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Posted on 2018-12-14 by Heather CoppardBack to top
Posted on 2017-11-27 by Heather CoppardBack to top
The Menopause is experienced differently by every single woman. Some of us may embrace this time of transition and feel liberated by the absence of periods whilst others may experience unwanted symptoms, such as hot flushes, anxiety and intimate dryness.
The good news is that we can effect a positive change on our bodies and our experience of menopause. Simple lifestyle changes to areas such as sleep, diet, exercise and stress management can have a profound improvement on menopausal symptoms.
At Female Health Hypnotherapy, I offer one to one menopause support for women. This program adopts a holistic approach to your menopause and includes hypnotherapy and mindfulness sessions individually tailored to your specific needs.
Hypnotherapy has been shown to be particularly useful in helping with the menopause (see article below). Please contact me for further information about how this great course could support you. Heather
Posted on 2017-11-27 by Rob CoppardBack to top
Posted on 2017-10-27 by Heather CoppardBack to top
Yesterday, I read the anonymous letter about Vulvodynia in the Guardian with great sadness and empathy. Sadness, because this is an all too familiar story from my clients and empathy because I too had a very similar journey. Even as a qualified nurse with over 20 years experience, I still found it difficult to find and access health professionals who were knowledgeable in Vulvodynia. With striking echoes to the published letter, I too went from doctor to doctor, undergoing countless procedures and investigations in the hope of finding answers.
Eventually after much research I started to make contact with superb health professionals including specialist physiotherapists, dermatologists, gynaecologists, nutritional therapists and mental health support (CBT, Mindfulness and hypnotherapy). I am fortunate to have accessed such great care and have made a successful recovery, but it made me acutely aware of the difficulties that many women experience when they develop this intimate pain.
Most people have probably not even heard the term vulvodynia and yet it has been suggested that up to 4 in every 10 women may experience varying degrees of this condition. Vulvodynia is defined by the International Society for the Study of Vulvovaginal Diseases (ISSVD) as vulval discomfort, most often described as burning pain, occurring in the absence of relevant visible findings or a specific clinically identifiable neurological disorder. Some women may experience pain on intercourse, inserting tampons or having medical procedures etc. This is referred to as provoked pain. Other women may have unprovoked pain or even a combination of both. The specific location of the pain may also vary from person to person.
There can be many causes of vulval pain including, infections, inflammation, dermatological and neurological issues, hormonal problems, psychosexual issues and mechanical/musculoskeletal problems. Vulval pain disorders can be complex and often muli faceted with more than one element often involved. For example in my own case, I had a rare type of Candida, but the pain I endured for two years caused me to develop heightened nerve sensitivity and musculoskeletal issues that also needed to be addressed.
In recent years, however, there has been increased awareness and recognition of vulval disorders including vulvodynia.
The British Society for the Study of Vulval Diseases (BSSVD) have now produced guidelines to help clinicians assess and manage patients with vulvodynia. This comprehensive list of recommendations should improve the experience of women accessing health services with vulval pain disorders including Vulvodynia. This information is available on the vulval pain society website- www.vulvalpainsociety.org and at www.bssvd.org
An adequate pain history should be taken to assess the degree of symptoms and the impact on the woman. The clinician should categorize which subgroup of vulvodynia the patient has according to the International Society for the Study if Vulval Diseases (ISSVD) definitions (e.g. provoked/unprovoked pain). If appropriate patients with sexual pain (dyspareunia) should have a sexual history taken to identify sexual dysfunction. A team approach may be necessary to address the different components of vulvodynia. A lead clinician should triage patients and consider referral to other health professionals who have a role in vulvodynia management, e.g. psychosexual health, medicine, physiotherapy, pain management teams. Combining treatments should be encouraged. Patients should be given an adequate explanation of their diagnosis, relevant written information and suggested contact information. When prescribing treatments clear instruction should be given on how to take medication. Topical agents should be used with caution to avoid the problem of irritancy. A trial of local anaesthetic aganet may be considered in all vulvodynia subsets.Tricyclic antidepressant drugs (TCAs), e.g. amitriptyline or nortriptyline, are an appropriate initial treatment for unprovoked vulvodynia. Other drugs may be considered including gabapentin and pregabalin which can be given in addition to a TCA. Surgical excision of the vestibule may be considered in patients with local provoked vulvodynia (vestibulodynia) after other measures have been tried. Only a minority of patients may be suitable for surgery. If surgery is offered, adequate counselling and support should be given to the patient both pre and post operatively. Pelvic floor muscle dysfunction should also be addressed in patients with vulvodynia who have sex related pain. Techniques to desensitise the pelvic floor muscles are likely to be beneficial. Acupuncture may be considered in the treatment of unprovoked vulvodynia. Intralesional injections may be considered i patients with provoked vulvodynia
During my recovery I completed a course in mindfulness and had several sessions of hypnotherapy. This had a huge impact for me in terms of both pain management and also stress relief. The psychological and emotional impacts of vulvodynia can be devastating as it pervades the most intimate parts of you. Day to day bodily functions like going to the loo can become a source of anguish, whilst the loss of sexual intimacy can be damaging to the strongest of relationships. Like many people, however, I was initially resistant to having psychological support as I felt this meant the pain was somehow imagined, but the support and benefit I gained from using these approaches cannot be underestimated.
Following on from my recovery, I decided to retrain as a hypnotherapist and mindfulness practitioner and now specialise in the management of chronic pain conditions, including vulvodynia.
I feel extremely lucky to now be in a position to offer this support to women and am passionate about improving the services available for women with vulvodynia. In addition to my work I chair a support group for women with Vulval pain conditions: The Manchester Vulval Support Network (MVSN) was established in 2016 at St Marys Hospital in Manchester, by myself-Heather Coppard (Hypnotherapist/ Mindfulness practitioner and patient representative), Sarah Benjamins (Nutritional Therapist and patient representative), Dr Ursula Winters (Consultant gynaecologist, CMFT), Dr Kate Parker (Consultant Gynaecologist, CMFT) and Donna Ellis (Specialist Assistant Practitioner). The group meets every three months providing a forum for women affected by vulval conditions to share helpful advice, enjoy informative talks from a range of speakers and to create a local network for patients and professionals to share best practice.
Vulvodynia can be a challenging condition, potentially impacting on every part of your life, but treatment and support is available.
Heather Coppard ADCHyp, GQHP, BSc Professional Nursing Studies
Hypnotherapist and Mindfulness practitioner,
Bramhall Osteopathic practice
Tel: 0161 440 0298 Mob: 07855 525 283.
The Vulval pain society –www.vulvalpainsociety.org
British Society for the study of Vulval Diseases-www.BSSVD.org
Posted on 2017-10-27 by Heather CoppardBack to top
Posted on 2017-09-27 by Heather CoppardBack to top
Posted on 2017-06-10 by Heather CoppardBack to top