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Very widespread at the women, the urinary flights are sources of daily nuisances. Childbirth, overweight, menopause or intense sport can encourage them while weakening the perineum. With Doctissimo, discover the secrets of this particular muscle. Sustaining genitalia as well as the bladder, the perineum is an indispensable muscle to the urinary balance. In some situations - childbirth, menopause or overweight - this one is distended and don't assure its function of restraint of urines anymore (continence). Often, a simple rehabilitation périnéale is sufficient to stop the flights. The perineum: main actor of the mictionThe perineum is a muscle that spreads since the posterior face of the pubis until the coccyx. It sustains the bladder, the vagina and the rectum. In normal time, the perineum assures its function of restraint of urines, but it arrives that it is weakened. Some urinary flights can appear then. There are two periods to risks at the woman: the moment of the childbirth and the period of the menopause, where there is a hormonal fall that is going to weaken the perineum" explains Mrs. Galliac-Alanbari, specialized physical therapist in perineologie. But other factors of risk exist, as some sporty activities that cause some jerks to the level of the perineum (abdominal muscles, jogging), or the overweight or the exercise of a demanding profession to carry heavy objects. Muscler her perineum: place to the prevention!In France, close to 6 millions women would be victims of incontinence urinaire! The best way to warn these problems is of muscler his/her/its perineum. Some simple exercises can be proposed and can be repeated to the daily. Indeed, for the same reason as the other muscles, work must be regular to keep the tone of her perineum. The first stage consists in becoming aware of this muscle. Indeed, according to Mrs. Galliac-Alanbari, "close to 4 women out of 10 have the pain to localize their perineum, confounding it with abdominal muscles or the buttocks". To localize it, you can block your urines at the time of the miction and feel it thus to contract itself. Attention, this technique of "stop pee" must not be practiced than unusually as test, otherwise it ends up to term disturbing the urinary device. Thereafter, as following your gynecologist's advice, physical therapist or midwife, you will be able to follow of the contraction exercises all alone, and this to the daily. To maintain the tone of her perineum must become a reflex! When the rehabilitation imposes itselfIf some flights appear, the first thing to make is to speak of it to her physician. Often, a simple cross-examination is sufficient to understand the mechanism in reason. According to the type of incontinence, a rehabilitation périnéale can be proposed. "It makes itself with specialized rééducateurs or the wise women, that go, on the occasion of about ten sessions, to make work these muscles and is going to teach to the patient to make herself these exercises, to suppress the flights" explains the Pr. Haab, chief of the service of urology of the hospital Tenon. Thereafter, the exercises can be repeated to the daily. To maintain the tone of its perineum is part of the hygiene of life of the woman and must become a reflex. The taboo of the urinary flights is passed, don't hesitate therefore to speak of it to your physician or gynecologist, this one will be able to counsel you and will be able to orient you toward a rehabilitation or a treatment adapted. 2011-11-26
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