Women’s Pelvic Health: If it’s in your body, it’s not “all in your head”

Warning:  This post contains discussions of “girl stuff.”  You’ve been warned!

I was teaching a Yoga for Women’s Pelvic Health workshop this weekend and that always gets me on my soap-box.  One of the things pelvic health educators encourage women to do is talk to each other about their pelvic health issues.  So now I’m bringing the soap box to this blog! Self-disclosure is always a little risky, but I think it’s worth it if I can help just one person to realize she’s not alone.  There’s so much suffering we deal with silently & alone as women that doesn’t need to be.
About 15 years ago I was diagnosed with a pelvic pain disorder.  I got lucky because my nurse practitioner at the time was up to date on her female pelvic health and diagnosed me right away.  That was as far as it went, however, because there was no known cause, no treatment, no cure.  I say that I got lucky because many women with pelvic disorders spend a lot of time going from doctor to doctor being told “It’s all in your head” as if mental/emotional issues that may in fact be affecting their physiology aren’t “real.”  The fallout of that attitude is that sometimes these issues, which can be contributing factors in pelvic pain, are rejected in favor of finding a “valid” physiological cause. 
The ancient yogis knew that the mind and body aren’t separate. It’s not likely that you’ve taken your body anywhere recently and left your mind behind.  (Okay, I know some people will try to argue that point!).  It’s often stated in body-centered psychotherapy circles that “every thought has a corresponding sensation.”  I was one of the speakers at a recent seminar on Pelvic & Abdominal Health and Trauma sponsored by Rush University Medical Center’s Program for Abdominal and Pelvic Health.  It was thrilling to hear physicians acknowledge the ways traumatic life experiences can affect the body and advocate for a multi-modal approach to pelvic healthcare that includes addressing psychological factors.  Times are a-changin’!
From the yogic perspective, the first chakra at the base of the pelvis develops during the 1st year of life, and affects our sense of safety and our ability to really be present in the world.  The second chakra at the pubic bone develops between 6 -18months and  affects creativity and sexuality.  The 3rd chakra at the solar plexus develops between 18 months and 4 years and affects our self-esteem & sense of our own power.  In a culture where women are objectified, sexualized, shamed and encouraged to be less than we are, is it surprising that we might experience dysfunction in these areas?  According to oneinfour.com, 1 in 4 college women report experiencing some kind of sexual assault since age 14.  So that number doesn’t includes girls assaulted/abused before age 14.  According to webmd, “Doctors don’t really understand all the things that can cause chronic pelvic pain. So sometimes, even with a lot of testing, the cause remains a mystery.”  Hmmm.
Many women are hypertonic in the pelvic floor – muscles gripping too tightly.  I call it “holding on for dear life.” This could happen as the result of sexual trauma but not necessarily so.  Bodies develop habits because they seem to work.   Tightening the pelvic floor may give a sense of control or safety that works for the short term but becomes problematic over the long term.  Some women are hypotonic – not enough strength in the muscles at the base of the body. Usually there is a lack of awareness and either state represents a weak base of support.  Strengthening, stretching & relaxing the muscles of the pelvis (including the “core” transversus abdominis muscles and the pelvic floor muscles) can have a definite impact on one’s ability to feel grounded, optimistic, creative and confident.
There’s a fabulous book called The V Book that is subtitled “Your private parts shouldn’t be private to you.”  We could take some of the mystery out of our own pelvic health as women just by becoming more aware.  There’s another great book called “The Female Pelvis” that gives lots of exercises for developing awareness.  
Overcoming vulvodynia and dealing with issues during pregnancy & delivery through mindfulness, yoga and physical therapy helped me realize that I’m one of those hypertonic folks.  Somewhere in life my body figured out that when the going gets tough it’s time to hold on for dear life. Now that I’m aware of the habit, I can consciously relax muscles that shouldn’t be chronically tense.  Is that “all in my head?” Um… No.  It’s definitely in my body too.   Mind/body connection?  I’d say so.
For more information on women’s pelvic health check out:  Women’s Health Foundation, Rush University Program for Abdominal and Pelvic Health
For more information on yoga for pelvic health check out:  Leslie Howard
For female-centered affordable gynecological & mental health care check out:  Chicago Women’s Health Center 

Pain happens

Hello again!  Long time no post.  There have been lots of changes happening for me recently, and for many people this is a time of change and transition.  Just since this summer 4 people I know have moved out of Chicago with their families.  A quick glance at the news will reveal that this is indeed a transformative time for humanity as a whole.

Change can be exciting and it can be challenging.  In fact any process of transformation can involve both of those states – and sometimes both at once!

As humans we are often surprised when change happens, and when it is difficult.  There is a mistaken notion that if we shouldn’t have to feel pain or discomfort supported by advertising and the media. Yet by virtue of being human, pain (in all its varying degrees) is an inevitable part of our experience.  Sometimes the pain is emotional and sometimes it is physical. Either type becomes suffering through our reaction to it.  When we resist, deny or reject difficult experiences, they tend to magnify – the pain insists on being felt.

One of the biggest sources of pain, I think, is this idea that what we are experiencing “should not be.”  We use a lot of energy resisting what is already here.  So, what is the solution?  One of my favorite yoga teachers, Roger Eischens used to say “It is what it is.”  I heard this phrase from him when he was dealing with the brain cancer that eventually caused his death. That simple phrase has saved me a lot of emotional wrangling.  When I feel myself getting caught up in the debate of “this shouldn’t be happening to me” I hear Roger’s voice “It is what it is” and I surrender to the fact of the matter. Marsha Linnehan, who developed Dialectical Behavior Therapy while working with severely suicidal patients describes the concept of “Radical Acceptance” – essentially a letting go of resistance to the truth of what is here.

A great deal of anxiety and stress can be released through this process of accepting what is.  This doesn’t imply approval or complacency, but a simple act of acknowledging and letting go of resistance to the moment.  I sense this as a physical shift – a visceral “letting go” of inner tension that I usually didn’t even realize I was holding. A spontaneous full breath usually follows.  Sometimes I have to remind myself to do this multiple times as the tension creeps up again.  And sometimes what is here really hurts and I get to feel the hurt without all the added tension created by the thought that the hurt shouldn’t be here.  This process can take a long time, depending on the situation, and in those times, I try to notice the degrees of pain – acknowledging moments of relief – or moments of “less than” the pain or difficulty that was here before. By being willing to be with what is, I get back into the flow of life and inevitably, the hurt moves through and I come out on the other side.