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		<title>Painful Periods: Why They Occur and How Intimate Physical Therapy Can Help</title>
		<link>https://tobe.sk/en/painful-periods-why-they-occur-and-how-intimate-physical-therapy-can-help/</link>
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		<pubDate>Thu, 25 Dec 2025 16:09:55 +0000</pubDate>
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					<description><![CDATA[What is painful menstruation? Painful menstruation, medically known as dysmenorrhea, is one of the most common health problems among women. It is a condition in which menstruation is accompanied by intense, cramping pain in the lower abdomen, sometimes radiating to the lower back, legs, or pelvis. Many women consider this pain “normal” because they have [&#8230;]]]></description>
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					<h2 class="elementor-heading-title elementor-size-default">What is painful menstruation?</h2>				</div>
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									<p>Painful menstruation, medically known as dysmenorrhea, is one of the most common health problems among women. It is a condition in which menstruation is accompanied by intense, cramping pain in the lower abdomen, sometimes radiating to the lower back, legs, or pelvis. Many women<br/>consider this pain “normal” because they have experienced it since their teenage years and believe it is simply a natural part of menstruation. The truth, however, is that severe pain during menstruation is a signal that the body needs something—most often relaxation, balance, and a change in lifestyle.   </p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">What is painful menstruation?</h2>				</div>
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									<p>One of the main causes of painful menstruation is increased tension in the abdomen, pelvis, and pelvic floor. These structures are closely interconnected, and when any one of them is overloaded or not functioning properly, it affects the entire menstrual cycle.<br/>Pain can also result from poor posture, increased stress, improper breathing, a sedentary lifestyle, or weakness in the deep stabilizing muscles. Menstrual pain is also influenced by hormonal changes, inflammation, or conditions such as endometriosis. Whatever the reason, it’s important to know that this pain isn’t normal and you don’t have to endure it every month.   </p><p>You can learn more about endometriosis in our article: <a href="https://www.intimfyzio.sk/2025/12/11/endometrioza-priznaky-diagnostika-a-akopomaha-intimna-fyzioterapia/" target="_blank" rel="noopener">Endometriosis: Symptoms, Diagnosis, and How Intimate Physical Therapy Can Help</a></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">How Can Intimate Physical Therapy Help?</h2>				</div>
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									<p>Intimate physical therapy offers a holistic approach that treats a woman’s body as an interconnected system. The goal of therapy is not merely to suppress symptoms, but primarily to improve the function of the pelvic muscles, abdominal wall, and pelvic floor, which often contribute to the development of menstrual pain. A very important part of the therapy is releasing overloaded structures. A tense pelvic floor, a tight lower abdomen, or blockages in the lower back and lumbar spine can significantly affect blood flow and organ mobility. When the tissues in this area are released, the menstrual cycle often becomes smoother and less painful.    </p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">What Is Addressed During Physical Therapy for Painful Menstruation</h2>				</div>
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									<p>Physical therapy for painful menstruation is highly individualized, as every woman experiences a different type of pain and has a different underlying cause. However, the following issues are most commonly addressed: </p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Pelvic Floor Relaxation</h3>				</div>
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									<p>Paradoxically, many women have a pelvic floor that is too tense, not weakened. Overworked muscles may react with more intense cramps during menstruation, causing dull or cramping pain. Relaxing the pelvic floor muscles (using both external and intravaginal<br/>techniques) often provides significant relief.  </p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Working with the Abdominal Wall and Scars</h3>				</div>
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									<p>Abdominal muscles, any surgical scars (from laparoscopic surgeries in the pelvic or abdominal area, or cesarean sections), or tight fascia can restrict the free movement of the uterus, which exacerbates menstrual pain. Manual techniques help restore tissue elasticity. </p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Mobilization of the Pelvis, Sacral Region, and Chest</h3>				</div>
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									<p>The pelvis and spine form a single functional unit. If one part is restricted, the body compensates elsewhere—often in the pelvic floor. Mobilization techniques promote mobility and blood flow in the pelvic region.  </p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Breathing Techniques and Practice in Proper Breathing</h3>				</div>
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									<p>Breathing has a significant impact on the tension in the pelvic floor and the abdominal cavity. Proper breathing techniques help alleviate painful spasms and improve tissue regeneration. </p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Adjusting Your Routine, Habits, and Home Exercises</h3>				</div>
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									<p>Health-focused exercises, relaxation techniques, gentle stretching, and recommendations for regular physical activity can significantly reduce the incidence of painful menstruation.</p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default"><span style="font-size: 30px">When to Seek Professional Help</span></h2>				</div>
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									<p>We recommend seeing a specialist—a gynecologist or a physical therapist—especially if the pain interferes with your daily life, if you need to take pain medication regularly, if you experience nausea, fatigue, or painful sexual intercourse, or if your periods are irregular or<br/>unusually heavy. Pain is a signal that your body needs support. </p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Painful periods are not normal</h2>				</div>
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									<p>Although painful menstruation is common, it is not natural. Tension in the pelvis and abdomen, a weakened or overworked pelvic floor, poor breathing, and stress are factors that can be effectively addressed. Intimate physical therapy offers functional solutions that<br/>help reduce pain intensity, improve comfort during the menstrual cycle, and restore women’s sense of well-being in their own bodies.  </p>								</div>
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		<title>Endometriosis – Symptoms, Diagnosis, and How Intimate Physical Therapy Can Help</title>
		<link>https://tobe.sk/en/endometriosis-symptoms-diagnosis-and-how-intimate-physical-therapy-can-help/</link>
					<comments>https://tobe.sk/en/endometriosis-symptoms-diagnosis-and-how-intimate-physical-therapy-can-help/#respond</comments>
		
		<dc:creator><![CDATA[tobe_admin]]></dc:creator>
		<pubDate>Thu, 11 Dec 2025 15:47:59 +0000</pubDate>
				<category><![CDATA[Our Posts]]></category>
		<guid isPermaLink="false">https://tobe.sk/endometriosis-symptoms-diagnosis-and-how-intimate-physical-therapy-can-help/</guid>

					<description><![CDATA[What Is Endometriosis and What Causes It? Endometriosis is a chronic gynecological condition that affects approximately one in ten women. It is a condition in which tissue similar to the lining of the uterus (endometrium) is found outside the uterus—most commonly on the ovaries, in the fallopian tubes, on the bladder, in the pelvic area, [&#8230;]]]></description>
										<content:encoded><![CDATA[		<div data-elementor-type="wp-post" data-elementor-id="11550" class="elementor elementor-11550 elementor-11031" data-elementor-post-type="post">
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					<h2 class="elementor-heading-title elementor-size-default">What Is Endometriosis and What Causes It?</h2>				</div>
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									<p style="text-align: left;">Endometriosis is a chronic gynecological condition that affects approximately one in ten women. It is a condition in which tissue similar to the lining of the uterus (endometrium) is found outside the uterus—most commonly on the ovaries, in the<br/>fallopian tubes, on the bladder, in the pelvic area, or even on the intestines. This tissue reacts to hormonal changes in the body and can cause recurrent bleeding, inflammation, and the formation of adhesions. The exact cause of endometriosis is not yet clear, but it is believed to involve a combination of genetic factors, immune disorders, hormonal imbalances, and chronic stress.   </p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">The Most Common Symptoms of Endometriosis</h2>				</div>
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					<h3 class="elementor-heading-title elementor-size-default">Painful menstruation – the most common symptom</h3>				</div>
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									<p style="text-align: left;">The most common symptom of endometriosis is extremely painful menstruation that does not respond to common pain relievers. The pain may radiate to the lower back, thighs, or the entire pelvic area. </p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Digestive problems and issues with elimination</h3>				</div>
