HOW YOUR OVERACTIVE PELVIC FLOOR MUSCLES AFFECT YOUR SEX LIFE ?

 

If anyone is experiencing difficulty with sex, perhaps his pelvic floor is responsible for that. For instance, men may be trying their best to show their performance in the bedroom as the need arises and for ladies, it very well may be the reason it is such a painful thing in the bedroom with their partner that it makes them upset and worry about their health. You will surely get the reasons in this article why the pelvic floor is responsible for creating issues and difficulties for you at the time of intercourse. 

What is Overactive Pelvic Floor Dysfunction? 

Our pelvis comprises various muscles which are in the shape of a bowl and ordinarily called pelvic floor and in between rests the bladder. Quite similar to different body muscles it also tends to react against anxiety and stress and when it happens your pelvic floor suffers from a syndrome known as overactive pelvic floor disorder or dysfunction. It's the same as TMJ syndrome, wherein the jaws of certain individuals get stiff and whenever they wake up from night sleep in the morning they have a migraine or a severe headache. The hypertonic or overactive pelvic floor is also similar to that. In case you are living a life that is full of too much tension and distress you may be bearing its consequences on the muscles of your pelvis as well. It very much resembles the exercise of the arm. In case the muscles of your pelvis are feeling too much tension and stress, they can contract very hard and stiff and afterward do not loosen up. That’s quite similar to a bicep twist exercise. If you do it constantly and you simply lift the bicep arm in an upright position constantly it will be creating too much trouble and you will experience too much disturbance at the time of arm movement whenever you do it later on. You may also experience shoulder pain or sometimes back pain. In the same way, in the case of ladies, if they have a tight pelvic floor they may experience pain at the time of intercourse when they are getting penetration. In the case of men if they also have tight pelvic muscles the blood flow towards their male genitals will drop down and that will result in erection problems. (@ chhanno blogspot com 02112021). 

Treatment of Overactive Pelvic Floor Disorder:

This condition may be treated by figuring out the correct method of doing physical therapy of the pelvis muscles and also to guide and prepare muscles of the pelvic floor to relax whenever they become hard and stiff which is a sort of difficult task. You will be required to focus on how you should teach yourself to do pelvic floor workouts and how you should do those workouts in the long run. There are many limitations to it. You will be required to visit the therapy center on weekly basis for a period of perhaps two or three months. You will be required to manage your time, leave your workplace on time and reach the physical therapy center timely, and so on and in some cases, that's truly difficult to do. Fortunately, there is internet you have. Don’t hesitate to browse the web and attempt to discover a few websites that can show you the correct method to do pelvic floor exercises and prepare your muscles of the pelvis practically under the direct supervision of a physical instructor.  (@ chhanno blogspot com 02112021). 

Complications Due to Overactive Pelvic Floor Muscles:  

People come across pelvic floor muscle disorder in their daily practice however this thing is much under-analyzed. Although it influences sexual activities for certain individuals it is also a cause of many other disorders like constipation, lower backache, urinary incontinence; meaning frequently going to the toilet to pass urine, and urinary urgency; meaning hurrying the toilet to save yourself from some mishap. Several distinct indications or symptoms for this problem may introduce you to a separate specialist physician for treatment of each of these symptoms whereas the truth is that the entire issue lies in your pelvis. The truth is that many people having overactive pelvic floor go see a urologist because they believe to have an intermittent infection of the bladder or severe pain during sex or an erection problem in young men that is simply a rare thing. Many of these individuals improved considerably and their concerns were settled when advised and referred to a pelvic floor physical treatment center. In case you are having a similar problem like the one stated above you may please consult a specialist in urology, or health care physician, ask them to refer you to a pelvic floor physical treatment center and there you may be able to reach a specialist who can help you to explicitly have your pelvic floor muscles successfully trained.  

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NB:- TMJ stands for “temporomandibular (tem-puh-roe-man-DIB-u-lur) joint.” TMJ acts like a sliding hinge, connecting your jawbone to your skull. You have one joint on each side of your jaw. 

 (Updated on 25-01-2023)

WHAT ARE THE BEST AND SAFE MEDICINES FOR OVERACTIVE BLADDER?

