Electrical Stimulation Devices For the Pelvic Floor (Pelvic Floor Exercises)

In this video, we look at some electrical stimulation devices for the pelvic floor. These are for both internal and external electrical stimulation to help with pelvic floor function. It is advisable to speak with your pelvic health physiotherapist before using any devices. If you don't have a PT, you can find one on our website: specialists.theflowerempowere...
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🧠 LEARN ABOUT PELVIC FLOOR DYSFUNCTION 🧠
Learn about the pelvic floor dysfunction and the different conditions that are caused by pelvic floor hypertonicity or hypotonicity.
👉🏼 Pelvic Floor Dysfunction - theflowerempowered.com/knowle...
👉🏼 Incontinence - theflowerempowered.com/knowle...
👉🏼 Pelvic Organ Prolapse - theflowerempowered.com/knowle...
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[@TheFlowerEmpowered]

Thanks for watching! If you are struggling with vaginismus and would like to follow a structured program, click this link for my Overcoming Vaginismus course: geni.us/0wjwU

[@reshmir4846]

Hi i am 4 month postpartum and found grade 2 prolapse(tissue seen vaginal opening ) i don't have any other symptoms yet now. Would this toner helps to reverse my prolapse. I am so tensed to live further regarding this. Your reply will be so helpful for me..

[@MeeNuFer]

I stumbled across your video while looking for exercises or ways to control bladder leakage. I’m a 38 year old female without any kids and it’s just truly embarrassing. Thank you for presenting these devices that I had no idea were even available. I’m definitely subscribing to your channel and thank you again 🙏🏾🙏🏾🙏🏾🙏🏾🙏🏾🙏🏾🙏🏾🙏🏾

[@TheFlowerEmpowered]

Thanks for the positive feedback MeeNu 💕

[@memyself3726]

Hi did you get it and did it help your urine issues?

[@Somethingfunny1111]

I’m right there with you. 36, no kids and incontinence

[@jessicaqueiroz7283]

Denise, your videos are so helpful and important. I wish you would post more frequently 🙂

[@TheFlowerEmpowered]

Hi Jessica, I have actually resigned from my job last week so I could focus full time on the flower empowered! I’ll be posting regularly and doing some live classes. I’m also moving and expect to be settled by mid September which is when I will start posting again. If there is anything specific you would like to see, let me know and I will add it to the list 💕

[@jessicaqueiroz7283]

I would like to deepen my knowledge in hypopressives. Your video on a "better kegel" was super helpful and I'd like to know more about that too. Information on how to lift weights without damaging the pelvic floor would be nice too. So many things I want to learn 😂 I can't wait for your videos. Thank you for the work you do!

[@alfonsocaballero7835]

Thanks so much for sharing all this important information with us. Very...very helpful!! Saludos.

[@TheFlowerEmpowered]

Most welcome 😊

[@lebe6863]

Thank you for this video

[@TheFlowerEmpowered]

Most welcome :)

[@beckham319]

Thanks for showing leg positions for electrodes

[@TheFlowerEmpowered]

Most welcome 😁

[@physiomaster18]

Nice explanation.. 👍

[@TheFlowerEmpowered]

Thank you!

[@hpauline7]

I would definitely be interested in more detailed videos on these devices, including what they are good for, how or how not they could/should be used in combination with other techniques or devices, whether women that you have treated have provided positive or negative feedback about these devices, etc. Thank you for the content!

[@TheFlowerEmpowered]

hpauline7 thanks for the suggestion! I’m planning to make some new content in the coming weeks so I’ll make some on individual devices and use cases.

[@TheFlowerEmpowered]

hpauline7 sorry I haven’t gotten to make the new videos yet. I have quite a few devices and need to plan in what order to create the videos. Do you have any of these devices already or are there any you are particularly interested in? If so, let me know and I will start there 😁

[@beatricedupont2905]

I used the Prior_TENS for two weeks daily to train my pelvic floor. Only device used and it works like a charm. Now, I use it once a week. No issues. Turned it up to three bars while sitting. Up to six bars while standing, for now. Have used it while shopping. No need to over think this.

[@mauro.6666]

Thank you . I been looking for instructions how to use the machine with my wife. Appreciate your help. Thank you.

[@TheFlowerEmpowered]

Most welcome Mauricio 😊

[@patremagilbert8787]

Thanks

[@TheFlowerEmpowered]

You're welcome

[@ClaudiaDoberman]

I got the prove for the IStim but didn’t realize my unit was a tens mashing only. Now I have to buy a ems

[@TheFlowerEmpowered]

Hi Claudia, before you buy estim, try doing pelvic floor exercises without estim. Studies have shown pelvic floor muscle exercises without a device are as effective. You could try this one: kzbin.info/www/bejne/qHjaqZ-NhtlgiZY

[@diogenes505]

Thank you for your videos. Exercises are very good instruction. Can you provide some guidance as to how to use EMS for male pelvic muscle strengthening? By that I mean how long of a contraction and subsequent relaxation. For example ten seconds on, ten seconds off. Longer? Or short pulses?

[@TheFlowerEmpowered]

I generally advise that you use EMS under the guidance of a pelvic floor physiotherapist. In many places, they will advise contract release cycles with 5 seconds work and 5 seconds rest. In Scandinavia, they sometimes suggest consistent stimulation. Before using EMS, you have to ask yourself why. The contractions with EMS are not the same as manual contractions. The EMS treatment is better than doing nothing, but not necessarily effective at creating functional strength. I Oftentimes, the pelvic floor needs to be relaxed, rather than strengthened (tight muscles are weak muscles), in which case, EMS could exacerbate the issue. So… in summary… if you can go see a pelvic floor physiotherapist, the can assess your pelvic floor and ensure you have the right treatment for your condition. Hope that helps 😊

[@AA-xk4qu]

Thank you for your video. How many months do you need to use the internal pelvic floor devise for. Is it ongoing or until you see improvements

[@TheFlowerEmpowered]

Generally, these devices are used when you are unable to contract the pelvic floor. They should be used to help you to feel the contraction, but if you want to see results, you should also include manual contractions that are progressively training your pelvic floor in many different positions. That way, your pelvic floor is more likely to function correctly when you are making different movements. Have you seen a pelvic floor physiotherapist for an assessment?

[@carlaavendano6061]

Greetings Dr. I have a 3yo patient who was born with meningocele and right now we are working whit her because she has a lazy bladder and does not urinate by herself as consecuence of his disease, do you think this equipment could be used in her? I hope you could answer me this! Great video!

[@TheFlowerEmpowered]

Hi Carla, I am not a doctor, I am a yoga teacher who specializes in pelvic floor dysfunctions. As bladder function is regulated by the nervous system and the meningocele is connected to the meninges which is the membrane that surrounds the nervous system, I would advise that you bring her to a neurologist. I would not advise to use these devices in this case. Hope that help. Good luck!

[@lacy9984]

Thank you for this. I was using mine wrong...

[@TheFlowerEmpowered]

You are welcome 😊🌸

[@JusMrPal]

Yeah amazing 😍🤛

[@TheFlowerEmpowered]

Thanks!

[@amalamoula2838]

Hey please answer 🌹🌹🌹 can i use it in home by myself ? is it save ? I have a second degree bladder prolapse

[@TheFlowerEmpowered]

Hey Amal, pelvic floor exercises can help with bladder prolapse. Have you seen a pelvic floor physical therapist? I would definitely have a physio check things out before using electrical stimulation. The contractions created by estim are not the same as a normal functional contraction so I always recommend to start first by regaining pelvic floor control before adding in artificial stimulation. If you do go ahead with a device, they are all designed for home use. You should check with your medical professional before using and make sure to follow the manufacturers instructions. Hope that helps!

[@Rachel-rk1lw]

How do you lie / sit when using. I have a neuro trac pelvitone and it's been a while since I've used thanks in advance

[@TheFlowerEmpowered]

I only ever use e-stim lying down as I don't find it comfortable when sitting. It's important to listen to your body and don't take a position that causes pain or irritation. If lying down, it can be nice to have pillows under your knees and one behind the head.

[@reynierpacheco3974]

MI papá sufre de estreñimiento severo y muchos gases, le servirá este dispositivo…saludos.

[@TheFlowerEmpowered]

I would suggest your father try’s pelvic floor relaxation rather than stimulating the pelvic floor as constipation is usually accompanied by pelvic floor tension and hypertonicity. He could try this one: kzbin.info/www/bejne/aKrbYZKGgJWEY5Y but use a small sock instead of a ball for the ball sitting exercise.

[@mlmbhandari]

I operated 3 months ago for prostate glade has been removed and I still not get my urinal control for that problem this device is help full plz suggest and Can we see the demo of this device.

[@TheFlowerEmpowered]

Hi Mohanlal, have you tried to do some gentle pelvic floor exercises to start? It is important to reestablish the mind to muscle connection after surgery. I would try that before using a device. You can use this video to help with that: kzbin.info/www/bejne/qHjaqZ-NhtlgiZY I will plan to make some videos showing these devices and how to use them, but please do try to do the exercises manually before adding a device as the devices do not stimulate in the same way as a voluntary contraction and so can be less functional.