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									<p style="text-align: left;">Bloating, constipation, diarrhea, pain during urination, or abdominal tenderness occur primarily when tumors are located in the intestines or near the bladder.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Sexual Problems and Fatigue</h3>				</div>
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									<p style="text-align: left;">Painful sexual intercourse is one of the most common reasons for visits to our physical therapists at Intimfyzio. Chronic pain also leads to significant fatigue and mental exhaustion. </p><p style="text-align: left;">You can read more on this topic in our article: <a href="https://www.intimfyzio.sk/2025/06/14/bolestive-gynekologicke-vysetrenie-a-neprijemny-pohlavny-styk-moze-za-to-prilisne-napatie-panvoveho-dna/" target="_blank" rel="noopener">Painful Gynecological Exams and Uncomfortable Sexual Intercourse</a></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">How Is Endometriosis Diagnosed?</h2>				</div>
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									<p>Diagnosing endometriosis is not easy and often takes years. The process begins with a medical history and a gynecological exam. An ultrasound can reveal typical cysts—endometriomas. In more complex cases, doctors use magnetic resonance imaging,   </p><p>which can pinpoint the location of the lesions more accurately. However, a definitive diagnosis can only be confirmed by laparoscopy—a minimally invasive procedure that allows the lesions to be seen directly and diagnosed with certainty. </p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">How Is Endometriosis Diagnosed?</h2>				</div>
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									<p>Treatment for endometriosis is usually comprehensive. It includes: </p><p>&#8211; hormone therapy to suppress the growth of lesions,<br/>&#8211; surgical removal of lesions or adhesions,<br/>&#8211; pain management,<br/>&#8211; support for digestion, nutrition, and lifestyle,<br/>&#8211; physical therapy and work on the musculoskeletal system.</p><p>Endometriosis cannot be cured with physical therapy, but physical therapy significantly helps reduce its painful symptoms and improve quality of life. And that is precisely where its great importance lies. </p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">How Intimate Physical Therapy Helps with Endometriosis</h2>				</div>
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									<p>The female body responds to chronic pain with reflex muscle contractions, impaired breathing patterns, and strain on the pelvic region.<br/>Intimate physical therapy therefore focuses on:</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Relaxing the Pelvic Floor Muscles</h3>				</div>
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									<p>Pain is often caused by overuse and spasms in these muscles. Manual techniques, both internal and external, help reduce tension and restore function. </p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Mobilization of the Pelvic Organs and Visceral Therapy</h3>				</div>
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									<p>Gentle work on the organs helps release adhesions, improve pelvic mobility, and reduce blood flow to painful areas.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Breathing Techniques</h3>				</div>
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									<p>Proper breathing can relax the pelvic floor, improve circulation in the pelvis, and reduce stress-related tension.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Managing Surgical Scars</h3>				</div>
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									<p>Scars from laparoscopy or other surgical procedures can affect tension throughout the abdominal cavity. Physical therapy helps soften them and improve their function. </p>								</div>
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		</section>
				<section class="elementor-section elementor-top-section elementor-element elementor-element-ab9ed1b elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="ab9ed1b" data-element_type="section" data-e-type="section">
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					<h3 class="elementor-heading-title elementor-size-default">Pain Relief and Improved Quality of Life</h3>				</div>
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				<section class="elementor-section elementor-top-section elementor-element elementor-element-87903d1 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="87903d1" data-element_type="section" data-e-type="section">
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									<p>The goal is not to “cure endometriosis,” but to reduce the severity of symptoms, make movement easier, improve intimacy and sexuality, and support a woman’s overall health.</p>								</div>
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		</section>
				<section class="elementor-section elementor-top-section elementor-element elementor-element-6a50884 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="6a50884" data-element_type="section" data-e-type="section">
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					<h2 class="elementor-heading-title elementor-size-default">When Is It a Good Idea to Seek Intimate Physical Therapy?</h2>				</div>
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				<section class="elementor-section elementor-top-section elementor-element elementor-element-c396fe8 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="c396fe8" data-element_type="section" data-e-type="section">
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									<p>&#8211; for painful menstruation that interferes with daily activities<br/>&#8211; for painful intercourse<br/>&#8211; for pelvic or lower back pain<br/>&#8211; after laparoscopic surgery for endometriosis<br/>&#8211; for chronic fatigue and abdominal tension<br/>&#8211; for digestive problems or pelvic floor issues</p>								</div>
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		<title>Painful gynecological exams and uncomfortable sexual intercourse: Could excessive tension in the pelvic floor be to blame?</title>
		<link>https://tobe.sk/en/painful-gynecological-exams-and-uncomfortable-sexual-intercourse-could-excessive-tension-in-the-pelvic-floor-be-to-blame/</link>
					<comments>https://tobe.sk/en/painful-gynecological-exams-and-uncomfortable-sexual-intercourse-could-excessive-tension-in-the-pelvic-floor-be-to-blame/#respond</comments>
		
		<dc:creator><![CDATA[tobe_admin]]></dc:creator>
		<pubDate>Sat, 14 Jun 2025 18:38:00 +0000</pubDate>
				<category><![CDATA[Our Posts]]></category>
		<guid isPermaLink="false">https://tobe.sk/painful-gynecological-exams-and-uncomfortable-sexual-intercourse-could-excessive-tension-in-the-pelvic-floor-be-to-blame/</guid>

					<description><![CDATA[Many women experience a situation at some point in their lives where they are surprised by pain during a gynecological exam or discomfort during sexual intercourse. If all medical test results are normal but the problems persist, the cause may lie elsewhere—for example, in excessive tension in the pelvic floor muscles. A Tense Pelvic Floor [&#8230;]]]></description>
										<content:encoded><![CDATA[		<div data-elementor-type="wp-post" data-elementor-id="11569" class="elementor elementor-11569 elementor-10901" data-elementor-post-type="post">
						<section class="elementor-section elementor-top-section elementor-element elementor-element-cf03560 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="cf03560" data-element_type="section" data-e-type="section">
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">Many women experience a situation at some point in their lives where they are surprised by pain during a gynecological exam or discomfort during sexual intercourse. If all medical test results are normal but the problems persist, the cause may lie elsewhere—for example, in excessive tension in the pelvic floor muscles. </span></p>								</div>
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				<section class="elementor-section elementor-top-section elementor-element elementor-element-3d2284d elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="3d2284d" data-element_type="section" data-e-type="section">
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					<h2 class="elementor-heading-title elementor-size-default">A Tense Pelvic Floor – A Hidden Cause of Pain</h2>				</div>
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				<section class="elementor-section elementor-top-section elementor-element elementor-element-d0704d0 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="d0704d0" data-element_type="section" data-e-type="section">
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					<h3 class="elementor-heading-title elementor-size-default">How does excessive voltage occur?</h3>				</div>
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				<section class="elementor-section elementor-top-section elementor-element elementor-element-9ba9a76 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="9ba9a76" data-element_type="section" data-e-type="section">
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									<p><span style="font-family: Montserrat;">Increased tone (tension) in the pelvic floor may result from:</span></p><ul><li><p><span style="font-family: Montserrat;">Long-term stress and mental exhaustion,</span></p></li><li><p><span style="font-family: Montserrat;">extreme physical exertion,</span></p></li><li><p><span style="font-family: Montserrat;">urinary tract infection or vaginal infection,</span></p></li><li><p><span style="font-family: Montserrat;">surgical procedures in the pelvic, abdominal, or hip joint regions,</span></p></li><li><p><span style="font-family: Montserrat;">painful or traumatic experiences.</span></p></li></ul><p align="CENTER"><em><span style="font-family: Montserrat;">“These are all factors that can lead to a reflexive increase in pelvic floor muscle tension,”</span></em><span style="font-family: Montserrat;"> explains intimate physical therapist Katarína Hanuliaková, MSc, from the </span><span style="font-family: Montserrat;">IntimFyzio</span><span style="font-family: Montserrat;">.</span></p>								</div>
