoid about getting another bladder infection and keeping clean before handling seems vitally important in avoiding infection.

I don't find the exercises exciting at all (in fact, my major battle lately has been to stay awake during them!) but my increasing muscular control and increased sensitivity has been contributing to the best sex of my life. It wasn't bad before (not at all!) , but now it's really, mindblowingly good. :) Not bad for a mid 40's couple who have been together for 23 years! Those were the side effects I was talking about.

I have read all your posts, but wondering if you could give a little instruction on how you do your strengthening exercises and how they differ to the pelvic floor ones. I get that it's about not contracting them all at the same time but not sure exactly what to do?

Many thanks and glad you've seen so much improvement!

I don't really know how to say what I did. It's kind of like learning to wiggle your ears. You know, you accidently hit the muscle that twitches your ears, realize it was unusual, and spend hours trying to find the muscle again? You finally get it- and then spend more time perfecting control of it until you can amaze your friends! (Yeah, I did that as a kid.)

Well, this is something of the same sort of thing. I'd read about the Kegel exercises, and how you are supposed to find the muscles by shutting off urine flow. That part was straight forward enough. When I did this with a couple of fingers inserted inside myself, I only felt the outer layers, the pelvic floor muscles move. When I first started this, that's all I could do- very weakly. Everything was quite stretched by 15 years of ignoring the problem.

Almost by accident, I found that I could trigger the anal muscles separately, and that they are much stronger than the front pelvic floor muscles in me. Shortly after this I found the Tantra book and found all that stuff about being able to ripple the vagina. I started working the two muscle groups separately, using finger biofeedback, and after a few weeks of this, something in the vagina started twitching too.

I noticed, and tried to get to where I could do it when I wanted to, not just as part of the other movements. Eventually I got to where I could faintly wiggle the front wall of the vagina.

THEN I started trying to "ripple" in earnest. I'd squeeze the muscles around the clitoris, followed by the ones around the anus, followed by the one on the front vaginal wall. It still wasn't a smooth movement. Sort of a clunk, CLUNK, twitch. However after a month or so of exercising those muscle groups, I noticed a new area responding, somewhere deep inside. I worked on gaining conscious control of that area, and added it to the sequence.

So now I can do a mild squeeze of the front pelvic floor muscles, followed by a strong squeeze of the anal muscles, followed by a moderate squeeze of the front wall of the vagina, followed by a faint, unreliable twitch somewhere beyond the reach of my fingers. It's a smoother motion than it used to be, but not as rhythmic as "milking a cow" by any means. Plus the muscles fatigue fast, but then I've only been doing this since September.

I'll keep doing these twice daily exercises probably forever. What I have will get stronger, and maybe I'll get new areas of control show up. There are tales out there on the internet of incredible control of vaginal muscles by oriental bar girls... and also tales of women who accidentally clamp their vaginal muscles down so hard that their male partner can't withdraw! Penile captivus, it's called. I have no idea whether those tales are true or not, but it's something to think about.

I can't tell you HOW to trigger the muscles. I don't know HOW I did it myself. All you can do is keep trying and NOTICE when something changes and take advantage of it. You pretty much have to monitor with finger feedback, though. Otherwise you don't know when something new triggers, or if you are doing what you think you are doing.

I hope that helps. :-)

I like the sound of trying this out, have you noticed any bad side effects, any prolapse issues getting worse or otherwise? I am sure it is a lot of fun in the bedroom!

I find this very inspiring, Midwest Star. I think a variation could be very good exercise for women like me, which I think is all of us of my generation who had hospital deliveries and no hysterectomy/colporrhaphy since. I think for me, I might try it sitting up at a right angle with lumbar curve in place. I understand the biofeedback part wouldn’t be possible, but I would be using it primarily to build perineal strength. The reason you feel the contractions more strongly in the back is because while lying on your back your sitbones have moved closer together and there is more loose muscle along the “X-axis” to contract. When you sit up on something like a low, wide stool so that you can maintain your lumbar curve, you can feel the contractions equally between front and back, and you’re right, they can contract separately.