[@macmonahan9200]

i love the video

[@TheFlowerEmpowered]

Thank you for the kind feedback 🌸

[@sahb8091]

Thank you for this video. My question is somewhat technical, and I’m wondering if you could offer some guidance. What are these probes made of and what is the longest one I can easily get? I managed to find a spot inside which when stimulated by a weak pulse, helps my pelvic pain considerably. However, I am having trouble replicating this result because the device is pushed in to the hilt, with the spot slightly out of reach again. A longer probe with the electrodes at the end, maybe at 15cm, or some advice on whether I could take one of these electrodes apart and extend it with PVC etc. Really want to take control of my health. Thank you for reading this.

[@TheFlowerEmpowered]

Hi Sah, the probes are generally plastic with a metal or gold plated stimulation pad. The probes are designed to stimulate the deep pelvic floor muscles which are (on average) 2.5 to 3cm inside the vaginal passage. For this reason, vaginal probes tend not to be longer than 8 or 9cm, although there are some anal probes that are longer (10 or 11cm). Have you been to a pelvic floor therapist or gynecologist to see if they can identify the area that is giving you relief when stimulated? It may well be the cervix (which can be extremely sensitive in some individuals). The cervix is higher/lower at different stages during the menstrual cycle. You can read about that on this page: theflowerempowered.com/knowledge-portal/pelvic-organ-prolapse/ Have you tried TENS skin electrodes on the sacrum or low/mid back? Your device should have instructions for placement if that is supported by your device. Working with a pelvic floor PT can help you identify the best placement for pelvic floor relief. Hope that helps.

[@rbon9414]

Look into sexual E-stim probes, stainless steel. Or bed bath.....way beyond - kitchen area-stainless nut smasher wand 🙃

[@AS-rk5zz]

Omg Iv been doing it wrong for ages I have the one with sensors top and bottom and using it too and bottom ! Time to turn around I hope Iv done no damage

[@TheFlowerEmpowered]

It shouldn’t have caused any damage, don’t worry!

[@lghths]

Can you make a video list for hypertonic pelvic floors??? Please!!

[@TheFlowerEmpowered]

I usually recommend the relaxation playlist for those with hypertonicity. Have you seen that one? kzbin.info/aero/PLTrM-0Yl3Pcs-vpFq9mYzeDyIXDaittaq

[@brandijackson4487]

Hi my name is Brandi. I’m in dealing with bowel incontinence . I do bio feedback with my physical therapist. But sometimes I can’t figure out if I’m working the right muscles for keges I was wondering with the Rectal probe help with bowel incontinence. Or is it just use for urine incontinence?

[@TheFlowerEmpowered]

Yes, the rectal probe be helpful if connected to a biofeedback device. With the biofeedback, you get to see the contraction so you will know you are using the right muscles. If you are struggling to contract the area then the electrical stimulation can be useful to help you get started, but check with your physio before you try as it could make things worse if you have dysinergia. Let me know how you get on 😊🌸

[@monicatannehill9241]

I was hoping to get an actual educated opinion on them instead of just a commercial about each sorry but I don't know anymore except that there's a variety I still don't know which ones are good which ones are bad do any of them work

[@TheFlowerEmpowered]

It depends on what you want them to do. The contractions produced by e-stim devices are not the same as when you contract voluntarily. Studies show that using an estim device is better than doing nothing, but they are not better than manual pelvic floor training. Where they are helpful is if you are unable to create any contraction at all, they can be used to help identify the muscles. You should try to contract along with the e-stim contractions, but the goal should be to get to the stage where you can further your training without using a device. Have you seen a pelvic floor physio? It’s really best to see a physio, and if you will use an e-stim device, use it under the guidance of your physio. The devices are pretty much all the same, When it comes to the intra-vaginal stimulation. The shorts are a little difference in that they stimulate muscles surrounding the hips as well as the pelvic floor (eg. Glutes). This isn’t necessarily better as you still have the same issue - the contractions are not the same. A graded exposure system of pelvic floor exercises that includes functional exercises is usually the best way to go. Hope that helps!

[@thePhoenixxx1983]

Can you please post the names of the devices and possibly links to where to purchase them in the description? I would really appreciate that very much. I have received a late-stage diagnosis of genetic degenerative arthritis which includes severe bowel involvement, because of my joint instability I have actually suffered quite a few Falls including injuring my spine and falling on my sacral joint and injuring my pelvis which has altered my bowel function forever over 12 years ago and still has not been acknowledged as a medical problem for me despite not being able to eliminate my bowel normally since before that happened. Videos like yours keep me going on my journey which includes using enemas to assist evacuation of my bowel and toning the muscles internally through yet another different type of stimulation. Thank you so much for your kind Spirit unabashed way of presenting information as well as keeping me focussed on my pelvic Health specifically on my yoga Journey which is actually what started it to become very serious in a positive way in my life.

[@TheFlowerEmpowered]

I’m so sorry to hear you’ve had such a hard time. I can’t imagine why your doctors haven’t taken your bowel issues more seriously. With regards to the bowel issues, is the problem with inability to evacuate or with inability to hold? That has a bearing on what steps you should take to improve bowel control.

[@thePhoenixxx1983]

@@TheFlowerEmpowered it is for sure both. I know, it sounds odd. I have just found out in my late 30's I was born with connective tissue disorder Ehlers-Danlos Syndrome; I have also injured my spine very badly more than once as without my diagnosis, I have done some quite physical jobs and one injury happened at work. I have more difficulty eliminating overall. Difficulty holding happens when I've fallen off track with assistive evacuation for bms. I have a good Naturopath but social situation has left travel very difficult. Thanks much for all your content it helps so much. I love your gentle spirit and approach.💜

[@thePhoenixxx1983]

@@TheFlowerEmpowered after 12+ years of many confusing symptoms, I have also now realized my family doctor left my Mirena in when it migrated, and instead of replacing it like she was intending (because that was her advice as I was in so much pain, replace it and do better placement hopefully)since she couldnt locate the string during insertion, she just inserted the 2nd device. I have had MRIs and CTs and many x Ray's, it was noted as a "vascular compression disorder "...I am having severe complications. I am thankful for all helps. Thank you much 😁

[@hopcat500]

Is electro stimulation safe for men with penile implants? The implant has a small amount of metal in the pump valve. I have to make medical personnel aware if I have X-rays or MRI as a precaution but it is considered safe if they approve.

[@TheFlowerEmpowered]

No, this wouldn’t be a good option when there is an implant. It would be good to see a pelvic floor physiotherapist. They can help you to find and contract the right muscles. This usually has a better result when it comes to function. Let me know if you have any additional questions

[@timothyfreeman7913]

One of my friends had a Tens Unit and I got to experience it. I did not care for it, it seemed like it was in control, but it does help excersising weak muscles when movement is restricted. Does not work well for sexual stimulation, for me. Great for paralyzed patients who may otherwise lose muscle mass from inactivity.

[@TheFlowerEmpowered]

Timothy Freeman thanks for the comment! There are some differences between tens units and these devices. If the tens device is designed to allow you to adjust the frequency (pulse rate) with sufficient range, you could use it for muscle stimulation. Tens is used for relaxing muscles and easing pain, typically in the range of 80 and 120Hz. Muscle stimulation is typically in the range of 35 to 50Hz. The pattern of the pulse also has an impact. Muscles stimulation, as you point out, can also be food for patients with limited mobility or paralysis. In the case of patients who have suffered a stroke and are suffering from dysphasia, muscles stimulation, just like the one used for stimulating the pelvic floor, is used to help stimulate the muscles of the throat to aide swallowing. It’s quite an interesting sensation, like a spasm in the throat, and you really have to push to swallow. This helps to create new neural pathways thus re-teaching the brain how to swallow. From the perspective of pelvic floor dysfunction, I do believe that you should only use these devices as a tool to help retrain the mind to muscle connection in the same way as the stroke patients. Just plugging the device in and letting it “work it’s magic” isn’t going to make a significant difference. You have to participate. Also, these devices are not designed to stimulate any type of sexual stimulation, although they are often sold on “too shy to buy” websites.

[@sumairasafdar3375]

Does it work for Levator Ani Avulsion Syndrome?

[@southbug27]

These aren’t for sexual stimulation; they’re for pain relief & to help with urinary issues too. My pelvic floor muscles are basically in a Charlie Horse & my vaginal walls are in a varying state of collapse depending on my level of pain, procedures I’ve had, overdoing basic activities, etc. While it is uncomfortable to painful to insert most of the time, it pulses & relaxes the muscles, easing the pain. Pain that would’ve kept me in bed for days or weeks can be minimized by using this machine.

[@luannl4494]

This may be a weird question but how do you know if pelvic floor is weak or if you need the relaxation? Gyno said problem is pelvic floor and told me of someone to follow on you tube. But I'm questioning which it is for me. Any input would be helpful. Thank you. So glad to find your channel.