				<div class="elementor-element elementor-element-efcd77e elementor-widget elementor-widget-heading" data-id="efcd77e" data-element_type="widget" data-e-type="widget" data-widget_type="heading.default">
					<h2 class="elementor-heading-title elementor-size-default">What are the symptoms of increased pelvic floor tension?</h2>				</div>
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									<p><span style="font-family: Montserrat;">Typical symptoms include:</span></p><ul><li><p><span style="font-family: Montserrat;">Pain during a gynecological exam,</span></p></li><li><p><span style="font-family: Montserrat;">uncomfortable or even painful sensations during sexual intercourse,</span></p></li><li><p><span style="font-family: Montserrat;">a feeling of pressure or tightness in the lower abdomen,</span></p></li><li><p><span style="font-family: Montserrat;">frequent urge to urinate or a feeling of incomplete emptying,</span></p></li><li><p><span style="font-family: Montserrat;">digestive problems and frequent constipation</span></p></li><li><p><span style="font-family: Montserrat;">inability to relax</span></p></li></ul>								</div>
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				<section class="elementor-section elementor-top-section elementor-element elementor-element-0a005b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="0a005b6" data-element_type="section" data-e-type="section">
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					<h2 class="elementor-heading-title elementor-size-default">There is a solution—pelvic floor physical therapy</h2>				</div>
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		</section>
				<section class="elementor-section elementor-top-section elementor-element elementor-element-d493a07 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="d493a07" data-element_type="section" data-e-type="section">
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">Targeted gynecological physical therapy can restore proper function to the pelvic floor muscles and relieve excessive tension in them. It is a noninvasive and effective method that helps the body regain its balance. </span></p>								</div>
				<div class="elementor-element elementor-element-f91874a elementor-widget elementor-widget-heading" data-id="f91874a" data-element_type="widget" data-e-type="widget" data-widget_type="heading.default">
					<h3 class="elementor-heading-title elementor-size-default">What does normotonia mean?  </h3>				</div>
				<div class="elementor-element elementor-element-2843fc4 elementor-widget elementor-widget-text-editor" data-id="2843fc4" data-element_type="widget" data-e-type="widget" data-widget_type="text-editor.default">
									<p><span style="font-family: Montserrat;">Normotonia is a condition in which the pelvic floor muscles are appropriately toned—neither too loose nor too tight. It is precisely in this state—normotonia—that the pelvic floor can effectively perform its functions: </span></p><ul><li><p><span style="font-family: Montserrat;">Support the pelvic organs,</span></p></li><li><p><span style="font-family: Montserrat;">help promote proper bowel movements,</span></p></li><li><p><span style="font-family: Montserrat;">to help with proper breathing,</span></p></li><li><p><span style="font-family: Montserrat;">enable pain-free sexual intercourse, and even make it possible to reach orgasm.</span></p></li></ul><p align="CENTER"><em><span style="font-family: Montserrat;">“The goal of physical therapy is to restore this normotonia and help women feel good in their own bodies again,”</span></em><span style="font-family: Montserrat;"> adds intimate physical therapist Katarína Hanuliaková.</span></p>								</div>
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				<section class="elementor-section elementor-top-section elementor-element elementor-element-5ba8d60 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="5ba8d60" data-element_type="section" data-e-type="section">
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					<h2 class="elementor-heading-title elementor-size-default">Don't put off solving problems</h2>				</div>
				<div class="elementor-element elementor-element-df23779 elementor-widget elementor-widget-text-editor" data-id="df23779" data-element_type="widget" data-e-type="widget" data-widget_type="text-editor.default">
									<p align="JUSTIFY"><span style="font-family: Montserrat;">If you’ve experienced a painful gynecological exam or feel discomfort during sexual intercourse, don’t ignore it. Even if the test results show nothing wrong, your body is sending you a signal that it needs your attention. The right step is to see a physical therapist who specializes in the pelvic floor. Just a few sessions together can significantly improve your quality of life.   </span></p><p> </p>								</div>
					</div>
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		</section>
				<section class="elementor-section elementor-top-section elementor-element elementor-element-a96b6d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="a96b6d5" data-element_type="section" data-e-type="section">
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					<h2 class="elementor-heading-title elementor-size-default">Your intimate health deserves your attention</h2>				</div>
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		</div>
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		</section>
				<section class="elementor-section elementor-top-section elementor-element elementor-element-1163c18 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="1163c18" data-element_type="section" data-e-type="section">
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									<p><span style="font-family: Montserrat;">Painful sexual intercourse or a gynecological exam isn&#8217;t normal just because the test results look good. If you&#8217;re experiencing discomfort, look for the cause and a solution. </span></p><p><span style="font-family: Montserrat;">At the IntimFyzio Center, we&#8217;ll help you restore your balance and comfort.</span></p><p><span style="font-family: Montserrat;">Schedule an appointment &#8211; <a href="https://www.intimfyzio.sk/on-line-rezervacia-terminu/" target="_blank" rel="noopener">click here</a></span></p><p><span style="font-family: Montserrat;">Learn more about pelvic floor physical therapy— <a href="https://www.intimfyzio.sk/terapie/intim_fyzio_terapia/" target="_blank" rel="noopener">click here</a></span></p>								</div>
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		]]></content:encoded>
					
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		<title>Urinary Incontinence and Lower Abdominal Pain After Age 40: A Common Problem with a Solution</title>
		<link>https://tobe.sk/en/urinary-incontinence-and-lower-abdominal-pain-after-age-40-a-common-problem-with-a-solution/</link>
					<comments>https://tobe.sk/en/urinary-incontinence-and-lower-abdominal-pain-after-age-40-a-common-problem-with-a-solution/#respond</comments>
		
		<dc:creator><![CDATA[tobe_admin]]></dc:creator>
		<pubDate>Mon, 09 Jun 2025 18:25:35 +0000</pubDate>
				<category><![CDATA[Our Posts]]></category>
		<guid isPermaLink="false">https://tobe.sk/urinary-incontinence-and-lower-abdominal-pain-after-age-40-a-common-problem-with-a-solution/</guid>

					<description><![CDATA[After turning 40, many women begin to notice changes in their pelvic area and lower abdomen that seem to appear out of nowhere. More frequent urine leakage when laughing, sneezing, coughing, or during physical exertion, as well as pressure or pain in the lower abdomen—these are all signs that cannot be ignored. These problems aren’t [&#8230;]]]></description>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">After turning 40, many women begin to notice changes in their pelvic area and lower abdomen that seem to appear out of nowhere. More frequent urine leakage when laughing, sneezing, coughing, or during physical exertion, as well as pressure or pain in the lower abdomen—these are all signs that cannot be ignored. </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">These problems aren’t just “part of getting older” or perimenopause. They can be related to hormonal changes as well as a weakened pelvic floor. The good news is that they can be treated. One of the most effective options is gynecological physical therapy.   </span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">A Topic Women Often Keep Quiet About—Incontinence and Undiagnosed Pain</h2>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">The myth that urinary incontinence is a normal part of aging is still widespread. Many women keep their difficulties to themselves—whether out of embarrassment or because they believe there is nothing that can be done about it. </span></p><p align="CENTER"><em><span style="font-family: Montserrat;">&#8220;As we age, estrogen levels drop, metabolic activity decreases, and the pelvic floor muscles weaken. This is precisely what can cause urinary incontinence or pain,&#8221;</span></em><span style="font-family: Montserrat;"> explains physical therapist </span><span style="font-family: Montserrat;">Katarína Hanuliaková, MSc.</span><span style="font-family: Montserrat;"> from the </span><span style="font-family: Montserrat;">IntimFyzio</span><span style="font-family: Montserrat;">.</span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Why does urinary incontinence occur after age 40?</h2>				</div>
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					<h3 class="elementor-heading-title elementor-size-default">Main Causes  </h3>				</div>
