Emma's Story*
Step 1
Emma discovered what mattered
Emma (she/her) is a 29-year-old woman who was referred by her gynaecologist with a 3-year history of painful sex and persistent vulval irritation that was affecting her relationship and family planning goals. Emma shared that she had developed anxiety around intimacy after her symptoms began. Assessment included a pelvic floor, perineal and vulval examination. We discovered that Emma had trouble relaxing her pelvic floor muscles and vulval sensitivity and was generally holding tension in her body. Understanding the connection between her muscle tension, skin irritation, and emotional state was the first step toward healing.
Emma's Pelvic Health Goals:
- Be able to have sex so I can have a baby, I have always dreamed of becoming a mother.
- To enjoy sex and pleasure again, it is important to me and my relationship, and I'd feel more confident as a woman.
- To get rid of the vulval irritation so I can wear jeans and sit for as long as I want to. This would help me to feel normal.
Step 2
Emma restored what mattered
Emma's treatment plan was gentle and progressive. She started with genital skin care education and pelvic floor muscle relaxation training. Using breathing exercises and general relaxation techniques, she learned to calm her nervous system and fear response to intimate touch. Desensitisation techniques helped her gradually reduce sensitivity, while education about pain and pleasure gave her confidence. Hands-on strategies helped Emma believe that she could reduce pain with touch through the new skills she had learnt.
Step 3
Emma enjoyed what mattered
We celebrated each small victory - wearing jeans comfortably, sitting through a dinner, and eventually progressing toward intimate touch. It took Emma almost a year to achieve these pelvic health goals, but we made sure there were stepping stones along the way. She had a few setbacks, but persevered. We were thrilled to receive a message from her 12 months after her final consultation to say that she was 4 months pregnant with a baby boy - her dream of motherhood was becoming a reality.