[@TheFlowerEmpowered]

This is such a good question! The answer is not as straightforward as you might expect. Muscles tend to work in pairs or groups and have relationships with other muscles where sometimes one needs to relax for another to contract. Due to this, it is often the case that you will have some parts of your pelvic floor (and other parts of your body) that are hypertonic (tight) and others that are hypotonic (lax). Both hypo- and hyper- tonic muscles are dysfunctional because they cannot contract or lengthen properly (yes, even tight muscles are considered weak as they typically cannot contract further). Usually, the pelvic floor is assessed by a physiotherapist who has trained in pelvic floor function. They check for strength by asking the patient to contract, and they check for tension (hypertonicity) by feeling the pelvic floor. Tight muscles typically feel hard and are often sore. The other indicators are the symptoms where tightness often comes with pain and laxity is often accompanied with inability to contract and symptoms like stress incontinence. When it comes to deciding what you should focus on, the question is if you should focus on length before strength. Both are actually needed but I have written an article on that question that gives some advice on where/how to start: theflowerempowered.com/2020/10/29/should-you-focus-on-length-before-strength-with-pfd-oct-2020/ Hope that helps! 💕

[@luannl4494]

@@TheFlowerEmpowered thank you so much. Yes I had a rectal exam and Dr said left side was hard and was very sore. Not sure about right side. Saw gyno and she pushed on right side but pain was on left. Was too painful to do the vaginal ultrasound. Am looking to get in to a.physiotherapist to help me. Gyno said I could try at home. But may need further assessment of what is going on. Saving your article that I read over and will watch the video. This is helping me so much. Very grateful!!

[@TheFlowerEmpowered]

Pelvic floor relaxation exercises should help a lot. There’s a whole playlist of them here on the channel: kzbin.info/aero/PLTrM-0Yl3Pcs-vpFq9mYzeDyIXDaittaq

[@carmengarcia-nt8ly]

I dont suffer any condition like prolapse or incontinence, even though since I had my 1rst baby my pelvic floor feels weak and I want to come back to lifting weights, would using this is will be a good idea for my case?

[@TheFlowerEmpowered]

Hi Carmen, it's better to learn to control your pelvic floor without devices. They can be useful in some situations but it's always best to start with enhancing the connection between your brain and your pelvic floor. Try this one: kzbin.info/www/bejne/qHjaqZ-NhtlgiZY Let me know how you get on :)

[@AaronW-ww4ds]

Every single person whether male or female require pelvic floor excersises as the less it’s done the weaker the muscle is whether they have issues or not with a machine or without as holding and contracting like you’re mid flow peeing

[@crystalroach6885]

This is like what the doctors use right? They wanted use since I couldn't clench

[@TheFlowerEmpowered]

Yes, E-Stim devices are used if you are unable to create a pelvic floor contraction. It’s important that you learn to contract without these devices. Typically, the physical therapist will teach you to make the contractions yourself after using a device like this.

[@NataliaDiazJackson]

Is this good for relaxing the pelvic floor. I am eager to try. My pelvic floor is very tense. Thank you

[@TheFlowerEmpowered]

TENS devices can be used for relaxation, and some of these devices do have a relaxation program. It’s always best to use them under the guidance of a pelvic floor physiotherapist if you can.

[@memyself3726]

Thanks for this video and I seriously need some advice please. Once I turned 30 I started to experience urine leakage especially during and after my period and this has been going on for 4 years now. I seen the doctor when it first started and they thought it was an over active bladder and wanted to put me on some meds but I rejected the offer. I have carried on like that as its very manageable but sometimes on my return home from work or outside, if i don't use the bathroom on time I could even be urinating on myself without intending to do so which is really stressful and annoying. Recently my partner told me that my vagina all of a sudden wasn't gripping enough and seem to be too loose, this is so shocking as it was never like this and I haven't had much sexual experience plus i don't have any children yet. This actually got me thinking about the whole symptoms and if they could be related. Am researching on my own to understand my situation and to find possible solutions before going back to the doctor. Do you think i got weak pelvic floor issues and can the pelvic floor device be of help to me?? Your response will be highly appreciated. Thanks much.

[@TheFlowerEmpowered]

I’m so sorry to hear you’ve been having such a hard time. I’ve been there, struggling with incontinence and pelvic floor dysfunction. You can get through this. Have you seen a pelvic floor physiotherapist? Would be good to have your pelvic floor checked. It’s not necessarily weak. A hypertonic (tight) muscle can also contribute to leakage as it can’t contract more. I wouldn’t use a device like this without first getting checked. I have released a book just this week that explains a lot on how the body works in relation to pelvic floor dysfunction and offers an eight-phase training program as well as symptom management strategies that can help you as you work to overcome the condition. It’s called “Empower Your Flower”. It’s on Amazon, you can’t find out more at empoweryourflower.com

[@memyself3726]

@@TheFlowerEmpowered Thanks for your prompt response denise🙏🙏 I will do as you have said and also get the book soon.

[@ashleyroserochetto8381]

Which one will help best with relaxation? I have endometriosis and just had an excision and I’m having a hard time relaxing my pelvic floor

[@TheFlowerEmpowered]

Hi Ashley Rose, although there is a relaxation program on some of the stimulators, I wouldn’t use a pelvic floor stimulator for this purpose. TENS can help with pelvic pain but electrodes are place on specific locations along the spinal column and not on the vulva or in the vagina. I would suggest some pelvic floor relaxation exercises kzbin.info/www/bejne/aKrbYZKGgJWEY5Y and yoga nidra body scan meditation as that can help a lot with releasing excess tension. Good luck with your recovery 💕

[@ashleyroserochetto8381]

The Flower Empowered thank you so much for your reply! I’ve been working on practicing mindful breathing and your videos have been so helpful! ❤️

[@luannl4494]

This may be a weird question but how do you know if pelvic floor is weak or if you need rhe relaxation? Gyno said problem is pelvic floor and told me of someone to follow on you tube. But I'm questioning which it is for me. Any input would be helpful. Thank you. So glad to find your channel.

[@jennyb7986]

I read that Electrogalvanic stimulation (EGS) is very helpful for levator ani syndrome. Is this the tool used for that?

[@TheFlowerEmpowered]

The studies on Levator Ani syndrome (LAS) that use EGS are small non-randomized studies and thus not a great indicator. The most recent I have seen compared EGS, Digital stimulaton (manual release by therapist fingers) and biofeedback (training muscle relaxation) and the outcome showed biofeedback to be most efficient. EGS is typically a high voltage pulsed current that is performed using an anal probe in-clinic. The Galvanic current (even when pulsed) is a direct current. The e-stim devices typically provide symmetrical, rectangular bi-phasic with zero DC current. For that reason I wouldn’t use these devices for LAS treatment and would instead focus on modalities that relax the pelvic floor. I have some videos that help with the relaxation: kzbin.info/www/bejne/aKrbYZKGgJWEY5Y or kzbin.info/www/bejne/hIi0qKicjr6LbM0. You can try these for relaxation and speak to your pelvic floor PT if you want to try EGS. They should have the equipment in clinic. Hope that helps!

[@jennyb7986]

@@TheFlowerEmpowered yes this info helps. Thank you! Unfortunately I don't have a pt due to cost, so I am doing everything I can at home to relieve the pain and discomfort, which is hard to deal with on a daily basis. I am hoping to do what I can for the problem to go away and not just get temporary relief, I will definitely try out the videos. Is the Therawand a tool I can use safely at home for this issue?

[@TheFlowerEmpowered]

Yes, the Terawand is good. @Intimate rose also make really nice wands (silicone) with both a thicker end for vaginal use and a thinner end for anal use. Dr Olsen who set up intimate rose is a pelvic floor PT and she has some great videos here on KZbin: kzbin.info

[@jennyb7986]

@@TheFlowerEmpowered thank you so much for the info!

[@jeffdavison3706]

Could you please do a more detailed review on the adapter for men there is not much out there

[@TheFlowerEmpowered]

Sure, I will add that to my list 😊

[@stacyschwanke6962]

If you could please list each item you are showing. My Dr recommended therapy however there are no PT in my area. So I will need to have it a go alone. I love the video knowledge but to be able to research each item singly would also be great. To determine the best options for me. Your web page also does not suggest tools. So while this is a great video your referring people to your web page that does not provide these items in the video.

[@TheFlowerEmpowered]

Hi Stacy, thanks for the feedback. What are the symptoms you are dealing with?

[@wowerman]

Thanks for video. I see tens and tens of questions but not many people give feedback if after purchasing and using it condition really improved. Would ge good to know the results otherwise for me this sounds like a gadget.

[@TheFlowerEmpowered]

The big question is “why” do you want to purchase a gadget? What is the issue you are trying to address? There are occasions where devices are very helpful, even required - for example, If you are incontinent and are completely unable to create the mind to muscle connection to contract, then an E-stim device will help you to feel the muscle and contract. The device will also ensure you are recruiting all muscle fibers so it can “turn on” areas that you maybe aren’t yet reaching with your mind. Its important to also contract yourself though, because stimulated contraction are not the same as contracting yourself. On the other hand, if you just have mild incontinence and can already contract your pelvic floor, the device can help a small bit, but there is a lot of work you need to do for yourself to regain full continence. Does that help?

