A disease where endometrial tissue grows in the muscle layer of the wall of the womb, bleeding and causing pain. This is not the same as endometriosis although the two diseases can occur together.

The most common symptoms are:
• Heavy, painful or irregular periods
• Pre-menstrual pelvic pain and feelings of heaviness/discomfort in the pelvis

Less common symptoms are:
• Pain during sexual intercourse
• Pain related to bowel movements

Adenomyosis can take many years to diagnose.

The pelvic floor has a very important role to play in bowel health. Bowel problems can be categorised into incontinence of varying degrees (the involuntary leakage of solid / liquid stool or gas) and defaecatory disorders (inability to actually open the bowels and complete to a satisfying conclusion).

Pelvic Health Physiotheapist Kate Walsh helped us to understand how the pelvic floor is involved in bowel functon and can be read on our blog page here.

An estimated 4 to 12 million people in the United States suffer from Bladder Pain Syndrome (Interstitial Cystitis), 90 percent of whom are women. Many people are either misdiagnosed or undiagnosed.

Symptoms include pelvic pain, urethral pain, urinary urgency and urinary frequency that occur over a long period of time. Previously referred to as interstitial cystitis as these symptoms mimic a normal urinary tract infection so it was thought there may be a deep infection in the bladder lining (interstitium). However Bladder Pain Syndrome (interstitial cystitis) is more complex and many sufferers do not have chronic bladder infections. There is good evidence that in Bladder Pain Syndrome the way that messages from the pelvic organs are received by the brain changes and this is often accompanied by tension in the pelvic floor.

Desert Harvest Super-Strength Aloe Vera Capsules have been shown in clinical trials to effectively reduce bladder pain, urinary frequency and urgency, pelvic pain and urethral burning that are a part of many bladder disorders, but especially Bladder Pain Syndrome (Interstitial Cystitis). Desert Harvest Aloe Vera contains glycosaminoglycans (GAGs) which adhere to the bladder mucosal lining, preventing potentially irritating solutes in the urine from reaching the bladder wall. The patented harvesting method ensures the D-Mannose found in the Aloe is also preserved alongside 200 other active nutrients whilst removing anthraquinones. With no harsh chemicals or side effects Desert Harvest has been supporting BPS sufferers in the United States since 1993 and Pelvic Relief is proud to bring this product to the UK.

Desert Harvest Aloe Vera is antibacterial, antifungal, antibiotic, analgesic, anesthetic, antiseptic, antiviral, antimicrobial, antifungal, and anti-inflammatory, and because there are no harsh side effects, it adds many more elements to the pain relief and improvement in day to day life for the IC/BPS sufferer.

There is also exciting research regarding Desert Harvest's new CBD supplement. Desert Harvest have been supporting work by Dr Reza Sharif-Naeini at McGill University in Canada who has recently shown the formulation decreases the excitability of human sensory neurons and has an analgesic effect in preclinical pain models the early indication is that CBD may have a role to play in chronic bladder pain management. 

Women undergoing chemotherapy for cancer will often experience symptoms of early menopause. Additionally chemotherapy medications irritate all mucous membranes in the body, including the lining of the vagina, which may become dry and inflamed.

Women who are receiving chemotherapy treatment often report decreased sexual desire. Patients may also experience:

• Hot flushes
• Painful intercourse (dyspareunia)
• Vaginal dryness
• Vaginal tightness
• Irregular or no menstrual periods

Many health professional recommend that women use vaginal dilators to help manage some of the vaginal side effects of chemotherapy. Vaginal dilators are used to gently stretch the vaginal tissue, gradually making it more elastic and flexible over time. We only recommend Soul Source silicone dilators as they are smooth, soft and flexible unlike plastic alternatives. They come in a wide range of sizes and can be purchased individually or in sets.

YES Organic Vaginal Moisturisers and Lubricants are hormone and paraben free and offer a natural solution to manage the vaginal and vulval symptoms of treatment as a natural alternative when HRT is contraindicated.

The cervix is the name for the 'neck' of the womb or the opening between the body of the womb (uterus) and the vagina. 

Cervical screening (a smear test) checks the health of your cervix. It  is not a test for cancer, it's a test to help prevent cancer and is offered to all women in the UK, with a cervix, aged 25 to 64.

What is a smear?

Millions of women suffer with urinary incontinence (bladder leakage) at some point in their lives. A common misconception is that experiencing a few drops or a stream whilst exercising, laughing, coughing or sneezing is normal. The truth is it is not a normal part life and you don’t have to live in fear of an embarrassing leak.

Urinary incontinence (UI) can affect everyday quality of life causing embarrassment and stress to the sufferer.

What is the Pelvic Floor?

The Pelvic Floor is made up of the muscles, ligaments, nerves and tissue that sit at the base of the pelvis. It attaches to the pubic bone at the front all the way through to the tailbone at the back. It is often described as acting like a sheath or sling to support the pelvic organs – the bladder, bowels and reproductive organs but also assists in bladder, bowel, sexual function as well as trunk stability and mobility.

Which Factors Contribute to UI?

In women, physical changes resulting from childbirth, menopause, ageing or lifestyle factors often contribute to the pelvic floor becoming weaker. When the pelvic floor weakens the bladder can shift downwards and the muscles that ordinarily force the urethra shut cannot squeeze as tightly as they should. This results in urine leakage during moments of physical stress such as laughing, running or jumping.

How do you Strengthen Your Pelvic Floor?

Strengthening the pelvic floor can often cure stress urinary incontinence; it is recommended as a first line treatment for women with stress urinary incontinence.

Studies have shown up to a 70% improvement in symptoms of stress incontinence across all age groups following appropriately performed pelvic floor exercises.

Sometimes referred to as “kegal” exercises contracting and relaxing the correct muscles strengthen and tone the pelvic floor and support and hold up the bladder. A Pelvic Health Physiotherapist can help identify if you are performing your pelvic floor exercises correctly and support you with a rehabilitation programme.

Good Bowel Habits

As we know the pelvic floor is involved in both bladder and bowel continence. Relating to bowel function, in order to maintain continence and not feel any urgency or leakage, the focus is on the rings of muscle (anal sphincters) around the lower end of the back passage. The outermost sphincter muscle is part of the pelvic floor, looping around the lower end of the bowel and can be strengthened with pelvic floor exercises to increase our control and reduce the likelihood of these problems occurring.

Once the stool has reached the lower end of the bowel and is ready to make its final passage out, the bowel contracts to push it down like toothpaste through a tube. In response to this, the pelvic floor must relax to allow the stool to pass without any effort. In some cases the pelvic floor struggles to relax and can indeed work to oppose this movement. This results in the person unable to pass the stool without a great deal of straining which is going to cause further damage and must be avoided.

There are some good bowel habits that can ensure you are looking after your pelvic floor including:

• Don’t rush, take your time and try to relax
• Sit on the loo fully (don’t hover)
• Lean forwards from your hips
• Rest your feet on a stool 
• Rest your arms on your thighs
• Breathe into your belly so it bulges out
• Gently bear down without straining
• If after a few minutes this does not result in success, leave the loo and try again later
• NEVER FORCE ONE OUT even if you have passed a small amount and feel the job is not done but no sign of being able to pass more
• Try later it doesn’t matter

Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. It can be the womb (uterus), bowel, bladder or top of the vagina. A prolapse is not life threatening, but it can cause pain and discomfort.

Prolapse of the front wall is called a cystocele, prolapse of the back wall is called a rectocele. Symptoms of a prolapse include feeling of a bulge, pressure, dragging or the feeling that 'something coming down'. These will be more prominent at the end of the day because of the hours of downward pressure, which is relieved when you lie down

Symptoms can usually be improved with pelvic floor exercises. It is always important to discuss your symptoms with your GP who should refer you to a Gynaecologist or Pelvic Health Physiotherapist. 

While Desert Harvest offers nutritional supplements and skincare to remedy a broad list of issues today, their story begins with the foundational passion to support those suffering from Interstitial Cystitis.

Desert Harvest supports the Interstitial Cystitis / Bladder Pain Syndrome (IC/BPS) community with the highest quality Super-Strength Aloe Vera. They have done the research and surveyed over 50,000 IC/BPS customers to know what works for them, in what dosage, and how long it takes to feel the positive effects.

Based on the recommended IC/BPS dosage of 3600 mg per day, many brands are not affordable in the long run, although they initially seem so. Some brands have so little Aloe Vera per capsule that it would require you to take up to 72 capsules per day.

Desert Harvest Super-Strength Aloe Vera capsules have the highest concentration of 100% organic freeze-dried Aloe per capsule with no fillers, anthraquinones, or insoluble fiber, so you only need 6 per day. Desert Harvest is the most affordable and effective Aloe for IC/BPS. 

