The Echenberg Institute
Pelvic Health & Rehab Center
Notes from Jo
Opinions from Medical Professionals
Why Vaginas Love Cotton
Notes from Our Customers
What's Chronic Pelvic Pain?
A Final Note from JoProfessional Resources
What does The Echenberg Institute of Sexual & Pelvic Pain say about GoCommandos?
"A simply brilliant product and best alternative for underwear.
I have been offering your product, Commandos patches, for years now, and have gotten nothing but appreciation and thanks from many of our younger patients... I really believe they are convenient and useful for all ages and should be recommended more widely. With IC and vulvodynia you will find that cotton may very well become your best friend. The tight elastic in underwear around the bladder area is just too much pressure. Thong and bikini underwear are definitely out."
Robert J. Echenberg, MD FACOG
email@example.com | 610-868-0104
www.instituteforwomeninpain.org | www.bridgeforpelvicpain.org | www.paindownthere.com
What does Pelvic Health & Rehab say about GoCommandos?
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"My name is Stephanie Prendergast. I am co-owner of the Pelvic Health and Rehabilitation Center and Past-President of the International Pelvic Pain Society. Both IPPS society members and the entire PHRC staff regularly recommend GoCommandos. Commonly, women with pelvic pain are unable to tolerate wearing underwear because the elastic and compressive fabric causes painful vulvar pain and burning. GoCommanos offers a sanitary, non-irritating, underwear alternative
Pelvic pain is a poorly understood syndrome and many women are seen by numerous providers before getting a proper diagnosis. When we present GoCommandoes samples to our patients we see tremendous relief on their faces: they know they are in front of a medical specialist who gets it
. Our patients are grateful to be able to wear pants again! Every pelvic pain specialist should have these patches available for their patients."
Stephanie Prendergast, MPT
Partner at The Pelvic Health and Rehab Center
Notes from Jo
Since the introduction of the GoCOMMANDOS® COTTON patch, many of you have come forward to tell us about the various vaginal, pelvic, vulvar, bladder and pain conditions that are affecting your lives.
It is through you, our customer, that we have been made aware of the silence you have kept because of the humiliation and embarrassment that these extremely painful conditions are causing you.
It is through you, our customer, that we have learned about Vulvodynia, Chronic Pelvic Pain, Interstitial Cystitis, Vulvar Vestibulitis, Pudendal Neuralgia, Lichen Schlerosis, and the other chronic vulvovaginal and urinary conditions and the medical community that is responsive to you.
We have chosen to add this page to our website to assist in the public awareness and advocacy for treatment for the large number of you who are living with these conditions and that do not allow you some of the most coveted Freedoms in life. Freedoms such as sex without pain, performing any exercise and sport you choose, driving, working, regular daily movement, and wearing anything but tight clothing. Many of you have told us how alone you feel. We hope to open the doors for you to meet one another and to find new support and resources.
Your discovery of the GoCOMMANDOS® COTTON PATCH has offered many of you a solution to your underwear problem, while still having the cotton crotch for comfort and protection, and yet nothing binding or constricting you or adding to your irritation. And you have led us to the discovery of how our disposable, cotton, stick-on, panty alternative is so much more beneficial than just a fashion solution.
Our GoCOMMANDOS® pants shield does more than get rid of panty lines; it covers irritating seams, providing a true seamless underwear solution - no VPL. It is an underwear alternative for sensitive skin and painful vulvas.
We invite all of you to share the information here and to send us what's on your mind We will post relevant articles on our BLOG, to help build public awareness of all these female health conditions that no longer need to be kept in silence. It is through your voices that we can collectively push for more treatments, healthy solutions, and support the community for women's health.
Please share this information with your doctors, physical therapists, and support groups so more and more women, and young girls, can dress more comfortably, feel more hygienically secure, and reduce their irritations by wearing GoCOMMANDOS® COTTON PATCHES.
We support you,
JoBack to Top
Opinions from Medical Professionals
"I am a pelvic floor physical therapist and treat patients who are unable to wear underwear due to their hypersensitivity, intolerance for touch, and irritation. I keep a supply of GoCommandos in the office so I can hand a few samples to clients for them to try. So many women loved the samples I gave them and then go on to order them directly from the GoCommandos website. They appreciate the fact that they can wear slacks, no underwear, yet still have some hygiene between their skin and their clothing. What a truly wonderful idea, and thank you so much for helping so many women who have this issue of hypersensitivity to touch. They appreciate it very much. Bravo!!!" Back to Top
Karen Dobbs PT, Pelvic Health Physical Therapist
Anne Arundel Medical Center, Annapolis, MD
Why Vaginas Love Cotton
Reference: http://www.ehow.com/about_6369559_should-women-wear-cotton-panties_.htmlBack to Top
- "Your vagina should stay clean and dry - and what you wear can affect that. Certain types of fabrics and styles worn close to the genitals can increase heat and moisture, potentially leading to bacteria overgrowth and infections. Wear cotton underwear during the day, and avoid thongs.