[@wowerman]

@@TheFlowerEmpowered I want to know if there is a proof this device really works and is not only referred by people with subjective opinions. Sometimes it would be waste of money if device make no difference to condition. I may be wrong. I have tried to excercise pelvic floor muscles but only what I learned is to see when situation happens.I have no control of small leakage especially when standing up from sitting position.

[@TheFlowerEmpowered]

@@wowerman I hear you. I personally didn't find these devices helpful for overcoming my incontinence. For the small leakage when going from sitting to standing, there is a little more involved than just pelvic floor training. You really have to learn to balance intraabdominal pressures. Also, pelvic floor training that is done lying down or sitting isn't going to make much of a difference unless your leaking only happens when you are lying down or sitting. I had to train my body to deal with pressure changes in all planes of movement. It took about 18 months to go from not being able to stand or walk without fully emptying to being able to run/jump etc without leaking. I have quite a few videos on the channel covering many different exercises. I have also written a book and created a video course if you want a more structured approach to overcoming incontinence.

[@shilpimajumder1897]

From where I can get home biofeedback instrument for dyssynergic defecation?

[@TheFlowerEmpowered]

Hi Shilpi, the biofeedback device for dyssynergic defecation is usually generally only provided by your physical therapist. I haven’t seen the balloon versions available for purchase outside of a clinical setting.

[@denissediaz5795]

Would these devices be helpful for hypertonic pelvic floor pain? Currently doing invisalign treatment & the clenching keeps me in constant flares. PT, baclofen & the pelvic wand provide some relief but i would like to know if this could help. I use a tens machine on my back & it gives me so much relief so i have been wondering if i can use it for hypertonic pelvic floor.

[@TheFlowerEmpowered]

The tens machine can provide some relief, but it’s not as effective as pelvic floor relaxation exercises. Most of these devices come with a relaxation program, and if you use it for the pelvic floor, make sure to follow the instructions provided by the manufacturer as it’s easy to increase hypertonicity either the wrong settings.

[@norushkai]

Is this safe to use - the internal stimulation? Can this be combined with kegel balls? Which one is better - balls or electro stimulation? Thank you 🙏

[@TheFlowerEmpowered]

It is safe, but I would always do it under the guidance of a pelvic floor physiotherapist as it’s not for everyone. For example, if you have a hypertonic (tight) pelvic floor, it could make things tighter or painful. If you are working to build strength, stimulation can be helpful initially if you can’t find it contract your pelvic floor. It’s not the same as a normal pelvic floor contraction though so you would still need to do those. Kegel balls are weights. They can be useful once you have gained some strength and control. Hope that helps!

[@norushkai]

@@TheFlowerEmpowered can I find out by myself if it's too tense?

[@jessicanav0]

Would this be good for someone with vulvodynia? My muscles are so tight and I'm receiving pf therapy ?

[@TheFlowerEmpowered]

I would skip e-stim if you gave vulvodynia unless your PT recommends it.

[@jessicanav0]

@@TheFlowerEmpowered okay thank you so much for responding

[@evatayloryogapilates4605]

Hello, I had a brain stem surgery with a consequent hemiparesis on left half if whole body. Consequently, I don't feel well my pelvic floor (and abs) on left side. I have started huge problems with incontinence. Would you pls recommend what would be best for recovery/restoring control and ideally sensations in pelvic floor, ie what device /exercise would be best: electric stimulation or biofeedback/both/none and just exercises....? what's the name of your book please? Thank you very much!

[@TheFlowerEmpowered]

Hi Eve, I’m sorry to hear you’ve had surgery and are now having motor control issues. There isn’t much by way of research into e-stim for patients with loss of pelvic floor motor control following surgery. However, I have been privileged to spent some time with researchers who developed an estim device to help patients with dysphagia (inability to swallow) after a stroke. We discussed the potential to use a similar method to restore pelvic floor in neurological patients and all agreed it would be worth trying. With the dysphagia treatment, the supra-hyoid (swallow) muscles are stimulated using a device similar to the pelvic floor devices. This initiates contractions and patients are trained to swallow when the muscles are contracting. This is believed to help restore mind to muscle connection in order to restore control. Your neurologist may already be aware of these types of treatment and can confirm if this type of treatment would be suitable for you. She/he should also be able to guide you on whether you should use internal or external stimulation and may also advise on the best device and settings. My advice would be to perform your own contractions while using estim in the same way that stroke patients do. I believe this should produce better results than just letting the device “do the work”. A “real” contraction is not the same as the estim contraction but estim could be an effective way to assist in reestablishing mind to muscle connection. I should just mention that I’m not a doctor but simply a yoga teacher. Hope that helps! 💕

[@TheFlowerEmpowered]

Sorry, I typed Eve instead of Eva!

[@evatayloryogapilates4605]

The Flower Empowered thank you!

[@evatayloryogapilates4605]

The Flower Empowered no pbl at all :-))

[@evatayloryogapilates4605]

The Flower Empowered I'm a yoga and pilates teacher too :-)). Neurologists here have no clue... at least here. By estim, do you mean an elec internal stimulation device? sorry, it's not clear to me what do you mean by 'estim'. I ordered Tens Care iTouch... so I'd perform contractions during the electric stimulation, right? Thank you so much!

[@ruthreed5888]

I have an extremely weak pf, pt says its operating on 1/10, she has me doing kegels 3 days daily long and short holds, has also given me a tens machine to use, the continence one not kegel 8, I feel the the stimulation but I feel it is aggreviatung my bladder? And I feel my pf is slightly sore n tired, the programme is an hr long.. So should I just b focusing on kegels for now with some relaxation and build up strength and then come back to the tens? I have researched the kegel 8 it has amazing reviews and alot more options.... Also hypopressives? Can this be learned alone or do u need to work with a specialist at first. Thank you for what you do 🌸

[@TheFlowerEmpowered]

Hi Ruth, if you are getting 1/10 on contraction, I would first work to enhance the mind to muscle connection. I wouldn’t start will full kegels but instead break the Kegels down into separate components as covered in this video: kzbin.info/www/bejne/qHjaqZ-NhtlgiZY By breaking the Kegel down, you will get to see which parts of your pelvic floor respond and which your brain is not reaching. You can do it lying on your back and gently touch the area you are trying to contract as touch enhances the connection between the brain and the muscle you are trying to reach. I would actually avoid electrical stimulation if it’s irritating your bladder. I suggest waiting to use e-stim devices until you have gained some control. Also, once per day is enough for pelvic floor exercises and it’s best to enhance the mind to muscle connection before working on endurance (long holds) and speed (short holds). Hope that helps. Let me know how you get on 💕

[@ruthreed5888]

@@TheFlowerEmpowered thank you so much for the reply, I will check out the video and let you know how things go. Would the hypopressives be helpful at this point?

[@TheFlowerEmpowered]

Hypopressives are good to do. They don’t strengthen the pelvic floor, rather they get the diaphragm and pelvic floor moving in synergy. I have a few videos showing how to feel the apnea in hypopressives and will be making more videos soon so will keep you in mind when I make them 😊

[@krystaltowne3518]

Is there sanitary bags you can use to cover it?

[@TheFlowerEmpowered]

Hi Krystal, I'm sorry but I don't understand the question. What do you want to cover?

[@FaulddrLaerynn]

you can use an unlubed condom to cover over the probe, is that what you meant ?,

[@melissagonzalez5437]

Hi 👋🏻 I used kegel 8 tight and tone I feel like it make me numb have you. Heard this before?

[@TheFlowerEmpowered]

I haven't, but I do always recommend using these devices under the guidance of a physiotherapist. Have you seen a physio? They can do an assessment of your muscle function and can test your reflexes. These devices can be helpful if you have no ability to contract but regardless of whether or not you use them, you should also practice manual contractions in a progressive way to ensure that your pelvic floor functions properly for whatever movements you need to make in a day.

[@melissagonzalez5437]

Ok thank you, I appreciate your response. NO I haven’t. I’ve had three children vaginally easy delivery’s there teenagers, never really had issues other than wanting to tighten up. So for now I will stick to my kegel weight not sure what happened but hopefully it will go away. I’m going to look for a physiotherapist. Thank you 😊

[@missytaylor1gmail]

What gel should I use? Just got tens unit for urge incontinence. On lowest setting can barely feel anything but if I turn it up it feels uncomfortable

[@TheFlowerEmpowered]

TENS is generally used for relaxation and pain relief with external skin electrodes. They typically have the gel pad on them and can be reused multiple times. Where are you placing the electrodes and what settings are you using?

[@missytaylor1gmail]

@@TheFlowerEmpowered Thank you for replying. It has programs for urge or stress incontinence. I’m using vaginal attachment. But I used silicone lubricant, so maybe that’s why it didn’t work?

