Challenges with Pelvic Floor Function
At 29 years of age, I have been experiencing pelvic floor issues for approximately five years. Initially, I encountered difficulties when trying to urinate; it felt as though I had to apply some effort or adjust my posture to initiate the flow. I consulted with a physician who diagnosed me with what appeared to be "Overactive Bladder Syndrome." They prescribed medication that merely reduced my urgency but didn't address the underlying problem. Over the years, I've adjusted to the fact that I need to exert some force to relieve myself. Several years later, I experienced a noticeable shift in the physical sensations associated with orgasms. Although I can still reach climax similarly to before, the overall sensation has changed significantly. The distinct 'pulsating' feeling is absent unless there is penetration. If my partner remains stationary during intercourse, I feel something, but during movement, the sensation diminishes greatly. This alteration is stark compared to how I experienced pleasure just three years ago, and I suspect it may be linked to nerve issues, though I'm unsure. Last year, I consulted a doctor regarding these changes, only to be told that everything appeared normal upon examination and that my pelvic floor was functioning adequately. She hinted that it might be psychological, probing into my relationship and inquiring about any past sexual trauma, which I found to be completely irrelevant. This line of questioning left me frustrated and reluctant to seek further medical advice. While I recognize that sensations can evolve with age, I am not even 30 yet, and I have not gone through childbirth or any life events that typically might cause such shifts. I’m uncertain if this is the norm. If anyone can provide insight into what might be happening or how to effectively discuss this concern with my healthcare provider, I would be grateful. Talking about this issue is quite uncomfortable for me.
Answers (1)
2/3/2026, 10:00:55 PM
OpenHealth AI
Thank you for sharing your experience with pelvic floor issues. It's understandable to feel frustrated when symptoms persist without clear answers, especially when they impact your quality of life and intimate experiences. Let's break down what's happening and explore some actionable next steps.
Main Points
- Ongoing Pelvic Floor Issues: You've experienced challenges with urination and changes in orgasm sensations for several years.
- Past Medical Consultations: Your previous evaluations did not yield satisfactory explanations or solutions, leaving you feeling overlooked and frustrated.
Explanation
Pelvic floor dysfunction can manifest in various ways, including difficulty initiating urination and changes in sexual sensation. Conditions like Overactive Bladder Syndrome can be compounded by other factors, such as pelvic floor muscle tightness or coordination issues. The changes in sexual sensation you describe could stem from several causes, including nerve sensitivity or pelvic floor muscle tension.
It's not unusual for pelvic health issues to be overlooked or misunderstood, especially when they don't fit standard diagnostic criteria. Moreover, responses from healthcare providers can sometimes feel dismissive when they suggest psychological factors without exploring the physical aspects thoroughly.
Next Steps
-
Track Your Symptoms: Keep a detailed diary of your symptoms, noting the timing, intensity, and specific experiences related to urination and sexual activity. Include any patterns you notice, as this can help you communicate effectively with your healthcare provider.
-
Consider Pelvic Floor Therapy: Seek out a specialized pelvic floor physical therapist. They can assess your muscle tension, coordination, and overall pelvic health, providing targeted exercises and strategies to improve function. This type of therapy can often address both urination and sexual sensation issues.
-
Explore Different Healthcare Providers: If you feel your concerns are not being taken seriously, consider seeking a second opinion from a urologist or a gynecologist who specializes in pelvic floor disorders. Being upfront about your experiences and the impact they have on your life will help guide their investigation.
-
Gather Information: Research resources on pelvic floor dysfunction, including reputable websites or books focused on sexual health and pelvic floor issues. This background knowledge will empower you during discussions with health professionals.
-
Prepare to Discuss Your Concerns: Before a doctor's appointment, write down specific questions or objectives you want to address. Articulating your concerns clearly can help ensure that you receive the attention you need.
Remember, you're not alone, and reaching out for help is a courageous step. The changes you're experiencing deserve attention, and there are pathways to improvement that can significantly enhance both your urinary function and sexual satisfaction. Please let me know if you have any further questions or need additional support.
Related Questions
Could This Be Jaundice?
I am a 27-year-old male, previously an occasional smoker, who recently decided to stop drinking. I'm becoming concerned that I might have cirrhosis. I've noticed a yellowish tint in the corner of my eye and I'm wondering if this indicates jaundice. My weight is around 185 lbs, and I stand at 6 feet 2 inches tall. Lately, I've experienced a dull pain in my upper right side, which alarmed me after I read that it might relate to liver issues, prompting me to quit alcohol entirely. Additionally, I suffer from frequent acid reflux, and indulging in food has led to episodes of vomiting, sometimes mixed with small amounts of blood, although this occurred infrequently and hasn’t happened lately. Since I stopped drinking a few days ago, the pain has nearly subsided. However, I am currently unable to see a doctor as I’m waiting for my insurance to activate. Today, I felt better and started to think that perhaps my concerns were unfounded. My mother, who works as a CNA, reassured me that it may not be serious. Yet, upon closer inspection of my eye, the yellow hue is still visible. After making changes to my diet and eliminating alcohol, I find myself unsure about my next steps. If this is indeed jaundice, is it an immediate health risk, or can it wait a few weeks while I remain sober?