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									<ul><li><p><span style="font-family: Montserrat;">Weakening of the pelvic floor muscles</span></p></li><li><p><span style="font-family: Montserrat;">Decline in estrogen and changes in the hormonal profile</span></p></li><li><p><span style="font-family: Montserrat;">Insufficient coordination of the deep stabilization system</span></p></li><li><p><span style="font-family: Montserrat;">Increased pressure on the bladder when coughing, laughing, or exercising due to a weakened pelvic floor</span></p></li></ul>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Lower abdominal pain with no apparent cause—what causes it?</h2>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">Even if gynecological or urological examinations yield negative results, the pain may persist. This is often a functional issue, such as a chronically overworked or, conversely, weakened pelvic floor. </span></p><p align="CENTER"><em><span style="font-family: Montserrat;">“From my perspective, this pain may be related to either significant weakening or overuse of the pelvic floor, which causes irritation throughout the entire system,”</span></em><span style="font-family: Montserrat;"> says Katarína Hanuliaková.</span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">How does pelvic floor physical therapy help?</h2>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">Intimate physical therapy focuses on restoring the function of the pelvic floor muscles, which support the bladder, uterus, and rectum. Properly conducted therapy: </span></p><ul><li><p><span style="font-family: Montserrat;">Reduces urine leakage,</span></p></li><li><p><span style="font-family: Montserrat;">relieves pain,</span></p></li><li><p><span style="font-family: Montserrat;">restores the elasticity and strength of the pelvic floor,</span></p></li><li><p><span style="font-family: Montserrat;">improves posture and breathing.</span></p></li></ul>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">The Physiotherapy Examination Process</h2>				</div>
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					<h3 class="elementor-heading-title elementor-size-default">What to Expect?</h3>				</div>
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									<ul><li><p><span style="font-family: Montserrat;">Medical history and consultation with a gynecological physical therapist,</span></p></li><li><p><span style="font-family: Montserrat;">assessment of posture, breathing, and movement patterns,</span></p></li><li><p><span style="font-family: Montserrat;">palpation of the pelvic floor while maintaining privacy,</span></p></li><li><p><span style="font-family: Montserrat;">developing an individualized treatment plan</span></p></li></ul>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Pads are not a permanent solution</h2>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">Many women turn to incontinence pads as their only solution. However, these pads address the symptom, not the cause. </span></p><p align="CENTER"><em>“<span style="font-family: Montserrat;">With regular exercise and professional guidance, improvements can be seen after just a few weeks,”</span></em><span style="font-family: Montserrat;"> encourages patients Katarína Hanuliaková, a pelvic floor physical therapist.</span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Your body deserves some care</h2>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;">Urinary incontinence and pelvic pain after age 40 don’t have to be a permanent condition. With targeted gynecological physical therapy, you can feel good in your body again. </span></p><p align="CENTER"><em><span style="font-family: Montserrat;">“The body has the ability to regenerate at any age. It just needs attention, support, understanding, and expert guidance,”</span></em><span style="font-family: Montserrat;"> concludes Hanuliaková, an expert in intimate physical therapy.</span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Are you interested in this topic?</h2>				</div>
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									<p><span style="font-family: Montserrat;">Schedule an expert consultation at our IntimFyzio center.</span></p><p><span style="font-family: Montserrat;"><br>Contact Us &#8211;<a href="https://www.intimfyzio.sk/kontakt/" target="_blank" rel="noopener"> Click Here</a></span></p><p><span style="font-family: Montserrat;"><br>Check out the related article— <a href="https://www.intimfyzio.sk/2025/02/04/vztah-medzi-emocionalnym-zdravim-a-oblastou-panvy/" target="_blank" rel="noopener">click here</a> </span></p>								</div>
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		<title>The Healing Touch: Physical Therapy and Scar Care After a Mastectomy</title>
		<link>https://tobe.sk/en/the-healing-touch-physical-therapy-and-scar-care-after-a-mastectomy/</link>
					<comments>https://tobe.sk/en/the-healing-touch-physical-therapy-and-scar-care-after-a-mastectomy/#respond</comments>
		
		<dc:creator><![CDATA[tobe_admin]]></dc:creator>
		<pubDate>Wed, 07 May 2025 13:30:46 +0000</pubDate>
				<category><![CDATA[Our Posts]]></category>
		<guid isPermaLink="false">https://tobe.sk/the-healing-touch-physical-therapy-and-scar-care-after-a-mastectomy/</guid>

					<description><![CDATA[Healing begins not only in the body, but also in the soul A mastectomy is not just a surgical procedure—it is a life-changing event that affects a woman both physically and emotionally. Although the scar remains a visible sign of a past battle with cancer, it can also become a place of healing. It is [&#8230;]]]></description>
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									<h2 class="western" align="JUSTIFY"><span style="font-family: Montserrat; font-size: 18px;">Healing begins not only in the body, but also in the soul</span></h2><p align="JUSTIFY"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">A mastectomy is not just a surgical procedure—it is a life-changing event that affects a woman both physically and emotionally. Although the scar remains a visible sign of a past battle with cancer, it can also become a place of healing. It is precisely through mindful touch, breath, and gentle care that a woman can reconnect with her body.  </span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Why Not Be Afraid of Scars?</h2>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">For many women, the scar left after a mastectomy is a symbol of trauma. Many do not want to see it or even touch it. But experts agree: consciously engaging with the scar is the first step toward healing.  </span></p><p align="CENTER"><span style="font-size: 18px; color: #000000;"><span style="font-family: Montserrat;"><i>“Our minds tend to push the scar to the back of our minds. But it is precisely by engaging with it that healing begins,”</i> says physical therapist Katarína Hanuliaková.</span></span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">How do you care for a mastectomy scar?</h2>				</div>
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					<h3 class="elementor-heading-title elementor-size-default">Daily Massage  </h3>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">We only refer to it as a scar once the surgical wound has healed, the stitches have been absorbed or removed, and the scabs have fallen off. The tissues must grow together for us to consider it a high-quality scar. This process takes several weeks. On average, 6–8 weeks after surgery.   </span></p><p align="JUSTIFY"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">We can promote the healing of a surgical wound through proper care, ventilation, breathing, lymphatic taping, gentle touch, and positioning.<b>We don’t start</b> <b>the massage itself </b><b>until the scar has formed!</b></span></p><p align="JUSTIFY"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Massage helps improve blood circulation, reduces scar tissue formation, and restores elasticity to the tissues. You can massage a scar basically anytime—for example, after an evening shower, when your skin is warm and soft. However, it’s best<b> to devote the first moments of each day to yourself and your body</b>—in other words, to take care of yourself first thing in the morning.  </span></p><h4 class="western"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Recommended procedure:</span></h4><ol><li><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Consciously breathe into your chest area.</span></p></li><li><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Gently stroke your breast and explore how the touch itself feels to you.</span></p></li><li><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Gently run your fingers over the scar.</span></p></li></ol><h3 class="western"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Frequency of massages:</span></h3><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">5–10 minutes a day. Even a short ritual can have a big impact on healing. </span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">What causes adhesions under a scar?</h2>				</div>
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									<p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">If the scar is left untreated, tissue adhesions may form, which slow down airflow, create a barrier, limit lung capacity, and cause tightness and pain.  </span></p><h4 class="western"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Other common problems associated with adhesions include:</span></h4><ul><li><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">restricted movement of the hand or arm,</span></p></li><li><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">pain when breathing,</span></p></li><li><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">a feeling of tension or the presence of a “foreign object.”</span></p></li></ul><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">That is another reason why it is important to massage the scar regularly and monitor how it changes.</span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Respiratory Physical Therapy—The Forgotten Power of Breathing</h2>				</div>