When comparing other brands and products to Desert Harvest, we ask you to consider the following important information:

• How many milligrams of pure Aloe Vera nutrients are contained per capsule? (Look at the supplement facts on the back of the bottle)
• With other brands, how many capsules per day does the IC/BPS customer need to take for the recommended 3600 milligrams needed?
• Are there any fillers or artificial ingredients?
• Are there any anthraquinones, which are carcinogens and irritants found naturally in Aloe Vera to cause diarrhoea?
• Are they made with organic Aloe Vera?
• Are the capsules vegan and non-GMO?
• Do they have clinical studies with IC/BPS patients, and is their recommended dosage specific to IC/BPS?
• Do they have testimonials from Urologists, Pelvic Pain specialists, and IC/BPS customers about their experiences?
• What is the cost per capsule/bottle based on the above answers? We have done the maths for you.

As we know finding the right products to manage your pelvic health can be challenging. Making sure you find products that work for you and understanding how they fit into your rehabilitation is important. For many individuals vaginal dilators can be valuable tools in reclaiming control, promoting healing, and enhancing sexual well-being. In this blog, we will delve into the world of vaginal dilators, exploring their purpose, benefits, and the steps involved in their safe and effective usage.

Understanding Vaginal Dilators:

Vaginal dilators are medical devices designed to gently stretch, prevent narrowing and gradually improve the flexibility of the vaginal canal. They can be beneficial in the management of a huge number of conditions including (but certainly not limited to) vulvo-vaginal atrophy of menopause, mrkh, vaginismus, dyspareunia, side effects of cancer treatment or pelvic floor dysfunction. They come in various sizes and materials, such as silicone or plastic, and are typically shaped like cylinders or tapered cones.

In our online store you will find 2 different designs of vaginal dilators both manufactured by Soul Source in the USA. Silicone dilators, which we have chosen as they are medical grade, body safe and flexible. These features means they are kinder and more comfortable to use than cheaper alternatives. We also sell the uniquely designed Soul Source GRS dilators designed for women who have undergone GRS Surgery. 

 Dilators are commonly recommended by healthcare professionals to address conditions that result in pain, discomfort, or difficulty during sexual intercourse, pelvic exams, or other activities involving vaginal penetration, after surgery or to manage the effects of pelvic radiotherapy.

The Benefits of Vaginal Dilators:

1. Pain Reduction: Vaginal dilators are often recommended by healthcare professionals to manage pain associated with conditions like vaginismus, where the vaginal muscles involuntarily contract, making penetration difficult or impossible. By gradually and gently stretching the vaginal tissues, dilators can help desensitise the area, reduce muscle tension, and alleviate pain.

2. Promoting Healing: Dilators play a vital role in post-surgical or post-treatment care, aiding in the healing process after procedures like vaginal reconstruction, radiation therapy, or gender-affirming surgery. They help prevent scar tissue formation, maintain tissue flexibility, and restore vaginal depth and width.

3. Restoring Sexual Function: Individuals who have experienced trauma, sexual abuse, or prolonged sexual inactivity may face challenges when attempting to engage in sexual intercourse. Dilators can assist in overcoming these difficulties by gradually increasing vaginal comfort and accommodating different sizes, thus promoting a positive and fulfilling sexual experience.

Using Vaginal Dilators: A Step-by-Step Guide

Step 1: Consult with a Healthcare Provider
It is crucial to consult with a healthcare provider experienced in sexual health to determine the appropriate use of vaginal dilators. They can provide guidance, address any concerns, and create a personalised plan based on your specific needs.

Step 2: Select the Right Dilator
Choose a dilator set that includes multiple sizes, starting with the smallest size and gradually progressing to larger ones. Ensure the dilators are made of body-safe materials and use water-based lubricants to facilitate insertion.

Step 3: Create a Calm and Comfortable Environment
Find a quiet, private space where you feel relaxed and comfortable. Engage in deep breathing exercises or other relaxation techniques to help reduce anxiety and promote muscle relaxation.

Step 4: Begin with External Stimulation
Before inserting the dilator, gently massage the external genital area to stimulate natural lubrication and increase blood flow, promoting relaxation.

Step 5: Lubrication and Insertion
Apply a generous amount of water-based lubricant to the dilator and the opening of the vagina. Slowly and gently insert the dilator, allowing your body to adjust and accommodate the size. If discomfort arises, pause and take deep breaths until you feel relaxed before proceeding further.

Step 6: Gradual Progression
Once the initial size feels comfortable, gradually progress to the next size. This process can take days, weeks, or even months, depending on individual circumstances. Patience and self-compassion are essential throughout the journey.

Step 7: Consistency and Persistence
Regular and consistent use of dilators, as advised by your healthcare provider, is key to achieving optimal results. Aim to practice with the dilators for a few minutes each day, gradually increasing the duration as comfort levels improve.

Step 8: Transition to Sexual Intimacy As you make progress and experience increased comfort and confidence, you can work with your healthcare provider to transition from dilator use to engaging in sexual activities with a partner. Open communication and a supportive partner are crucial during this phase.

Vaginal dilators can be valuable tools in promoting healing, reducing pain, and restoring sexual function. By following a step-by-step approach, consulting with healthcare professionals, and maintaining patience and persistence, individuals can embark on a journey towards improved sexual well-being. Remember, everyone's journey is unique, and progress may vary. Be gentle with yourself and celebrate each milestone achieved along the way, knowing that you are taking control of your sexual health and embracing a fulfilling future.

Dyspareunia is the term that specifically relates to a feeling of pain during or after sexual intercourse.

Dyspareunia is extremely common amongst women who have pelvic pain. The underlying cause will vary between women and the treatment can be frustrating and time consuming and may require a multifaceted treatment approach.

Common causes of dyspareunia include:

• Menopause
• Anxiety
• Postural issues
• Muscle spasms
• Lichen Sclerosus
• Sjoogren’s Syndrome
• Cancer treatment
• Cysts, genital warts, herpes, or other such lesions or abrasions within the vulva or vagina
• Scarring from childbirth, episiotomy (an incision made by surgeons to facilitate birth), laceration repair or other vaginal surgery
• Cystitis or other urinary tract infections
• Resuming intercourse after a prolonged period of abstinence
• Irritation or allergy to some moisturisers, lubricants, spermicidal creams or gels
• Breast-feeding can lead to vaginal dryness and painful intercourse
• Pelvic inflammatory disease
• Endometriosis
• Descent of the uterus (prolapse)
• Psychological factors

Diagnosing dyspareunia

Establishing a dyspareunia diagnose involves a physical examination and the acknowledgement of symptoms resulting from medical and sexual history. It is important to give the therapist details such as the exact location, length, timing, and frequency of the pain, for him/her to establish various details and whether previous intercourse was painful as well.

The menopause is when a woman stops having periods. It's a natural part of ageing that usually happens between 45 and 55 years old. POI or early or premature menopause is used when menopause comes well before the average age of normal menopause — when you’re still in your teens, 20s, 30s, or early 40s.

Early menopause is used to describe menopause before the age of 45 and POI when it occurs below the age of 40. Approximately one in every 100 women under the age of 40, one in 1,000 women under 30 and one in 10,000 under 20 experience POI.

The Daisy Network is a wonderful charity where you can get more information and support.

Treatment for oestrogen positive breast cancers may include endocrine therapy e.g. tamoxifen. As this blocks the natural action of oestrogen in the body gynaecological side effects will include dryness of the vagina and thinning of the vaginal and vulval tissue. 

YES Organic moisturiser is certified organic and hormone free. It is sensitively formulated to rehydrate damaged and dry tissue of the genitals. It can be used as frequently as required to maintain comfort. YES Organic lubricants are hormone free, certified organic and recommended to provide additional lubrication for sex.

Endometriosis is a condition where cells similar to the ones in the lining of the womb (uterus) are found elsewhere in the body.

Each month these cells react in the same way to those in the womb, building up and then breaking down and bleeding. Unlike the cells in the womb that leave the body as a period, this blood has no way to escape. 

It is a chronic and often debilitating condition that can cause painful or heavy periods. It may also lead to infertility, dyspareunia (painful sex), fatigue and bowel and bladder problems. Around 1.5 million women in the UK are currently living with the condition. Endometriosis can affect all women and girls of a childbearing age, regardless of race or ethnicity. 

It is not uncommon for symptoms of endometriosis to be ignored and many women have to wait years before a diagnosis is made. Happily this is starting to change. A great place to go to for information and support is at the charity Endometriosis UK.

Over 56% of women who have endometriosis will experience dyspareunia (painful sex). Experiencing pain will cause anxiety which can result in pelvic floor tension and a lack of natural lubrication which means that the dyspareunia can persist even if the primary endometriosis has been treated. Do discuss these symptoms with your GP or Healthcare professional or if you feel you are not being listened to request a referral to a Consultant, Pelvic Health Physiotherapist or Psychosexual Therapist who has experience in this area.

