🩲 Pelvic Floor Awareness
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📝About this Section:
Pelvic Floor Awareness involves understanding and connecting with your body to enhance pleasure and address any issues that affect sexual health. By learning about your pelvic floor, you can recognise potential problems, improve your sexual experiences, and shift your mindset to a more positive and supportive relationship with your body.
This is not a science lesson, it’s an opportunity to get to know yourself better.
When you don’t truly understand your body, it’s harder to connect with it. This can show up in ways you mightn’t even realise: discomfort, disconnection, and even difficulties with intimacy or self-expression.
Why do we shy away from talking about “down there”?
“Nether regions,” “bits,” “down below”…
We often avoid naming our body parts altogether.
💡 Did you know?
- 😳 65% of women feel uncomfortable using the words vulva or vagina.
- 😱 Only 9% of people can correctly label all parts of the vulva.
It’s not just about words; it’s about awareness and respect for our bodies.
Quote image: “The words we speak become the house we live in.” - Hafiz
Task: What words do you use to refer to your vulva?
- Do you use terms like vulva or vagina?
- Or nicknames like bits or hoo-ha?
- Maybe you avoid naming it altogether?
🖊️ Jot it down: Write the words or phrases you’ve used. How do they make you feel - connected, neutral, or distant from your body?
💭 The words we use shape how we think and feel about ourselves.
Cultivating Awareness & Appreciation
Your pelvic floor does so much for you—let’s take a moment to appreciate it!
(Insert diagram)
Your pelvic floor muscles support:
- Pelvic organs like your bladder, urethra, and rectum.
- Core stability and balance.
- Urine and bowel control.
- Sexual function and pleasure.
- Pregnancy and childbirth.
🤗 Task:Building Awareness
The first step to connecting with your pelvic floor is learning how to isolate the relevant muscles.
💡 Try this simple exercise: Next time you go to the bathroom, notice how you can start or stop the flow of urine at will. The muscles you use for this action are your pelvic floor muscles. If you’re unsure how to locate them, try stopping your flow on purpose (just as a one-time test). 🚰
This exercise helps you build awareness, which is essential to engage and relax your pelvic floor muscles.
Tip: When you’re feeling stressed, check in with your pelvic floor. Notice how it feels - tight, relaxed, or somewhere in between? This awareness can help you manage tension and promote relaxation.
Pelvic Health Problems
Throughout your life, your pelvic floor will likely face challenges. Maintaining a balance of strength and relaxation in these muscles is essential for their function and for your overall sexual wellbeing.
Some super common pelvic floor conditions that can impact sex include:
- Dyspareunia (Painful Penetrative Sex)
- Vaginismus
- Vulvodynia
- Endometriosis
- Chronic Pelvic Pain
- Pelvic Organ Prolapse
- Urinary Incontinence
- Interstitial Cystitis
- Vaginal Atrophy (Dryness)
- Yeast Infections
- Lichen Sclerosus
- Contact Dermatitis
If you think you might be experiencing one of these conditions, don't worry! There are ways to relieve your discomfort, treat and manage symptoms, including seeking help from a pelvic health physiotherapist.
The Pelvic Health Matrix
To simplify pelvic health, we’ve created a matrix which shows how your pelvic floor muscles can present in one of four ways:
*insert matrix*
Pelvic Health Physiotherapy
Pelvic Health Physiotherapy
If you’re having trouble with your pelvic floor, visiting a pelvic health physiotherapist can ensure you're doing the right exercises for your individual needs.
Many people incorrectly assume that their pelvic floor muscles are not strong enough, and turn to online videos or ‘Kegel’ exercises to strengthen their pelvic floor. However, it's important to keep in mind that there are various types of these exercises!
For example, if someone with vaginismus has weak and tight muscles, Kegel exercises can make already-tight muscles even tighter.
On the other hand, if someone is experiencing bladder issues only focuses on relaxing their pelvic floor, their leaking problem may persist as their pelvic floor is not being fully engaged.
For optimal pelvic health, relaxation and awareness are just as crucial as strength.
Additionally, if emotional or psychological factors are affecting your sexual health, working with a sex therapist alongside a pelvic health physiotherapist can provide a more comprehensive and effective approach.
Our Pal, the Vulva
Our Pal, the Vulva
The vulva often doesn't receive the attention it deserves - it’s typically only seen in pornography or during childbirth. As a result, many of us are left unsure of what a “normal” vulva looks like. In reality, there’s a vast range of shapes, sizes, and pubic hair types that you won’t typically see in mainstream media.
Tip: If you're curious about the diversity of vulvas, take a look at the Great Wall of Vulvas, an art project by British artist Jamie McCartney. It features over 400 plaster casts of vulvas, celebrating their uniqueness and individuality.
To help you appreciate the important functions of your vulva, here’s an acronym to remember: P.A.L.