What is overactive bladder, what medicines or remedies are available for its treatment, are these medicines safe for all people and how much are these medicines effective? Let’s find out what urologists say all about it. Maybe we have answers to all of these questions that can satisfy you. 

 

The term overactive bladder portrays a group of various indications comprising urinary urgency, urinal frequency, urinary incontinence, and nocturia. Urinary urgency is a condition wherein people have to hurry to reach the toilet to pass water since it’s difficult for them to wait any longer. When you frequently go to the toilets to pass water that exceeds 8 times daily which is above normal you have an indication called urinary frequency. Some patients suddenly feel an urgent need to pass water that is so immediate and forceful that they cannot reach the toilets and have to face leakage of urine every now and then. It is called urinary incontinence. Then there is Nocturia which means waking up to urinate in the middle of your sleep at night. 

There are medicines for the treatment of any of the above-mentioned indications and anyone who comes across them should, first of all, try medicines. Overactive bladder medicines are normally categorized into two groups. One group is called anticholinergics which include Trospium, Oxybutynin, Solifenacin, Tolterodine, and several other types of medicines. According to a most recent study, anticholinergic medicines are associated with dementia and that will be discussed at the end of this article. The other group is called Beta-3 agonists and the only medicine of this group available in the stores for urinary incontinence is called Mirabegron. 

Due to anticholinergic medicines there is no contraction or shrinking of the bladder or the bladder has quite a powerless contraction. When there are fewer contractions of the bladder you feel the urinary urgency will also decrease as a consequence and you will not feel so strong an urge to go to the washroom. Moreover, you will have a longer period to reach the toilet and thus have fewer mishaps. Your bladder will build in size and the gap between the two voidings will also increase. Your frequent daytime toilet visits will get reduced considerably due to such medicines.  (@ chhanno blogspot com 24102021) 

In various studies, it has been observed that people got relief from incontinence, urinary urgency, and frequent urination significantly by taking anticholinergic medicines. The volume of their urine passed each time also increased significantly. That is a sort of alternate method to know the real size of your bladder and the real volume of your urine that you can hold in the bladder. So such medicines are effective but patients with bladder incontinence often don’t take them constantly. The reason is that these medicines have a few critical adverse reactions like dry mouth, dry eyes, blurry eyesight, constipation, etc. The patients also experience a few mental changes which involve impairments of thinking, reasoning, and remembering however every patient does not experience such changes but a few of them surely can experience them. Individuals who have a history of these adverse effects are not advised to take these medicines. These medicines are also not given to patients who have any kind of urinary retention. Further, in case of having narrow-angle glaucoma, (perhaps an ophthalmologist can better explain it) you would be prohibited to take them even if these are required by you. This medicine is also not given to patients who have Gastroparesis which means slow movement of food from your stomach to your small intestine. 

 

The statistics on anticholinergic medicines reveal that nearly 60% of overactive bladder patients quit these medicines within a half year and they do it due to so many reasons. Perhaps they quit these medicines for being ineffective or having unpleasant adverse effects or they think they can happily survive not using them or they think they should not always take these medicines or they have no information about alternate options, therefore, they simply discontinued taking it and didn't request any other thing. Thus, whenever patients of urinary incontinence are advised to take anticholinergic medicines they should continue taking them and in case of any side effect or adverse effect follow the advice of their physician since many alternative remedies are available which may strengthen conditions of a weak bladder without medicines. 

 

Beta-3 Agonist is another type of medicine and only one medicine with the name Mirabegron is available in the market. It portrays a normal thing that sticks to the bladder receptors which makes the bladder loosen up and not contract. It functions by decreasing the feeling that you need to go to the washroom. It also expands the size of the bladder to retain more urine and does not have too many side effects. However, one of its side effects is that patients’ BP slightly increases by nearly 10 mm Hg and that’s why they remain under observation after seven days of starting the medicine to ensure that their blood pressure remains within limits instead of getting excessively elevated. There is also some nasal congestion and headaches but these are not too severe. If you're already on some other medicine you should regulate it while using this medicine by consulting your physician. The beta blockers called Toprol or Metoprolol are the most well-known medicine the dosage of which needs to be adjusted. Usually, this medicine is very well tolerated and many patients respond to it well enough. However, medicines with trademarks at times cost too much. Thus, although it is somewhat well-tolerated people occasionally can't bear its cost and look for alternative medicines. 