[@TheFlowerEmpowered]

@@missytaylor1gmail with urgency, there is typically excess tension in the pelvis so I am surprised that an internal probe is recommended. Urgency improvements are greater when removing tension. Hypertonic muscles (tight muscles) are more common with urgency and overactive bladder. Have you tried relaxation exercises like this? kzbin.info/www/bejne/aKrbYZKGgJWEY5Y

[@mishrakumar2128]

ultra sonic gel is also helpful

[@Innocentbystander24]

What happens if you insert the probe front and back instead of side to side?

[@TheFlowerEmpowered]

Great question! When placed at that angle, you can trigger some bladder irritation as the stimulation will be directed towards the bladder.

[@NinaFitory]

Can I use that to relax hypertonic pelvic floor muscles?

[@TheFlowerEmpowered]

Most of the devices have a relaxation setting, although you should definitely check before purchasing and make sure to follow the manufacturer’s instructions

[@linnja0327]

Can those devices be used even if you have a IUD? Thanks

[@TheFlowerEmpowered]

Hi Francia, it depends on the device and the type of IUD. When you have your IUD fitted, you should receive an information leaflet explaining what is/isn’t allowed, each manufacturer of pelvic floor devices also provide info on the use cases for their devices. Sorry I can’t be more specific!

[@linnja0327]

@@TheFlowerEmpowered thank you so much for your reply really appreciate it

[@kippants3801]

Do you think these devices just help you learn how to do kegels properly or do you think the device could also help with tone/elasticity, etc. for post-menoposal women as device may bring needed blood flow, etc. to vaginal area. Also, do you still thk you need to con't. using device once you know you're doing the kegels properly?

[@TheFlowerEmpowered]

Hi Kip, these devices don't contract the muscles in the same way as a voluntary pelvic floor contraction. They can help if you are unable to create the connection between your brain and your pelvic floor. Have you tried the video on regaining control? kzbin.info/www/bejne/qHjaqZ-NhtlgiZY The mind to muscle connection is a really important one. When you lose the ability to contract your pelvic floor, it can be helpful to use one of these devices, but I would always start with trying to establish your mind to muscle connection manually. You can touch the area you are trying to contract if you don't feel a contraction as that can help to bring awareness to the area. I will plan some videos explaining what I mean in some more detail.

[@rachelsmename6]

@@TheFlowerEmpowered Hi there, I really appreciate your video. In my case, I'm able to do it voluntary, but I get so lazy after awhile. I imagine that there are women like me that don't keep up the kegeling for long. That's why I ordered the device you speak of. I think it will be on my doorstep by tomorrow. I'm hoping it helps for vaginal atrophy, painful sex too.

[@vanessashapon5944]

I read that there is no problem using electronic stimulation during pregnancy for the pelvic floor as it's the same as tens used during labour. But all the devices say you can't use while pregnant. It's just electronic signals

[@TheFlowerEmpowered]

I personally wouldn’t use it while pregnant. I don’t believe there have been any studies into using these devices while pregnant (at least none which I have seen). I would also be reluctant to use counter to manufacturers instructions.

[@vanessashapon5944]

@@TheFlowerEmpowered there is a study on ncbi but I'm not sure on the full details. I found it last night. I'm very interested to read it

[@TheFlowerEmpowered]

Oh! Please share a link, I would be interested to read 😊

[@BevRother]

I used a Kegel 8 internal probe after my 4th child, he was about 6 months old. I think it made my pelvic floor tight and sore, I had so much pain near my pubic bone even months after I stopped using it! To this day - 2 years on I get that pain on and off, after scans and internal checks doctors can't explain the pain, just telling me it's muscular. I also developed urge incontinence after using this?

[@TheFlowerEmpowered]

I’m so sorry to hear that The Rother’s. How long were you using the device for? It sounds like you may have some hypertonicity in your pelvic floor. Urge incontinence can also happen when there is hypertonicity. Did you see a pelvic floor PT? I would advise you see one if you can. You could also the relaxation video and see if that helps: kzbin.info/www/bejne/aKrbYZKGgJWEY5Y Let me know how you get on ❤️

[@BevRother]

Thank you for your reply, I was using the device for about 6 weeks, every day for the pre-set time, I was using it because I had a mild rectocele before I had my son. As soon as I got pregnant all symptoms just disappeared so I was just using it to strenghthen. Now I have symptoms back again about 6 weeks ago, after exercises with weights, I have been doing kegels daily and it still happened again? slowly getting better with hypopressives. My physios, ive seen 3! gave me more kegels to do and showed me how to relax, they said kegels were the best thing for prolapse symptoms. I had a grade 1-2. How do I strenghthen my pelvic floor so I don't keep getting these prolapse symptoms? Thank you ♥️

[@TheFlowerEmpowered]

Interesting that your POP symptoms disappeared when pregnant, that’s likely because everything got a nice stretch. Kegels won’t stop you from feeling POP symptoms. Pelvic organ prolapse has a lot to do with how distribution of load. It’s not that your organs are slipping or falling from their normal position. It’s more that they are being pulled. It’s the pulling of connective tissue that can create the dragging feeling you can get when POP is symptomatic. Lifting the floor can help, but it’s not the only focus. If you think about your body in general, maybe you can remember feeling stiff or having limited movement compared to normal after doing something strenuous. The same “stiffness” can be felt in the pelvic floor. In your body, each muscle has a specific function and sometimes muscles won’t do their proper job because they are repairing after being worked hard. If they constantly have to do more than they should, that can cause them to become hypertonic. It’s the connective tissue system that distributes load through your body. Kegels are great to do, but not the only thing you should do. I would suggest you try adding in some stretches and relaxation. You could try the relaxation video: kzbin.info/www/bejne/aKrbYZKGgJWEY5Y When it comes to lifting weights with POP, I actually avoided lifting weights for a long time as I was concerned about my POP, but when I learned about how the body actually functions, I realized that it shouldn’t stop me from lifting. I would go so far as to say some lifting could be good as it trains how to load the system. Last year, I went to the gym six days per week and lifted very heavy weights (for me) and in Nov, I competed in a bodybuilding competition. This went against many things I had been told, but my POP didn’t get worse. For me, I only get symptomatic If I allow myself to get constipated and have to strain unnecessarily. For you, it may be something different that triggers symptoms. Once you learn what triggers symptoms, you can manage or avoid those triggers. It could be good to watch Anna Crowle, a pelvic floor PT and researcher who recently released a study on POP. She is having great success with improving POP by releasing connective tissue tension within the pelvic floor: kzbin.info/www/bejne/i3jTnmaweJagldk

[@BevRother]

@@TheFlowerEmpowered Thanks so much xx

[@BevRother]

@@TheFlowerEmpowered Thank you so much, I will give these a try, do you recommend still continuing on with kegels but with relaxation as well? I was thinking of taking a break from kegels and instead have been doing hypopressives. I have noticed a slight difference in the pressure but it is still there and the bladder urgency has been around for 2 years now.

[@aydiayel]

Hello, which machine would you suggest for hypertonic pelvic floor? I only find for kegels and incontinence :(

[@TheFlowerEmpowered]

Tens can help with pain relief but it doesn’t do so much for relaxation. The best relaxation can be achieved by practicing yin style yoga poses which are held for longer than a normal stretch. Have you already tried some of threes? I have a full playlist of relaxation videos: kzbin.info/aero/PLTrM-0Yl3Pcs-vpFq9mYzeDyIXDaittaq&si=OhDeA7WQnpLRJueh

[@aydiayel]

Thank you very much. I am very disappointed now because my pt made me bought tenscare perfectpfe. Using it for overactive bladder but it didnt help any. Afterwards i started to research and realised there no machines for relaxation. Only in kegel8. But that is also a big questions mark in my mind because these machines do contraction- which seems just good for strenghtening.

[@riplordinfamous7070]

Can these devices be used for levator ani syndrome?

[@TheFlowerEmpowered]

Potentially - it very much depends on your ability too contract. The e-stim devices work by sending a small electrical signal through the muscle which forces recruitment of many (if not all) muscle fibers. This is helpful if you cannot contract the muscles at all, as the signal is bringing a lot of awareness to the muscle which can make it a little easier for you to contract. It's not going to make a big difference when it comes to muscle strength, nor will it make a huge difference when it comes to your ability to control the muscles. For strength/control/endurance you would need to do manual exercises in varying positions where you progressively overload. So to summarize: If your levator ani syndrome prevents you from being able to contract your pelvic floor, e-stim devices can help to bring your awareness to the muscle while triggering most of the muscle fibers to contract. This may be helpful at the very start of your pelvic floor training, but you would need to do manual exercises that progressively overload your muscles if you are to gain strength, control and endurance in order to overcome LAS. Make sense? In addition - you should use e-stim under the guidance of a physiotherapist.

[@melissagonzalez5437]

What are the shorts called?

[@TheFlowerEmpowered]

They are made by an Irish company and are called “Innovo”

[@lanaray3181]

Will this help Vulvodynia?

