Course 5
PC Muscle
Identifying the PC
Kegel Exercises
Identifying the PC Muscle
性功能障礙的治療-性治療
“傳統的”性功能障礙 - 女性性功能障礙的治療
無性高潮 - 治療
識別恥骨尾骨肌
半個世紀前，美國婦產科醫生阿諾德 H.戈基爾(Arnold H. Kegel)開發出一些特定針對這塊肌肉的鍛煉練習，可以讓任何女性在任何時間和任何地點進行鍛煉。自然而然，她首先必須學習如何自我識別這塊肌肉。為了做到這一點，建議她坐在座便器上，雙腿盡可能地張開。然後，如果間歇地排尿和止尿，就可以感覺到恥骨尾骨肌了；因為在這種情形之下，只有這塊肌肉能夠止住排尿。可是，如果這塊肌肉已經萎縮和變得纖弱，她就不可能以這種方式識別這塊肌肉。既然這樣，這也可能難以用插入一根手指進入陰道的方法探查到這塊肌肉。這種症狀可以通過後續介紹的特殊鍛煉加以改善。

                                                        探觸恥骨尾骨肌 (PC肌)                                                              正常PC肌張力：一半食指插入陰道後，四周探摸，會在周圍感到有阻力。能夠自主收縮這塊肌肉(左)。         PC肌張力弱或缺乏：陰道中間三分之一寬鬆，仿佛感到陰道壁與四周相分離。不能自主收縮這塊肌肉(右)。自戈基爾自己的示意圖。

Feeling the Pubococcygeus (PC muscle).
Normal PC muscle tone: When the top half of the index finger is inserted into the vagina and then moved about, it feels resistance in all directions. The woman can voluntarily contract the muscle. (left)
Weak of absent PC muscle tone: The middle third of the vagina is roomy, and the vaginal walls feel as if they were detached from their surroundings. The woman cannot voluntarily contract the muscle. (right)
Schematic drawings after Kegel's own illustrations.
The Treatment of Sexual Dysfunctions - Sex Therapy
The “Classic” Dysfunctions - The Treatment of Female Sexual Dysfunctions
Absence of Orgasm - Treatment
Identifying the PC Muscle
Half a century ago, the American gynecologist Arnold H. Kegel developed some exercises for this particular muscle which can be practiced by any woman at any time anywhere. Naturally, first she must learn how to identify the muscle for herself. In order to do this, she is advised to sit on the toilet with her legs spread as far apart as possible. If she then starts and stops the flow of urine, she becomes aware of the pubococcygeus because it is the only muscle that can stop urine under this circumstance. However, if the muscle has atrophied and become weak, the woman may not be able to identify it this way. In this case, it may also prove difficult or impossible to locate the muscle by inserting a finger into the vagina. The condition can be improved by special exercises described in the next section.

Feeling the Pubococcygeus (PC muscle).
Normal PC muscle tone: When the top half of the index finger is inserted into the vagina and then moved about, it feels resistance in all directions. The woman can voluntarily contract the muscle. (left)
Weak of absent PC muscle tone: The middle third of the vagina is roomy, and the vaginal walls feel as if they were detached from their surroundings. The woman cannot voluntarily contract the muscle. (right)
Schematic drawings after Kegel's own illustrations.
[Course 5] [PC Muscle] [Identifying the PC] [Kegel Exercises]