Post # 16
It’s hormones for sure. I had a c section with my first and I was shocked at how it felt when we tried 12 weeks after. For me it didn’t go back to normal till I stopped nursing at 14 months. I second the estrogen cream. It will get better. I had a vaginal birth with my second and it was pretty much the same. Super tight and dry. All hormones. I’m 15 months pp and all is right in the world again. I also saw a pelvic floor physio starting when I was pregnant up till a few months ago too. They’re magic workers!
Post # 17
campingbee : Now that we’re here. What does the pelvic floor physio do? My doctor wanted to send me for other reasons and I was like Nah I’m good. Is it…awkward?
Post # 18
Some therapists are trained to do internal exams; others aren’t. As far as awkward, I’d say certainly no more so than any other well-woman or prenatal exam. This is what they see every day 🙂
I personally would recommend finding a therapist who does do internal exams (they’re able to assess what’s going on a whole lot better). They can use biofeedback – ie use a transvaginal probe connected to a computer to assess muscle strength and tone, and any muscular irregularities. They can also use the biofeedback so you can see on the screen the muscle contractions as you do exercises (not an image or anything graphic, just like little lines that go up as you contract etc). They can also recommend devices like pessaries (medical grade plastic or silicone devices to help stretch tissues or work on less painful penetration when you’re fully in control of the movement). Plus a ton of education on posture, breathing, they can work on surrounding structures (ie maybe your core is weaker postpartum which would result in a diminished pelvic floor, or your sacrum isn’t sitting where it was before so they can mobilize it etc). They can also address any prolapse or incontinence one may experience, and if you’re active, they can make sure your body and pelvic floor gets rehabbed so when you return to running/working out/sports, you feel strong and minimize leaking etc!
I’d personally give it a chance – as with any healthcare provider you need to find a good fit/someone you’re comfortable with, but it’s the therapists job to make sure you feel comfortable and relaxed, and as I said, this is what they’re used to seeing all day every day.
Hope that helps! I’m currently TTC but I definitely plan to make the most of my medical benefits by seeing a therapist before and after haha.
Post # 19
Girl, 8 weeks…hell I was still walking uncomfortably at 8 weeks after my c-section. Forget about having sex. Being totally honest though, and it’s almost mortifying to admit, but we didn’t have sex until I was at least 7mpp – it may have been longer. I felt so gross, fat, frumpy. I needed to get my mojo back and I started weight watchers around 3mpp and by 7mpp I had lost over 35lbs. At that point I was actually smaller than I was before getting pregnant and felt good about myself. I wasn’t worried about pain, I was just self concious.
Post # 20
Kslim13 : not sure, but I just know it took a few times for me. Hence the wine suggestion hahahaha! I don’t know if it was going to be good by that point anyways or if it would have been good sooner had a plowed through earlier on. I was still nursing when we finally had good sex again, but it was after my period returned so not sure what my hormones were up to.
Post # 21
It’s hard to feel sexy when your breasts are constantly leaking ☹️ great thread and tips 💯 never knew about pelvic floor physio, going to check it out.
Post # 22
Kslim13 : Congrats on your baby! Yep, sex afterwards HURTS, c-section or no. It gets slowly better. I’m 6.5 months postpartum and it still stings some, but nothing like those first few months 😳 Just give it time. Your body just made a whole human being from scratch and it’s trying to ensure you don’t have to do it again for a while!
Post # 23
Do things loosen up naturally over time or is painful sex just a part of it no matter what. I wont lie i have a pretty low pain tolerance when it comes to most things.
I’m wondering if self pleasure, toys, etc will help bring me back to a normal state over time before actual sex. I haven’t gotten my full blown period yet back either.. Wondering if that helps too.
Post # 24
campingbee : I work in the PT field as well, but on the billing side. We actually many women come in for pelvic floor to help with many things, including painful sex and urinary problems.
I see painful sex often billed and a common therapy practice is vaginal dialtors. PT can even help patients with chronic headaches! Ha.
Post # 25
Kslim13 : so, i imagine this sort of depends on what is going on and why, but for me, i saw no improvement on my own for several months (doing nothing just hoping it would improve) but within 2 months of starting pelvic PT i was close to pain free. And i wasn’t having months of painful sex, it was more like months of some exercises and homework and it worked and was less painful.
Post # 26
corgimommy : did you have to find one on your won, or was the obgyn able to recommend one. Trying to look into some this weekend so i can call in on monday to see what they might recommend