The Pelvic Floor Project
This podcast is for anyone with a pelvic floor. Pssst….. everyone has a pelvic floor. The pelvic floor is a group of muscles responsible for controlling our bodily functions. I refer to myself as a physiotherapist for embarrassing issues. I routinely help clients address symptoms like incontinence, prolapse, diastasis, pelvic pain, intimacy issues and the list goes on. A theme that stands out to me is how little we learn about our private parts and the muscles surrounding. This podcast is for you if you are interested in learning more about your body. Focused on the female, I cover topics pertinent to puberty, athletics, pregnancy, birth, postpartum recovery, menopause, surgery and so much more.I promise to share evidence based information through discussion with other health care experts in their field with the goal to showcase a holistic and empowering approach to taking care of the only body you will ever have. I hope you enjoy!
The Pelvic Floor Project
47. Pain with intercourse: Looking beyond the pelvic floor muscles with Dr. Lori Brotto
In this episode, I sit down with Dr. Lori Brotto a Professor in the UBC Department of Obstetrics and Gynaecology, and a Registered Psychologist as well as PHD student, Natalie Brown who is currently conducting research related to treatment of vaginismus to discuss:
- The relationship between our emotional brain and physical body
- The pelvic floor’s involvement when vaginal penetration is painful
- Common themes with discomfort and lack of enjoyment with intercourse
- The role that context including culture, spirituality, beliefs, history, stress play in vulvovaginal pain
- Messages and advice women are commonly given
- The role of medications and hormones
- Pelvic health physiotherapy approach
- Dr. Brotto’s research on mindfulness-based interventions for women with sexual dysfunction and those who experience chronic genital pain
- Current research being conducted using erotica as a form of treatment for vaginismus
Dr. Lori Brotto is a Professor in the UBC Department of Obstetrics and Gynaecology, and a Registered Psychologist in Vancouver, Canada. She has been the Executive Director of the Women's Health Research Institute of BC located at BC Women’s Hospital since 2016. Dr. Brotto holds a Canada Research Chair in Women's Sexual Health. She is the director of the UBC Sexual Health Laboratory where research primarily focuses on developing and testing psychological and mindfulness-based interventions for women with sexual dysfunction and those who experience chronic genital pain. Dr. Brotto is an Associate Editor for the Archives of Sexual Behavior, has >200 peer-reviewed publications, and is frequently featured in the media on topics related to sexuality. Her book, Better Sex Through Mindfulness: How Women Can Cultivate Desire (2018) is a knowledge translation product aimed at sharing the science of sexual desire with a broad audience, and the accompanying Workbook will be published by Greystone in October 2022. She is a strong advocate for empowering women to take on leadership roles.
Natalie is a PhD student in the UBC Clinical Psychology program, working under the supervision of Drs. Lori Brotto and Alan Kingstone. She completed her BA in Psychology at Queen’s University in 2017, and her MA in Clinical Psychology at UBC in 2020. Natalie's research examines the use of virtual reality erotica as a clinical tool in the treatment of Genito-pelvic Pain and Penetration Disorder (GPPPD), with a focus on Vaginismus. Overall, her research program aims to improve our understanding of sexual difficulties and develop evidence-based interventions for individuals with distressing sexual concerns
Links mentioned in episode:
Netflix special series : Principles of Pleasure
UBC Faculty of Medicine Sexual Health Research Lab
Details to participate in Natalie’s research on vaginismus
Book: Better Sex Through Mindfulness: How Women Can Cultivate Desire