MRKH
You were handed a diagnosis, a set of dilators and very little else.
The medical part usually arrives young and fast and then the appointments stop. The instructions were technical and nobody covered what any of it means for how you actually live with it, which is where most women are still stuck years later.
Dilation is the part I work on and it is muscle work like any other. The difference is that I already know what MRKH is, so you are not starting from the beginning.
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 then it becomes a thing you avoid and feel guilty about avoiding. We work the other way around, starting below the point where your body tenses, staying there until it is unremarkable and only then moving on.
That includes the practical detail nobody covers, positions that let the pelvic floor lengthen instead of grip, how breath changes what you can tolerate, how long to spend and when to stop for the day and what to do on the days it goes backwards. Progress is measured in comfort rather than in millimetres per week.
We start with an initial consultation and go from there.
"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.