We recommend the wonderful book Private Parts by Eleanor Thom. Part memoir, part guide book and part survival guide, it offers readers practical, down-to-earth and friendly advice. We highly recommend it to anyone struggling to get a diagnosis or who is living with this difficult condition.

Who designed these products?

Desert Harvest manufactures this unique products in the USA after Iliana Brockman designed them following her diagnosis of Interstitial Cystitis in 1999.

Created with the patient in the forefront of her mind Iliana has created products that are made from high quality medical grade glass, are hypo-allergenic, non-porous, extremely strong and durable.

What is internal self massage?

Internal self massage is a way to release areas of tension (trigger points) in the pelvic floor muscles by massage and gentle pressure. The pelvic floor muscles can be accessed via intra-vaginal or intra-rectal massage. EZMagic allows many patients to successfully manage symptoms of pelvic floor muscle dysfunction and pain conditions by enabling access to hard to reach places. EZMagic is a curved dilator shaped perfectly for internal massage.

Resources to assist you in how to incorporate them into the self management of your condition includes Amy Stein’s book, ‘Heal Pelvic Pain’ and Heather Jeffcoat’s book ‘Sex Without Pain’. We also have a useful guide to internal self massage written by Amy Stein, DPT and answers to frequently asked questions by Gerard Greene, chartered physiotherapist.

However please always seek the advice of your healthcare professional for proper treatment of any medical condition. This is essential to ensure a correct diagnosis and guidance for treatment.

Can it be warmed or cooled?

EZMagic can be used at room temperature, warmed in water or cooled in a refrigerator before use.

Before warming or cooling products must be at room temperature.

Always test the temperature prior to each use by applying to a sensitive part of the skin e.g. underside of the wrist. Please be aware products may feel warmer or colder inside the vagina or rectum.

If overheated you must wait until product has cooled and temperature is tested before use.

How do I care for my EZMagic?

If product is dropped inspect for damage. If the product is damaged it must not be used. If product is cracked, broken, chipped, hairline crack, scratched or damaged do not use and please contact us at hello@pelvicrelief.co.uk for incidence reporting and return instructions.

How do I clean my EZMagic?

Clean prior to and after every use using warm water and a mild, non toxic hand soap for a minimum of 20 seconds. 

Use a mild, non-toxic detergent. If a reaction to the soap is experienced change cleaning method and rinse product thoroughly.

Products are non-porous and hypoallergenic.

For easier insertion clean water can be used as a lubricant or we recommend our YES lubricants.

What precautions should I take?

As a condition of sale purchaser assumes full responsibility for the proper care and use of this product.

The purchaser must be the judge of when to use the product, the proper temperature and for how long. We always recommend seeking the advice of a healthcare professional before undertaking internal self massage for pelvic floor muscle dysfunction.

Are there any warnings or contraindications to use?

• Adult Use Only
• Clean prior to and after each use
• Do not insert alternately in the vagina and rectum without properly cleaning the product first
• Do not freeze
• Never subject to extreme changes in temperature
• Do not use when a tampon or a diaphragm is in place
• Do not use if there is a risk of an ascending infection (e.g. premature amniorrhexis during pregnancy, infection of the vagina)
• Do not use if you have injuries in your genital area, which have not yet healed
• Do not use if you are under the influence of alcohol or drugs
• Do not sit or fall asleep when using products
• Do not use if you have unexplained vaginal or anal bleeding

Always seek medical advice before use if any of the following apply:

• You have a malignant disease in your genital area (e.g. cervical cancer)
  
• If you have any nerve damage or other diseases that reduce pain sensation in your genital area
  
• You are pregnant
  
• If you are a paraplegic
  
• If you have been diagnosed with Multiple Sclerosis
  
• If painkillers that reduce the feeling of pain in the vaginal area have been administered
  
• If you have marked varicosity at the vaginal entrance (varicose veins)
  

Monitor use to check skin is not being irritated if using warm or cold temperatures

Insert to a comfortable depth and remember use should not be painful

Genital Reconstruction Surgery (GRS), often described as Gender Confirmation Surgery (GCS), Gender Reassignment Surgery, Sex Reassignment Surgery (SRS) or Male-to-Female Surgery (MTF), is a surgical procedure that changes a person’s genitalia to match that of the gender they identify with. During this procedure, surgeons will transform the transgender person’s pelvic area to create a neo-vagina. This procedure is also known as vaginoplasty. Post-operative vaginal dilation therapy is an integral component of keeping a transgender woman’s neo-vagina functional.

GRS surgeons will advise their patients on the proper use and frequency of post-op dilation. As part of their physical transition, a transgender patient will typically begin using vaginal dilators a few days after surgery. Vaginal dilation therapy is almost always required for life, as sexual intercourse in place of dilation may not be sufficient. Our GRS dilators are  made to address the specific anatomical needs of transgender women who have undergone GRS.

If sexual activity has become painful, Ohnut is the first intimate wearable that allows couples to explore comfortable penetration depths.

There are 5 different gynaecological cancers:

• Ovarian
• Uterine
• Cervical
• Vulval
• Vaginal

The Eve Appeal is an incredible charity raising awareness and funding vital research in the fight against these 5 cancers. They have lots of trusted information about these 5 cancers and important support pathways. Please do visit them here.

There are 4 main types of hysterectomy. The type you have depends on why you need the operation and how much of your uterus and surrounding reproductive system can safely be left in place.

Total hysterectomy – the uterus and cervix (neck of the uterus) are removed. 

Subtotal hysterectomy – the main body of the uterus is removed, the cervix is left in place

Total hysterectomy with bilateral salpingo-oophorectomy – the uterus, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy) are removed

Radical hysterectomy – the uterus and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue

Hysterectomies can be carried out in 3 possible ways:

Laparoscopic hysterectomy (more commonly known as keyhole surgery) – where the uterus is removed through several small cuts in the tummy

Vaginal hysterectomy – where the uterus is removed through a cut in the top of the vagina

Abdominal hysterectomy – where the uterus is removed through a cut in the lower tummy

How we can help?

After hysterectomy changes to the shape and length of the vagina may mean that sex can become uncomfortable or painful. Ohnut is the first intimate wearable to allow women to control penetration depth.

Removal of your ovaries will induce a surgical menopause. Our range of lubricants and vaginal moisturisers can help you manage the vulvovaginal side effects of menopause.

Dilators can be a useful aid to help treat vaginismus, dyspareunia and manage post operative vaginal scar tissue. Soul Source silicone dilators are a kind alternative to traditional plastic dilators.

Our founder, Eleanor Gardner, recorded a webinar with Consultant Gynaecologist Dr Leila Frodsham entitled "Sex After Hysterectomy" which can be viewed here.

Millions of women suffer with urinary incontinence (bladder leakage) at some point in their lives. A common misconception is that experiencing a few drops or a stream whilst exercising, laughing, coughing or sneezing is normal. The truth is it is not a normal part life and you don’t have to live in fear of an embarrassing leak.

Urinary incontinence (UI) can affect everyday quality of life causing embarrassment and stress to the sufferer.

What is the Pelvic Floor?

The Pelvic Floor is made up of the muscles, ligaments, nerves and tissue that sit at the base of the pelvis. It attaches to the pubic bone at the front all the way through to the tailbone at the back. It is often described as acting like a sheath or sling to support the pelvic organs – the bladder, bowels and reproductive organs but also assists in bladder, bowel, sexual function as well as trunk stability and mobility.

Which Factors Contribute to UI?

In women, physical changes resulting from childbirth, menopause, ageing or lifestyle factors often contribute to the pelvic floor becoming weaker. When the pelvic floor weakens the bladder can shift downwards and the muscles that ordinarily force the urethra shut cannot squeeze as tightly as they should. This results in urine leakage during moments of physical stress such as laughing, running or jumping.

How do you Strengthen Your Pelvic Floor?

Strengthening the pelvic floor can often cure stress urinary incontinence; it is recommended as a first line treatment for women with stress urinary incontinence.

Studies have shown up to a 70% improvement in symptoms of stress incontinence across all age groups following appropriately performed pelvic floor exercises.

Sometimes referred to as “kegal” exercises contracting and relaxing the correct muscles strengthen and tone the pelvic floor and support and hold up the bladder. A Pelvic Health Physiotherapist can help identify if you are performing your pelvic floor exercises correctly and support you with a rehabilitation programme.

