Pelvic floor massage

Has anyone have this done to them ?? I've read it is very embarrassing....like having a doctor masturbate you !!

I have performed this on a lady friend of mine following a whole-body massage routine. Apparently I succeeded in giving her her first g-spot orgasm ever... But still, it really can ease disturbations in pelvic floor musculature.

I have never heard of a pelvic floor massage in the medical sense, but I think it would be very exciting during play.

What exactly is it?

I would say this is not related to g-spot stimulation. The so called g-spot is in the anterior (front) wall of the vagina rather than on the pelvic floor.

I have a procedure where, by digital penetration of the anus and vagina simultaneously, as in the recto vaginal examination it is sexually pleasing to massage both sides of the septum (a wall of tissue) between the rectum and the vaginal canal.

The feeling, I am told, is akin to that experienced by double penile penetration and can result in orgasm.

Hope this is helpful.

Sounds like a very interesting procedure BigK. Is this something you can ask the doctor for? "While you have your finger in there doc, how about a little pelvic floor massage?" 😄

Thanks for your interest Kimberley - Yes, you can ask me to carry out this procedure on you anytime, lol

But seriously, like all internal examinations of the vagina or rectum, all the surfaces, including the dividing septum should be checked for iregularities, masses, tenderness etc.

Specially, the septum is prone to damage especially in childbirth where tears or deliberate cutting (episiotomy) split the perineum (usually repaired with external sutures) or the septum (usually repaired with internal disolving sutures. Unrepaired tears in the old days were the cause of puerperal fever in childbirth when bowel contents contaminated the vagina and uterus.

Therefore a good gyno in a full examination should palpate the septum by rubbing it on both sides to check for not only surface irregularities but also the total integrity of the tissue.

Now then - why not ask your gyno to do this on your next visit. You can tell him a friend had a problem there and yours needs checking.

Good luck in your quest!

Thank you for your response BigK, I am sure he does the pelvic floor massage, just didn't know what it was called. After my delivery, my doctor had me doing Kegal exercises, so he must have been examining the pelvic floor, just never really thought of it as a massage.

Yes!

I have been through weekly treatments for the last month. I have been seen by various doctors who mainly put me on some medication for trial biases. When none of them helped I asked around and was told by a family member to get a second, or third, opinion from a new urologist who practiced outside my area. That doctor did the same thing others tried, on my follow up exam I told him of my journey. He said he knew what I was going through and sent me to his PA, who was going to work with me and teach me self healing methods I would be able to try on my own. Well, it took me three appointments with the PA before he sat down and told me I would need some physical therapy of the pelvic floor work before he could continue treatment. He said all he could do is rub my prostate for about ten seconds and send me on my way. He gave me the name and contact details for a therapist and he told me, it will be good for me.

So, after weekly appointments with the female health specialist, I know a little bit of what goes on during these treatments. She spent about a half hour trading my health history and major complaint. She then stood up and said she would exit the room. She stopped herself, and asked if the PA explained exactly what she does. I replied I was told she was a physical therapist. She asked if I was told she does her work internally? I told her I had not been told that part. She said to not worry, she would be gentle. She gave me inductions to strip from the waist down and lay on her take with a gown draped over me.

Mostly her hands on treatment consisted of internal massage of the rectum walls. She had also used pressure points on my right thigh and around the perennial area. Most sessions lasted an hour with her spending 60 to 80% of that time with a finger is my rectum.

This sounds like something i would like to try.

No, but where do is sign up for one?

Its not that bad at all feels great and it really helps done by a professinal its amazing

Big K, I see that you commented on this several years ago. But I remember some discussion you made on another thread referring to the internal structure of the clitoris. I believe that would explain a g-spot orgasm resulting from pelvic floor massage, if the g-spot is what appears when the erectile tissue of the internal clitoris becomes engorged during arousal.

H C said:-

"Big K, I see that you commented on this several years ago. But I remember some discussion you made on another thread referring to the internal structure of the clitoris. I believe that would explain a g-spot orgasm resulting from pelvic floor massage, if the g-spot is what appears when the erectile tissue of the internal clitoris becomes engorged during arousal".

It's certainly a fact H C, that it is difficult to attribute the pleasurable feelings to stimulation of any one part of the body, or to any one kind of stimulation. One only needs to consider the proximity of, for instance the clitoris - to the (so called) g-spot, along with the incredible (and little appreciated or known) size of the clitoris or, more particularly, it's nerve bundles.

