Dorothy FarrarDamm (Perineum)
The dam (medical: perineum) is the area that separates the genitals from the anus . This section consists primarily of muscles that are surrounded by highly sensitive skin . For this reason, the perineum is also described as a very erogenous zone.
Definition
The area that separates the genitals from the anus is the perineum, or perineum. In women, the perineum extends from the labia majora to the anus; in men from the scrotum to the anus.
Doctors also speak again and again of an anogenital distance; this is the unit of measurement that exists between the anus and the base of the penis or vagina . Due to the fact that the muscles are covered by a very sensitive skin, the perineum is also considered a very strong erogenous zone, which can be massaged or orally stimulated or stroked during sexual intercourse.
Anatomy
The perineum is between the legs and is below the pelvic floor . The perineum is a kind of tissue area between the anus and vagina or the anus and the testicles. Due to the fact that many nerves converge in this area, the perineum is considered an erogenous zone.
The perineum is mostly made up of muscles, which are categorized into two areas. So there are the muscles of the anal region and the muscles of the urogenital region. The skin that surrounds all of the muscles is criss-crossed with innumerable branches of the pubic nerve. Because of this, that area is also an extremely intense erogenous zone. The perineum is supplied by the internal iliac artery.
Function
The main function of the perineum is to separate the anus area from the genital area. Thus, for example, the penetration of bacteria (from the intestines into the vagina) can be largely prevented. Furthermore, three layers of the pelvic floor muscles converge in the perineum, which not only stabilize the body but also ensure continence.
These muscles work, for example, when jumping, sneezing, laughing, coughing and also during physical exertion. The perineum itself is elastic. So it can not only adapt to the size of the penis, but also to the bowel movement. Massage or pressure can be arousing.
Diseases
During the birth process, the perineum can be injured. The birthing process puts enormous pressure on the perineum; especially in the head or shoulders, it is possible for the perineum to tear. If there is an injury, the doctor categorizes it into degrees of severity.
- Grade 1: The tear is in the back of the vaginal skin.
- Grade 2: The tissue that is directly on the perineum is torn.
- Grade 3: The sphincter has sustained an injury.
- Grade 4: The sphincter and the anus are injured during the birth process.
However, the dam itself is relatively “robust”; Inflammation or any bleeding occurs rarely or not at all. Other injuries that do not occur during the birth process are relatively rare or non-existent. This is probably also due to the localization of the dam. An episiotomy – known as an episiotomy – can also be performed during childbirth.
If the doctor notices that the perineum is not stretching far enough, a preventive incision can be made so that the child can be supplied with sufficient oxygen or there is no risk that the child will suffer from birth defects due to lack of oxygen.
If the birth takes place using a suction cup or forceps, an episiotomy must also be performed. The episiotomy is done as part of the pressing contraction; the woman giving birth does not feel any other pain at this stage, so the incision can be performed “painlessly”. After the birth, the episiotomy must be sewn; however, that operation takes place under local anesthesia.
The healing process is lengthy and painful. Sometimes those affected complain about restrictions when urinating or during bowel movements, have problems sitting or have severe pain again and again. As a rule, the patient has to be patient for six weeks; only then have the threads dissolved or can one speak of complete healing.
If there is a vulva carcinoma , the perineum can also be affected as part of the infestation. Red spots, severe itching or pain that occurs during urination, defecation or sexual intercourse can be the first signs of such a carcinoma.
Hello and welcome to my Health Guide & Encyclopedia! My name is Dorothy Farrar, and I'm the founder and main author of this platform.
My passion for health and wellness started at a young age when I became interested in the connection between the food we eat and the way we feel. This fascination led me to study nutrition and dietetics in college, where I learned about the importance of a balanced diet and the impact of various nutrients on the body.