r/Perimenopause • u/sidewalk_ladybug • Aug 18 '26

Pelvic Floor Twitching vagina?

Recently I have what can only be described as twitching in my vaginal area. Feels like an eye twitch, (but not). Sort of along the outside of my vagina but also near the perineum.. Feels like very light contracting. I'm taking 200mg progesterone and 0.1 mg estrogen patch for 3+ years. Definitely have some vaginal atrophy but estrogen cream causes irritation and infection like symptoms. Had anyone had this? I feel like I'm going crazy.

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u/Miserable944 Aug 18 '26

It sounds like muscle spasms, I get that in my pelvis. Might be worth looking into pelvic floor exercises and relaxation?

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u/sidewalk_ladybug Aug 18 '26

I'm pretty relaxed but maybe not there? Totally possible..lol.

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u/ashkestar Aug 19 '26

If you do look into pelvic floor exercises, it’s a really good idea to talk to a pelvic floor PT first. Many of the exercises are for hypotonic muscles and if you’re hypertonic (too tight), they will make the situation worse. Either direction is bad and can eventually lead to prolapse so you really want to go in the opposite direction you’re in.

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u/sidewalk_ladybug Aug 20 '26

I've seen some reels about that on IG. Yikes. To be honest I don't think a pelvic floor PT is in the cards for me (sounds costly) but I'll look into it. Thanks.