性功能障碍的治疗-性治疗

无性高潮 - 治疗

识别耻骨尾骨肌
半个世纪前，美国妇产科医生阿诺德 H.戈基尔(Arnold H. Kegel)开发出一些特定针对这块肌肉的锻炼练习，可以让任何女性在任何时间和任何地点进行锻炼。自然而然，她首先必须学习如何自我识别这块肌肉。为了做到这一点，建议她坐在座便器上，双腿尽可能地张开。然后，如果间歇地排尿和止尿，就可以感觉到耻骨尾骨肌了；因为在这种情形之下，只有这块肌肉能够止住排尿。可是，如果这块肌肉已经萎缩和变得纤弱，她就不可能以这种方式识别这块肌肉。既然这样，这也可能难以用插入一根手指进入阴道的方法探查到这块肌肉。这种症状可以通过后续介绍的特殊锻炼加以改善。

                                                        探触耻骨尾骨肌 (PC肌)                                                              正常PC肌张力：一半食指插入阴道后，四周探摸，会在周围感到有阻力。能够自主收缩这块肌肉(左)。         PC肌张力弱或缺乏：阴道中间三分之一宽松，仿佛感到阴道壁与四周相分离。不能自主收缩这块肌肉(右)。自戈基尔自己的示意图。

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.

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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.