- Ventilating the vagina can also prevent the buildup of moisture and odor causing bacteria. Cotton absorbs excess moisture and removes build up heat from the area. Cotton is one of the only materials that become stronger when wet and is easily sterilized after use.
- Many vaginal infections that include symptoms of itching, odor, and discharge may decrease just by wearing cotton underwear. Cotton helps to keep the vagina free of excessive moisture, and allows the area to "breathe".
- Wearing cotton underwear helps your vagina to ventilate and eliminate yeast production. Underwear made of synthetic materials can trap moisture and warmth, allowing the perfect place for yeast to thrive.
- Vaginal itching is another uncomfortable sign of wearing underwear that is not cotton. The itching sensation can be the start of a yeast infection or disturbance in the natural pH balance. While other factors may lead to vaginal itching, wearing cotton underwear will eliminate most cases. Try to eliminate pants, skirts, or shorts, which are not made of cotton for the best prevention. If pantyhose will be worn over underwear, it is best to find a pair with a cotton crotch as well."
- ***Dr. Alyssa Dweck in her book, "V is for Vagina", page 25 in her Test Your V Knowledge, asks "How to keep your lady flower lovely?" Her answer "wear cotton underwear (or go commando)". We say, with GoCommandos cotton patches, you can do both!!!!
Notes From our Customers
I am writing to tell you how thrilled I am with Commandos patches! For the past year and a half I have been dealing with chronic pelvic pain, which can be quite debilitating. This is a very misunderstood and often under diagnosed condition. Many women go from physician to physician and do not get any helpful information. Fortunately, this is changing and word is slowly getting out regarding the various causes and symptoms of pelvic pain and it's associated syndromes.
In my case, I have had difficulty sitting, widespread pelvic pain and burning nerve like pain that travels throughout my body. It can be life altering. One common symptom for women is hypersensitivity to clothing. We end up wearing very loose clothes like sweat pants.
Jeans are not an option. Often times, underwear cannot be worn and even the most delicate seam in pants can be very irritating and painful. Several months ago I discovered Commandos and gave them a try.
Since then, I use them daily. The soft cloth covers the seams in my pants and prevents any irritation or discomfort. I know it sounds like such a simple solution. I can tell you that is a great relief to have a product that can prevent discomfort such as nerve pain.
Women with pelvic pain spend a lot of money on treatment and products to help with pain, so it was a great relief to me to find something so simple and cost effective that worked. Thanks so much for your innovation. I know many women choose to go commando, but those of us who HAVE to go commando, this is a phenomenal product. Thanks for your great product, J (40-49)
"Thank you Jesus! Near my wits end with pain, waiting for my first series of injections for Pudendal Neuralgia. My underwear has been KILLING ME! God bless you for creating this product. I can hardly think straight. So happy to see your business goals and forward thinking mentality." Loretta, MN
"I have vulvodynia, which is actually a pain disorder. Basically, my vulva is very sensitive, and has bad reactions to things, or to stress. It's a really bad condition, and one that most doctors claim is in a women's head, and that it's from her being depressed. Really, it's the vulvodynia that makes us depressed! When I have a flare-up, I have to be on Percocet for the pain, and can't go out of my house. Wearing underwear is out of the question- it's too bothersome.
When it's bothering me, I can use GoCommandos, because I feel like it's keeping me clean and fresh, but doesn't go directly against my vulva and so it doesn't irritate me. And I can only use ones made out of cotton too. I have had to change many things in my life because of this disorder, like my toilet paper, my regular underpants, my soap, even my birth control. It's not a well known problem, and I wish that there was more honest work done with it.
It was in an episode of Sex and the City, but they only used the information that said that it was mildly uncomfortable (for me, it's horrible!!), and that it was because she didn't know her vagina and made it depressed. I wish that outlet had given more of a real account of it, but at least it's not completely foreign to women now." Liz, CT 19-29
"Love these! Have used them for 2 yrs now & will continue to use as they have saved me from much pain & inflammation! I have remained symptom free for 2yrs after suffering for approx 4yrs. I thank God for these! Many torturous years before discovering these! I can't have dyes anywhere near my hooha! I love these patches! They have changed my life! No longer dealing with inflammation, pain, or rashes! My years of pain, swelling, and frustration are over! Pretty sure I'm allergic to laundry detergent or dyes because, since I started using these, I haven't had a problem unless I wear undies for a day then the symptoms start again. I can tell that I'm beginning a flare-up if I just miss one day of using these. So thankful someone came up with these!" Becky, TX 50-59
I've been a customer for a long time! I found you in late 2012 and I've been a user ever since! No lines is great, but having the protection from the seam, I'm a ovarian cancer survivor, and only diag at 41. I felt old after surgically going into menopause, and I'd always been a commando girl, but had to go back into the panty world until I found you!!!! Thanks so much for this product! I give them out as samples to girlfriends and even my 16y/o wears them!
