The perineum is that little-known, forgotten muscle, which nevertheless plays an important role throughout our lives. The good condition of the perineum is a matter for everyone, of all age groups: men, women, young mothers, seniors, and even athletes.
When we ask Michel, 70 years old, if he has ever heard of his crotch, the answer is simple: “Very little, actually. We don’t talk about such things when everything is going well“The perineum is the pelvic floor that supports many organs in the lower abdomen and can become damaged during childbirth or surgery. Removing the prostate completely can lead to urinary leakage. But Michel quickly took matters into his own hands.”I simply consulted following the urologist’s advice. I had an appointment with a pelvic floor rehabilitation specialist“After five months of rehabilitation, Michel regained a real quality of life.”I think that it is in the interest of all people who will have problems with the prostate and removal of the prostate to turn to this type of expert who will tell them how to act so that they do not have problems.“.
Perineum, a rather complex structure
Anne-Cécile Pizzoferrato, gynecologist in Poitier University Hospitalwith a specialization in the perineum, regrets such a taboo around the perineum. She praises early childhood education about this essential muscle. “The perineum is a rather complex structure consisting of muscles, but also ligaments and connective tissue that will cover the entire small pelvis. Its main role is to support the pelvic organs. In women, it will be the bladder, rectum, uterus and vagina. But men also have a perineum, and the function of the perineum in men is just as important as in women.“In men, the perineum supports the rectum, bladder and prostate. This is why prostate surgery can cause problems with urinary incontinence*.*
Perineum and sexual pleasure
The perineum ages with us and is in high demand during the day. Anne-Cécile Pizzoferrato explains what she is going through: “it is weakened by the urinary and rectal systems for men and women. In women, there is also a genital tract with a vagina, which is an area of fragility.“. This is a taboo area in several views. Because the perineum also plays a role in sexual pleasure. An excessively tight perineum in men can be responsible for premature ejaculation. The solution lies in relaxing the perineum. In women, THE “the clitoris is located inside the perineum. So the clitoris is the place of pleasure. It is the passage in quotation marks until the time of intercourse” explains Anne-Cécile Pizzoferrato.
Urine leakage, isolation factor
Marie-Christèle underwent perineal rehabilitation several times, especially after giving birth. What he remembers is that it all boils down to bad habits that become ingrained. In her practice as a gynecologist, Anne-Cécile Pizzoferrato realized how crucial the topic is for those suffering from perineal dysfunction: “It is important to improve their quality of life because the daily leakage of urine is an isolating factor for the elderly. Limiting your sports activity because of urine leakage is still not good when we say that sports are beneficial for your health“.
Magali had problems with urine leakage that turned her life around. “I had small leaks, but they disabled me a lot in my life as a mother and wife. Coughing and laughing caused the leak, it really conditioned me.“For a long time, the exercise that was practiced was “stop peeing” to check if the perineum is doing its job. A false good idea, because “if we stop the bubble, it does not continue its flow“.
Take a step to the toilet
For Anne-Cécile Pizzoferrato, “it is not inevitable, whether we are fifteen years old, 22 years old, 45 years old or 70 years old, whether we were pregnant, there are solutions. Do not hesitate to go for rehabilitation at a midwife or physiotherapist and you will inevitably improve perineal disorders, especially urinary incontinence or anal incontinence.“.
She continues with her daily advice: “The crux of the matter is constipation, when you are constipated and when you systematically try to empty your stool, you are gently changing the perineum every day. For easier evacuation of the chair, it is good to have a step stool in the toilet, when you raise your legs, you relax your perineum more. LThree quarters of women do not sit on the toilet bowl to pee, collect their crotch, it is not good. Last tip, when you’re trying, you have to breathe, when you’re apneic, push your perineum.”**