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Here are some good links that can provide more specific information about Orthopedic and Pelvic Floor disorders:

American Physical Therapy Association (APTA)

Women’s Health Section of the APTA

The Interstitial Cystitis Network (ICN)

The National Vulvodynia Association (NVA)

The International Pelvic Pain Society (IPPS)

The American Urological Association Patient Health Page

Irritable Bowel Syndrome Information

National Association for Continence (NAFC)
(Lizanne is on the advisory board of this organization)

American Urological Association Foundation

Pelvic Pain in Men

Pudendal Nerve Information

Biofeedback Certification International Alliance (BCIA)

International Continence Society (ICS)

Interstitial Cystitis Association for America

National Women’s Health Network
The National Women's Health Network improves the health of all women by developing and promoting a critical analysis of health issues in order to affect policy and support consumer decision-making. The Network aspires to a health care system that is guided by social justice and reflects the needs of diverse women.

Secret Suffering: A website devoted to women with pelvic pain

A great blog on Pelvic Health

An incredible blog on Chronic Pain and the Brain.
It’s the latest, newest research from "down under." This is absolutely, hands down, my favorite blog of all time. I know. I’m a geek.

Understanding Pain: What to do about it in less than five minutes.
An informative, important, and even funny video about our brain’s influence on pain. A must-see, especially if you are one of my patients. It’s a great watch, and it’s in "Australian!"

Neuro-Orthopedic Institute (NOI Group)
A PT-led group of researchers doing great research on pain and the brain.

International Society for the Study of Women’s Sexual Health

American Association of Sexuality Educators, Counselors and Therapists



Leslie Howard Yoga
Leslie Howard is a beloved and skilled yoga teacher with a deep knowledge of the pelvic floor’s many complexities. In addition to general yoga classes, she offers workshops in Yoga for the Pelvic Floor.

The Center for Sexual Health & Rehabilitation
The Center for Sexual Health and Rehabilitation was founded by a sexologist in order to provide support for you. Services offered include sex education, sex counseling and workshops for individuals, couples, groups, therapists and health care professionals in the San Francisco Bay Area and in the global community. The Center works with clients who have a wide variety of sexual concerns and specializes in sexual adjustment and rehabilitation for those who experience difficulties related to health conditions or sexual pain conditions.

Natural Resources
A pregnancy, childbirth and early parenting center located in San Francisco.



A Headache in the Pelvis
By Rodney Anderson, MD and David Wise, PhD

The V Book
By Elizabeth Stewart, MD and Paula Spencer

Explain Pain
By David Butler PT and Lorimer Moseley

Explain Pain Supercharged
By David Butler & Lorimer Moseley

Heal Pelvic Pain
By Amy Stein, MPT

Ending Female Pain
By Isa Herrera, PT

Ending Male Pelvic Pain
By Isa Herrera

Pelvic Power
By Eric Franklin

The Truth about Hormone Replacement Therapy
By The National Women’s Health Network

Wild Feminine:
Finding Power, Spirit, & Joy in the Root of the Female Body

By Tami Lynn Kent

The Bathroom Key
By Kathryn Kassai and Kim Perelli

Mind Over Bladder: I never met a bathroom I didn’t like
By Jill Maura Rabin

Pelvic Liberation
by Leslie Howard

The Graded Motor Imagery Handbook
By David Butler, Lorimer Moseley et al.

Painful Yarns
By Lorimer Moseley

Why Pelvic Pain Hurts
By Adriaan Lowe, Sandy Hilton & Carolyn Vandyken

Why Do I Hurt?
By Adriaan Lowe





Physiological Quieting
Janet A. Hulme, MA, PT

Health Journeys
Audio CD’s for various illnesses and pain, here are a few for women’s health

Pelvic Health and Awareness for Women and Men
By Deborah Bowes

Wonderful videos with a Yoga emphasis made by my friend and colleague, Dustienne Miller PT, MS, WCS, CYT for 1) Relieving Pelvic Pain and 2) Optimizing Bladder Control

Healing Pelvic and Abdominal Pain DVD



These are products I recommend, but it’s best to speak with me or your medical provider about their potential benefits prior to ordering.

Two great cushions for perineal pain, pudendal neuralgia, and vestibulitis

A dynamite set of dilators

These are great too, silicone

These are dilators for use after gender affirmation surgery

A dilator set with an option for vibration

Three Self-Care Wands for internal pelvic muscle trigger point release and massage

Soothing Products for the Vulva
*Always speak with your doctor or provider before using any of these products.

The best electric heating pad
My patients ALWAYS ask, “What kind of heating pad is this?” It’s this one.

Three Female Perineal Support Braces
These are products to help support the perineum if suffering from varicosities or pelvic organ prolapse:

This one is used in non-pregnant situations
These two are used during pregnancy:
It's You Babe
Baby Belly Band



Pelvic Floor specialists recommend using water-based vaginal lubes FREE of parabans, glycerin, and other harmful chemicals. Many health food stores (eg, Whole Foods) and local food coops, stock lubes made from all natural ingredients. They are often pricey.


  1. Always do a spot check on the inside of your wrist or elbow prior to using a new lube, especially if you are sensitive. Then do a spot check in the vestibule. If after 24 hours all is OK, then try it with your dilator, sex toy, or partner.

  2. If using latex condoms check packaging to ensure compatibility of lube with latex.

  3. If using silicone products (dilator or toy) don’t use silicone lubricant unless the package specifically says it’s OK to do so.

  4. Women with severe vestibular pain/irritation should speak with their doctor or PT or NP about products and always do a test patch first. We generally advise avoiding glycerin and petroleum-based products. Stick with water-based.

  5. Women prone to yeast infections should avoid lubes with glycerin.

  6. Women trying to conceive should speak with their doctor about lubrication. There are products to avoid (for eg, avoid lube with spermicide. Some studies have shown that water and saliva can potentially make it hard for sperm to swim…) Do find lubes with the right pH and free of harmful chemicals.
  • Raw Organic Coconut Oil:
    Many women (and men) enjoy using Coconut Oil; it is solid, but liquefies as it warms up in your hands. It’s food grade and gentle and rinses out easily. Some people find it doesn’t have the staying power of say, silicone.

  • Slippery Stuff:
    Many pelvic floor PT’s use this product. Here’s a link to purchase, and you can read some of the customer reviews, quite favorable.

  • Blossom Organics Lubricant:
    Link to purchase and read about its ingredients.

  • Aloe Cadabra

  • Silicone-based lubricants:
    Many people describe the long-lasting effect offered by silicone lubes. This is because silicone is NOT water-based, so it isn’t absorbed by the body’s tissue. These lubes have good staying power, but you must not use them with silicone dilators or silicone toys as the 2 silicones can break down and the toy can become sticky. Silicone should not be considered “certified latex-safe,” so be sure to check the labeling if using latex condoms.

  • Petroleum (oil)-based lubricants:
    Generally not good with latex condoms.

  • KY and Astroglide:
    These are 2 lubes that have been around forever, and many people use them. Both brands have different products with different sets of ingredients. Please read ingredient labels carefully and make an informed decision about what is right for you.





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