All that is before we consider what the largest sex organ (which resides between the ears) is telling us! Arousal isn't confined to any particular bodily structure, by the very fact that the area, in this case the pelvic triangle, is engorged with blood, and that blood is carrying a multiplicity of hormones and secretions. It would be a very special kind of woman who, in the throes of sexual delight and orgasm, could tell you exactly where her pleasure was most intense, or what it was that was being done that most promoted the excitement. There will, I know, be those ladies who would challenge that statement, and they are free to do so, but I make it on the basis of years of dispassionate observation.

And what does it matter anyway?

H C refers to the g-spot 'appearing' - and I refer to the 'so called' g-spot. So what are we talking about here? We are talking about an area on the front (anterior) wall of the vaginal canal, about 2" past the entrance (introitus) and often defined as having a rough or corrugated surface. This area is imbued by many as having it's own unique nerve structure contributing to a separate pleasurable response . I don't believe that it does. Instead, I believe that it is simply an area of tissue which overlays the point where, in the female, the urethra is nearest to the surface - obviously excepting the urethral meatus. As such, the so called g-spot, is nothing more than an area where pressure, rubbing etc, is transmitted to the urethral region and the result is a urethral orgasm, often accompanied by the phenomenon referred to as 'squirting'.

Of course, my theory does not rubbish the 'g-spot' as an area to be stimulated - the physiology is unimportant. Neither does my theory rubbish the practice of g-spot augmentation where 'fillers' are injected into the 'g-spot' area - the rubbish in that is that it's a huge cost for a transient and minor benefit.

To return perhaps to H C's reference to the size of the clitoris. Only a very small part of the clitoral structure is visible. The greater part and in particular the nerve bundle, is internal, where the nerve bundle divides and passes down each side of the vulva/vagina/perineum and anal region to the spinal cord. Yes, as we started out in this discussion, engorgement of this structure will contribute to pleasurable feelings, just as massage of the pelvic floor will. But really we need to consider sexual stimulation holistically, with the brain at the centre.

Thank you, BigK. I had never heard the theory about the urethra contributing to g-spot stimulation, but it makes sense. I have read about some women reporting that their g-spot appears in other places, all of which happen to be where parts of the internal structure of the clitoris resides. Hence the theory that the g-spot is another way of referring to the internal clitoris, especially considering that many people are not aware of the internal clitoris even though they feel the sensations of it.

You make a great point that we need to consider sexual stimulation holistically, especially in your explanation of how arousal isn't confined to any particular body structure. After all, if the opposite were true, all anyone would have to do to satisfy a woman is touch the area 2" past the vaginal entrance you mention and that would be it. But everyone knows that there is far more to it than that.

Not to stray from the topic, but there may be an explanation for this tendency of both men and women to attempt to pinpoint a certain area where stimulation pleases a woman the most. We do live in a patriarchal society, in which many people get in the habit of viewing sexual pleasure from a male point of view. So perhaps people want to simplify a woman's sexual pleasure to something comparable to what a male experiences- everything focused on a certain area, rather than a more holistic approach.

Of course males should not be stereotyped in this way either, because men also tend to require psychological arousal as well as physical, and to relax both mentally and physically as much as possible in order to experience sexual pleasure. Unfortunately some of the stereotypes of society can make a man feel like there is something wrong with him if he does not automatically get aroused and orgasm from penis stimulation alone.

Pelvic floor physical therapy is alive and well. The most common use is for women who experience painful intercourse and involves massage, biofeedback and dilation. It is also used, though less frequently, to aid in treatment of rectal pain (levator ani syndrome) and for obstructed defecation (chronic constipation caused by ano-rectal muscle and/or nerve damage or dyssenyrgia).

I'm a male and have experienced pelvic floor physical therapy for the ano-rectal problems I just listed. Two comments before getting into any details.... You MUST be referred by a physician or you won't be seen. The other observation is that finding physical therapists that specialize in pelvic floor disorders is quite difficult. There are very few of them. I was lucky enough to live in the Cincinnati area where there is one physical therapy group that does specialize.

I have experienced constipation problems from childhood but it was not until later in my adult life that it became chronic and on some occasions resulted in fecal impaction. Doctors recommended laxative after laxative along with softeners and fiber to alleviate my problem but with little or no results. It wasn't until my GP ordered a transit study that it was discovered that my problem with constipation was not colon related but rather at the terminus.... the rectum and anus. He referred me to a colo-rectal specialist who conducted additional tests including Anomanometry, balloon expulsion, and defecography. These tests pin-pointed the source of the problem and resulted in the referral to the pelvic floor physical therapist.

