Quote:Despite the occasional embarrassment, these sessions actually work. There haven’t been extensive studies done, but what studies exist show that la rééducation significantly reduces incontinence and pelvic pain at nine months after giving birth. Frankly, I’m happy there’s a medical professional paying attention to what happened down there. Rééducation périnéale gets scoffed at in American and Canadian publications as one of the most lurid examples of the indulgent French welfare state, but as far as I can tell, we do exactly nothing in the United States to help women get back into shape after giving birth.

An American woman gets her six-week postpartum checkup and, if nothing is seriously wrong, she’s cleared to have sex again and sent on her way. If she’s lucky, the doctor or midwife reminds her to do her Kegel exercises, but without much guidance. Meanwhile, at least in the experience of many of my friends, she may still be experiencing a variety of symptoms that, while not medically serious, sure are annoying, embarrassing, and strange, and not at all conducive to reinvigorating her sex life. Elective “vaginal rejuvenation” through plastic surgery is on the rise in the U.S., though this surgical reconstruction is largely aesthetic and pays little or no attention to returning sensation or control to the woman. Americans’ lack of attention to the female body after giving birth is our own version of the modesty gown or the word vajayjay; we’re covering our eyes and pretending there’s nothing there to see, until it can no longer be ignored.