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04 February 2014 @ 06:21 am
Does anyone suffer from pelvic outlet obstruction/evacuatory dysfunction?

After being confused for years I think I have this. Notes:
-I'm able to use cups with basically no difficulties (just the usual learning curve and finding the perfect cup business)
-The advice to "bear down as if you're having a bowel movement" never made sense to me really. I don't bear down.
-I might have a slight preference for softer cups but I think in general it doesn't matter to me. My stiffest cups are the small Lunette and small classic Meluna Mini.
-Veeeery tmi, but I need manual removal a lot, and my cups have never been a problem. Actually, they made it much better because previously manual removal while menstruating was a horrible experience.

My questions to anyone familiar with the condition:
-Does being able to use a cup make it likely that I don't have this? I fit all criteria except that I don't use laxatives or enemas. And wiki is just a convenient link, I've read a lot elsewhere about the condition, of course.
-(Assuming the answer to the previous question is no) Being comfortable with cups gives me hope for overcoming the condition. Does this make sense?
-Have you had biofeedback?
-Any techniques you've learned that help with cup removal and/or bowel movements? I don't really have problems with cup removal but this is a cup comm and I'm sure someone else will find it beneficial (including people who are simply learning to use cups).
-Are "recreational dry runs" a crazy idea? Now that I think of it, I need less manipulation after cup removal, so it almost seems like I'm a better cupper than a pooper. Kinda like the babies who learn to swim before they can walk :P

I hope it's okay that my problem is not really about cup use, given that the comments are going to be useful for cup users? (including potential ones)

Edit: oh my, been googling randomly and found out that nowadays suppositories come with applicators? WTF? These corporations are making it more and more shameful to touch your own body...
faranth22faranth22 on February 4th, 2014 04:22 pm (UTC)
I am sorry I have not heard of this disorder before. My advice would be to talk to your primary care provider.

This may be way too TMI but this is the only place you can really talk about these things. I read the wiki article and I am so relieved "vaginal-anal-perineal digitations (needing to press in the back wall of the vagina or on the perineum to aid defecation)" is a thing. I totally do this! Pressing on the back wall of the vagina, that is. I also bear down at the same time. I have some symptoms of constipation predominant IBS, never diagnosed, but like you everything fits. Ever since I started using cups I figured out I could do this. I was starting to think I was a bit weird.

As far as the "recreational dry runs" as you put it (lol!) I don't see that it would hurt. If it makes things easier, go for it! Good luck to you, I hope you get some answers soon.
Serpent: neutralserpent_849 on February 4th, 2014 05:52 pm (UTC)
well, i'd have to "prove" i'm not actually constipated or having any other issue (like ibs!), and i'd hear a lot of the usual "drink more water and eat more fibre" crap. i mean it's useful advice for many but in my case especially fibre is tricky because some kinds of it make my stool the wrong kind of soft, ugh. also some people have even spoken about taking years to get the correct diagnosis and even having parts of the colon unnecessarily removed!

also, it's largely a psychological problem for me. simply understanding already helps a lot. i now realize i've had a fear of constipation for most of my life.

manual removal is definitely a thing! most of mine is more direct, though. i've talked about it with a friend and she thinks it's far more common than i thought. i guess for many people it's just more rare than for us? i've also realized this is why i stopped painting my fingernails, and now i'm hoping to start doing it again when i've learned to evacuate without the need for fingers more often.

as for where to talk about vagina-related tmi, often vaginapagina is the way to go. in my case the thing is also that it seems like cup use is the most successful thing i can do with my pelvic floor muscles. much like many members have learned to remove the cup by using the "like a bowel movement" analogy, it seems like it's the opposite for me :D
faranth22faranth22 on February 4th, 2014 06:23 pm (UTC)
Yes, I am sure they will want to rule out IBS, among other things. Although, it sounds like that is not your problem, since you do not bear down. I purposely did not mention drinking more water and eating more fiber because it sounds like you have researched this stuff a lot and have probably heard quite enough of that. ;)

As far as the biofeedback there is an app called Belly Bio which I really like. I get migraines and they recommend biofeedback for that too. I've always had difficulty with the "empty your mind, focus on your breathing" part (with yoga too) and that app really helps me. It plays soothing music/waves. You lie down and put your phone on your belly and the music speeds up/slows down in time with your breathing. I found it really helpful because it gave me something to focus on.

I have been over to vaginapagina, it's great, but this community seems a bit more active to me. I was definitely aware of digital removal as I work in nursing and have *ahem* assisted patients before. I just never heard of someone pressing on the vaginal wall. I would venture to guess you and your friend are right and it is way more common than most people think, it is just no one talks about it.

There are also kegel exercisers/Ben Wa balls to consider as far as strengthening your pelvic floor muscles. Yoga is good for that too, especially many of the balance poses. But if cups help you then stick with that. You know your body best and what works for you. Yay for cups! So many uses! :)
Serpent: neutralserpent_849 on February 4th, 2014 07:43 pm (UTC)
the thing is that if you look at the official criteria, i did try to bear down/strain a lot. it just doesn't help anyway, unless it more or less accidentally makes me relax. i've been avoiding them for two days now and it's surprisingly easy now that i've accepted that they won't help anyway.

as for strengthening, it actually seems like traditional kegels are kinda discouraged :S kinda like in this comm we always say - learn to do kegels, then learn to RELAX especially for removal.

oh thanks for the app info. my only android device is my e-reader though, haha, and i doubt my ooooold ipod can perform it either. i do have some great meditation files though... i've definitely got out of the habit with them recently :/

ohh, helping someone else with that is definitely a whole new level :D thanks for giving me one more reason not to feel disgusted with myself for this. and yeah all sorts of manipulations can help. pressing on my perineum also often works for me.
Serpent: neutralserpent_849 on February 4th, 2014 06:03 pm (UTC)
also, meant to post this link: http://naturallygutsy.com/2013/04/02/biofeedback-for-pelvic-floor-dysfunctiondyssynergia-and-chronic-constipation/
"pooping school" haha. i've seen someone say online that it's not something one can learn on their own, but i hear the same about languages all the time yet i do that successfully :D
faranth22faranth22 on February 4th, 2014 06:43 pm (UTC)
Okay, obviously I did not understand what you meant when you said biofeedback. Interesting article! I'm learning all kinds of fun facts today! Still, that app is very relaxing if your into that kind of thing.
terriqat on February 4th, 2014 10:48 pm (UTC)
Just chiming in to say that if you do express through the vaginal wall, wash your hands first really well with soap! I managed to give myself one hell of a nasty case of BV a few years ago by not being careful.
Serpent: neutralserpent_849 on February 4th, 2014 11:08 pm (UTC)
that's an important one, yes!
with my low cervix, trying to help myself through the vaginal wall is useless, but thanks for mentioning this.