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The Re-education of My Perineum

I first encountered la rééducation périnéale four years ago when I was pregnant with twins and the slightly psychotic, very peremptory French midwife terminated what I presumed to be our final childbirth preparation session by correcting me: “No, you will see me again. After you give birth. For your perineal re-education.”

I muttered something like, “um, yeah,” then asked my ob-gyn what this was all about. “Don’t worry,” she told me, “it’s paid for by the state.”

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Featured

 Why You Shouldn't Try Perineum Sunning

A few "wellness" trends involving genitals have popped up on the internet, from sitting over a pot of boiling water as a method of steaming the vagina to sticking jade eggs into your vagina to strengthen your pelvic floor muscles. Another trend to add to that list is "perineum sunning." It's the act of a person exposing their perineum (the region between the genitals and

Articles of Interest

But Seriously: The Real Deal on Perineal Care

Last week I joked about a doula’s tendency to use certain words: placenta, lochia, and nipple come to mind. My big confession was a particular fondness for discussion of the perineum, or the area between the vaginal opening and the anus. Perfectly benign word for coffee chat and parent teacher conferences, right?

Functional Anatomy of Female Perineum

It is a surprisingly dynamic field with new insights, discoveries, and controversies and carries differences in viewpoint among anatomists and surgeons.

Imaging of the Female Perineum in Adults

The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. The perineum is divided into the anterior urogenital triangle and the posterior anal triangle; the vulva represents the external genitalia. A wide array of diseases affect the female perineum in adults.

Let's Talk About The Gooch: The Most Neglected Part of Your Body

Some corners of the Earth have yet to be explored. There's the Vale do Javari region of Brazil and the New Hebrides Trench near Australia, just to name a couple. And then there are the corners of your body that have yet to be explored. Among these uncharted territories is your gooch: the area between your balls and butthole.

Massaging Away a Potential Complication of Birth?

Perineal massage is the practice of inserting one or two lubricated fingers about two inches into the vagina and applying pressure on the pelvic muscles and tissues for 10 minutes once or twice a week starting at 34 — 35 weeks of pregnancy. The massage can be done by the pregnant person or her partner.

Muscles and Fascia of the Perineum

The perineum corresponds to the outlet of the pelvis. Its deep boundaries are–in front, the pubic arch and the inferior pubic ligament; behind; the tip of the coccyx; and on each side the inferior ramus of the pubis and the ramus of the ischium, the ischial tuberosity and the sacrotuberous ligament.

Perineal Massage: What Is It, And Is It Worth the Hassle?

Perineal massage is the act of stretching the perineal tissues, preparing them for childbirth and making them more ‘elastic’. This can be carried out from around 34 weeks pregnant for around 3-4 minutes, 3-4 times a week.

Protecting the Perineum

The perineum refers to the area extending between the anus and the vaginal opening or the anus and the scrotum. During the birthing process, trauma can occur in the perineal area through episiotomies and spontaneous lacerations.

When your perineum still hurts

Your perineum is phenomenal. No bones about it — it’s awesome. And this is why.

Resources

5 things you should know about the perineum

The perineum is a part of the reproductive system that has the function of protecting and supporting the pelvic organs such as the uterus, vagina, rectum, bladder, etc., is the portal of intercourse to receive sperm and sperm. uterus, and at the same time meet the sexual needs of women.

7 ways to reduce perineal tearing during childbirth

There is little doubt the rates of perineal trauma have increased over the past 100 years, with early midwife records indicating most women had no tearing.

Basicmedical Key

The perineum is the area outlined by the diamond-shaped pelvic outlet. It contains the external genitalia and anus.

KenHub

The pelvic cavity, like most spaces in the body, has an inlet and an outlet. For the most part, the pelvic outlet is closed off by the muscles of the pelvic floor (levator ani & coccygeus muscles). The region of the body superficial (caudal in a standing individual) to these muscles and medial to the thighs is known as the perineal region. It is a diamond shaped area that is best visualized (with the patient’s consent) when the individual is in a lithotomy position;

StatPearls

The perineum is a diamond-shaped space below the pelvic diaphragm and refers to the lowest region of the trunk. An imaginary line between the anterior ends of the ischial tuberosity divides the perineum into two triangular divisions.

TeachMe Anatomy

The perineum is an anatomical region in the pelvis. It is located between the thighs, and represents the most inferior part of the pelvic outlet. The perineum is separated from the pelvic cavity superiorly by the pelvic floor. This region contains structures that support the urogenital and gastrointestinal systems – and it therefore plays an important role in functions as such micturition, defecation, sexual intercourse and childbirth.