My physical therapy included biofeedback, anal dilation, E-stim for the constipation, and intra-rectal myofascial massage therapy for the levator ani pain. My treatment included weekly visits to the PT as well as self-treatment at home. I had to rent a biofeedback machine and to purchase an E-stim unit and a set of dilators. My therapy continued for about 6 months, though the frequency decreased over time to every other week and finally, once a month. Along with the PT, I was put on a bowel retraining program using daily glycerin suppositories and stool softeners. My constipation problem improved tremendously! Unfortunately, my insurance company decided to stop paying for the PT.

It has been about 2 years since my last PT appointment. I have continued the bowel retraining regimen along with the E-stim and dilation and continue to see some results but not to the extent that I had while under the care of the PT. Today I do experience some constipation that I will typically treat with a soapsuds enema. I have learned that I cannot let the lack of bowel movements continue for a prolonged period or the fecal impactions will return and need to be treated in the ER and admission to the hospital.

I strongly recommend that anyone suffering with chronic constipation that is not responding to laxative therapy ask their doctor for a transit study. It is possible that your problem is not diet or colon related, but rather an ano-rectal disorder that is to blame and in need of treatment. With regard to rectal pain not caused by fissures or hemorrhoids, most doctors will diagnose it as proctolagia fugax, a pain that you will be told to "learn to live with" that can be eased with sitz baths. Levator ani syndrome presents similar symptoms, but is something that can be treated with myofascial release massage therapy. Press on with the doctor if the sitz bath does not provide necessary relief.

I'll say in conclusion that I am not a medical professional and not trying to diagnose everyone's situation as being the same as mine. I am however, suggesting that if you're not getting results with current treatment plans that you do some research and become an educated patient that can discuss options with your doctor. Good luck to all.

Excellent post Cincy!

I think this is one of the best most informative post I have read on this site Bravo! worth a full re read!

This is not uncommon in France for women after childbirth. The idea is that restoring correct muscle tone will alleviate many problems (urine leaks, risks of organ descent...) and also help restore sexual sensation and prevent sexual pain.

This is my first time posting here.

I have been to Pelvic Floor Physical Therapy.

My OB/GYN suggested it as a possible solution for painful intercourse. When he brought it up I had no idea what it was. He said "there is something called pelvic floor physical therapy that I think may help - would you be willing to give it a try?" I said "sure, why not?" He said "well sometimes it involves internal work". I had no idea what he was talking about. I envision PT as a big room with lots of people stretching and moving. He prescribed 8 weeks of this therapy.

That's not what this is.

There is very little online about it. I didn't have a clue what would happen. There are very few place that actually even do it. I read on the website to the clinic I was going to that it's a warm environment "no exam tables or stirrups".

I walked in to the building it and it was very warm - no typical doctor's office furniture, they had a puzzle out to do while you were waiting, the receptionist introduced herself and offered me tea.

Then the physical therapist came out lead me back into a room. It was private room. A very home-like environment. Again no typical office furniture. The room was decorated like a living room. It was dimly lit with table lamps. The room did have a very sterile white sink and a long cushioned table (the kind table you'd imagine for physical therapy) She asked me loads of questions. Really personal questions. Then she said "we'll be doing mostly internal work, I'd like to start with an evaluation and see where we are. Do you feel comfortable starting today?" I thought geez why not I'm already here. So she had me stand up and do some movements. And had me lay on the table and she pressed against my pelvis and did some more movements. I thought to myself. What's the big deal about this?

Then it came.

She pulled a bedsheet from the drawer. It had flowers on it. She said "it's time to see whats going on inside". She had me get down off the table and covered the table with the bed sheet. She said "I need you to remove all your clothing from the waist down and lie down on the table . I will be back in a few minutes. She handed me a stark white sheet and said to use it to cover up.

I did I was told. She came back and it and explained that today she would be doing an evaluation and then in the upcoming appointments we would begin treatment. She put on a glove and asked me to raise my my legs slightly and open my knees wide. She said she would start by just examing the outside anatomy and then move inside. And that she did. She lifted up sheet and do a thorough examination of my vagina. Then she put some lube on her fingers and inserted one and then added another. She started just going in a little bit and then eventually went as far as her fingers would allow. At various times she would press or move her fingers and ask if there was any pain. The it was much more thorough than any exam I've gotten at any doctor's office. Twenty minutes went by and her phone started making an alarm. She removed her fingers and announced that our time was up. She said " I feel that there is a lot of work to be done". We will spend the majority of next work working those muscles. And the following week we will do some biofeedback. I had no idea what she was talking about. She took some wipes and said I could get dressed. She said I could use the wipes to clean up if I needed.