Good Bowel Habits

As we know the pelvic floor is involved in both bladder and bowel continence. Relating to bowel function, in order to maintain continence and not feel any urgency or leakage, the focus is on the rings of muscle (anal sphincters) around the lower end of the back passage. The outermost sphincter muscle is part of the pelvic floor, looping around the lower end of the bowel and can be strengthened with pelvic floor exercises to increase our control and reduce the likelihood of these problems occurring.

Once the stool has reached the lower end of the bowel and is ready to make its final passage out, the bowel contracts to push it down like toothpaste through a tube. In response to this, the pelvic floor must relax to allow the stool to pass without any effort. In some cases the pelvic floor struggles to relax and can indeed work to oppose this movement. This results in the person unable to pass the stool without a great deal of straining which is going to cause further damage and must be avoided.

There are some good bowel habits that can ensure you are looking after your pelvic floor including:

• Don’t rush, take your time and try to relax
• Sit on the loo fully (don’t hover)
• Lean forwards from your hips
• Rest your feet on a stool 
• Rest your arms on your thighs
• Breathe into your belly so it bulges out
• Gently bear down without straining
• If after a few minutes this does not result in success, leave the loo and try again later
• NEVER FORCE ONE OUT even if you have passed a small amount and feel the job is not done but no sign of being able to pass more
• Try later it doesn’t matter

An estimated 4 to 12 million people in the United States suffer from Bladder Pain Syndrome (Interstitial Cystitis), 90 percent of whom are women. Many people are either misdiagnosed or undiagnosed.

Symptoms include pelvic pain, urethral pain, urinary urgency and urinary frequency that occur over a long period of time. Previously referred to as interstitial cystitis as these symptoms mimic a normal urinary tract infection so it was thought there may be a deep infection in the bladder lining (interstitium). However Bladder Pain Syndrome (interstitial cystitis) is more complex and many sufferers do not have chronic bladder infections. There is good evidence that in Bladder Pain Syndrome the way that messages from the pelvic organs are received by the brain changes and this is often accompanied by tension in the pelvic floor.

Desert Harvest Super-Strength Aloe Vera Capsules have been shown in clinical trials to effectively reduce bladder pain, urinary frequency and urgency, pelvic pain and urethral burning that are a part of many bladder disorders, but especially Bladder Pain Syndrome (Interstitial Cystitis). Desert Harvest Aloe Vera contains glycosaminoglycans (GAGs) which adhere to the bladder mucosal lining, preventing potentially irritating solutes in the urine from reaching the bladder wall. The patented harvesting method ensures the D-Mannose found in the Aloe is also preserved alongside 200 other active nutrients whilst removing anthraquinones. With no harsh chemicals or side effects Desert Harvest has been supporting BPS sufferers in the United States since 1993 and Pelvic Relief is proud to bring this product to the UK.

Desert Harvest Aloe Vera is antibacterial, antifungal, antibiotic, analgesic, anesthetic, antiseptic, antiviral, antimicrobial, antifungal, and anti-inflammatory, and because there are no harsh side effects, it adds many more elements to the pain relief and improvement in day to day life for the IC/BPS sufferer.

There is also exciting research regarding Desert Harvest's new CBD supplement. Desert Harvest have been supporting work by Dr Reza Sharif-Naeini at McGill University in Canada who has recently shown the formulation decreases the excitability of human sensory neurons and has an analgesic effect in preclinical pain models the early indication is that CBD may have a role to play in chronic bladder pain management. 

Intimate health is something that affects every woman. It can refer to any gynaecological or sexual concern ranging from natural body changes throughout our lives to managing the changes that happen after undergoing radiation therapy.

Many women don’t talk about their intimate health and find it embarrassing to seek help when things aren’t going as planned. We are here to help reduce the embarrassment, make talking about intimate health OK and enable you to improve your intimate health for good.

We work closely with gynaecologists, women’s health physiotherapists, psychosexual therapists and nurse specialists to ensure we only offer carefully selected products.  Our products are used to treat medical conditions which make our lives much more difficult than they need to be. We can help you to maintain a healthy intimate life; support the ability to engage in healthy (and pain free) sexual activity or to manage conditions that can affect other aspects of your daily life.

Intimate health doesn’t have to be a taboo subject. Women should feel comfortable enough to talk about the issues they experience with their intimate health.  Our aim is that after using just one of our products, women will feel better in every aspect of their lives and will experience strong intimate health for the rest of their lives.

Please visit our library for more resources.

Lichen planus is an inflammatory skin disease which commonly causes an itchy rash of small purplish bumps. Often the arms, legs, back or inside of the mouth are affected, however it can also affect the genital area including the vulva, vagina or penis. Lichen planus may occasionally involve the nail, hair and scalp or the skin around the anus (back passage). It is possible to have the disease in one area without ever having a problem elsewhere.

If present in the genital area Lichen Planus can result in intense vulval pain and is sometimes accompanied by vaginal discharge but the appearance can be very subtle. Treatment by a dermatoligst who specialises in the management of lichen planus is really important. More information and support can be found at the Vulval Pain Society website.

Designed for individuals managing a range of vulvovaginal conditions YES OB is an organic oil based lubricant that can be used daily, with dilators or for intercourse.

Lichen sclerosus is a chronic inflammatory skin condition which can affect any part of the skin, but it most often affects the genital skin (vulva) and the skin around the anus. It can start in childhood or adulthood (usually after the menopause) and affect girls or women of any age.

Many sufferers report an inability to have sexual intercourse with their partners due to tearing, splitting, bleeding and extreme burning sensations during intercourse. This is because the skin on the vulva and around the vagina becomes thin and the vagina opening shrinks due
to atrophy and scarring. Many ladies report that they lose their Labia Minora (inner Lips) and their clitoris becomes buried under skin resulting in tearing and splitting in this area during intercourse and when wiping themselves after urination.

Designed for individuals managing a range of vulvovaginal conditions YES OB is an organic oil based lubricant that can be used daily, with dilators or for intercourse.

To access the right medical support it is really important to discuss your symtpoms with your GP. For detailed information on lichen sclerosus, including treatments, research and links to support groups, vist the Lichen Sclerosus and Vulval Cancer UK Awareness website.

Lidocaine is a local anaesthetic. Using the skin cream makes your skin numb. It works by stopping nerves from sending pain signals to your brain.

Releveum® All-in-one Skin Repair Cream is a patented formula containing 4% lidocaine (a numbing agent) and 96% all-natural ingredients, including organic aloe vera and calendula for temporary pain relief and intensive skin repair.

Releveum® contains 4% lidocaine, which helps overcome pain barriers. Aloe vera contains antibacterial, antifungal, and antiviral compounds that may help with wound infections and stimulates collagen synthesis for quicker skin regeneration. Aloe vera gel also contains vitamins C and E, plus the mineral zinc which supports healthy tissue development, wounds and may aid in preventing scarring and discoloration of tissue.

Repeat radiation therapy and chemical treatments may cause exposed skin to peel more quickly than grow back, causing open sores. For skin to heal, it needs time to regenerate, a process that may take two to four weeks for mild reactions or several months or more of severe injuries. Releveum® contains all-natural ingredients plus 4% lidocaine (a numbing agent) to offers 4-6 hours of temporary pain relief and can be reapplied every 3 hours. No parabens, chemical additives, or artificial preservatives.

In the UK Releveum® is available exclusively at Pelvic Relief in our shop.

Pelvic Pain in men has many potential causes. Medically pain can be classified into 4 categories:

(i) Acute bacterial prostatitis:

An acute infection, usually caused by bacteria in the urinary tract (the kidneys, bladder, and the tubes that connect them) entering the prostate. Symptoms include fever, chills, pain in the low back and genital area, body aches, urinary frequency, nocturia (night-time frequency), painful urination (typically burning) and possible penile discharge. The symptoms are severe and develop suddenly; this is rare, but can be serious and requires immediate treatment. See your GP immediately for antibiotic treatment if you suspect you have this condition.

(ii) Chronic bacterial prostatitis:

Recurrent infection of the prostate. This condition is rare (less than 5 percent of patients diagnosed). The symptoms mimic intermittent acute bacterial prostatitis. The treatment is a prolonged course of antibiotics. Men with this condition may require physical therapy if antibiotics don’t help. Recurrent infections may be caused by incomplete urinary evacuation or by prostatic stones.

(iii) Chronic non-bacterial prostatitis / chronic pelvic pain syndrome (CPPS)

CPPS forms the majority of male pelvic pain cases (fewer than 10% of male pelvic pain cases are caused by bacterial infection). The majority of cases have no evidence of a urinary tract infection. Pain may be located in or around the groin, genitalia or perineum.