B, VA (40-49)
"Thank you for your wonderful service and unique product. Commandos have always provided comfort to me, with my pudendal neuropathy issues."Angie, IL
"My physical therapist recommended them for chronic pain caused by allergies." Erin, TX
"I read about your product years ago in a magazine, and because of my vulvodynia, I've been underpants free and using them for years! I just wanted to say how amazing the patches are, and how much they have improved my quality of life, with a physical condition that will not allow me to wear underpants. Thank you so much for continuing to produce such a great product! Couldn't live without them now!" Elizabeth, CT
"These will be so helpful since I can't tolerate underwear due to nerve problems!!" Leah, Canada
"I had first ordered a few years back so knew where to look on the internet. Your product has been a big help! It might be useful to reach out to National Vulvodynia Association." Karen, NY
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WHAT IS VULVODYNIA?
It is defined as vulvar pain without a grossly visible medical cause. Each case is different in so many ways and often misdiagnosed. A woman of any age, beginning in her teen years, may have vulvodynia. Estimates of women with vulvodynia range from 200,000 to six million. Once thought to mainly affect white females, African-American and Hispanic women are now known to be equally affected.
Symptoms of vulvodynia usually begin suddenly and can last anywhere from months to years. The most common symptoms of vulvodynia are burning, stinging, or rawness; aching, soreness, or throbbing; itching; pain during intercourse. Symptoms of vulvodynia can occur all the time or just once in a while; during activities such as exercise, intercourse, or walking -- or even while at rest, or even sitting. A burning pain is the single most common symptom of vulvodynia. Some women describe it as a knife-like pain, shattered glass inside them, or like an acid poured on the skin.
According to an NIH-funded Harvard study, almost 16% of US women suffer from vulvodynia at some point during their lives, with more than 90% reporting ongoing pain for many years.Back to Top
What is IC?
Interstitial cystitis, or bladder pain syndrome (IC/BPS) is defined as "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes." The cause of IC remains unclear. Some cases of IC/BPS begin with an identifiable trauma or injury to the bladder, such as a bladder infection. The health of the pelvic floor muscles is also a factor. Some IC patients report that their symptoms began immediately after pelvic floor muscle trauma, including: childbirth, athletic injury, or riding a bicycle / motorcycle. For years, urologists have described finding tight muscles during examinations of IC patients. Now known as pelvic floor dysfunction, these tight muscles can cause a "burning sensation" in the pelvis and make urination, defecation and intimacy difficult and painful. Their discomfort is often more chronic, with duller levels of consistent pain that can worsen with sitting.Back to Top
What is Chronic Pelvic Pain?
Pain in the pelvic area that lasts for 6 months or longer is considered chronic pelvic pain, or CPP. An estimated 15-20% of women aged 18-50 years have CPP that has lasted for more than 1 year. Chronic pelvic pain can disrupt work, physical activity, sexual relations, sleep, and family life. CPP can be caused by a variety of conditions. If a cause is found, it can usually be treated. For some women, a cause is never found and treatment is then just for pain relief. CPP can come and go and does not have to occur everyday to be considered chronic.
There also appears to be a link between CPP and sexual or physical abuse. Depression also appears to be a complicating factor. Because pelvic pain can have many causes, it is often hard to diagnose. Seeking a CPP specialist is advised.
Dr. Robert Echenberg of the Echenberg Insitute for Sexual & Pelvic Pain says, "Overall, we are treating multiple diagnoses seen in the same individual. We see a great many young women with Painful Bladder Syndrome/IC, IBS, Vulvodynia and Vestibulodynia, CPP, pudendal nerve pain, and secondary but often severe emotional diagnoses such as depression, anxiety, frustration, anger, and increasing loss of self."
According to Dr. Echenberg, approximately 30,000,000 women suffer from CPP, 20,000,000 - 25,000,000 women suffer from both Vulvodynia and Interstitial Cystitis, and 15,000,000 women have either Vulvodynia or IC.Back to Top
A Final Note from Jo
I hope now you will see why I feel so strongly, as I stated at the beginning of this page, that we, all women (and men), need to learn more about these conditions and to be advocates for those who are suffering, for those whose Voices just can't find the strength to speak out for more healthcare funds to find answers, cures, and more available treatment for these illnesses. They need our collective, soapbox declarations to those in power to face this silent, hidden epidemic that, while it might not be viral, or life-threatening, it sure is stripping their lives away and could happen to any of us or our family or friends. Please join me in sharing this information with others so it is part of the national language of female healthcare and, quite possibly, we can effect some much needed change for the girls and women we share this planet with.
And by the way, I really have no medical idea why our little cotton patch works so well for these women, but it does. It seems to give them relief in a way that nothing else has with regard to their underwear and clothing and gives them some comfort to live a bit more normally every day. And THAT is why I continue to push our product and company into the mainstream.
Watch for more articles and information on our BLOG
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