 

On the subject of an association between anticholinergic medicines and dementia, the two latest studies were released comparatively not long ago. It was released in the British Medical Journal, and by analyzing a very large research database already available, they discovered in that database nearly 40 thousand individuals more than 65 years of age have dementia. These individuals were placed in one group. Individuals of the same age and other significant medical conditions but without dementia were also traced from the same large database and placed in the second group. People in the group having dementia were coupled with people having similar ages and medical conditions in the other group not having dementia and the two groups were then compared. The main focus of this study was explicitly on medicines these people were taking from four to twenty years earlier than their dementia was identified. The confounding factors were also tried to be controlled. Confounding factors means the things which may be interconnected with dementia and may likewise be seen ordinarily in individuals using anticholinergic medicines. The age of the people, their smoking habits, their medicines being used, and different factors which may be causing dementia were also considered. It was found that the danger to get dementia was explicitly connected with the medicines for bladder incontinence in case these medicines were taken four to twenty years earlier than their dementia was identified. This study faced much criticism. The main criticism was that they are retrospectively analyzing a past database, and secondly, we couldn’t say whether the confounding factors could be managed since we have no idea about the basic reason for dementia. Further, we cannot regulate if the prescribed medicine were used or anticholinergics that were accessible without a prescription were used. May be that certain individuals were attributed to the “dementia-free” category but they could be taking these medicines. 

The criticism of the above-mentioned database resulted in one more hypothesis namely “a few things, say urinary incontinence might be almost the same amongst the people who had been taking anticholinergic medicine and those who had dementia in both groups separately which implies that the basic reason, for instance, urinary incontinence, maybe going before their dementia.” This is so because urinary incontinence in a few cases like multiple sclerosis is the first-ever indication of neurological issues. Thus there is a possibility of its being the initial sign of dementia. In case you see some urinary incontinence this may be the first indication that you will be seeing however nothing can be said with certainty. It’s difficult to assess which one of the two symptoms is responsible to cause the other however what we can say with surety is that an association between the two is there. Does it mean to stop taking medicines for overactive bladder that are helpful to further elevate your level of well-being? Well, the decision in this respect is yours however in case your level of well-being is unsatisfactory these medicines may be quite helpful. (@ chhanno blogspot com 24102021). 

Quite like the above study another study was released by American Medical Association. In this study, the data of sixty-thousand individuals having dementia were analyzed. The quantity of standard dose of anticholinergic medicine that is required per day was taken into account in this analysis to establish an association between the medicine and dementia. Now we can’t say with surety whether it’s the basis of dementia however what we can say with surety is that an association between the two is there. Anyhow, it was observed that taking a standard dose of this medicine per day continuously for 3 years or proportionate thereof is closely linked to dementia. Only the individuals above the age of 65 were taken in this study and the data of a maximum of the past eleven years till their dementia was identified during which they had been taking anticholinergic medicines was analyzed. 

Although these are perfect and all-around good studies however in the end we have no idea about the actual reason for dementia so far. It’s difficult to decide whether in the two groups anticholinergic medicines explicitly or a collective confounding component is responsible for dementia. The net result is that please use it carefully as an association between the two is there. For instance suppose a change in mental attitudes like carelessness or poor memory is noticed by you whether in yourself or a close relative on anticholinergic medicine then you must influence to stop that medicine forthwith, of course in consultation with your physician. Whenever you visit the physician you should talk to him about the effectiveness of your medicines since some medicines including anticholinergics which were prescribed for urinary incontinence yet you no longer remember their actual reason as well as these may not be so beneficial for you if continued. Therefore, you have to reassess your medicines each time you see your physician. Finally, you must be informed about the fact that more options are available for the treatment of bladder incontinence for example Botox injections, bladder pacemakers, or acupuncture. All these are nontraditional remedies and may function to improve overactive bladder. 

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(Updated on 08-01-2023)

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