[@TheFlowerEmpowered]

For Vulvodynia I would avoid these devices. Instead, focus on pelvic floor relaxation. You could also work with dilators working up from small to larger size dilators. Managing stress and yoga nidra body scan meditations can also help 💕

[@jde9711]

What would be the best internal stimulation or devices like evie. Do mixed x

[@TheFlowerEmpowered]

Hi J D, the best device depends on what you need it for. Electrical stimulation creates contractions and biofeedback devices (like Elvie) gives you a measure of the level of your contraction. There are no devices which do both at the same time (that I am aware of). I’ll make some more in-depth videos with different devices. Let me know if you have more questions.

[@spark_ling1379]

I see you have the kegel ultra 20 just like me. Do you know which programme(s) are best to get very strong orgasms? I lost them when PFD started 14 years ago.

[@TheFlowerEmpowered]

Have you had your pelvic floor assessed by a pelvic floor physio? It is quite possible that the issue is related to pelvic floor tension and hypertonicity rather than laxity. Both lax and tight muscles are weak. Try practicing pelvic floor relaxation for a week or two and see if it helps. You’ll find lots of relaxation videos on the channel. It’s best not to use any devices while trying this. Relaxation is also helpful when you have laxity, but with laxity, you should also work on contractions. Are you able to manually contract your pelvic floor (without using the device)? The contractions produced by the device are not the same as the ones that you can manually do, so you should also add some manual contractions in different positions. Have you seen the 30 day challenge on the channel? You could try that after a week or two of relaxation. Hope that helps. Let me know how it goes 😊🌸

[@jmnyoung]

Cannot use with hip replacement, because the current gos to the metal hips and doesn’t help pelvic floor

[@TheFlowerEmpowered]

Definitely not good if you have a metal hip! As I said in the video, there is a place for this type of therapy but it’s under the guidance of a physio and had limited use. Better to train your pelvic floor for function 👍🏻

[@Olive_O_Sudden]

What do you think of the Apex Pelvic Floor Muscle Exerciser? It has the stimulation contacts positioned so that they face the front and back wall of the vagina, rather than the sides. If the stimulation should always be at the sides, why would they make a machine that stimulates the front and back? Would the Apex be more effective if it were inserted sideways? Thank you for your channel; I've just found it and am looking forward to watching your playlists.☺♥

[@TheFlowerEmpowered]

Hi Olive, I’ve had a look online at the Apex unit. I haven’t actually tried one but would not be a fan of the placement of the electrodes. The front and back walls are typically avoided due to their proximity to the urethra and rectum. I would be interested to read any studies connected to the Apex device to see if there were any negative effects from directing motor nerve stimulation in that way. I’ll take a look online to see if I can find anything. Happy you’ve found my channel! I’m just getting ready to start recording again so do let me know if there is anything specific you would like to see 😊💕

[@kaurdeep2396]

Pelvic floor exercises is it imp to use this device electrode placement not possible externally

[@TheFlowerEmpowered]

I’m sorry, I don’t quite understand your question

[@routinematters1487]

I have simple tens unit with 4 pads .can i use that for vaginal tightening and for bladder control

[@TheFlowerEmpowered]

No, TENS machines are not designed for the pelvic floor. I would suggest you start with some pelvic floor exercises. Studies comparing pelvic floor exercises and electrical stimulation show that pelvic floor exercises are as effective as e-stim and the exercises are more convenient.

[@routinematters1487]

I have comfy stim .can i use that .thank you so much for your reply.

[@trishameloling2367]

What devices are these where can I buy one

[@TheFlowerEmpowered]

Electrical stimulation devices. You can find links to them on this page: theflowerempowered.com/knowledge-portal/urinary-incontinence/urinary-incontinence-non-surgical-treatments/

[@sumairasafdar3375]

Where to apply TENS Unit for Levator Ani Avulsion Syndrome?

[@TheFlowerEmpowered]

The question would be “why” are you applying a tens unit? For pain reduction? Or in an attempt to stimulate muscle activation?

[@sumairasafdar3375]

@@TheFlowerEmpowered Muscles Activation

[@rosangelasilva1866]

Por favor façam videos que tenha legenda em portugues Brasil

[@strongsyedaa7378]

Can these stimulations fix Levator Ani Avulsion?

[@TheFlowerEmpowered]

Stimulation can be used to ensure all muscle fibers are firing, but it’s not quite the same as a voluntary contraction. The thing to remember with avulsion is that there is some detachment - but all parts of the pelvic floor are surrounded in connective tissue and encased between layers of other muscles, tissues, bones etc. The avulsion itself might not ever reattach but you can work to strengthen and control the surrounding muscles in order to improve or maintain function. Are you working with a PT?

[@doclouis4236]

Where can I purchase either of these devices? I'm male and suffering from nerve degradation on my perineum and genital area due to anxiety/stress and also other reasons that I don't currently know.

[@TheFlowerEmpowered]

Where are you based? You can buy e-still devices on Amazon but it’s best to go to a pelvic floor PT and they prescribe the best device for your condition and give you a treatment protocol.

[@doclouis4236]

@@TheFlowerEmpowered I apologize for the abrupt comment. I don't know how else to quickly message you. Basically what's been happening is I have been experiencing a loss of nerves/sensation on my perineal area and genitals for some reason. I don't know exactly why, it could range from anxiety/stress, a bug bite there I had from a blood sucking insect that may have carried a disease (I haven't checked if that's the case), living somewhat sedentary for a while now even though I was doing some workout routines before I experienced a moment of depressive thoughts going through me which triggered something I felt in my spine that sent like a shockwave signal to my pelvic area which caused minor nerve loss, which again I felt and it freaked me out, that's only been gradually getting worse over time that I haven't treated yet. I also have a bit of a history with sleep deprivation ever since a young age mostly caused by me going to sleep very late starting in grade school all the way till high school up until now in my early 20's. I have been getting more sleep lately but there were times where I was abruptly awoken during the morning which caused me to feel stressed and have some more nerve loss. This has happened more than a few occasions throughout last year and the year prior when I had a noisy neighbor. I also felt nerve loss sometimes whenever I orgasmed ( I apologize for mentioning this), and other times when it wasn't intentional like when I experienced nocturnal emissions that I had no control over. I'm not experiencing any other health issues, I eat healthy and don't consume much sugar and I'm not overweight or underweight. I haven't looked into this issue mainly because I have been putting it off for a while now and I'm not doing to well financially at the moment, so the insurance I have right now may or may not cover it. So I'm wondering what I should do since I'm a bit scared by this and wondering if it's too late to fix anything and if there's any permanent damage done. I read about both devices that can stimulate nerves and how red ginseng root can calm the nerves and revitalize them. But again, I'm not sure what options to explore, could you maybe suggest something?

[@TheFlowerEmpowered]

When you say loss of sensation, is it skin sensation or deeper?

[@doclouis4236]

@@TheFlowerEmpowered Yes, skin sensation is gradually being lost more. Deeper sensation is as well though I wouldn't say as much at the moment but it's getting there from what I feel. Best way to describe it is as, whenever I was younger I could feel my genitals hanging and I could feel them swing if I did so. It felt like something was there. I was very sensitive, even when I was unconscious and asleep. I could've also felt them rubbing against something if I pushed them onto a surface while clothed. But I don't feel that now, it feels like it's gone. If I could also say, whenever I have an erection, I'm surprised to still get it but I feel as if it's not fully solid and if I bend it a bit that I might easily break my penis if I did so. So I'm worried about that. I apologize if I'm getting too far into detail.

[@doclouis4236]

@@TheFlowerEmpowered One more thing I have to say, however. Is that the size and shape hasn't changed as of now, though I'm worried if this could lead to some sort of permanent damage like arterial atrophy or something similar that could lead to a decrease in size over time if left untreated.

[@charleehassell6195]

Are these safe for ovaries? I used one today and now I’m having ovary (or what feels like ovary) pain?

[@TheFlowerEmpowered]

The estim devices shouldn’t impact your ovaries, but they can cause contractions in other areas. It may have stimulated your psoas or some of your abdominals as well as your pelvic floor. It’s best to only use the devices under the guidance of a physio and have your pain checked by a doctor incase there is anything else going on. Hope that helps!

[@jessicaqueiroz7283]

Is your book out?

[@TheFlowerEmpowered]

Hi Jessica, my full time job (which usually pushes well beyond full time) was preventing me from having time to focus on the channel and publishing the book so I quit! I plan to publish in November and will share more info here and on the website in the run up to boom launch 😁

[@jessicaqueiroz7283]

I can't wait to get your book!

[@ATMAtim]

What is meant by the term "EMS"?

[@TheFlowerEmpowered]

Electrical muscle stimulation 😃

[@ATMAtim]

@@TheFlowerEmpowered - Thanks

[@mollyh9356]

I have been diagnosed with PFD by my PT. It was first brought on by excessive long distance running and hasn't permanently gone away for over 7 years. I finished treatment with my PT a few months ago and was feeling great, but the spasms and tingling in my vaginal muscles is returning. I haven't been running much at all. It just kind of came back. My PT lengthened my pelvic floor muscles, then we worked on strengthening them. Would you recommend electrical stim for me? If so, would a TENS machine, EMS, or both be beneficial? Vaginal probe or skin pads or both? Thanks so much!

