Many women stop enjoying sex after having a baby. And it’s not always a matter of a psychological barrier or hormonal changes. One of the possible reasons is the weakness of the intimate muscles. Obstetrician-gynecologist Elena Silantyeva talks about ways to restore them.
Well-developed pelvic floor muscles are the key to sexual pleasure: their volume and tone affect the degree of closure of the genital gap and, accordingly, the strength of arousal and orgasm. But very often after pregnancy and childbirth, these muscles weaken and lose their tone. Why is this happening?
Motionless
“Almost half of the women leave the maternity hospital with weakness of the pelvic floor muscles, and even more if it is a repeated birth,” says gynecologist Elena Silantyeva. – After all, the muscles of the pelvic floor, like all striated muscles, develop only in work, in active movement. But what kind of life do we lead? Most often – sedentary, which is why the muscles are inactive and atrophy.
And during childbirth, when the birth canal is stretched, these flaccid muscles are more quickly stretched and injured. For this reason, a woman may experience “wide vagina” syndrome, vaginal relaxation. An infection easily penetrates into a wide open genital slit, thrush, colpitis or vaginitis may develop. And close contact of the vaginal mucosa with linen leads to its drying and partial atrophy.
It is not surprising that the sensitivity of the mucosa as an erogenous zone is reduced. Moreover: during the love act, the sexual organ of the partner does not fit snugly against the inner walls of the vagina. As a result, not only the woman herself ceases to feel some kind of pleasure upon contact, but also the man: after all, the strength of his erection largely depends on the degree of fit.
Healing orgasm
Weak sensitivity of erogenous zones leads to another serious problem: a woman can experience a pronounced sexual desire, but cannot get an orgasm. And it’s pretty bad for her reproductive system. After all, an orgasm not only gives pleasure and provides emotional release, but also supports women’s health.
“An orgasm causes an instant spasm of the smallest vessels of the arterial bed, blood renewal, an increase in the tone of the venous system,” explains Elena Silantyeva. – If discharge does not occur, then the outflow of venous blood slows down and congestion develops in the vessels of the small pelvis, which manifest themselves later in various painful sensations.
And gynecologists treat these pains with antibiotics, which in turn destroy the microflora of the vagina, and a more serious infection enters the body. Actually, this is another reason to establish a harmonious sex life.
Intimate muscle trainers
What should a woman do if her pelvic floor muscles have weakened after childbirth and the “wide vagina” syndrome has appeared? Elena Silantieva offers several methods.
1. Physiotherapy. First of all, immediately after childbirth, in the first day or two, a woman needs restorative treatment using classical types of physiotherapy – a magnetic field, UHF and others that reduce inflammation and quickly heal damaged, stretched muscle tissue.
2. Exercise. Not earlier than a month after the birth, as soon as the muscles have healed, you can gradually start working with them. But when exactly – only the doctor decides. Any physical activity that has no contraindications is welcome. But Pilates, yoga, and exercise therapy, which were so popular during the Soviet era, are especially useful – these complexes usually include exercises that at least indirectly involve the muscles of the pelvic floor.
3. BOS-therapy. This is a hardware-computer complex, with the help of which women learn to do Kegel exercises, specially designed for training intimate muscles. Of course, these exercises can be done at home, but it is very important to master the correct technique under the supervision of a specialist, because women often confuse muscles and pump the wrong thing at all.
If the muscles have not worked for many years, how can you know how to feel these muscles, put them into work? For this, BOS-therapy is needed. What is its essence? An individual electrode is inserted into the vagina. And when the woman tenses and relaxes the corresponding muscles, the electrode receives an electrical impulse from them, and the data is displayed on the computer screen.
If a woman does not relax her muscles well or by mistake uses the muscles of the anterior abdominal wall, the doctor, looking at the screen, coordinates her work, gradually changing and complicating the task. For 15-20 sessions, you can develop a stable skill in order to continue to practice at home on your own.
As a result of such exercises, the volume, strength, endurance of intimate muscles, their ability to relax and stretch increases. There is nothing surprising and mysterious in this: just as a man in the gym, pumping up his biceps, increases their volume, so a woman can double (and this is easily confirmed by ultrasound diagnostics) the volume of her levator muscles that lie around the entrance to the vagina. The genital gap closes and becomes tight, the sensitivity of the erogenous zones is restored.
4. Laser vulvo-vaginal rejuvenationand intimate cosmetology, plasmolifting and mesotherapy are modern technologies that involve laser exposure or intradermal injections in the intimate area. They are designed to improve the quality of the mucosa of the external genital organs and, if desired, change their aesthetic characteristics, improve their flora, and increase the sensitivity of erogenous zones.
Questionnaires conducted by physicians after the completion of these procedures show that women experience more vivid sensations during sex as a result, feel more satisfied at the moment of orgasm, and the orgasmic discharge itself occurs more often than before.
About expert
Elena Silantieva, obstetrician-gynecologist, physiotherapist, doctor of medical sciences, deputy chief physician for rehabilitation of the Lapino Clinical Hospital.