This may or may not occur with inflammation. Symptoms can include a combination of any of the following (reference Pelvic Pain: The Ultimate Cock Block by Dr Susie Gronski)

• Groin Pain
• Tail bone or butt pain
• Burning or sharp pain at the tip, shaft or base of the penis
• Uthrethral pain
• Feeling like your penis is 'engorged' 'hard' 'rubbery' 'uncomfortable' 'veiny' 'alien' or weird'
• Pain during or after ejaculation
• Pain during or after urination
• Ache in the scrotum or rectum
• Tight or tense feeling in the scrotum, penis or rectum
• Feeling of pressure in the prostate or rectum
• Pain while sitting
• Having to wee all the time
• Abdominal pain
• Testicle or scrotal discomfort
• Pain between the scrotum and anus
• Lower back pain
• Pain during sex
• Finding it impossible to sleep during the night without waking up to wee
• Feeling like you don't empty your bladder all the way
• Changes in urine stream
• Discomfort with bowel movements
• Straining with bowel movement

This condition is considered chronic as it lasts longer than 3 months but that should not be confused with permanent. The majority of this type of pelvic pain is treatable by a Pelvic Health Physiotherapist who specialise in treating male pelvic pain. 

(iv) Asymptomatic inflammatory prostatitis:

Typically, a person with this condition has no genitourinary symptoms, but higher levels of white blood cells have been identified during evaluation. Prostate cancer needs to be ruled out through a PSA (prostate-specific antigen) test given by your urologist.

Other Persistent Conditions?

You may have heard other terms relating to pelvic floor dysfunction in men that may cause pain, examples include Proctalgia Fugax, Levator Ani Syndrome, Anismus, Coccydynia, Pudendal Neuralgia and Sexual Dysfunction. These conditions are recognised by the type, location and frequency of the pain and muscle spasming. They are often linked to other symptoms such as constipation or sexual dysfunction due to the involvement of the pelvic floor in bladder, bowel and sexual function.

We highly recommend Dr Susie Gronski'd book, Pelvic Pain The Ultimate Cock Block which can be found in our library as a easy to digest manual to help you understand pelvic pain and give you the tools you need to recover.

You can view a video on Male Pelvic Pain with Gerard Greene here or visit our shop if you wish to incorporate a wand (therapeutic aid for internal massage) in your treatment and wish to purchase EZMagic.

During menopause there is a natural decline in the bodies oestrogen. This change can result in the tissues in the vagina and surrounding area become thinner and dryer, known as Vulvovaginal Atrophy (VVA) or Gentiourinary Syndrome of Menopause (GSM) this symptom is experienced by 60% of peri and post menopausal women. This dryness can result in daily discomfort, itchiness, burning and result in pain during intimacy or smear tests.

During menopause a woman’s body slowly makes less of the hormones oestrogen and progesterone

Studies show that approximately 50% of post-menopausal women will experience VVA related symptoms, such as:

• Vaginal dryness
• Irritation
• Painful intercourse (Dyspareunia)
• Trouble with urination
• Inflamed tissues

Many women will spend up to 40% of their lives in the postmenopausal stage

Although experiencing all this discomfort, women frequently do not report their vaginal symptoms to their GP and so they remain untreated. HRT (hormone replacement therapy) is a treatment option that many women find effective in managing their symptoms of menopause and this should always be discussed with a GP.

YES vaginal moisturiser can provide additional daily relief from vaginal symptoms either alongside HRT or as a natural alternative. YES lubricants (either oil based or water based) are formulated to provide an additional lubrication to make intercourse comfortable and enjoyable.

If sexual activity has become painful, Ohnut is the first intimate wearable that allows couples to explore comfortable penetration depths. The regular use of SoulSource vaginal dilators may be helpful to restore confidence and a healthy and enjoyable intimate life.

Approximately 55% women going through menopause don’t seek counselling or do anything at all to treat symptoms.

Mullerian agenesis, a rare congenital condition –also referred to as MRKHsyndrome or Müllerian aplasia, is caused by the embryologic growth failure of the müllerian duct. Most common presentations result in the congenital absence or underdevelopment  of the uterus or the vagina, or both. The vaginal canal is markedly shortened or absent. First-line treatment usually can be managed non-surgically with successive vaginal dilation.

The non-surgical process is an effective and safe method for the creation of a neo-vagina for patients with vaginal agenesis. In comparison with surgical methods, vaginal dilation has the advantage of low morbidity and no surgical scarring. This method uses progressively sized dilators to expand the vaginal opening.

If surgery is necessary to create a neo-vagina, post-operative dilation therapy is essential to help prevent significant skin graft contracture.  Dilators must be used intermittently until the woman is able to engage in regular sexual intercourse.

This condition is commonly discovered during puberty and the typical symptoms include:

• Having a shortened vagina
• Sexual pain
• Absence of the cervix, uterus and/or vagina
• Primary amenorreah (lack of menstrual periods)

Müllerian agenesis occurs in 1 out of every 4,000–10,000 women

There are many different organisations that can offer support for any medical concerns. All our products are used and recommended by healthcare professionals; if you have a concern about your health always talk to your GP who can refer you on to the appropriate specialist.

There are also Pelvic Health Physiotherapists (sometimes called Men’s or Women’s Health Physiotherapists) who treat many of the conditions we talk about on our site. To find a specialist physiotherapist local to you search at The Pelvic, Obstetric, Gynaecological Physiotherapy Association

Other organisation that can offer support include:

British Pain Foundation

Pelvic Pain Support Network

Pelvic Radiation Disease Association

International Pelvic Pain Society

The Vulval Pain Society

The Cystitis and Overactive Bladder Foundation

Endometriosis UK

The Bladder and Bowel Foundation

Women’s Health Concern

The Eve Appeal

We are proud to be the UK stockists of Ohnut. You will find lots of information and some videos on our product pages but here are a few more FAQs. 

How does Ohnut work?

Worn externally by a penetrating partner at the base of the shaft (or object of choice), start by linking 3 stackable rings. Lube up. Slide Ohnut down. During penetration Ohnut will compress down to act like a buffer. Remove or add rings as you choose. Explore!

How do I care for my Ohnut?

Make sure to store your Ohnut linked together in its bag between uses. Hand wash your Ohnut with mild soap and water after use and allow to air dry.

What is Ohnut made of?

Ohnut is currently made of an FDA approved body- and skin-safe polymer blend. It’s a thermo-set material that is BPA, phthalate, and latex free.

Note about material: The original Ohnut was designed in silicone, which therefore made it incompatible with silicone lubrication. Silicone lubricants are generally recommended by the pelvic health / medical community for their long lasting quality (having to reapply water-based lubrication during a connected moment can be very disruptive). However, silicone lubrication will degrade silicone products, therefore Ohnut decided to their material to be easily integrated with any preferred lubrication. In regards to permeability, our manufacturing experts have informed us that, in general, most plastics are permeable, with the amount of permeability depending on what size molecule and under what pressure. With Ohnut’s  material, it is not permeable with the amount of pressure applied during a couple’s use. However, as a precautionary measure, we recommend that Ohnut is not shared between different partners. Our material is also not considered ‘hygroscopic’ (water absorbing).

Can I use Ohnut with a condom?

Yes! You’ll just need to put the condom on prior to putting on your Ohnut. Be sure to use additional lubrication before sliding Ohnut on.

 

How does it feel physically for a male partner?

While Ohnut can be used by penetrating partners of any gender, feed back from men includes not noticing the difference and feeling like full penetration, while also enjoying it’s additional use for foreplay. Some men may feel a slight “hug” sensation. The majority report that sex is more satisfying because they’re not as worried about causing their partner pain and their partner isn’t as worried about being in pain. This generally results in a feeling of confidence, of letting go with one another, of enjoyment.

Will Ohnut fix the pain I have during penetrative sex?

If you feel discomfort at any time – speak up to your partner, take a break, and listen to your body. Ohnut is not a medical device and does not prevent or cure any conditions – so it’s a good idea to consult with your clinician. You may also consider visiting a Pelvic Health Physiotherapist.

I have just had Genital Reconstruction Surgery can Ohnut Help make sex more comfortable?

First of all, congratulations!! And yes, Ohnut can accompany pelvic floor physical therapy and/or dilator therapy for post-op GRS surgery. Let us know if you have any other questions.

Can I use lubricant with my Ohnut?

Lubrication is essential to the Ohnut experience (do not attempt use without it!).  Since Ohnut is made from an FDA approved family of polymers, it is compatible with both oil based and water based lubrication. We always recommend Desert Harvest or YES lubricants due to their unique quality and formulation.

The Pelvic Floor is made up of the muscles, ligaments, nerves and tissue that sit at the base of the pelvis. It attaches to the pubic bone at the front all the way through to the tailbone at the back. It is often described as acting like a sheath or sling to support the pelvic organs – the bladder, bowels and reproductive organs but also assists in bladder, bowel, sexual function as well as trunk stability and mobility. 

