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Gynecology  (Expert Forum)
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vaginal air during pilates
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
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This forum is for questions and support regarding gynecology issues such as: Cervical Disorders, Colposcopy, Cramps, Cystitis, Fallopian Tube Disorders, Menstruation, Ovarian Disorders, PAP Test, Pelvic Exam, PID, PMS, Surgery, Tests, Ultrasound, Uterine Disorders, Vaginal Disorders.

vaginal air during pilates

by jso273, Oct 01, 2007 10:42AM
When I go to pilates class some positions and exercises introduce air into my vagina and then forcefully push it out, so it sounds like flatulence. I've had 3 kids so is my introitus permanently wider? It's very embarrassing. Is there some sort of exercise to help prevent this from happening? Kegels?

by Keith Downing, MD, Oct 01, 2007 12:26PM
Hello,

Yes, Kegel's will help strengthen the pelvic floor muscles allowing greater control of the symptoms you describe.  Certainly, after a vaginal delivery a women's introitus widens.  If this is bothersome to you in other ways (e.g., interferes with intercourse, or trapping water in the vagina with bathing), and doesn't improve with Kegels, you should consider seeing a urogynecologist for possible surgical revision.    

For Kegel's to be effective you should contract the muscles used to stop urine flow.  The contraction should be held for 5 seconds 10-12 times each set, and do three sets during the day.

Best regards,

Dr. Downing
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