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Interoception & your bladder

Hello – it has been a while but I figured it was time to get back into letting you know about how your whole body needs to be engaged in your healing!

A little bit about interoception – this is an internal sense – you already know about it- we have the age old phrase ‘my gut is telling me not to do it’ or ‘something just doesn’t seem right’ these are feelings that stem from signals emitted from our internal organs about what is happening either internally or externally.

Your bladder needs your nervous system to be balanced in order for it to be fully functional.

Your storage and periodic elimination of urine depend on the coordinated activity of smooth and striated muscles in your bladder and the area that consists of the bladder neck, urethra and urethral sphincter. This coordination is made by a complex neural control system that is located in the brain, the spinal cord and the peripheral ganglia.

This system is different from other structures in your body it is dependent on your CNS being active Your bladder also works differently in its organisation of its neural control mechanisms. For example, the bladder has only two modes of operation: storage and elimination. Thus, many of the neural circuits that are involved in bladder control have switch-like or phasic patterns of activity, unlike the tonic patterns that are characteristic of the autonomic pathways that regulate cardiovascular organs. In addition, going for a pee is under voluntary control and depends on learned behaviour that develops during maturation of the nervous system, whereas many other visceral organ functions are regulated involuntarily.

Owing to the complexity of the neural mechanisms that regulate bladder control, the process is sensitive to various injuries and diseases.

The neural pathways that control lower-urinary-tract function are organized as simple on–off switching circuits that maintain a reciprocal relationship between the urinary bladder and the urethral outlet. Storage reflexes are activated during bladder filling and are organized primarily in the spinal cord, whereas voiding is mediated by reflex mechanisms that are organized in the brain

Throughout bladder filling, the parasympathetic innervation of the detrusor is inhibited and the smooth and striated parts of the urethral sphincter are activated, preventing involuntary bladder emptying. This process is organized by urethral reflexes known collectively as the ‘guarding reflex’. They are activated by bladder afferent activity that is conveyed through the pelvic nerves and are organized by interneuronal circuitry in the spinal cord

Operating in this way, the reflex circuitry  would lead to involuntary bladder emptying (that is, incontinence) whenever the bladder volume reached a critical level. However, in continent individuals the firing of the voiding reflex is under strict voluntary control, enabling one to plan to void at a socially acceptable time and place. The decision to void, which is a crucial aspect of human behaviour, is based on a combination of factors, including one’s emotional state, an appreciation of the social environment and the sensory signals arising from the bladder. Knowledge of the extent to which one’s bladder content is comfortable and ‘safe’ is central in this process. 

Hypopressives talk not only to muscle and fascia but also to the nervous system – the nervous system is either calmed or engaged through the rhythmical breathing and the breath pause during the apnoea and costal opening actually creates a homeostasis throughout the nervous system – creating a slower exchange of oxygen to C02 and creating a fluid engagement between the diaphragms.

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Labia Glue???? Really??

Ok – so I thought this was an interestingly strange read and the point to bear in mind is that there are products out there and ideas that may seem like a quick fix or too easy – if the method requires little effort or seems too good to be true – it’s probably that…too good to be true.

 

Listening to your body – thinking about how it works and remembering that the issues you may have with: your back, pelvic floor, alignment, and core have come of years of training (all through your life) and also to some extent the genetics you have inherited – it will take re-training and practice to unlearn them!

 

This is the article –

 

 

Gluing your labia shut during your period is a bad idea

Posted by Dr. Jen Gunter ⋅ February 20, 2017 ⋅ 12 Comments

Some dude chiropractor in Kansas wants women to glue their labia shut during their period as an option to pads, tampons, and a menstrual cup. His product is called mensez, you know, because it sounds like menses.

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He claims to have invented some amazing sealant that you apply to the labia minora to seal them together holding in blood. This amazing sealant will then magically release when you urinate, allowing the blood to flow into the toilet. Once you have finished your urinary business then you simply reapply and go on with your day until your next urge to empty your bladder. He calls it feminine lipstick, get it? Because it goes on your labia.

This is stupid for some many reasons it hurts my brain. Here are my top four:

  1. This dude wants us to believe he has invented a miracle skin sealant that is magically reversible with urine, but not blood or sweat and can withstand a significant amount of friction. Ha ha ha ha. There is no Post-it Note labial glue.
  2. Reapplying some kind of glue, even some magically dissolving one, over and over could cause abrasions of the labia minora. Guess what that causes? Real adhesions, as in the labia growing together and needing surgical separation. This is not desirable. I had hoped a chiropractor would know that. Perhaps I expect too much.
  3. The idea that a complete blood tight seal could be obtained with some kind of simple home application is ridiculous. Perhaps he has never seen labia up close? It is technically possible for the labia to fuse shut with inflammatory skin conditions, such as lichen planus and lichen sclerosus and even occasional with severe atrophy. Basically, the skin from either side of the vaginal opening grows together. I treat this condition and I have seen women in urinary retention from this, so yes, a water tight seal is technically possible when the skin grows together, but with a glue?  Getting a perfect seal without using a mirror could be challenging and messy. Also, not everyone has labia large enough to cover their introitus comfortably without significant traction.
  4. Imagine the pain if you sat the wrong way or readjusted your labia and forgot they were glued together! I’m crossing my legs in pain just thinking if it!

Given the attention to the mensez.com site I doubt this is a joke.

Menstrual products in the United States require FDA approval, so this isn’t coming to a store near you anytime soon. If this appears on Kickstarter (they looove vagina products because they get attention and so usually get funded, who cares if they are not biologically plausible or safe or useful, right?) I’d give it a hard pass. If this guy has truly invented safe, reversible, non toxic skin glue strong enough to hold the labia together for 8 hours that only dissolves with urine and not blood then it would have many applications in wound care and the operating room and Pharma or the military would be fighting over it.

So no, a Kansas chiropractor has likely not invented Post-it Notes glue for the labia. However, if it is as amazing as he claims I would love to see a video or him using it on his own lips. How he gets the urine up there is, of course, his business.