Daphne Van Der Putten
Integral Pelvic Therapy-Netherlands
Scientific Tracks Abstracts: J Nurs Care
Integral Pelvic Therapy (IPT) is a holistic form of pelvic floor therapy for women, with the aim of restoring
balance in the pelvic area. This is done by using soft external and internal massage techniques in which
concepts such as consent, presence and the capacity of slowing down are essential, suitable for every woman
who simply wants to know more about her body, sexuality or general wellbeing. But also to treat conditions
like a numb feeling in the pelvic area, dyspareunia, sexual trauma, hyper-hypotone pelvic floor, stress/urge
incontinence, organ prolapse or chronic inflammations around the area of the vulva and as preparation
before, during and birth. The IPT- practitioner works only after an embodied felt consent in the feminine
body, so the client has an autonomous position, where she can receive the touch, instead of undergoing the
treatment. For most women, this way of touching makes all the difference in feeling violated or not and can
be applied in any case in the health care. An IPT-practitioner works with an extremely sensitive touch where
full presence is required to notice the slightest change in color, tone and breathing of the client.
Case study: One Client 34 years old she got stabile marriage and gives birth 1.5 years ago. She is having
severe pain in het vulva area, since she was at age 15. She feels the vulvar skin cracking during intercourse and
due to the pain, she not intimate with her partner anymore. This is causing relationship issues. She went to
the gynecologist, dermatologist, sexologist, pelvic floor therapist and at a psychologist. She had ultrasounds
and a MRI-scan. She was diagnosed with Vulvary Vestibulitis Syndrome but no therapy helped. At last her
psychologist was aimed at acceptance of the pain. At this point she felt devasted and came to me for help.
Treatment was applied to give a soft stretch on the fasciae of the inner labia were tension and small restrictions
were felt. This gave the client confirmation about her pain. Slowly, with a lot patience, the restrictions melted
away and the area of the vulva became less painful. Due to the memory of painful intercourse and medical
examinations, stored emotions came loose. After two treatments, the client could receive an external and
internal touch without pain, for the first time after 19 years. This is not a single case. I have worked with many
clients like the above. The combination of presence, consent and touch with awareness, seems to have an
incredible beneficial effect on the emotional and physical layer in a womenâ??s body. It is time for research, so
this form of therapy can be accepted as a full form of complementary care in womans pelvic health.
Daphne van der Putten is a Midwife and the Developer of Integral Pelvic Therapy as an answer of pathology in the obstetric care. She has completed her Graduation as a Midwife and worked within all the ranges of the birthing field. She is also one of the developers of the Integral Pelvic Therapy-education training and is one of the Founders and Board Member of the Integral Pelvic Therapy Association.
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