Physiotherapists who work with pregnancy, postnatal, pelvic pain and pelvic floor dysfunction are specialist practitioners who have the right skills, specific knowledge and training to assess and treat a range of conditions in the most appropriate way.

Many women and men’s health physiotherapists work in the NHS. Your GP will be able to advise you where your local specialist works and complete an NHS referral. 

To find your local NHS or private women and men's health physiotherapist you can contact The POGP (Pelvic, Obstetric, Gynaecological Physiotherapy Association).

An estimated 4 to 12 million people in the United States suffer from Bladder Pain Syndrome (Interstitial Cystitis), 90 percent of whom are women. Many people are either misdiagnosed or undiagnosed.

Symptoms include pelvic pain, urethral pain, urinary urgency and urinary frequency that occur over a long period of time. Previously referred to as interstitial cystitis as these symptoms mimic a normal urinary tract infection so it was thought there may be a deep infection in the bladder lining (interstitium). However Bladder Pain Syndrome (interstitial cystitis) is more complex and many sufferers do not have chronic bladder infections. There is good evidence that in Bladder Pain Syndrome the way that messages from the pelvic organs are received by the brain changes and this is often accompanied by tension in the pelvic floor.

Desert Harvest Super-Strength Aloe Vera Capsules have been shown in clinical trials to effectively reduce bladder pain, urinary frequency and urgency, pelvic pain and urethral burning that are a part of many bladder disorders, but especially Bladder Pain Syndrome (Interstitial Cystitis). Desert Harvest Aloe Vera contains glycosaminoglycans (GAGs) which adhere to the bladder mucosal lining, preventing potentially irritating solutes in the urine from reaching the bladder wall. The patented harvesting method ensures the D-Mannose found in the Aloe is also preserved alongside 200 other active nutrients whilst removing anthraquinones. With no harsh chemicals or side effects Desert Harvest has been supporting BPS sufferers in the United States since 1993 and Pelvic Relief is proud to bring this product to the UK.

Desert Harvest Aloe Vera is antibacterial, antifungal, antibiotic, analgesic, anesthetic, antiseptic, antiviral, antimicrobial, antifungal, and anti-inflammatory, and because there are no harsh side effects, it adds many more elements to the pain relief and improvement in day to day life for the IC/BPS sufferer.

There is also exciting research regarding Desert Harvest's new CBD supplement. Desert Harvest have been supporting work by Dr Reza Sharif-Naeini at McGill University in Canada who has recently shown the formulation decreases the excitability of human sensory neurons and has an analgesic effect in preclinical pain models the early indication is that CBD may have a role to play in chronic bladder pain management. 

There are many possible causes of pelvic pain and the reason for your individual pain should always be discussed with your GP or physiotherapist. They may refer you onto a specialist gynaecologist, urologist, gastroenterologist, psychosexual counsellor or other specialist depending on the cause of your pain.

What is Chronic Pelvic Pain?

Chronic Pelvic Pain (CPP) is any pain in or around the pelvis that lasts for more than 6 months, it can affect both men and women and can occur at any age. CPP can impact on every aspect daily life and can change the way an individual behaves emotionally and physically. It can be extremely isolating as the cause of the pain is rarely visible on the outside.

What Causes Pelvic Pain?

There is no simple answer to this question and a range of conditions can impact pelvic health and lead to pelvic pain, these include but are certainly not limited to:

• Menopause
• Endometriosis
• Adenomyosis
• Polycystic ovary syndrome
• A fall or trip (even one which is seemingly innocuous)
• Allergies or irritation
• History of sexual abuse
• Surgery
• Treatment for cancer
• Infections
• Childbirth
• Postural problems
• Lichen Sclerosus
• Dermatological conditions
• Sjogren’s Syndrome

Pelvic Floor Muscle Dysfunction

The Pelvic Floor is made up of the muscles, ligaments, nerves and tissue that sits at the base of the pelvis. It attaches to the pubic bone at the front all the way through to the tailbone at the back. It is often described as acting like a sheath or sling to support the pelvic organs – the bladder, bowels and reproductive organs but also assists in bladder, bowel, sexual function as well as trunk stability and mobility. Too often we think only of the pelvic floor being weak however the pelvic floor is extremely complex and the muscles need to work together, like a well trained orchestra, relaxing and contracting at different times.

A common cause of pelvic pain is a result of the muscles and nerves within your pelvis not working optimally, frequently muscles will spasm when pain is experienced or even anticipated feeding into a further cycle of pain. Frustratingly changes in the way the nerves carry messages can often result in the pain remaining a long time after the initial cause has been identified or even treated. Pelvic pain or chronic pelvic pain which has a musculoskeletal origin is most commonly treated by a specialist pelvic physiotherapist (sometime referred to as a women’s health physiotherapist or men’s health physiotherapist).

The pelvic floor supports the pelvic organs, assists in bladder, bowel and sexual function and provides trunk stability and mobility.

Treating Pelvic Pain

Unfortunately we don’t have all the answers. However, here at Pelvic Relief we have sourced the best products possible to compliment your treatment plan. All these products are recommended by healthcare professionals and we hope they will help you achieve your goals.

If you have been recommended graded dilation therapy our SoulSource dilators  are made from the highest quality silicone rubber which is smooth, soft and naturally flexible to conform gently to your bodies needs. They come in a wide range of sizes and can be purchased individually or in sets.

If your Physiotherapist has recommended internal massage EZMagic is the first choice recommended by treating healthcare professionals. Made from medical grade glass it can be heated or cooled and is perfectly shaped to access different areas of the pelvic floor.

Vaginal dryness may be a primary symptom of your condition (for example as a result of Menopause or Endocrine Therapy) or may be a result of the anticipation that intercourse will be painful. We always recommend Desert Harvest or YES Organic Moisturisers and Lubricants, formulated to be free from hormones, parabens and known skin irritants.

If sexual activity has become painful, Ohnut is the first intimate wearable that allows couples to explore comfortable penetration depths.

We have some wonderful self treatment guides and resources in our library.

A woman’s sex life and vaginal health may be adversely affected by cancer radiation therapy to the pelvic area. The scarring that occurs after pelvic radiation can shorten or even narrow the vagina. Many women that receive radiation treatments experience early symptoms of menopause or even stop having menstrual periods. Other side effects include vaginal burning, itching and dryness. This can make sexual intercourse painful, and makes it difficult and uncomfortable for women to have pelvic exams in the future.

Many doctors recommend that women start vaginal dilator physical therapy after finishing radiation treatments. Regular use of dilators can often help women stretch the walls of their vagina, and help prevent scar tissue from forming.  Some cancer centers also recommend that women use a vaginal moisturiser prior to using a dilator.  When a woman’s vagina is hydrated, the vaginal walls will stretch more easily during dilator therapy.

Nearly two-thirds of all cancer patients will receive radiation therapy during their illness.

Since scarring after pelvic radiation therapy can develop over many years, vaginal dilators can be a good tool for a woman to use throughout her life. If you are not sexually active, regular use vaginal dilators can still assist to make future pelvic exams less painful. If sexual activity has become painful, Ohnut is the first intimate wearable that allows couples to explore comfortable penetration depths supporting a return to a enjoyable intimate life.

The menopause is when a woman stops having periods. It's a natural part of ageing that usually happens between 45 and 55 years old. POI or early or premature menopause is used when menopause comes well before the average age of normal menopause — when you’re still in your teens, 20s, 30s, or early 40s.

Early menopause is used to describe menopause before the age of 45 and POI when it occurs below the age of 40. Approximately one in every 100 women under the age of 40, one in 1,000 women under 30 and one in 10,000 under 20 experience POI.

The Daisy Network is a wonderful charity where you can get more information and support.

Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. It can be the womb (uterus), bowel, bladder or top of the vagina. A prolapse is not life threatening, but it can cause pain and discomfort.

Prolapse of the front wall is called a cystocele, prolapse of the back wall is called a rectocele. Symptoms of a prolapse include feeling of a bulge, pressure, dragging or the feeling that 'something coming down'. These will be more prominent at the end of the day because of the hours of downward pressure, which is relieved when you lie down

Symptoms can usually be improved with pelvic floor exercises. It is always important to discuss your symptoms with your GP who should refer you to a Gynaecologist or Pelvic Health Physiotherapist. 

Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. It can be the womb (uterus), bowel, bladder or top of the vagina. A prolapse is not life threatening, but it can cause pain and discomfort.

Prolapse of the front wall is called a cystocele, prolapse of the back wall is called a rectocele. Symptoms of a prolapse include feeling of a bulge, pressure, dragging or the feeling that 'something coming down'. These will be more prominent at the end of the day because of the hours of downward pressure, which is relieved when you lie down

Symptoms can usually be improved with pelvic floor exercises. It is always important to discuss your symptoms with your GP who should refer you to a Gynaecologist or Pelvic Health Physiotherapist. 

