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She did an exam and told me my vaginal muscles were locked in permanent spasm, like if you gripped your shoulders up to your ears and never let go. (You can imagine what I envisioned.) “I’m giving you a prescription for pelvic floor physical therapy.” Now, I thought I was a savvy health care consumer, having written on the topic as a journalist for the past 10 years.

Plus, I’ve had two babies, so I thought I was fairly familiar with the pelvis. I had never, ever heard of pelvic floor physical therapy.

Letters, 1889-1896, from Fannie [-----] in Nottoway County, Virginia, to her relatives consisting of news of her family, information on her crops and livestock, and news of people in Nottoway County including deaths.

C.; commenting on rumors of the death of Confederate General Joseph Johnston at the battle of Seven Pines (Fair Oaks); noting that the Confederates have improved in their treatment of Union wounded and prisoners; and complaining about an address given by Massachusetts Governor John Andrews, stating that Massachusetts men are fighting for the Union, not to abolish slavery.

But she said so many of her patients complain of painful sex and related problems that pelvic floor physical therapy, as a specialty, should be far more recognized and respected.

She gave me a list of 25 pelvic floor physical therapists in the region.

[-----], hospital, 2nd Corps, Army of Northern Virginia, in Louisa County, Virginia, to his wife, possibly in North Carolina, regarding his work in the 2nd Corps hospital in Louisa County, noting one patient with smallpox, and commenting that the overall number of sick in the hospital is down. He also discusses the removal of secessionists from Alexandria; Baltimore, Maryland; and Washington, D.

Letter, 8 July 1863, from Charlie [-----], a Union soldier at Fort Scott, near Alexandria, Virginia, to Emma in Litchfield, Connecticut, discussing the celebration in camp during the 4th of July and for recent victories such as the capture of Vicksburg and Battle of Gettysburg.

For a while, I ignored it, telling myself it was probably just a passing problem that would resolve on its own. I went to see my fantastic ob/gyn, Beth Hardiman, the woman who delivered my two children, and whom I trust with the most intimate details of my life.

Letter, 26 March 1862, from Daniel [-----], a Union soldier in General Alpheus Williams' (1810-1878) division at Strasburg, Virginia, to his mother describing his division's role in the aftermath of the battle of Kernstown near Winchester, Virginia, in which Union troops under the command of General James Shields (1810-1879) defeated a Confederate force commanded by General Stonewall Jackson (1824-1863).

Letter, 23 July 1893, discusses the unveiling of the Confederate soldiers monument in Nottoway County, at which General Fitzhugh Lee (1835-1905) spoke.

She moved with some of her siblings to Memphis, Tennessee where she found better pay for teachers.

In the 1890's, Wells documented lynching in the United States.

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And I never realized how many complex systems — reproductive, urinary, gastrointestinal, neurological, psychological, and musculoskeletal — can be involved in pelvic pain. Hardiman told me that many doctors hadn’t heard of it either.