💪P is for Protection
What we can see in our genital area is called the vulva, but it’s often mislabelled as the vagina (which is inside you!) The vulva plays a crucial role in protecting our internal reproductive organs from infections and bacteria.
Here’s how it works:
- The pubic area, where your hair grows, acts as a barrier, trapping irritants before they can reach the vaginal area.
- The outer lips (labia majora) and inner lips (labia minora) are folds of skin that cover the most sensitive parts of the vulva and protect them from direct contact, chafing, and potential infections.
These parts form the first line of defence for your body, working 24/7 to keep you safe.
Show diagram
❤️🔥A is for Arousal
The vulva is one of our key erogenous zones and sexual organs, and arousal involves a complex interplay of physical and mental factors. Arousal starts with the stimulation of the vulva—specifically, the clitoris, which is the most famous part of the vestibule!
Show clitoris diagram
The clitoris has more than 10,000 nerve endings, making it the most sensitive organ in the body. It fills with blood when aroused, becoming larger and more sensitive. Contrary to popular belief, the clitoris is much more than the tiny dot that’s often portrayed—it’s actually shaped like an upside-down wishbone.
💦L is for Lubrication
Lubrication is essential for comfort and pleasure during sex. The body naturally produces lubrication when aroused, but stress or hormonal changes can affect its production.
The vestibule contains glands that are responsible for producing lubrication to keep everything clean, moisturised, and comfortable.
Show glands diagram
- Bartholin’s glands are small glands near the vaginal opening that secrete mucus-like fluid to reduce friction during sex.
- Skene's glands, located near the urethra, also secrete fluid that aids lubrication.
These glands play an important role in keeping your vulva comfortable and ready for pleasure!
Task: Active Mirror Meditation (5 mins)
This short meditation is designed to help you explore and observe your vulva in a non-sexual way, building a deeper connection with its anatomy and reflecting on your feelings toward it, guided by a sex therapist.
It’s an opportunity to foster a neutral and curious perspective on your vulva, helping to build a deeper understanding and appreciation of your body.
Sex & The Pelvic Floor
Your pelvic floor plays a big part in your sexual health, but there’s so much we misunderstand about it. Let’s clear up the myths, get to know the amazing anatomy, and explore how it all works together for your pleasure and wellbeing.
The Hymen & ‘Virginity’
The hymen is a thin tissue that partially covers the vaginal opening, but it’s often misunderstood, especially regarding virginity. Virginity is a cultural concept, not a biological one, and can't be determined by the hymen. It can stretch or wear away over time without cause, and some people are born without one.
Research actually suggests the hymen may be leftover tissue from fetal development, but we don’t know for sure. Virginity has no biological marker, and it definitely doesn't define someone’s worth or sexual identity!
Show diagram
The Flexible (+ Invisible) Vagina
The word that we’ve heard the most but, in reality, seen the least! Your vagina is the internal, muscular structure connecting your vaginal opening to the cervix, and it can be up to 10cm long.
A common misconception is that things we might insert into the vagina, like a medical speculum, a toy or a penis can be “too big” or that the vagina is “too small.” This is false! The vagina is highly flexible, as it can expand and elongate during experiences like arousal or childbirth.
Your vulva and vagina work together to protect, arouse, lubricate, and enhance pleasure. Understanding their roles can deepen your connection with your body and wellbeing.
The Myth of the G-Spot
The so-called "G-spot" doesn’t actually exist as a distinct anatomical structure.
What’s often referred to as the G-spot is actually the internal part of the clitoral structure being stimulated. The clitoris has parts we can’t see - like the clitoral bulbs and legs - and when the vagina is penetrated, these internal parts are being stimulated, leading to pleasurable sensations.
💡Did You Know?
Only about 1 in 5 women orgasm directly from penetration. The majority of women reach orgasm through clitoral stimulation, either alone or combined with penetration.
What’s the Science Behind ‘Squirting’?
‘Squirting’ isn’t a secret - it’s just fluid produced by Skene’s glands during orgasm, similar to male ejaculation. This release is perfectly normal and not something to be embarrassed about.
At Your Cervix
The cervix is the lower part of the uterus, located at the top of the vaginal canal. It acts as a gateway between the uterus and vagina, helping to protect against infections and regulate menstrual blood flow.
If you're trying to conceive, the cervix allows sperm to enter the uterus. During childbirth, it dilates up to 10 cm (4 inches) to allow the baby to pass through.
It can be sensitive for some during sex, especially with deep penetration. Everyone’s cervix is different, so it’s important to listen to your body and adjust for comfort.
Tip: If you’re feeling pain with deep penetration, check out depth-limiting rings. They are intimate wearables and can help to act as a cushion so you can experience comfortable penetrative sex.
Reflective Task: Dear Vulva..
Let’s write a note of appreciation ❤️
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