A Smear Test refers to cervical screening, a test that checks the health of your cervix. The cervix is the opening to your womb from your vagina. It's not a test for cancer, it's a test to help prevent cancer.

Many women who are experiencing pelvic pain will find smear tests extremely daunting. Please visit our blog where we try and offer a few practical tips here.

Watch a video about what to expect at a smear test here.

What are dilators?

Dilators come in various sizes and materials, such as silicone or plastic, and are typically shaped like cylinders or tapered cones.

What is dilation therapy?

The vagina is an elastic, muscular canal with a soft flexible lining. Constriction of the vagina can be caused by radiation therapy, surgery, ageing or may be due to involuntary spasms of the muscles of the vaginal wall. All of which can result in pain with sexual activity or difficulty in allowing your medical practitioner access as part of your medical treatment.

Vaginal dilation therapy is a treatment that may be recommended for women to help restore vaginal capacity, to expand the vagina in width and depth, to provide elasticity to tissues and also allow for comfortable sexual activity.

Soul Source dilators are selected for their unique shapes and material properties.

What’s the difference between diameter and circumference?

The measurements provided for our dilators are for diameter and length.

Diameter and circumference are two ways to measure a circular object.

Diameter is the distance through a circle, a straight line from any one point on the outside, through the center to the opposite side.

Circumference is the distance around a circle, starting at any fixed point, going around the outside and returning to the same point.

Imagine taking an trip around the world, starting and ending at the same place. The distance traveled would be the circumference of the earth. Now imagine tunneling through the center of the earth coming out again on the opposite side. This distance would be the diameter of the earth.

How do I use my dilators?

Step 1: Consult with a Healthcare Provider
It is crucial to consult with a healthcare provider experienced in sexual health to determine the appropriate use of vaginal dilators. They can provide guidance, address any concerns, and create a personalised plan based on your specific needs.

Step 2: Select the Right Dilator
Choose a dilator set that includes multiple sizes, starting with the smallest size and gradually progressing to larger ones. Ensure the dilators are made of body-safe materials and use water-based lubricants to facilitate insertion.

Step 3: Create a Calm and Comfortable Environment
Find a quiet, private space where you feel relaxed and comfortable. Engage in deep breathing exercises or other relaxation techniques to help reduce anxiety and promote muscle relaxation.

Step 4: Begin with External Stimulation
Before inserting the dilator, gently massage the external genital area to stimulate natural lubrication and increase blood flow, promoting relaxation.

Step 5: Lubrication and Insertion
Apply a generous amount of water-based lubricant to the dilator and the opening of the vagina. Slowly and gently insert the dilator, allowing your body to adjust and accommodate the size. If discomfort arises, pause and take deep breaths until you feel relaxed before proceeding further.

Step 6: Gradual Progression
Once the initial size feels comfortable, gradually progress to the next size. This process can take days, weeks, or even months, depending on individual circumstances. Patience and self-compassion are essential throughout the journey.

Step 7: Consistency and Persistence
Regular and consistent use of dilators, as advised by your healthcare provider, is key to achieving optimal results. Aim to practice with the dilators for a few minutes each day, gradually increasing the duration as comfort levels improve.

Step 8: Transition to Sexual Intimacy As you make progress and experience increased comfort and confidence, you can work with your healthcare provider to transition from dilator use to engaging in sexual activities with a partner. Open communication and a supportive partner are crucial during this phase.

What lubricant should I use with my dilators?

We offer a range of lubricants to be used with the dilators in our shop.

How can I clean my dilators?

Wash the dilators with warm water and mild soap. Pat dry and allow to fully air dry before storing them. We recommend that you store your silicone dilators wrapped in a clean cotton cloth; GCS dilators can be stored in the supplied storage pouch. Never soak your dilators in alcohol or sterilising solutions containing alcohol, especially with the rigid plastic or GCS dilators. Soul Source dilators may be wiped with an alcohol-based solution, but be sure to rinse off any residue before storing them.

Can dilators be sterilised by autoclave or boiling?

GCS and Rigid Plastic dilators can NEVER be boiled or autoclaved.

Silicone dilators may be sterilised by boiling for 15 minutes or by autoclave. If you have a problem with yeast infections, you may add two tablespoons of vinegar to two quarts of water for boiling.

What are Soul Source dilators made of?

Soul Source silicone dilators are hand-cast using 100% silicone rubber. Silicone rubber is flexible and resilient with a texture that resembles body tissue. Our GCS and Rigid Plastic dilators are hand cast using polyurethane plastic for situations where a rigid dilator is needed. For quality assurance, all of our dilators are inspected, washed, and sealed before shipping.

Why are the GCS dilators curved?

Soul Source GCS dilators were designed by a leading GCS surgeon to address the specific anatomical needs of GCS patients.

What is the difference between a dilator and a sex toy?

Sex toys are designed to provide sexual stimulation. Some vibrate; some are anatomically correct to resemble a penis. Dilators are therapeutic devices and can be used without the need for sexual stimulation. Sexual pleasure is not its purpose, the key is to use it as prescribed.

Can I return my dilators if I decide not to use them?

If you think that your dilator may be defective or if feel you may have received the wrong product, or are unhappy for any reason, please contact us at hello@pelvicrelief.co.uk to make special arrangements.

Sjögren’s Syndrome is an autoimmune affecting nearly 1% of women in the UK, 90% of which are women. The disease affects the secretory glands that produce saliva, tears, vaginal, and other secretions develop a form of inflammation. As a result of this, these glands stop working leading to dry eyes, dry mouth, dry skin, dry vagina and dryness of the gastrointestinal tract. These features, as well as being very uncomfortable and unpleasant, mean sufferers may have difficulty swallowing dry foods. Dryness of the large bowel can cause symptoms similar to irritable bowel syndrome (IBS).

It is important to seek the correct diagnosis and treatment from your GP and if necessary referral to an appropriate specialist. You can also find advice and support at BSSA (The British Sjögren’s Syndrome Association).

Both ourDesert Harvestand YESOrganic Moisturisers and Lubricants can be used to help manage the vaginal symptoms.

Natural lubrication produced by glands at the neck of the womb (the cervix) keeps the vagina supple, moist and healthy. During sexual excitement the two glands at the entrance of the vagina produce extra moisture to aid sexual intercourse.

However vaginal dryness is a very common problem. Although often associated with the menopause (it affects more than half of women after the menopause), it is also very common for women to experience it at other times of their lives and there are many contributing factors resulting in vaginal dryness including:

Endocrine therapy

Breastfeeding

Normal monthly cycle

Anxiety

Side effect of medication

Surgery (including oophorectomy or hysterectomy)

Dermatological condition (such as lichen sclerosus)

Sjogren’s Syndrome

Diet and lifestyle choices

GRS Surgery

If lubrication is poor even gentle friction can cause pain or discomfort which can feed into a cycle of loss of sexual desire. In many cases vaginal dryness can cause pain during other times and in can be uncomfortable to sit, stand, exercise or urinate which can impact on quality of life.

Around 17% of women aged 18-50 experience problems with vaginal dryness during sex, even before the menopause takes place

We recommend the YES and the Desert Harvest moisturisers and lubricants. We know that they are unrivalled in terms of purity, performance and benefits. They are designed to be side effect free and are both pH and osmotically matched to the vagina. YES VM, a vaginal moisturiser is the perfect product to manage the day to day symptoms of dryness whilst Desert Harvest Glide, YES OB (oil based lubricant) and YES WB (water based lubricant) provide additional lubrication to ensure sex is enjoyable.

Vaginal stenosis is the narrowing or loss of flexibility of the vagina and it occurs as a side effect of radiotherapy or genital surgery. In most cases, it is also accompanied by the dryness and loss of resilience of scar tissue.

Radiation therapy is generally used in the pelvic area in order to treat cancer of the bladder, rectum, lymph glands, gynaecological (uterine, vaginal, vulval, ovarian or cervical). Whatever the type of radiotherapy – by external beam radiation or by the use of internal implants – it has multiple effects on the vagina. The most common are the drying and thinning of the vaginal lining, fibrosis (formation of scar tissue), shortening and narrowing of the vagina, reduction of vaginal lubrication and diminishment of the size and number of small blood vessels within the vagina. The result is vaginal stenosis and much drier, friable vaginal tissue.

How to Reduce the Effects of Vaginal Stenosis?

In the long term, vaginal stenosis can lead to pain during physical examination and problems with sexual intercourse.