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									<p align="JUSTIFY"><span style="font-family: Montserrat; font-size: 18px; color: #000000;">After chest surgery, a woman’s breathing in that area is naturally restricted. Breathing becomes more superficial and shallow, leading to a lack of oxygen in the body and subsequent fatigue, tension, and reduced organ function. Once the wound has healed, it is very important to restore respiratory capacity and support the development of the chest and intercostal spaces.  </span></p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">A simple breathing exercise:</h3>				</div>
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									<ul><li><p><span style="font-family: Montserrat; color: #000000; font-size: 18px;">Place your hands on your ribs.</span></p></li><li><p><span style="font-family: Montserrat; color: #000000; font-size: 18px;">Take a deep breath through your nose, filling the sides of your chest,</span></p></li><li><p><span style="font-family: Montserrat; color: #000000; font-size: 18px;">Exhale slowly through your mouth.</span></p></li><li><p><span style="font-family: Montserrat; color: #000000; font-size: 18px;">Repeat for 3–5 minutes every day.</span></p></li></ul><p><br><br></p><p align="CENTER"><span style="color: #000000; font-size: 18px;"><span style="font-family: Montserrat;"><i>“Breath is a bridge between the body and the mind. When we are consciously aware of it, we heal ourselves from within,” adds </i>Katarína Hanuliaková, an intimate physical therapist.</span></span></p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Interview: Katarína Hanuliaková on the Power of Touch  </h2>				</div>
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									<p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">What is the most common reaction women have to a mastectomy scar?</span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Most women don&#8217;t want to see or touch their scar. It&#8217;s a form of psychological defense. But only when she consciously confronts the scar can she accept it as a part of herself. Every touch of the scar is an act of healing.     </span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">What is the most important first step?</span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">A gentle touch. Place your palm on the scar, nothing more. Just breathe and be present with that spot.  </span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">How often should you get a massage?</span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Every day. Even if it&#8217;s just 5 minutes. It&#8217;s not about performance, but about giving loving attention to yourself and to the place that needs to heal.  </span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Why include breathing exercises as well?</span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Because breathing affects the nervous system, it relieves tension and helps a woman reconnect with her body. At the same time, breathing supports the functioning of all the body’s organs. </span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">What is your message to women?</span></p><p><span style="font-family: Montserrat; font-size: 18px; color: #000000;">Your body is strong. That scar is proof that you survived—that you fought for your life. You deserve compassionate care and respect.  </span></p>								</div>
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		<title>The Relationship Between Emotional Health and the Pelvic Region</title>
		<link>https://tobe.sk/en/the-relationship-between-emotional-health-and-the-pelvic-region/</link>
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		<dc:creator><![CDATA[tobe_admin]]></dc:creator>
		<pubDate>Tue, 04 Feb 2025 09:16:23 +0000</pubDate>
				<category><![CDATA[Our Posts]]></category>
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					<description><![CDATA[How Experiencing Emotions Affects the Pelvic floor Mental and emotional health is a key factor that influences our overall health. In today’s fast-paced and often stressful world, we’re increasingly faced with demands on our performance, which can have a negative impact not only on our minds but also on our bodies. One area that can [&#8230;]]]></description>
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									<p align="CENTER"><span style="font-family: Montserrat;"><span style="font-size: large;"><b>How Experiencing Emotions Affects the Pelvic</b></span><b> floor</b></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><i>Mental and emotional health is a key factor that influences our overall health. In today’s fast-paced and often stressful world, we’re increasingly faced with demands on our performance, which can have a negative impact not only on our minds but also on our bodies. One area that can be indirectly affected by our emotional state is the condition of the pelvic floor. What do the nervous system and the pelvic floor have in common, and how does this manifest in our daily lives and relationships?     </i></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">Stress, Emotions, and Relationships</span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">A fast-paced, performance-oriented lifestyle and the constant pressure to achieve our goals can have a devastating impact on our emotional health. This constant pressure can cause our bodies to remain in “fight-or-flight” mode over the long term, leaving no time for rest.   </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">The sympathetic and parasympathetic nervous systems are two components of the autonomic nervous system, which controls the body’s automatic functions. The sympathetic nervous system is active in stressful situations when the body needs to respond quickly to external stimuli, which is vital for survival. Conversely, the parasympathetic nervous system is responsible for relaxation and regeneration—it allows the body to rest and restore energy. However, if we frequently experience stress, our body remains constantly in sympathetic mode, which can have a negative impact on various bodily functions. That is why the mutual regulation or balance of sympathetic and parasympathetic nerve impulses is so important, as both are essential for every person’s survival and health. Intimate physical therapist Katka Hanuliaková explains this topic in more detail: <i>“We live in a fast-paced, performance-driven era, and many people have forgotten how to regulate themselves, find peace, and relax.” </i>      </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><i>Our goal is not to be in a constant state of meditation; we also need to know how to activate the sympathetic nervous system and be able to cope with stressful moments or periods. However, many people remain in the sympathetic nervous system’s “fight-or-flight” mode for too long—or even permanently—and that’s when problems arise. This is reflected in a person’s life through the functioning of their relationships and emotions. It has been proven that in the rush and drive for performance, relationships take a back seat because an activated sympathetic nervous system prevents us from experiencing deeper emotions. Only when we are at peace and our nervous system is regulated do we begin to “process” what we have experienced, and once the nervous system is regulated, space is created for relational bonds and for deepening intimacy. A person who is focused solely on performance disconnects not only from others but also from themselves. They cease to perceive themselves and their basic needs.”      </i></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><b>Don&#8217;t ignore yourself</b></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">One of our basic needs is the need to empty our bowels—urination and defecation. In our society, however, this is not considered “acceptable,” and because of stress and responsibilities, we’ve become accustomed to outright ignoring our own defecation reflex. When the impulse arises that our large intestine is full, we feel the urge to have a bowel movement, and that’s when we really should go. But we aren’t accustomed to having a bowel movement in public restrooms or at work. Many people save it for the safe environment of their own home, where they can relax. By doing so, we disrupt the functioning of our excretory system, and it also amounts to ignoring our own bodies and basic needs, which increases tension in the pelvic floor. And high tension in the pelvic floor causes a whole range of other health problems. This learned habit of ignoring our own needs can even lead to a disconnection from ourselves. We become insensitive to our own bodies and only react to stimuli that are already painful or alarming.          </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><i>“A person who is not connected to themselves will find it very difficult to connect with another person or their partner. Such a person may have a sex life and engage in sexual intercourse, but it is not usually on a deep level. Let’s try to be more respectful of our basic needs, be more attuned to our own experiences, as well as our partner’s experiences and the needs of the relationship. “The foundation for this is the ability to slow down, relax, and regulate one’s nervous system,” </i>Katka Hanuliaková<i>adds, </i>further<i>elaborating on </i>the issue of emotional health.</span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">From an anatomical perspective, we can explain the impact of emotions on our body’s functioning in a fairly simple way. Our emotions are accurately interpreted by the central nervous system, which continuously receives sensory input from the environment. The nervous system responds to these sensations and sends signals to the skeletal and striated muscles. At the same time, the autonomic nervous system regulates the function of individual internal organs. The hypothalamus and the limbic system play the most significant roles in communication with the internal organs. The hypothalamus is a part of the brain that is highly sensitive to the emotions we experience. If these emotions become too overwhelming, the limbic system alters the activity and function of individual internal organs.      </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">If we wanted to compare this anatomical functioning of the nervous system and the impact of experiencing emotions in today’s fast-paced, performance-driven world to something, we could describe it as driving a car. Imagine you’re pulling out of your driveway; at first, you drive slowly through the narrow streets, keeping to the 30 km/h speed limit.   </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">At this speed, you’re relaxed; you even have time to take in your surroundings—who’s walking on the sidewalk, what kinds of trees are growing along the road. But then you get onto a faster road and, via the on-ramp, reach the highway in a very short time, where the speed limit is ninety plus, and in a very short span of time you accelerate your car to high speed. Our nervous system works the same way. For the first few seconds and minutes, we need to focus fully on the drive and “grip the steering wheel a little tighter”; we experience varying degrees of tension, no longer perceive our immediate surroundings, focusing only on the road and the car’s speed.     </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">What happens later? However, if we drive on the highway for a longer period of time, we adapt, relax, stop perceiving the stress, and instead start communicating with the other people in the car and even notice the surrounding nature along the way. But after a while, the situation changes again, and we have to slow down from our high speed on the highway because we’re entering a village. And this sudden drop in speed, after driving so fast, seems unbearably slow; it makes us feel uneasy and irritable. And this is how our nervous system works as well—we can very quickly ramp up to a high-performance state, get stressed out, and remain in this state for quite a long time. But after such a period of high performance, we need to be able to regulate and calm ourselves in order to maintain our overall health. That’s why at Intimfyzio, we also help clients practice and train their regulatory abilities.      </span></p>								</div>
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		<title>What lies ahead for us in the Year of the Wood Snake?</title>
		<link>https://tobe.sk/en/what-lies-ahead-for-us-in-the-year-of-the-wood-snake/</link>
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		<dc:creator><![CDATA[tobe_admin]]></dc:creator>
		<pubDate>Wed, 29 Jan 2025 04:06:00 +0000</pubDate>
				<category><![CDATA[Our Posts]]></category>
		<guid isPermaLink="false">https://tobe.sk/what-lies-ahead-for-us-in-the-year-of-the-wood-snake/</guid>

					<description><![CDATA[For several centuries, the Chinese have used two calendars—the solar and the lunar. The solar year begins in China on February 3, 2025, and the lunar year begins on January 29, 2025. These two dates, which mark the two beginnings of the new year, are associated with a fundamental shift in energy, when Wood Snake. [&#8230;]]]></description>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">For several centuries, the Chinese have used two calendars—the solar and the lunar. The solar year begins in China on February 3, 2025, and the lunar year begins on January 29, 2025. These two dates, which mark the two beginnings of the new year, are associated with a fundamental shift in energy, when </span><span style="font-size: medium;"><i><b>Wood Snake</b></i></span><span style="font-size: medium;">. </span> </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">In Chinese culture, snakes are considered a symbol of wisdom, elegance, and wealth. </span><span style="font-size: medium;"><i><b>The energy of the snake</b></i></span><span style="font-size: medium;"> represents an energy associated with exploration, seeking the essence of things, discovery, introspection, and transformation. This energy is creative, analytical, and curious. It follows, then, that this year’s energy is very favorable for people who are dedicated to exploration, discovery, and self-development. </span> </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;"><i><b>The energy of wood</b></i></span><span style="font-size: medium;"> is, on the other hand, associated with growth, discovery, flexibility, and creativity.</span></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;"><i><b>How should we get in the spirit this year?</b></i></span></span></p><ul><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">This year, it will be important to think deeply, plan ahead, be creative and flexible, and be open to change. This year may bring us many new changes and discoveries, and it provides us with opportunities to learn, educate ourselves, and acquire new skills.   </span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">This year is particularly well-suited for finishing what you’ve left undone. Issues that have been stuck for a long time can be resolved this year, allowing you to move forward.   </span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">This year’s energy is excellent for people who work with others, provide consulting services, or conduct therapeutic sessions, as it creates space for finding solutions. The Snake is good at finding new, innovative approaches and figuring out how to move forward. </span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">This year is a good time to acquire new knowledge and skills. The combination of the Wood and Snake energies is particularly conducive to developing language skills.   </span></span></p></li><li><p align="JUSTIFY"><a name="Bookmark"></a> <span style="font-family: Montserrat;"><span style="font-size: medium;">If we want to thrive this year, we should attune ourselves properly to the energy of fire. Fire is associated with deep inner spirituality, inner joy, and lightness. Fire is also associated with desires and passions; it allows us to engage with great enthusiasm in the activities we choose.    </span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">According to the Book of Changes (I Ching), this year’s hexagram is number 5, which is interpreted as </span><span style="font-size: medium;"><i>Expectation</i></span><span style="font-size: medium;">. Specifically, it refers to something that is in place and waiting for its moment. That is why it is important not to rush. This year brings energy that will help us resolve issues in our personal lives, but it is important to remain patient and not rush things. At the same time, it is essential not to give up as soon as a problem arises. The key to happiness this year is perseverance. </span> </span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">The key factors this year will be working on one&#8217;s own skills, self-development, perseverance, adaptability, patience, and integrity.  </span></span></p></li></ul><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;"><i><b>What should we watch out for this year?</b></i></span></span></p><ul><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">This year, we should avoid being overly cautious, rigid, or bound by dogmas that could hinder our progress. We must be careful not to sabotage our own growth. On the contrary, flexibility is welcome.  </span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">This year, there is an increased risk of sabotage—that is, of disrupting something that is meant to grow. We may encounter manipulation and underhanded tactics—both on a personal level and on a societal level. </span></span></p></li></ul><ul><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">Throughout this year, it is important to be patient and, above all, to carefully evaluate information and act prudently. Emotional and rash decision-making could lead to significant losses. This year, success will come from acting strategically and avoiding impulsive actions.  </span></span></p></li></ul><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: medium;">The Year of the Wood Snake can be a year of introspection and growth, when it is advisable to invest time in personal development and improving relationships. With its arrival, it is recommended to be cautious in decision-making and to seek harmony. The overall character of this year offers an opportunity for new beginnings and exploring new areas of life.  </span></span></p>								</div>
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		<title>Are You Breathing Properly? How Breathing Affects a Couple&#8217;s Fertility.</title>
		<link>https://tobe.sk/en/are-you-breathing-properly-how-breathing-affects-a-couples-fertility/</link>
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		<dc:creator><![CDATA[tobe_admin]]></dc:creator>
		<pubDate>Sun, 26 Jan 2025 09:21:52 +0000</pubDate>