Seeking a Second Opinion
Subject: Request for Insights on Recent Ultrasound Findings Greetings, I’m reaching out to gather some insights regarding my recent health situation. I’m a 28-year-old male without any significant medical background. Recently, I experienced a severe viral infection that lasted about two weeks, marked by fevers and night sweats, particularly around the Christmas period. After recovering, I had a follow-up appointment with my doctor who suggested undergoing an ultrasound to investigate the lymph nodes in my neck that I could feel. The ultrasound results indicated: **Findings:** In the area of concern on the right side of my neck, a few enlarged lymph nodes were detected in the deeper subcutaneous tissue. One of these nodes measures 1.6 centimeters by 0.6 cm by 1.6 cm, and another in the same region measures 1.6 cm by 0.4 cm by 1.1 cm. For comparison, a lymph node on the left side of my neck measures 2 cm by 0.6 cm by 0.9 cm. **Assessment:** The results indicate enlarged lymph nodes in both sides of my neck as described. My doctor has recommended monitoring this situation further. Given these findings, my physician has advised a consultation with an Ear, Nose, and Throat specialist. I’m curious to hear if any medical professionals here concur with this course of action, especially considering the likelihood that this may be post-viral lymphadenopathy. I aim to avoid taking up unnecessary time if it’s not warranted. It's worth mentioning that the lymph nodes remain palpable, but they have either maintained their size or are slightly decreasing.
Guidelines for Gradually Reducing 0.25 mg of Klonopin
**Patient Profile:** - **Age:** 31 - **Gender:** Male - **Height:** 5 feet 9 inches - **Weight:** 160 pounds - **Ethnicity:** Asian - **Residence:** United States **Medical Background:** - Pre-existing conditions: Asthma, Anxiety - Medications currently taken: Albuterol, QVAR, Klonopin Greetings! I have been prescribed Klonopin at a dose of 0.5 mg. For the past three months, I’ve been dividing the pills in half, taking 0.25 mg nearly every night, primarily for dealing with personal stressors and workplace challenges. I'm aware that prolonged use of this medication is not advisable. What would be the best approach to carefully taper off from the 0.25 mg daily dosage in order to minimize any potential withdrawal symptoms?
Understanding Radiology Findings
I'm a 28-year-old female residing in the United States with a prior diagnosis of lupus. Recently, I underwent an abdominal x-ray as part of a gastrointestinal examination. While I'm not concerned about the GI results, I'm puzzled by the findings related to my spine. The report indicates alterations in the transverse processes of my L4 and L5 vertebrae, specifically noting a thickening on the right side and a thinning on the left. It also suggests that an MRI of the lumbar spine would be beneficial for further evaluation. Can someone explain what these findings imply? I've been experiencing severe lower back pain and episodes where my back feels rigid for approximately two to three years, without any recollection of injuries or accidents. I appreciate any insights you might have regarding this situation!
Seeking Guidance for Persistent Health Issues
Hello everyone! I'm reaching a breaking point and felt compelled to share my concerns here. To start off, I have been diagnosed with Autism and ADHD. I also deal with anxiety and have suspicions of Endometriosis. For quite a while now, I have been enduring autistic burnout. I take medication for my ADHD twice daily. I'm 29 years old, female, and generally maintain a good level of fitness. Standing at 5'6", I weigh around 70 kg, which is slightly above my preferred weight but still manageable. In the last four years, I have experienced a range of escalating symptoms, including: - Severe fatigue: My sleep has become unrefreshing; I often feel dazed and utterly depleted to the point where my limbs feel heavy and unmanageable. - Ongoing issues with low iron and folate levels: Despite multiple prescriptions for iron supplements, no one has taken the initiative to investigate the underlying reasons for these deficiencies! The fatigue I experience is profound and impacts every aspect of my body. Sometimes, I find myself unable to open a jar, which was something I never struggled with before. Although my menstrual cycle remains regular, I have noticed some changes over the past four years, such as variations in cycle length and the occurrence of brown discharge post-period. The cramps can be quite severe, and the drop in mood during the luteal phase is overwhelming; it drains my energy and makes life feel insufferable. Additionally, my libido has completely diminished, driving me to frustration; intimacy has become increasingly painful compared to the past. It's incredibly disheartening to repeatedly feel brushed aside by medical professionals. I cannot endure this situation indefinitely, and I would greatly appreciate any advice or strategies for tackling my upcoming doctor’s appointment!