The next week when I came in she asked a few brief questions and she had me do some movements and then said we would spend the majority of our time doing internal work. Again she asked me to undress from the waist down and lie down on the "bed" as she called it. When she came in she put in her glove and said she would start working on stretching those muscles. She put her fingers right in and pressed around. She said she was stretching the muscles out. She said she could feel the tightness and understood why intercourse would be painful. For a good 3O minutes she 'internal work' continued. She made small talk during the whole thing. When the session was over she told me that next time we would work on biofeedback.

The next week came. She said since we were doing the biofeedback we would get started right away. This time, on the cart near the table, there was a computer in the room with a bunch of wires connected to it. It looked similar to a portable EKG machine. I again undressed and layed down on the table. She came in shortly and explained we would be using the biofeedback machine to identify where the pain was and the strength of the pain. I would be lying if I said I wasn't a little bit terrified.

She explained that she would be placing some pass on the wires and the wire would be placed on my butt-cheeks near my anus and then she would do the internal work at the same time. She lost me as soon and she said anus so I really have no idea what the machine was supposed to do or why.

She told me to turn over on my left side. She opened a drawer and connected some pads to the wires. She said before she proceeded she would need to do a brief examination to make sure there were no sores or lesions in the area. She lifted up the sheet so that my entire bum was exposed and asked me to reach around a lift up my "cheek". She ran her gloved finger around my anus and inserted it into briefly inside. She then changed her gloves and placed on the pads on each of my cheeks. I could feel the edges of the pads right up against my rectum. She then had me roll back over. I could feel the wires between my legs. She lowered the sheet slightly exposing the top of of my pelvis and placed two additional pads. She then had be contract my muscles several times (similar to doing Kegal exercises) and then continued with similar "internal work" as she had done in the prior visit. This time she carefully studied the screen during the entire visit.

Every week for the next 5 weeks I returned. Every other visit the pads would be attached. I knew the doctor had written the order for 8 weeks. On my 8th visit I asked the therapist if this would be my last visit. Little did I know she had already been in communication with my doctor to get the order extends. She said we had made some progress but felt we needed atleast another 8 weeks and the doctor had extended the order.

I went for an additional 2 weeks after that but then I stopped. The truth is the experience was incredibly uncomfortable (not in the physical sense) just kind of felt weird. The therapist often made an effort to make friendly conversation while she was doing the work - and that just made really uncomfortable. I understand that she did that in an effort to make things less uncomfortable, but for me it just made things weird.

So that's my story.

I have done this as a male. I had tight pelvic floor muscles which were contributing to ongoing pain and urinary issues.

If you need it it ain't anything like masturbation. There are fingers inside you, yes (women do get a choice of which orifice to use that men do not), but there is also a significant amount of discomfort. I can't really say exactly how much because I'm not sure if I'm a wuss or have significant pain tolerance. On one hand it seems like I'm putting up with pain a lot, on the other hand I have on multiple occasions gotten looks of amazement at what I'm putting up with without taking drugs or insisting on a fix. That said it was pretty uncomfortable but very worth it because things improved a lot, both in pelvic discomfort and in urine flow rate (I went from severe flow reduction to moderate). It is done privately and my PT was very skilled at making it as comfortable as possible. There were lots of reminders to not tense up into the pain along with the light conversation that ebbed and flowed based on how interested I was in talking.

I knew what would be happening when I went into it. I had a male therapist, and I think in general men treat men and women treat women. I don't care as much about my doctor, but for this I was glad it was a guy. Perhaps some of that was so I wouldn't have to maintain the myth of a superman in front of a woman. It was a little bit embarassing going into it because I knew what would happen and I had only had one DRE before. By the second or third visit it was routine and not a big deal. I think there were a total of 4 visits for internal work combined with pelvic floor exercises.

I was shown how to do it myself and still check in with my pelvic floor a couple of times a month. I lie on my side in lateral decubitus/"Sims" (swapping the side I lie on halfway through) and use my thumbs. You're using quite a bit of force along the pubococcygeal/levatator ani/anal sphincter/obturator internus muscles to do deep trigger point/pressure massage. Make sure your fingernails are short and smooth!

I am re-discovering anal play (I lost interest for a couple years when things were uncomfortable/hurting), and though I enjoy anal play now there is a big difference between anal play and pelvic floor work. I imagine the same difference exists between vaginal play and female pelvic floor work.

Hm sounds good I may try it one day.

@cloudyeve000

wow that’s an amazing and detailed account of your experience. Thanks for posting it. Did you ever get relieve for the pain you were suffering?