In order to reduce these effects, aside from professional sexual counselling, patients are advised to use a silicone vaginal dilator. However, the usage instructions for vaginal dilators will depend on the individual treatment plan and the precise procedures patients are undergoing. Sometimes, doctors also recommend vaginal moisturisers, oestrogen creams and exercises to increase circulation in the vaginal area.

It is important to mention that patients may or may not be permitted to have sexual intercourse while undergoing treatment. This depends entirely on their treatment plan and whether or not the relevant healthcare professional is willing to allow intercourse to continue.

Even if intercourse is permitted, patients may lose interest during radiotherapy and for a while after, as a result of a general loss in confidence. This is where professional counselling can help, and also the knowledge that cancer is not contagious and cannot be passed on by sexual intercourse. Another important aspect everyone should know is that, when permitted, sexual activity will not cause a return of the cancer and partners will not suffer from any after effects of the patient’s radiation therapy.

If the healthcare professional allows patients to have intercourse, most likely they will be instructed on how to use a water based lubricant to facilitate penetration and to protect dry vaginal tissue. Also, it is recommended to adjust positions in order to increase the woman’s comfort and protect the fragile vaginal tissue. It has been found that vaginal penetration with either a silicone vaginal dilator or sexual intercourse significantly decreases the occurrence of vaginal stenosis and dyspareunia.

In some cases, sexual intercourse may become unacceptably painful because of vulvar and vaginal inflammation occurring towards the end of the treatment. It is recommended for patients to use vaginal dilators at this time or just wait for the damaged tissue to heal and resume normal sexual activity.

Where contraception is concerned, it should continue to be used until advised otherwise by a healthcare professional, even if radiotherapy to the female pelvic region (including ovaries) will result in infertility.

Everyone should understand that radiotherapy in the pelvic area also has many emotional side effects that can affect a woman’s quality of life. This is why, along with physical help, patients should search for professional counselling, aftercare and support, proven to significantly help in problems of body image and sexual function.

Patients being treated for vaginal stenosis that are advised to use silicone vaginal dilators can purchase them on this website. It is very important to discuss the usage instructions with your healthcare professional and to follow their directions precisely.

If sexual activity has become painful, Ohnut is the first intimate wearable that allows couples to explore comfortable penetration depths supporting a return to a enjoyable intimate life.

Vaginismus is the involuntary spasm of a woman’s pelvic floor muscles which surround the vagina. These spasms can be so severe that the vagina closes, leading to painful sex (dyspareunia), painful tampon insertion and a difficult pelvic exam. The pain is most often a burning sensation that may develop as sexual intercourse progresses. Vaginismus is the leading cause of unconsummated sexual relationships. There are varied causes, yet most clinicians believe it has both a physical and emotional component.

There are four different classifications:

• Primary vaginismus (lifelong)
• Secondary vaginismus (occurring after a period of normal sexual function)
• Global vaginismus (occurring in all situations: intercourse, tampon insertion, or pelvic exam)
• Situational vaginismus (occurring when experiencing painful intercourse with only one partner, but not others, or only during sex but not with tampon insertion or pelvic exams.)

Vaginismus can effect women at any stage of their lives. You can find a Pelvic Health Physiotherapist by asking for referral from your GP or visting The POGP (Pelvic, Obstetric, Gynaecological Physiotherapy) website.

Vestibulodynia describes a condition of hypersensitivity to touch on the vestibule (entrance of the vagina). This may include pain as a result of light touch, using a tampon, intercourse or other stimulus around the vestibule area such as tight clothing.

There is a wide range of how individuals experience this pain, some women have pain but are able to enjoy sex for others any pressure such as tight clothing or light touch can result in intense soreness and pain.

The onset of the pain on touch may have been the first symptom in some patients who find it hard to link it back to a cause, in others the pain will have started following an event such as a severe bout of thrush, childbirth or is linked to a diagnosis of bladder pain syndrome.

The times pain is experienced will also differ between women, in some it may be intermittent only when provoked in others persistent and continue after provocation.

The intensity of the pain can range from mild discomfort to severe constant pain that prevents you from even sitting comfortably.

Although there is often nothing to see on examination there is a very real physical response. The experience of the pain to a stimulus that should not be painful can cause a secondary protective spasm of the muscles of the pelvic floor resulting in a further pain cycle.

Many health care providers may not be familiar with vestibulodynia.  Women suffering from vestibulodynia should look for a doctor, sex therapist or physiotherapist that is knowledgeable about this condition. 

Although there is no cure, there are treatments that can help bring relief. Many doctors will recommend the use of a topical local anaesthetic called lidocaine. We recommend our 4% lidocaine cream (a real hero product) Releveum. The anaesthetic can ‘numb’ the nerves in the skin temporarily and may be used safely on a regular basis. Many women have gained considerable benefit using the treatment, particularly with vestibulodynia when the gel is used half an hour prior to sexual intercourse. They find it helpful to rub the gel into the tender areas – this helps numb the skin, as the pain response is reduced this helps to reduce the protective muscle spasm in the pelvic floor muscles. Remeber to make sure that you use a test dose first on a small area of the vulva as around 10 per cent of women can have a skin reaction to it.

Use of high quality lubricants, vaginal dilators or therapeutic aids for massage may also be recommended by your physiotherapist or healthcare practitioner.

Vulval cancer is diagnosed in over 1000 British women each year. Some inflammatory skin conditions MAY develop into vulval cancer. The risk of developing cancer is low. About 5% of women with these skin conditions will be diagnosed with a vulval cancer.

This suberb leaflet produced by The British Society for Vulval Disease will show you how to perform a vulval self-examination to check for abnormalities.

However, this is not a substitute for being examined by a health professional - so if you are concerned, please speak to your doctor.

Remember you can access more useful resources at The Vulval Pain Society.

Vulvodynia describes a condition of vulval pain and or soreness in the absence of any skin condition. Remember the vulva, refers to the external female genital organs, which includes the labia, clitoris, and vaginal opening.

The pain can be experienced in very different ways by individuals. It may be localised to one area e.g. clitorodynia (pain at the clitoris) or generalised over the whole vulva and spreading into legs, upper thighs or around the anus. Some patients will have mixed pain, that is localised and generalised.

In some patients the pain will be described as ‘provoked’ when contact causes the pain this is reffered to as vestibulodynia; in others pain may be spontaneous and occur without an apparent trigger. Some patients will be familiar with both spontaneous and provoked pain. The onset of the pain may have been the first symptom in some patients, which is described as primary; in others the pain will be a secondary symptom perhaps following another illness or event.

The times pain is experienced will also differ between women, in some it may be intermittent in others persistent.

Symptoms of vulvodynia usually begin suddenly and can last anywhere from months to years. These symptoms can include:

• Burning sensation
• Stinging or rawness
• Painful sex (Dyspareunia)
• Aching, soreness, or throbbing

The intensity of the pain can range from mild discomfort to severe constant pain that prevents you from even sitting comfortably.

Although there is nothing to see on examination the condition is caused by hypersensitivity of the nerves around the vulva. The experience of the pain can cause a secondary protective spasm of the muscles of the pelvic floor resulting in a further pain cycle. In the majority of cases the pain has no known cause, in some patients the onset of the pain may be linked to:

•     Nerve injury or irritation
•     Abnormal response to an infection or trauma
•     Genetic factors
•     Hypersensitivity to yeast infections
•     Muscle spasms
•     Allergies or irritation to chemicals or other substances
•     Hormonal changes
•     Sexual abuse
•     Frequent antibiotic use

Many health care providers may not be familiar with Vulvodynia.  Women suffering from Vulvodynia  should look for a doctor, sex therapist or physiotherapist that is knowledgeable about this condition. Although there is no cure, there are treatments that can help bring relief. Use of high quality lubricants, vaginal dilators or therapeutic aids for massage may be recommended by your physiotherapist or healthcare practitioner which can help women learn to relax vaginal muscles to lessen pain.

The founders of YES set out to create intimacy products which would outshine the category. It has taken three years of profound research and creative development to create lubrication which:

• Offers exceptional performance without compromising purity
• Is non-derivative, having a new concept formulation which is totally unlike the tired well-worn variations on silicone or glycerin based lubes
• Is based on an ingredient with an outstanding (6,000 year) pedigree as a healing skin food
• Has powerful moisture retentive properties
• Is bio-adhesive to mucous membranes (inner skin environment)
• Is composed of other organic, cosmetic and food quality ingredients
• Is actively nourishing of the mucous membranes
• Has a sublime consistency
• Is as nature identical as possible
• Does not expose intimate parts of the body to potentially damaging synthetic chemicals
• Can be dispensed discreetly and efficiently
• Deploys a valve closure which is hygienic and reduces the amount of preservative required
• Is packaged in an aesthetic way
• Can look stylish enough to be happily bought and left on display
• Offers all the reassurance of a natural product, with the premium performance of a synthetic one