Pelvic Pain Research Update: Episode 58 with Dr Malgorzata Starzec-Proserpio

Pelvic Pain Research Update: Episode 58 with Dr Malgorzata Starzec-Proserpio

Hello & Welcome To The Latest Episode!

I'm so excited to share a recent conversation I had with exciting pelvic health physio and researcher, Dr Malgorzata Starzec-Proserpio

In 2024, Gosia released 2 papers that I think will have profound implications for the way we work with women who have pelvic pain and dyspareunia (and maybe challenge some biases along the way!)

'From Fragmented to Whole: Multimodal Physiotherapy as a Multifaceted Approach to Pelvic Pain in Women - Clinical Commentary' Starzec-Proserpio et al 2024


'To contract or not to contract: should we use pelvic floor muscle exercises in the treatment of dyspareunia?' Solomon et al 2024

In this episode, we discuss:

  • the clinical implications of these articles for us as clinicians, and also why literature reviews are essential and their role.
  • ​Common hypotheses about pelvic floor muscle exercises in dyspareunia
  • ​Can PFM exercises be harmful for women with dyspareunia? If so, when? What are the consequences?
  • ​Evidence for the use of pelvic floor muscle exercises in the treatment of dyspareunia – effects and outcomes
  • ​Our Conclusions: Nuances, nuances, and more nuances! Pelvic floor muscle exercises don’t necessarily mean doing 100 near-maximum Kegels a day! Blanket statements on social media may limit access to potentially beneficial interventions.


You can find Gosia's papers by clicking on the links above and also on Research Gate and you can follow her on Instagram as @ starzecproserpio_phd

You can find my continuing adventures in women's health there too - I'm @michellelyons_muliebrity


Want to learn more about female pelvic pain rehab? Or learn more about female sexual dysfunction, contraception & fertility? And save some money?

My December sale is ongoing - just use the discount code COCCYX24 at checkout and save €75 on all my courses including the Female Pelvic Pain Rehab course and the brand new Female Sexual Health, Contraception & Fertility (along with all my other online offerings, including the Female Hormonal Health Masterclass,, the Breast Cancer Rehab course, Bowel Health & Women's Health, Female Pelvic Oncology Rehab, Women & Back Pain and Hysterectomy: Prehab to Rehab - all the info is HERE - but don't forget to use the code COCCYX24 at checkout to avail of this December Discount!!


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