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					<description><![CDATA[Proper breathing—especially diaphragmatic breathing—is a fundamental pillar of our body’s optimal functioning. Its importance extends beyond physical health; it also affects our hormonal balance and fertility. Improper breathing habits and poor posture can lead to excessive tension in the pelvic area. According to Katarína Hanuliaková from our Intimfyzio center, breathing is the key to pelvic [&#8230;]]]></description>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;"><i>Proper breathing—especially diaphragmatic breathing—is a fundamental pillar of our body’s optimal functioning. Its importance extends beyond physical health; it also affects our hormonal balance and fertility. Improper breathing habits and poor posture can lead to excessive tension in the pelvic area. According to Katarína Hanuliaková from our Intimfyzio center, breathing is the key to pelvic floor health, hormonal balance, and fertility. By practicing proper breathing and improving your posture with the help of physical therapy, you can support your ability to conceive.    </i></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">Proper breathing isn&#8217;t just about inhaling and exhaling—it&#8217;s a technique that should involve using the diaphragm, the main breathing muscle located between the chest and the abdominal cavity.  </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">Diaphragmatic breathing, or so-called “breathing with the diaphragm,” is a frequently discussed concept. It is supposed to be the primary form of breathing we use in our daily lives. When we engage in more intense physical activity during the day, the accessory breathing muscles join the diaphragm to help ensure adequate oxygenation of the body. During inhalation, the diaphragm moves downward and expands the lower ribs. This downward movement of the diaphragm creates pressure on the organs of the abdominal cavity and pelvis.       </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><b>What is diaphragmatic breathing</b>?  </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">One of the basic functions of the pelvic floor is to support and regulate intra-abdominal pressure. As soon as the diaphragm descends during inhalation, the abdominal wall expands, pressure is exerted into the pelvis, and our pelvic floor gently and naturally descends. When we exhale, the exact opposite happens—the diaphragm contracts and rises, and the pelvic floor responds by rising as well, drawing inward and performing what is known as a concentric contraction. This process flows continuously within our bodies in this way, without us even realizing it.    </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">Our normal breathing throughout the day should be calm and sufficiently deep. However, it is important to be able to adapt our breathing to various stressful situations. The same goes for our pelvic floor. For example, when we go for a run, the auxiliary respiratory muscles must assist diaphragmatic breathing; our breathing and heart rate accelerate, and the intensity of our breathing increases. After finishing our physical activity, it’s necessary to “breathe out completely.” Subsequently, our breathing slows down, and calm, diaphragmatic breathing resumes. The pelvic floor always responds to changes in the intensity and depth of breathing.      </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><b>Poor Posture as an Obstacle to Proper Breathing</b></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">However, if we don’t have ideal posture—which is common these days—our rib cage may be misaligned, triggering a chain reaction of problems all the way down to the pelvic floor. Physical therapist Katka Hanuliaková explains the connection between poor posture, improper breathing, and pelvic floor function in more detail:<i>“In our physical therapy practice, we often encounter what’s known as ‘open scissors syndrome,’ where we see that our clients’ ribs protrude forward. In this condition, when a client tries to breathe using the diaphragm, their pelvic floor is not positioned directly beneath the chest and therefore does not function properly. From a physical therapy perspective, the ideal state is when the chest is positioned directly above the pelvis, and with each inhalation and exhalation, the diaphragm properly influences the activity of the pelvic floor.</i> </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><i>So, in order to breathe properly, it’s important to maintain good posture and center the entire rib cage—including the diaphragm—above the pelvis. This ensures that we can utilize the full capacity of the diaphragm and that our pelvic floor will function properly as well.” </i></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><b>Shallow breathing, poor digestion, and reduced fertility</b></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;">With every proper inhalation, our abdominal and pelvic organs are massaged. It is important to realize that this constant movement of the diaphragm also stimulates our endocrine and reproductive glands. Diaphragmatic breathing thus also affects the function of the ovaries and testicles themselves. Once we’ve learned to breathe shallowly, as if using only the upper part of the body, the stimulation of these glands is limited. The motility of the organs is also limited, which very often manifests as digestive disturbances. With insufficient breathing, the diaphragm does not descend, the intestines are not massaged, and the entire peristaltic process is slowed down, as is the act of defecation itself. Undigested stool, which should have been naturally eliminated from the body as waste, is instead retained, pressing on the pelvic floor muscles and creating increased tension in this area. As we already know, prolonged increased tension in the pelvic floor causes a number of health problems and also negatively affects couples’ fertility and ability to conceive.       </span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><i>“As part of an individual assessment of a person or couple who have been trying to conceive for an extended period of time, our pelvic floor diagnostics also focus on evaluating our clients’ breathing, overall posture, movement patterns, and lifestyle. When helping couples conceive, it is often precisely these identified deficiencies that are directly linked to their reduced fertility</i>,<i>”</i> explains Katka Hanuliaková, an intimate physical therapist, regarding her work with couples on their journey to having their long-awaited baby. </span> </p>								</div>
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		<title>Urinary Urgency Syndrome: Causes, Factors, and How Physical Therapy Can Help</title>
		<link>https://tobe.sk/en/urinary-urgency-syndrome-causes-factors-and-how-physical-therapy-can-help/</link>
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		<pubDate>Thu, 21 Nov 2024 16:46:29 +0000</pubDate>
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					<description><![CDATA[Overactive bladder syndrome (OAB) is a condition that affects many people regardless of age. It often manifests as a sudden, intense, and irresistible urge to urinate. It may be associated with frequent urination both during the day and at night. For some people, these symptoms become an obstacle in their daily lives, causing anxiety and [&#8230;]]]></description>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">Overactive bladder syndrome (OAB) is a condition that affects many people regardless of age. It often manifests as a sudden, intense, and irresistible urge to urinate. It may be associated with frequent urination both during the day and at night. For some people, these symptoms become an obstacle in their daily lives, causing anxiety and stress, and may affect their social and occupational functioning.   </span></span></span></p><h3 class="western"><span style="font-family: Montserrat;"><span style="font-size: small;">What is urinary urgency syndrome?</span></span></h3><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">Urinary urgency syndrome is defined as an unpredictable, sudden urge to urinate, which often results in a person having to go to the bathroom as soon as they feel the urge. “Many clients come to us with the problem that they feel like they constantly need to go to the bathroom, but at the same time they don’t know why this is happening, or they’re embarrassed to talk about this problem,” explains Katarína Hanuliaková, a physical therapist and owner of the IntimFyzio family physical therapy center. This syndrome can also affect younger women and men, although its prevalence increases with age.  </span></span></span></p><h3 class="western"><span style="font-family: Montserrat;"><span style="font-size: small;">How does urinary urgency syndrome develop?</span></span></h3><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">The causes of urinary urgency syndrome can vary, and physical and psychological factors often overlap:</span></span></span></p><ol><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Physi</b></span><b>physiological </b><span style="color: #000000;"><b>Causes</b></span><span style="color: #000000;">: Changes in the tone of the pelvic floor muscles or in the tension </span>of the smooth muscle <span style="color: #000000;">of the bladder can contribute to the bladder’s inability to properly control its filling and emptying. </span><span style="color: #000000;"> “</span> <span style="color: #000000;">If the pelvic floor muscles are weakened or chronically </span>overworked<span style="color: #000000;">, this can lead to frequent urges to urinate or even incontinence,” adds Katka Hanuliaková.</span></span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Hormonal changes</b></span><span style="color: #000000;">: Hormonal changes, such as a decrease in estrogen in menopausal women, can affect </span> <span style="color: #000000;">pelvic floor</span> tone <span style="color: #000000;">and alter bladder sensitivity, contributing to symptoms of urinary urgency.</span></span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Neurological Factors</b></span><span style="color: #000000;">: Certain neurological disorders, such as multiple sclerosis or Parkinson’s disease, can affect the nerve pathways between the brain and the bladder, which can lead to poor bladder control.</span></span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Psychological and Emotional Causes</b></span><span style="color: #000000;">: Stress and anxiety have a significant impact on our nervous system. Long-term</span>stress can also manifest as increased tension in the pelvic floor<span style="color: #000000;">, which can lead to increased bladder sensitivity and the urge to urinate.</span></span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Improper toileting habits: </b></span><span style="color: #000000;">Urinary urgency syndrome can also be triggered by improper habits developed in childhood or by poor voiding routines during</span><span style="color: #000000;"> more stressful periods of life. This syndrome is often developed by mothers on maternity leave who have little time for themselves and have gotten into the habit of using the restroom “just in case, before the baby wakes up,” even when there is no physiological need yet.