Feel like you’re coughing your guts out?

APOPS new logo jpgCredit to Sherrie Palm founder Associateion for Pelvic Organ Prolapse Support

It’s flu season; you’re hacking and hacking until you feel like your bottom end is going to blow out. And it just might be. if you’re like me you start to ramp up the germ-phoebe aspect of your personality around this time of year. We all start paying more attention to washing our hands, get nervous about grabbing the door at stores we shop at, walk the other way when we hear someone  coughing. No one wants to get the flu. Yet despite the extra protective measures we take, we somehow manage to contract it. The majority of us are exposed to hundreds of germ infested surfaces every day; there’s just no way to get around it beyond wrapping ourselves in one of those protective bubbles. Not a very user friendly way to avoid getting sick.

I recently returned from a trip overseas and had concerns about being in airplanes and airports, knowing that the odds of my catching a bug were increased by being exposed to so many people in an enclosed environment. Every time someone coughed on the plane I thought to myself “keep your hands off your face, keep your hands off your face,” reciting it to myself like some kind of magical mantra that would protect me. Although I felt badly for the young child coughing non-stop a few rows up from me on the airbus, I equally worried that somehow the germs would float back to me in the recycled air of the plane.

Somehow I managed to make the long journey in both directions and come home with my body flu-free. Lucky me, I figured now I could relax. Then the inevitable happened-……read more Continue reading “Feel like you’re coughing your guts out?”

Pelvic floor stimulators

Urinary incontinence and pelvic organ prolapse can have a significant physical, social and psychological for many women. There are a number of solutions in the management of these problems.

The process of urination and its control depend on an intact neuromuscular system. The bladder is made up of smooth muscle – the detrusor muscle, while the urethra has smooth muscles with a band of striated muscle. Both the somatic and autonomic nervous systems provide innervation to these muscles. The bladder muscle must contract while the urethral sphincter relaxes during urination. It works best when the two are coordinated. The pelvic floor musculature consists of striated muscle fibres innervated by the pudendal nerve. By supporting the bladder and helping to lengthen the urethra, the pelvic floor muscles assist the passage of urine and its control.

Electrical stimulation is a modality that physiotherapists use to treat a variety of conditions. Electrical stimulation is used to restore normal physiological reflex mechanisms in abnormal nervous systems and muscles, as well as to strengthen striated muscles. Using Electro therapy, we try to stimulate the fibres of the pelvic (S2-S4), hypogastric (T10-L2), and pudendal nerves. It is believed that electrical stimulation can inhibit detrusor activity by activating inhibitory nerve fibres in the sympathetic hypogastric nerve, and inhibiting parasympathetic excitatory nerves in the pelvic nerve. It is also used to stimulate and strengthen the striated muscles of the pelvic floor via the pudendal nerve.

Routinely used machines are the interferential electrical stimulation machine and intra-vaginal stimulation machines. The Empi Intravaginal Stimulation Unit is a unit providing neuromuscular stimulation that can be used at home by the patient. The unit consists of a compact battery operated stimulator has two independent channels. One channel operates at 125 Hz to promote bladder inhibition; the other operates at 50 Hz to stimulate muscle contraction. Both channels can be used separately, or together. The electrode is a soft, silicone rubber cylinder about the size of a tampon. The electrode can be easily inserted and the patient learns how to take proper care of it. The therapist adjusts the settings on the stimulator and then the patient is taught how to control the intensity. The intensity should be high enough to cause a muscle contraction but within the patient’s comfort limits.

Many of the patients with incontinence have weakened musculature contributing to their urinary incontinence. Their symptoms often improve when they follow their prescribed exercise program and have adequate strength. Electrical stimulation is indicated when they have strength less than ‘fair’ as measured during a manual muscle test. It may also be indicated to provide sensory stimulation for patients with urge incontinence.

It is always advisable to seek medical help and undoubtedly a good session with your women’s health physiotherapist is the best way for you to learn correct techniques.


The Cramer Pessary for Stress incontinence and pelvic organ prolapse.

Pessaries can play an important part in getting back a reasonable quality of life if you happen to suffer with stress incontinence (SUI)  and/or pelvic organ prolapse.

Today, pessary expert and advocate for women who suffer stress incontinence and pelvic organ prolapse Gaynor Morgan speaks about the Cramer Pessary.

Gaynor Morgan works with medical professionals and leading retailers all over Europe to help raise the awareness about the importance of getting incontinence and pelvic organ prolapse issues to the forefront and pushing for more education about these subjects.

Over 45% of women worldwide suffer with some type of pelvic organ prolapse and/ or incontinence. The World Health Organisation had deemed this as an epidemic that needs addressing.

