I finally started pelvic floor therapy last Thursday. I was told by the therapist who did my intake that most pelvic floor patients only come once a week, but I’m a special case because of course I am. I mean, why wouldn’t an obscure yet common condition impact me for multiple reasons instead of just one?

She confirmed I do have vaginismus, which was kind of obvious given that twelve years ago I had to be given general anesthesia for a pelvic exam and hysteroscopy. But it was still nice to officially have someone who knows how “my down there” works confirm it. (“My down there” was something that slipped out once in a conversation with Chris so now it’s something we joke about.) Anyway, she found out about my history of trauma, which she said is definitely a factor. Then she found out about my history of hip problems and attempted & successful orthopedic surgeries on it. And she found out about my hypermobility and how my joints can be “really flexible” but my muscles lack flexibility and can be extremely stiff.

It’s going to be hard for me to do some of the therapies required because relaxing muscles is extremely difficult for me. Like my brain will send the message for them to relax and my body will send one back asking WTAF it’s talking about. Physical therapists have literally had to slap and jerk my legs (not in a painful way) to make the muscles ease up before. And one of my new therapists, because I can’t just have one, will be doing dry needling for part of mine.

She decided on that path because checking my body for orthopedic clues about “my down there” (cute right?) always seemed to lead me to feel tensing & spasming in my vagina. She discovered my piriformis muscle, which has been a dick to me for years, was extremely stiff and just pressing once almost automatically caused a spasm for me. She said normally she could work it out with her hands, but she thought that could set me back weeks. So she is going to do dry needling instead.

If it works, it works.

And she will be focusing on my external therapy. The other therapist, who I haven’t met yet, will be working on my internal therapy. Not internal as in psychotherapy but internal as in INTERNAL. So that’ll be different, right? Because I need external pelvic floor/orthopedic physical therapy in addition to the internal pelvic floor therapy, I get to see them twice a week.

Oh, and to get any of this done, I had to ask my rheumatologist for a referral/order for it & set the appointment up myself because it was taking my family doctor too damn long to do a second one. I’m also still a bit annoyed at her office staff for trying to send me to a clinic that doesn’t take my insurance. (What is even up with that?)

So yeah. Now I get to go to pelvic floor therapy in the morning twice a week because that’s when the internal therapist works at this clinic. The morning part is what I dread the most.

Hopefully it will all be worth it.