[@TheFlowerEmpowered]

Hi Molly, it very much depends on what you are trying to achieve TENS can be useful for relaxation in some scenarios but it’s generally given as a treatment by your physio. Did your Physio recommend TENS? for relaxation, it’s usually skin electrodes and generally they are placed either at the sacrum or a little higher up the back depending on the specific treatment. The devices that are used for strengthening are often not suited to relaxation (unless they have been manufactured to do both). When it comes to E-stim for strength, it’s usually advised if the patient cannot achieve a contraction or find their pelvic floor muscles. The E-stim is used until the patient can contract themselves and then the focus shifts to manual contraction.

[@mollyh9356]

@@TheFlowerEmpowered My PT said to go ahead and try TENS, as it won't do any harm.

[@TheFlowerEmpowered]

@@mollyh9356 did your PT recommend a specific device?

[@mollyh9356]

@@TheFlowerEmpowered she said TENS in general wouldn't do any harm. I actually found a PT that is certified in pelvic floor health and does dry needling, so i have an appt coming up on the 17th.

[@TheFlowerEmpowered]

@@mollyh9356 that’s great! Let me know how it goes 👍🏻🌸

[@Marwa-373]

Plz what is book name .

[@TheFlowerEmpowered]

The book has not been published yet. You can register your interest here and I will send you an email when it is released: theflowerempowered.com/home/register-your-interest/

[@louiseransome746]

Love ur top

[@TheFlowerEmpowered]

Thanks! It’s from SuperDry 😊

[@HoneyViVi]

Hi dear! I'm 35 (never had baby) and ever since I was a kid when I play jump rope I peed my pants after jumping so I think I have a weak pelvic floor by nature. I bought the Tensecare ItouchSure and just used it for the first time today. I set the program of stress and tone and barely felt anything until I raised the current to 99.5 and I felt just tiny lift. With the other two programs (urge and mixed I felt NOTHING) Am I using it wrong or is my device defective or is my symptom too heavy? If I start with 99.5 which is the max current setting.. How can I raise/progress from there? Looking forward to hearing from you.. I'm really worried! Thank you for the video ☺️

[@TheFlowerEmpowered]

Hi VC, urine leakage isn’t always due to weak pelvic floor muscles, in fact, it is often due to hypertonic (tight) muscles. I would expect you may have hypertonic muscles if you aren’t feeling much of a contraction when you use the device. For an example of why this is, make a fist and squeeze as hard as you can. That’s a hypertonic muscle contraction. Now if you try to squeeze it more when you are already squeezing as hard as you can, you won’t be able to manage more than a flicker of extra strength. I expect this is what may be happening when you use the device. You may be wondering why you would experience leakage with muscles that are tight like this. I want you to visualize your pelvic floor like an elastic base beneath all your pelvic organs. If you are jumping rope, that springy base needs to be stretchy so that it can flex along with all your organs. If it is stiff due to being hypertonic, it won’t stretch and that can result in excessive pressure when you land which can cause the leakage. Make sense? I would suggest you don’t use the pelvic floor device and instead work on stretching and relaxing as that will allow those overly tight muscles to relax which should make them springy enough to deal with the pressure when skipping or jumping. You can go to a pelvic floor physical therapist to have an assessment of your pelvic floor done and they can assist with down-training (training your pelvic floor to relax). You can try this video too: kzbin.info/www/bejne/aKrbYZKGgJWEY5Y 😊

[@Joyjoy-ih1ie]

Signs of a weak pelvic floor are peeing when laugh or cough, bulging vagina opening, spraying different directions of urine.

[@rosangelasilva1866]

Por favor façam videos com traducao para o portugues Brasil, milhares de mulheres querem e precisam do aparelho porem é tudo em outra lingua.

[@TheFlowerEmpowered]

OK! vou adicionar português à lista!

[@TheFlowerEmpowered]

👋 Thanks for watching! I get a lot of comments every day and at the moment, I am struggling to keep up with answering them all 😅 I will do my best to answer your question in good time. If you would like to ask me a question directly, you can book a short 1:1 zoom coaching call: geni.us/V8rJ 👩🏼‍💻

[@Twinsankitanurag]

Hello mam ,I had problem of bladder wall thickness increased and every hour go to urine and drop by drop but we can't empty I always feel bladder is not empty ,plz suggest me good treatment to cure this easily Pls reply early mam

[@TheFlowerEmpowered]

Hi Anuraag, you would need to see a urologist if you are having trouble emptying your bladder, especially if it had already need confirmed that you have thickening of the bladder wall. It can be good to also do yoga nidra body scan meditation and relaxation as this can help to calm your nervous system which could help you to go, but please see a urologist as soon as possible.

[@Twinsankitanurag]

@@TheFlowerEmpowered thanks mam

[@mahadev3689]

Hello mam I'm suffering Frome cppps my pelvic floor muscle are tight and weak which causing pain in in rectum constipation problem in urine and all so can i use external tens machine they are contracted muscle and i want to relax them actually would it help

[@TheFlowerEmpowered]

Can you get to see a pelvic floor physical therapist? TENS can be used but it should be under the guidance of your physio. Also, I expect you will get more relaxation from doing relaxation exercises: kzbin.info/www/bejne/aKrbYZKGgJWEY5Y

[@mahadev3689]

@@TheFlowerEmpowered thanks mam I'm from India I'm 21 year old student I'm searching for pelvic floor physiotherapist but nobody is helping me they are women and they refuse to treat men I'm feeling so hopeless and i also belong to very poor family Im giving my best following online videos but nothing is working that much.

[@TheFlowerEmpowered]

With relaxation exercise, consistent daily practice is needed. With TENS, you could try but make sure it is a TENS device and not an ESTIM device (which contracts the muscles) and follow the manufacturers instructions.

[@mahadev3689]

@@TheFlowerEmpowered ok mam thanks a lot you are the only person who giving me instructions I have texted lot of people's but they didn't help actually I was suffering from hypertonic pelvic floor but due to lack of information and resources I was thinking they are weak so to strengthen them I was doing kegel and other stuff but that causes my symptoms worse then I realized that actually I have to release them now I'm just trying to collect all things and get better I'm feeling so sad but I'm meditating now to stabilize my mind I don't think any proper treatment is available in India I have seen lot of videos from USA pelvic floor physiotherapist including you which can treat well, but I'm just student and can't afford to just visit USA once, but I will fight with it until I win! I just need support and information thanks a lot again 🙏

[@TheFlowerEmpowered]

Good luck 🍀

[@rachelsmename6]

Does the electrical device and insertion probe also help vaginal atrophy (painful sex) related to menopause/postmenopause?

[@TheFlowerEmpowered]

I would be careful with estim during perimenopause. Generally the atrophy is accompanied by vaginal dryness. That can sometimes make the tissues very light as well as dry. In some cases, they may be too sensitive for the electrical current. It’s best to check with the manufacturer of the specific device regarding the internal probe. You may be able to use external skin electrodes instead if the vaginal skin isn’t up to the electrodes.

[@rachelsmename6]

The Flower Empowered thank you so much. : )

[@Diogenes-II]

​@@rachelsmename6you are eating high oxalate foods, like spinach, almonds and raspberries? Those will cause those symptoms. Eat sardines with the bone.

[@vera7789]

Are internal devices good for pelvic pain?

[@TheFlowerEmpowered]

Not typically, they are intended for contraction. Some do have relaxation programs but I’m not sure they make a difference.

[@otatted1]

Whats better a tharawand or an electrical stimulator?

[@Denise.Conway]

octavius s it depends on what you are trying to do. If you can any massage and to release trigger-points, the therawand is your tool. If you are trying to stimulate a pelvic floor contraction, an electrical stimulator is the tool you need. They have opposite functions.

[@otatted1]

@@Denise.Conway Got it, thanks!

[@irisnroses1889]

Is it supposed to be so painful

[@TheFlowerEmpowered]

No, pain would be an indication that something is not right. Could be a number of things depending on the type of pain. Are you having pain using an E-stim device? It’s really important to follow manufacturers instructions. Do you have a pelvic floor physio who can check your settings?

[@user-uo5jh1yx1b]

These devices for men or women ?? And does it solve post void dripping problem??

[@TheFlowerEmpowered]

You can do pelvic floor strengthening exercises for posit void dribble. Try this one: kzbin.info/www/bejne/qHjaqZ-NhtlgiZYsi=sH-ny3wT0Oz1bTmH

[@AaronW-ww4ds]

For any noticeable difference the machines need to be used daily for 2 months

[@shaban7639]

My puborectalis is tight abd my anal sphincter is weak and my doctor is using electrical stimulation and shockwave therapy is he going on the correct path?

[@TheFlowerEmpowered]

Are you able to contract the anal sphincter? If you are unable to contract, then short term use of e-stimulation can help. E-stim can also be used for relaxation. Is your doctor a pelvic floor physical therapist? If not, you should get referred to one.

[@shaban7639]

I'm able to contract it but i have a little difficulty having bowel movements, also it affects my sexual function partially. Hes a physical therapist but be specializes in different things the problem is i live in a country that has no one that specializes in only Pelvic floor therapy.