Just don’t forget that this is not a substitute for holding your organs over your pubic bone in standing so that your vaginal walls can flatten. The posture is the only thing preventing a full blowout of my back end, and now I have been inspired to intensively work on toning what's left of my perineum as well. I’ll report on my progress! Christine

Bigmomma,
There are no bad side effects at all. It even seems like the prolapsed tissue is drawing away from the introitus, whereas before, my cervix was threatening follow my cystocele out. Before, the front wall of the vagina was slightly outside of my body, and chafed something terrible when I walked. Now it doesn’t chafe anymore, and is firmer to the touch. Also, when I first started this, I had to lean waaaaaay over when I urinated in order for my bladder to empty completely. Now when I do that, when I sit back up I have to urinate a little more, like the configuration of the bladder has drawn up inside a little and leaning so far over is too much now- if that makes any sense. It’s so hard to measure these things, but I’m pretty sure improvement in the prolapse is happening.

Christine-
The posture is half of what’s working for me. When I forget and tuck my butt under me (easy to do, I was in the Army and taught to stand like that- and my martial arts class taught the same thing) I feel an instant and uncomfortable increase in pressure. If I wasn’t using this postural change, I’d probably be losing all the progress I made each night/morning during the day as I walked around or sat. After I read your book, I also gave up using my chair back at work. This was very hard at first because my back muscles would get SO tired, but it’s really paying off now that my back is getting strong. I used to hurt my back annually, but the effort of sitting tall, chest uplifted, pubic bone downward-- with no chair back-- has strengthened my back muscles to the point where I don’t feel unstable anymore. It might be possible that my back problems are over too! My back has felt fragile since the first time I hurt it over 5 years ago, but it’s starting to feel sturdy again. THANK YOU! Without reading your book, I’d have never thought to sit without back support, and I do a lot of sitting at work.

I hope toning works for you. When I started, those interior muscles were so stretched out and neglected that it was almost impossible to get them to move. I don’t know how far I can go with the strength training down there, but it will be an interesting journey. My husband thinks so to! ;-)

Thanks Midwest Star! I appreciate you explaining the details and sharing your inspiring story! I used to feel so powerless about my pelvic floor health after childbirth. It is especially inspiring that you have such great results in only two months.

Well, there are good days and bad days. Yesterday, for example, when I decided I could risk straining on the toilet just a little, just this once and I felt all blown out afterwards, and the cystocele was partially outside again and felt all mushy. And when I did exercises later, EVERYTHING felt weaker.

I'd been following a strict no straining rule for months- if things didn't come out on their own, I'd use an enema or finger assist. I was feeling cocky after all my bragging, and had a definite set back as a result.

*sigh*

I should have known I wasn't ready for that. And might never be ready for that.

So is the general consensus that this kind of "toning" of the inner vaginal muscles seems to be safer and more effective in the long run than regular kegels? If so, how is it different, in that the same muscles are getting exercised and toned, albeit in a different way?

I totally get the idea that kegels seem to be safer in an upright position with the lumbar curve in place so that there is less stress placed on the posterior wall. Can regular kegels done with the lumbar curve in place build perineal strength just as safely if one has not yet mastered the art of working the muscles independently?

Thanks!

Michelle.

Were you around for my “little test”, Michelle? If not, just do a search and it will come up.

I’ve always maintained that no matter how strong our pelvic floor muscles are they offer absolutely no resistance to things coming down. Constipation and obstructed birth would result if they did.

A kegel is a kegel in my book, except for those wishing to develop finer control, and like we talked about – experiments in perineal strengthening with the pelvis in its most supportive position. Don’t forget about belly rolls for great overall conditioning as well.