Gaynor heads up the European side of the non profit organisation, APOPS – Association for pelvic organ prolapse support founded by award winning author of the book: Pelvic Organ Prolapse the silent epidemic. Ms Sherrie Palm.


The Cramer pessary:
Material : Medical grade silicone with a steel spring inside for stabilization

Size range: Diameter 50mm and increases in 5mm increments to the largest size 90mm

Use : for the management of stress incontinence, cystocele and uterine prolapse.

DO NOT USE IF: You have had prior surgery and this includes vaginoplasty. Reason being, the pelvic floor must be somewhat stable to retain this pessary.

Usage: Fit in the morning and remove in the evening. Lubricant is advisable if the vagina is very dry. Recommended lubricants are yes and ladysoft

Fitting: The Dr or physiotherapist should show you and get you to practise insertion and removal. Ensure the two thick ends are right against the urethra and do not pinch.

The Cramer will lift and support the bladder neck which controls the involuntary loss of urine in SUI (Stresss Urinary Incontinence)
The pelvic floor must be in tact for this pessary to be successful. It hasn’t been very successful in the management of rectocele but is very good in the management of a cystocele where the patient also presents a uterine prolapse grade 1 or 2.

Care of the Cramer: Wash under clean water and allow to airdry. (Drying with a towel or paper towel can leave debris behind to stick to the pessary which can be introduced into the vaginal lining and may cause problems. Cleaning with a pessary sanitiser such as IncoClean (without alcohol) can also be used. Autoclaving is possible.
DO NOT microwave or boil this pessary due to the metal spring inside.

If you still leak urine after it has been fitted, it is possible that you have not positioned it correctly. Remove and reposition.

They are not available on the NHS prescription at this time.

For more information please go to www.incostress.com and go to the free downloads.

A perfect pelvic floor needs your help

Mary O’Dwyer is a lead womens health physiotherapist in Australia. She travels worldwide holding workshops for women and physiotherapists.  For more details go to www.holditsister.com

Mary has written a number of amazing easy to read books which puts you back in the control of your own body. Hold It Sister and Hold It Mama are just 2 of the self help books women are now turning to. It’s not just women in need that are reading Hold It Mama and Hold It Sister, no even the healthcare professionals are using her books as reference books to help thier patients.

More educational information about the pelvic floor and incontinence can be found on www.incostress.com

Incontinence and pelvic organ prolapse affects millions of women and destroys their quality of life. Find the right non surgical solution for you in Mary’s books.

Following some very simple controlled exercises can help prevent, incontinence, prolapse of the pelvic organs.

Hold It Mama shows how you can have an easy childbirth. Help with postpartum how to avoid postpartum depression.

Mary’s books are available at all major book stores.

Note to medical professionals. Please contact  Richard Demery-Kane for your copies and further information about medical conferences.

Blackwell Exhibitions

183 Euston Road



Tel: 0207 611 2160

IncoStress No More Misery for Thousands of Women

IncoStress No More Misery for Thousands of Women

IncoStress Gaynor Morgan The answer in the palm of your hand

What is the award winning magazine Women Talking about?

Millions of women experience incontinence, largely due to insufficient strength to the pelvic floor muscles. Some may lose a few drops of urine while running or coughing, while others may feel a strong, sudden urge to urinate just before losing a large amount. Many women experience both symptoms.

Incontinence can be slightly bothersome or totally demoralising and for many women the risk of public embarrassment stops them enjoying many activities and impacts on their quality of life. Additionally urine loss can also occur during sex and cause tremendous emotional distress.

Gaynor Morgan’s mother Carole suffered in silence for years and searching for solutions mother and daughter found help was not readily at hand. As incontinence isn’t deemed a life threatening condition, very little money is spent on research. The most common solution offered for incontinence is pads, which only hide the problem but never solve it. Gaynor and Carole were looking for a more permanent solution.

Gaynor’s story behind the development of reveals experiences and challenges that brought invaluable skills for running her successful company. Born in Bridgend, South Wales, Gaynor’s career has taken her half way around the world and back as the C&G Medicare Ltd headquarters are located in South Wales supplying the UK, Canada and the European market with their products.


Got a story to share contact Women Talking

Pelvic Floor or Pelvic Flop? (via IncoStress)

Pelvic Floor or Pelvic Flop? Whether you are 18 or 80, whether or not you have had children your pelvic floor is one of the most important muscle structures in the body. We all have one, yet few actually know what it is for and where it is and even fewer know how to exercise it. This is just one of the reasons men and women experience incontinence and or prolapse problems. Most women are under the illusion that childbirth is the only cause of wea … Read More

via IncoStress