MRKH
Support with dilation, at a pace that works for you.
MRKH (Mayer-Rokitansky-Küster-Hauser syndrome) is a condition you are born with, where the vagina and uterus are absent or underdeveloped. Every woman's experience of it is different and so is what she wants from support.
Dilation may be offered to help develop vaginal length, depending on your anatomy and what you want for yourself.
If dilation feels like too much
Some women may feel they don't want to start. They might picture something time-consuming and painful and a daily reminder of their diagnosis and that is an understandable way to feel. You can talk to me without having decided anything.
Dilation, coached slowly
Dilation done in a rush, on a schedule set by someone else, tends to teach the body to brace and then it hurts and becomes a thing you avoid and feel guilty about avoiding. Here, you start at a level that feels comfortable and only move on when you're ready to.
That includes the practical detail that is rarely talked about, like positions that let the pelvic floor lengthen instead of grip, how breath changes what you can tolerate, how long to spend, when to stop for the day and what to do on the days you feel you're going backwards. Progress is measured in comfort rather than in millimetres per week.
What happens when you book
We start with a 60 minute initial consultation on video. It is a conversation and there is no examination and no dilation on the call.
"I approached Emma during a very difficult time with dilators. I was in a lot of pain daily and dilating was a battle I wasn't winning. Emma took the time to listen, understand my body, my history, current symptoms and how my mind works, all things that are so important in supporting someone with MRKH. I felt truly listened to, and over time with her continued guidance, treatment plan and understanding, dilating became less unbearable and more manageable. With Emma's support I was able to achieve the vaginal length I needed for my next steps. I'm so grateful to have had Emma in my corner."
By video, with no physical examination at any point.