Yes, I tried your "little test" Christine with the lumbar curve, and how it places the organs forward so they can't fall out! It was during a stage when I was even more reluctant to bear down than now, but it made me feel much better about how my prolapse can be stabilised! :)

I know kegels can't cure prolapse. If they could none of us would be here, and the surgeons would be out of work too. I guess I am constantly intrigued by the fact that kegels are belabored by seemingly all medical professionals, when there is really no hard and fast data to prove they do anything at all for prolapse. The only person I have seen who said that kegels are way over emphasised was my nurse practitioner who sees prolapsed women every day.

I do always hope though, (maybe in a delusional state), that improved resting muscle tone vaginally holds things in a tiny bit, and with the posture stands a far greater chance! I also did find the dreaded kegels very useful for my SUI after my first baby was born.

Michelle.

I really felt for you when you said you had a setback. Isn't that the worst!? Your progress and upbeat attitude has been inspirtational to me, so don't give up!

HUGS,

Bigmomma

MidWest Star,

You weren't bragging, just happy to see some improvements as we all are when they occur! Don't worry about things seeming worse, I recently had this happen with a cough, and things improved again. I am sure they will do the same for you!

Thank you for sharing your experiences, I certainly love to hear of anything which might be of benefit.

Take care.

Michelle.

I'm not giving up, Bigmomma. It was just a bit disappointing to lose half the progress I'd made. I guess those new little muscle fibers are very fragile at this stage.

Christine, yesterday I finally read your blog "Why Kegels don't work". I'd avoided it before, for fear it would mess up my self-confidence. Now I know what you are talking about when you mention X and Y axis.

Yesterday evening when I went to bed, I didn't really *feel* like doing the exercises, so I tried reading a book and just doing repetitive full pelvic floor tightenings- that didn't take much concentration and I could keep reading my book. Very shortly, my tailbone started hurting! So, I quit for the evening and in the morning, I was very careful not to tighten along the full Y axis. Indeed, I think moving the regions separately requires tightening along the X axis somehow! Whenever I'd slip and tighten along the whole Y axis, my tailbone would hurt.

I think I've avoided hurting myself with the intense exercises I've been doing, because I've been working the sections independantly, and that level of control requires pulling along the X axis rather than the Y. In fact, some of the regions respond better if I imagine that I'm tightening up into my legs (even though I can't feel any muscles move there).

Also, about my bed.... we sleep on two memory foam mattress toppers, with a combined height of technically 5 inches. However, they are rather old and worn, and the places we sleep the most are permanently sunken in. (Yeah, it's about time to replace them.) My point is, when I'm lying on my back, my pelvis is significantly lower than my head, probably by 4 to 5 inches, and my lower back is fully supported by the memory foam that isn't compressed. So, MAYBE I've been doing these exercises with a bit of lumbar curve preserved.

I don't know how they would work on a regular mattress, since the only place I've done them is on this particular mattress/topper combo, so perhaps a bit of a warning might be in order for those with normal mattress set ups.

Edit: Thanks, UKmummy! :)

Hi MidWestStar

I know what you mean about mattresses. We like sleeping on quite a hard mattress, but I have discovered that a long, narrow, low cushion under my lumbar curve, while sleeping or lying down, is the ants' pants for keeping a lumbar curve, or keeping my spine straight, while sleeping. I don't even have to shift it when I roll over. I also have bulging lumbar discs, and this solution is helping greatly with pain and stiffness first thing in the morning.

Another advantage of it for those who are not sensitive about TMI, is that it is great for sex in woman lying down positions. As the lumber curve is present, all the pelvic floor muscles are stretched taut. My husband tells me my vagina is tighter, so there you go!! It also puts my clitoris in the action too! Why didn't I think of this before? Beats getting a doctor to carve me up!

Cheers

Louise

EDIT: Goodness me, I never thought I would be telling the world over the WWW about my tips for better sex. I can't imagine even talking to my best friends over coffee about these things. Aren't we lucky to have this Forum? L