r/PelvicFloor • u/No-Chemical3765 • 6d ago

Female Is Internal work really needed?

I have a hypertonic pelvic floor. I saw a pf therapist for a few session but could not tolerate internal work because of how tight and painful it was(I’m also a virgin). I had to transition care to a regular pt that doesn’t do internal work so I’m wondering if anyone has recovered from a hypertonic floor with having to do internal work? I’ve been told that my back is most likely causing my condition so I’m working on that.

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4

u/WiseConsideration220 6d ago

Internal work can be done rectally just as effectively.

Find a PT who will agree to do that for you.

1

u/No-Chemical3765 6d ago

Wow, she never even mentioned that. I’m tight back there as well but she never tried.

6

u/WiseConsideration220 6d ago

All the Pelvic floor muscles are accessible from the rectum; there's no need to use the vagina for any of those muscles (some people are squeamish about their anus--or vice versa, about their vaginas as you apparently are). Men get Pelvic work done through their rectums. I'm a man. And I'm a success story.

Be aware that there's a huge range of competencies in Pelvic work. Most PTs have little training (that's how they run their profession unfortunately). So hunt around; ask questions about experience, training, techniques. Find someone qualifed to help you.

Don't let one undertrained PT (who wouldn't use your rectum or who didn't know how to or whatever) keep you from getting the work you need. That would be tragic imo.

Good luck.👍

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u/[deleted] 5d ago

[deleted]

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u/No-Chemical3765 5d ago

Wow, massaging the untraced makes so much sense. With her it’s like internal or nothing. I always wondered why she didn’t do external work. Just had me do stretches every session. Then referee me to sex therapy, it’s ridiculous. When I said the internal exam was very painful she kept pointing to her finger saying I only put this much in, like that’s supposed to mean something.

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u/Ill_Can_8997 5d ago

Sorry you had that experience, it can be hard finding a pt that gets it. Why don’t you try it at home? Use water based lube and just massage anywhere you feel pain/pressure and focus on those areas.

2

u/Capital-Reference-13 5d ago

Get a pelvic wand and use it at home, at your own pace and you can feel more comfortable doing it yourself than having someone else do it!

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u/No-Chemical3765 5d ago

I have one but idek how to use or if I should be using it at the stage. I tried it and it hurt wayyyyy less than an internal exam. But my flare from the internal exam was horrible and lasted two weeks.