[@shaban7639]

Not a full contraction

[@TheFlowerEmpowered]

@@shaban7639 do you have difficulty relaxing the pelvic floor for bowel movements?

[@shaban7639]

@@TheFlowerEmpowered yes i do

[@akabga]

What does she say this device is called? 5:40

[@TheFlowerEmpowered]

That's Innovo shorts. The ones I am showing there are the older model. The new version is an actual pair of shorts with the simulators built in. You can find them here: geni.us/QttWT

[@akabga]

@@TheFlowerEmpowered thanks! 🙏

[@SSpitz16]

Hi Can this help with vaginismus?

[@TheFlowerEmpowered]

No, the electrical stimulation is used for strengthening

[@SSpitz16]

@@TheFlowerEmpowered Thank you for answering. However, doesn't a person with vaginismus already has more than enough strengh? What the person needs is to learn how to relax and not strenght even more a muscle that is already more than strong. I am speaking as a former person with vaginismus. that is solved over a year ago. I tried this electrical stimulation and it did nothing for me. I solved it in another way.

[@TheFlowerEmpowered]

@@SSpitz16 This video is talking about devices used for strengthening the pelvic floor. The channel focuses on pelvic floor dysfunction which is a broad subject that includes conditions of hypertonicity (such as vaginismus) and hypotonicity (where there is weakness). The video is not for people with vaginismus - which is why I responded "NO" in response to your question if this would help with vaginismus. This video does not help with vaginismus. With regards to a person with vaginismus having enough strength - this is also an incorrect assumption. Tight muscles are not strong muscles. In order for those muscles to have strength, they need to be relaxed, which allows the muscle fibres to return to a normal length from their shortened length. When muscles have a normal length, they can both contract and relax. Anyone with pelvic floor dysfunction will need to work to bring the muscles back to a normal length. So, I am not surprised that electrical stimulation didn't work for you as it contracts the muscles, and you cannot shorten an already contracted muscle. What you would have needed were exercises and practice that lengthen the muscles. I'm delighted that you found a solution and have overcome vaginismus 😊🌸

[@SSpitz16]

@@TheFlowerEmpowered Oh yes now I see you said No. Thank you for explaining, my first physical therapist recommended this treatment for me. It's sad to see that there is still a lot of lack of knowledge to help people. When I made that question 2 years ago was when I was under the eletrical treatment and wasn't working that is why I asked if it really helped. Thank you for your detailed answer and for informing people.

[@TheFlowerEmpowered]

@@SSpitz16 Wow! 2 years to respond, sorry about that!! KZbin changed the order of the comments on the back end the other day so it showed up for me. I generally try to answer all comments each week but sometimes there are too many. Anyways, I am glad that you found a good physio in the end. For sure it is very unfortunate that the right treatment wasn't given in the first instance.

[@Lee-ii9mk]

random but you're stunning!

[@ncp3077]

Would this have any affect on reproductive organs?

[@TheFlowerEmpowered]

I haven’t seen anything in the literature to suggest it would, but you definitely should use É-Sim if you are pregnant or trying to get pregnant.

[@ncp3077]

@@TheFlowerEmpowered Ty

[@activemed1595]

send the brand of weared device with patches , I need it for local market

[@TheFlowerEmpowered]

It’s an Irish company called Innovo: www.myinnovo.com/us/

[@activemed1595]

@@TheFlowerEmpowered many thanks

[@tunnelvision6886]

Which one will help recover Uterine Prolapse ? I’ve been suffering with this since 2017 and I’m so ashamed to speak about it with other women but I feel safe here lol . I’ve also been celibate since . But knowing that this has happened to , makes me feel like I will never be able to have a sex life again 😢 it’s Emotionally Draining !!!! Please Give me some advice . Thank You 💜

[@TheFlowerEmpowered]

Uterine prolapse is not a life sentence and a healthy sex life is still possible. Have you had a pelvic floor PT make an assessment of the grade of your prolapse? There is so much you can do to alleviate symptoms. Also, when having sex, your partner will not know you have prolapse unless you tell. It’s not possible to feel with fingers/or male parts unless it is someone trained to assess for prolapse.

[@tunnelvision6886]

@@TheFlowerEmpowered I have my Anual Exam Next month and I plan on Speaking with my Dr about it to Examine the Actual Level of the Prolapse . I must admit it is pretty low ! It’s not all the way out but sometimes I feel it when I wipe myself While on the Toilet ! Sometimes ...

[@tunnelvision6886]

@@TheFlowerEmpowered & Thanks for The Encouraging words . I actually wouldn’t know if my partner could tell bc I have been celibate since around the time I started feeling the prolapse ! I just have to take my life back at some point and fix this !

[@TheFlowerEmpowered]

@@tunnelvision6886 have you read through the information on my website? theflowerempowered.com/knowledge-portal/pelvic-organ-prolapse/ There is a graphic on the page showing the change in cervical position during the menstrual cycle. It’s worth looking at. Prolapse can appear worse at certain times of the month. It is possible to use a pessary to support your uterus (you will also see some images showing pessaries on the same page).

[@TheFlowerEmpowered]

@@tunnelvision6886 I hear you. I also chose to be celibate when things were really bad but I realised what an important aspect of my life it was. Your sexual function has an impact on quality of life. I’m so glad to hear you will speak with your doctor about it. Getting back to a normal functioning sex life (and the joy of relationship and sharing life with someone) is such a lovely gift to yourself 💕 Let me know how you get on xx

[@vocals7693]

Wondering if this would help with delayed ejaculation.

[@TheFlowerEmpowered]

You would be better working to relax your pelvic floor to help with that.

[@menotyou6254]

Those are kidney points that’s why it helps those are liver kidney and spleen points

[@shihabkv4353]

I love you. You are looking so beautiful 🥰

[@annainneo7839]

Will the internal device help with vaginal dryness?

[@TheFlowerEmpowered]

No, it can actually cause irritation on the skin. Pelvic floor contractions have been shown on some of the latest research to be very beneficial with vaginal dryness with the improvements being on par with using estrogen creams.

[@witchone5551]

I cannot find any information on the tens or ems devices for fsd. There are studies that show that tibial nerve stim will help fsd but no one will talk about it. What about women who have no incontinence or other problems except fsd like anorgasmia as they have aged? It’s like ED but women have the same issues. EVERYONE cares about ED of course 🙄 (sarcasm)

[@TheFlowerEmpowered]

I hear you, ED is a much hotter topic in media versus FSD. (ED- Erectile dysfunction, FSD - Female sexual dysfunction for those of you unfamiliar). The discovery that PTNS (posterior tibial nerve stimulation) was helpful for FSD was actually a side discovery during a study into Overactive bladder. There have been few studies into PTNS for treating urinary issues and even less into FSD. Studies have also been quite small (as in few participants). I tried TPTNS (where skin electrodes are used) when working to regain my continence. Would a video explaining how to use it and the details from the studies on the different studies be helpful?

[@rebeccamann3893]

That doesn't make a man the heart ❤️ does the rest does

[@porkchopjohnson2864]

What's happened to your t shirt?

[@TheFlowerEmpowered]

I gave it the cold shoulder 😂

[@sandigordon5655]

Could you put the inserted vaginal device on your urethra , so it wouldn’t actually go in ? To help with an urethrocele

[@TheFlowerEmpowered]

Hi Sandi, I wouldnt insert anything into the urethra. It may be better to use a vaginal pessary to provide some internal support for the urethra. Have you talked to your doctor about pessaries?

[@sandigordon5655]

@@TheFlowerEmpowered I was wondering about laying the device on the urethra ( not insert ) The device I have is the tens machine with a vagina insert .I use the impressa as my pessary still trying diff ones the ring I felt a bit too much .

[@TheFlowerEmpowered]

I wouldn’t use an electrical probe on the urethra. It’s quite a small muscle and plays an important role in the reflexes of ruination. Directly stimulating it can interfere with these reflexes. Also, sphincters are a little unlike most skeletal muscles in form (circular) so it wouldn’t necessarily respond in the same way as other muscles that have origin/insertion.

[@sandigordon5655]

@@TheFlowerEmpowered makes sense thank you , funny I am writing you back as I am doing my vaginal bio feedback therapy .I am just not a fan of a saggy urethra ( I already had a hysterectomy to fix prolapses n rectocele ) fast forward two yrs and things don’t stay where they belong

[@TheFlowerEmpowered]

So sorry to hear what you’ve been through. Have you tried hypopressive exercises? Connective tissue takes longer to repair/rejuvenate than muscle tissue and the connective tissues will have a reasonable impact on the prolapses. Hypopressives will help with stimulating the connective tissues from above. You can also add some inversion exercises to counter gravity giving the tissues a bit of a break from the constant downward force. Legs up the wall with hips elevated can be quite nice. Are you getting much pelvic floor lift when you do pelvic floor exercises? Biofeedback should be helpful. The cheapest/easiest biofeedback available is a mirror and your hand. You can see the lift and feel the lift.