</span></span></span></p></li></ol><h3 class="western" align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;">The Connection to the Mind and Emotions</span></span></h3><p align="JUSTIFY"><span style="color: #000000;">“<span style="font-family: Montserrat;"><span style="font-size: small;">“Although it is a physical problem, urinary urgency syndrome has very strong psychological and emotional connections,” notes Katka Hanuliaková. “People who experience long-term stress, tension, or anxiety may find that these emotions are also transferred to the pelvic floor muscles. This mechanism is natural for the body, but prolonged tension can lead to chronic symptoms.”</span></span></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">Feelings of shame or embarrassment regarding this topic can further exacerbate psychological distress, which can lead to withdrawal, avoidance of social situations, and a deterioration in overall mental health. It is precisely one’s mental state and various emotional blocks that often play a key role in how intensely and frequently a person experiences these symptoms. </span></span></span></p><h3 class="western" align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;">How can physical therapy help?</span></span></h3><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">Pelvic floor physical therapy is one of the effective methods for managing the symptoms of urinary urgency syndrome. “Properly guided physical therapy can help restore strength, coordination, and relaxation of the pelvic floor muscles, which can significantly improve bladder control,” explains physical therapist Katka Hanuliaková. The holistic approach we take at IntimFyzio to any health issue our clients may have includes an initial examination and diagnosis,</span> <span style="color: #000000;">pelvic floor treatment </span><span style="color: #000000;">if</span>indicated <span style="color: #000000;">, individually tailored exercises and relaxation techniques that help improve the connection between the nervous system and the muscles. If we feel that a client’s urinary urgency syndrome has a psychosomatic origin, we can also arrange a session with a psychotherapist who will address the emotional aspects of the problem. </span> </span></span></p><h4 class="western" align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;">Key Approaches in Physical Therapy:</span></span></h4><ul><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Pelvic Floor Strengthening Exercises</b></span><span style="color: #000000;">: These exercises help strengthen the muscles that support the bladder and ensure its proper functioning.</span></span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Pelvic Floor Muscle Relaxation</b></span><span style="color: #000000;">: These techniques teach you how to properly control and relax your pelvic floor muscles so that they are not in an abnormal state of tension.</span></span></span></p></li><li><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><b>Breathing and Stress Management</b></span><span style="color: #000000;">: Proper diaphragmatic breathing and effective stress management can help relieve tension in the pelvic floor and reduce the urge to urinate.</span></span></span></p></li></ul><h3 class="western" align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;">Final Recommendation</span></span></h3><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">If you’re struggling with symptoms of urinary urgency, don’t hesitate to seek professional help. “Urinary urgency syndrome isn’t something you should have to live with without help. Physical therapy can be an effective tool to help you regain control over your body and emotions and improve your quality of life,” says Katka Hanuliaková.  </span></span></span></p>								</div>
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		<title>Fertility &#8211; How We Can Help Couples with Functional Infertility</title>
		<link>https://tobe.sk/en/fertility-how-we-can-help-couples-with-functional-infertility/</link>
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		<pubDate>Thu, 14 Nov 2024 16:43:48 +0000</pubDate>
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					<description><![CDATA[The journey toward having a baby can unexpectedly involve a long period of waiting and uncertainty. According to reproductive health experts, infertility is becoming an increasingly common problem for couples, often including young people. Even though the results of gynecological or andrological examinations are within normal limits, many couples suddenly find themselves facing a diagnosis [&#8230;]]]></description>
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									<p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;"><i>The journey toward having a baby can unexpectedly involve a long period of waiting and uncertainty. According to reproductive health experts, infertility is becoming an increasingly common problem for couples, often including young people. Even though the results of gynecological or andrological examinations are within normal limits, many couples suddenly find themselves facing a diagnosis of functional infertility—that is, infertility without a clear cause. It is precisely in these cases that physical therapy focused on the pelvic floor and overall body relaxation can be very helpful.     </i></span></span></span></p><h3 class="western"><span style="font-family: Montserrat;"><span style="font-size: small;">Physical Therapy and Its Impact on Fertility</span></span></h3><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">Physical therapy is often associated with rehabilitation following injuries or surgeries, but it is becoming increasingly clear that it can also play an important role in treating functional infertility. Here at IntimFyzio, we work with clients who have various pelvic floor issues, including fertility problems. Functional infertility can be caused by improper pelvic floor muscle tone or breathing problems, which lead to insufficient blood flow and oxygenation of the reproductive organs, thereby reducing their functionality.  </span></span></span></p><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">Katka Hanuliaková, an expert in intimate physical therapy, explains: “Many couples who come to us have already undergone a wide range of tests, but the results are within normal limits. However, it’s important to know that if the pelvic floor muscles aren’t functioning properly, they can literally block the natural bodily processes that are crucial for conception. So even if everything is ‘fine,’ the problem may actually lie in</span><span style="color: #000000;">improper muscle tone or incorrect breathing.”</span></span></span></p><h3 class="western"><span style="font-family: Montserrat;"><span style="font-size: small;">How can pelvic floor problems affect fertility?</span></span></h3><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">The pelvic floor is a group of muscles that plays a key role in supporting the organs in the pelvic region and ensuring their proper function. If the pelvic floor muscles are too tense or, conversely, too weak, this can cause problems with circulation and oxygen supply, which can impair the function of the reproductive organs. Proper functioning of the reproductive organs is also significantly influenced by quality breathing. If breathing is shallow and irregular, the organs in the pelvic region receive less oxygen, which negatively affects their ability to perform all their functions. Proper breathing techniques contribute to the nourishment of the reproductive organs and to the harmonization of the hormonal systems in both women and men.    </span></span></span></p><h3 class="western"><span style="font-family: Montserrat;"><span style="font-size: small;">Physical Therapy Approaches to Functional Infertility</span></span></h3><p align="JUSTIFY"><a name="Bookmark"></a> <span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">Physical therapy techniques aimed at improving fertility include working on proper breathing, as well as exercises to relax and strengthen the pelvic floor. At our center, we view intimate physical therapy as part of holistic care for the body, mind, and emotions. Our clients often feel a sense of relaxation after just a few sessions, as they begin to be more attuned to their bodies and learn to release excess tension and stress. “This can have a positive impact on their fertility, as the body functions more harmoniously as a whole,” says Katka Hanuliaková. With regular physical therapy, it is possible to improve oxygenation and blood flow to the pelvic region, which can increase the chances of conception.    </span></span></span></p><p align="JUSTIFY"><br><br></p><h3 class="western" align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;">When should you visit us?</span></span></h3><p align="JUSTIFY"><span style="font-family: Montserrat;"><span style="font-size: small;"><span style="color: #000000;">If you’ve been trying to conceive for a long time and all your test results are normal, seeing a physical therapist who specializes in the pelvic floor may be a good step to take. Physical therapy offers a different perspective on fertility and can help identify and alleviate problems that conventional methods may miss. Katka Hanuliaková concludes by emphasizing: “It’s often the case that a physical therapy approach is the missing link that helps a couple achieve their dream of starting a family. Every body is different and has its own specific needs—our role is to help the body find harmony so that it is ready and able to conceive.” With regular physical therapy, it is possible to improve oxygenation and blood flow to the pelvic area, which can increase the chances of getting pregnant.</span></span></span></p>								</div>
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