| 1. | The upper third are the levator ani muscles ( transcervical, pelvic diaphragm ).
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| 2. | The levator ani is the main pelvic floor muscle and contracts rhythmically during orgasm.
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| 3. | Hence, pelvic floor exercises involve the entire levator ani rather than pubococcygeus alone.
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| 4. | These exercises aim to increase the strength of the pelvic floor muscles ( mainly levator ani ).
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| 5. | Electrical stimulation of the levator ani muscle has been used to try to break the spastic cycle.
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| 6. | They run lateralward on the pelvic surface of the levator ani to end in the internal iliac vein.
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| 7. | Atrophy of the levator ani muscle and disease of the pudendal nerve may also contribute to a perineal hernia.
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| 8. | Bernardes 2012 studied the cross sectional area of levator ani in 58 women with stage II pelvic organ prolapse.
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| 9. | They reported similar increases in the cross sectional area of levator ani produced with both pelvic floor exercises and hypopressive exercises.
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| 10. | Proctalgia fugax and levator ani syndrome have not been found to be of psychosomatic origin, although stressful events may trigger attacks.
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