Control vaginal gas noises (vaginal flatulence or queef) are caused by vaginal looseness, prolapse or pelvic floor muscle weakness with Physiotherapist Michelle https://www.pelvicexercises.com.au These 3 evidence based treatments can stop vaginal gas and embarrassment during exercise, activity and intimacy. Kegel exercises are not always the best vaginal gas treatment.

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Timestamps
0:00 Introduction vaginal gas treatment
0:49 What is vaginal gas
1:06 Anatomy of vagina
1:20 Causes of vaginal gas noises
2:08 How to control vaginal gas
2:10 Tampon
2:46 Pessary devices
4:12 Pelvic floor physiotherapy treatment
4:21 Kegel exercises for vaginal gas
5:18 Pelvic floor relaxation

The vagina is like a collapsed tube. Vaginal gas is caused by air entering the vagina, being trapped and then expelled from the body. Vaginal gas is odorless but can cause embarrassing vaginal noises when air escapes causing the walls of the vagina to vibrate.

Causes of Vaginal Gas
* Vagina anatomy
* Pelvic organ prolapse
* Vaginal looseness (laxity)
* Pelvic floor muscle tightness
* Pelvic floor surgery

How to Control Vaginal Gas
Vaginal flatulence that doesn’t bother you usually doesn’t require treatment. Vaginal noises can cause embarrassment and sometimes interfere with regular activities and relationships.

3 EvidenceBased Vaginal Gas Treatments

1. Tampons
The first and most readily available treatment for women to prevent vaginal gas is to wear a tampon (Neels et al 2017) This method may be used by some women to reduce vaginal flatulence during exercise and movement related activities.

2. Pessary Devices
One of the most effective treatments for reducing vaginal gas is the pessary device (Sahar et al 2019). Pessary devices are often used to treat pelvic organ prolapse and they stiffen the vaginal walls. Some pessaries can be used during exercise and during intercourse. Pessaries are fitted by gynecologists and pelvic floor physiotherapists.

3. Pelvic Floor Physiotherapy
A. Pelvic Floor Weakness
Kegel exercises (pelvic floor exercises) are effective vaginal gas treatment for some women with weak pelvic floor muscles Krissi et al (2003), Hsu (2007), Miranne et al (2015).

B. Pelvic Floor Muscle Spasm (Tightness)
Kegel exercises are not appropriate initial treatment for vaginal gas with tight pelvic floor muscles. Kegel exercises can increase pelvic floor muscle tightness. Pelvic floor physiotherapy for pelvic floor muscle relaxation training may be beneficial to stop vaginal gas.

#vaginalgas #vaginalflatulence #queef #pelvicfloorphysiotherapy

References
Anatomical illustration female pelvis
Creative Commons file name: Female anatomy with gspot.svg

Sahar T et al (2020) The Comparison of the Effects of Pessary, Pelvic Floor Physiotherapy, and Corrective Surgery Methods in Correction of Vaginal Sound in Patients with Pelvic Floor Disorders
J Biochem Tech Special Issue (1): 8591 ISSN: 09742328

Hsu S (2007) Vaginal winda treatment option. Int Urogynecol J Pelvic Floor Dysfunct. Jun;18(6):703.

Neels H et al (2017) Vaginal wind: A literature review. European Journal of Obstetrics & Gynecology and Reproductive Biology. Jul 1;214:97103.

Renckens C & Klinkert J (2012) Garrulitas vulvae: a case refractory to repeated attempts at surgical correction, solved by a novel treatment. European Journal of Obstetrics, Gynecology, and Reproductive Biology. Jul 21;165(1):12930.

Miranne J et al (2003) Prevalence and Resolution of Auditory Passage of Vaginal Air in Women With Pelvic Floor Disorders. Obstet Gynecol.2015;126(1),136–43 [5].

Krissi H et al (2003) Vaginal wind—a new pelvic symptom, International Urogynecology Journal and Pelvic Floor Dysfunction.2003;14(6):399402.

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