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10.5596C12.2636 10.5596 12.1176 10.349 12.0783 9.37285H14.4503C14.9976 9.37285 15.2418 9.15664 15.2418 8.67213C15.2418 7.64237 15.0266 6.27171 13.165 6.27171C11.5931 6.27171 10.8919 7.12946 10.8919 9.05247C10.8919 10.9297 11.5452 11.6281 13.3016 11.6281C14.0318 11.6281 14.6097 11.5152 14.8366 11.4111C14.9811 11.3495 15.1138 11.2572 15.1138 11V10.8122C15.113 10.5699 14.9748 10.4239 14.7432 10.4239Z" fill="currentColor"></path><path d="M12.0846 8.41359C12.1301 7.57715 12.4701 7.20312 13.1831 7.20312H13.1838C13.8614 7.20312 14.1661 7.56532 14.1975 8.41202L12.0846 8.41359Z" fill="currentColor"></path><path d="M31.4197 13.2932H25.348L23.7136 18.0002H20.0957L26.4898 0.198242H30.7749L37.0436 18.0002H33.1032L31.4197 13.2932ZM28.4689 3.60924L26.1405 10.5302H30.6719L28.4689 3.60924Z" fill="currentColor"></path><path d="M49.178 18L45.1885 11.925H42.4616V18H38.9421V0.621C38.9421 0.621 41.1944 0 45.2332 0C49.8676 0 52.6393 1.62 52.6393 5.2515C52.6393 8.9595 50.3601 10.5525 48.7258 11.277L53.3826 18H49.178ZM42.466 9.1125H46.4556C48.1661 8.3925 48.9586 7.47 48.9586 5.6025C48.9586 3.6585 47.5706 2.889 45.2914 2.889C43.8541 2.889 42.466 3.1365 42.466 3.1365V9.1125Z" fill="currentColor"></path><path d="M55.4691 17.9996V0.24707H67.5319V3.25757H59.0109V7.71257H66.3677V10.6016H59.0109V14.9846H67.7558V17.9996H55.4691Z" fill="currentColor"></path><path d="M70.3842 17.9996V0.24707H82.4469V3.25757H73.926V7.71257H81.2828V10.6016H73.926V14.9846H82.6708V17.9996H70.3842Z" fill="currentColor"></path><path d="M88.7872 17.9996H85.2947V0.24707H88.5633L97.1111 11.4746V0.24707H100.631V17.9996H97.9798L88.7872 6.20057V17.9996Z" fill="currentColor"></path><path d="M113.831 13.2932H107.759L106.129 18.0002H102.511L108.901 0.198242H113.186L119.455 18.0002H115.514L113.831 13.2932ZM110.884 3.60924L108.556 10.5302H113.087L110.884 3.60924Z" fill="currentColor"></path></svg><p class="_1m3quf82 fck75q2">Sarjat. 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class="aw-1ag6w51 nvljT"><a href="/web/20240402063725/https://yle.fi/t/18-209306/fi" aria-label="Lisää artikkeleita aiheesta Terveys" class="aw-l7odld jXfkxq">Terveys</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Lantionpohjan lihasten ylijännittyneisyys tunnetaan huonosti – kyseessä on yhteiskunnallinen ongelma, sanoo fysioterapeutti</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Lantionpohjan lihasten kireys aiheuttaa yhdyntäkipuja, vessassa ravaamista, virtsankarkailua ja ulostamisvaikeuksia.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20081319","@context":"https://web.archive.org/web/20240402063725/https://schema.org","image":{"@type":"ImageObject","description":"Fysioterapeutti Laura Ukonmaanahon mukaan lantionpohjan ylijännittyneisyydestä voivat kärsiä kaikki sukupuolet. Jutun videoilla Ukonmaanaho antaa vinkkejä lantionpohjan lihasten rentouttamiseen.","copyrightHolder":"Rami Moilanen / Yle","url":"https://web.archive.org/web/20240402063725/https://images.cdn.yle.fi/image/upload/ar_1.4998596688184114,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-126398566053709f2707","keywords":"fysioterapia,fysioterapiamenetelmät,Lantion pohja"}}</script><div class="aw-1a00tic ilyOgJ"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.4998596688184114,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711618287/39-126398566053709f2707 2x, https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.4998596688184114,c_fill,g_faces,h_511,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711618287/39-126398566053709f2707 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.4998596688184114,c_fill,g_faces,h_424,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1711618287/39-126398566053709f2707 2x, https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.4998596688184114,c_fill,g_faces,h_424,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711618287/39-126398566053709f2707 1x"/><img alt="Toimittaja Henna Korkala makaa jumppasalin lattialla, vieressä fysioterapeutti Laura Ukonmaanaho ohjaa." src="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2992,w_5330,x_0,y_111/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1711618287/39-126398566053709f2707" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Fysioterapeutti Laura Ukonmaanahon mukaan lantionpohjan ylijännittyneisyydestä voivat kärsiä kaikki sukupuolet. Jutun videoilla Ukonmaanaho antaa vinkkejä lantionpohjan lihasten rentouttamiseen.</span><span> Kuva: Rami Moilanen / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Henna Korkala</span></div></div></div><div class="aw-1hwlbbb iumvhG"><div class="aw-64d2lh cPAYLb"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2024-04-01T14:47:34+03:00">1.4. 14:47</time><span aria-hidden="true" class="aw-131q90r bsXkQk">•</span><time class="aw-lsqctp jPSFYl yle__article__date--modified" datetime="2024-04-01T17:05:00+03:00">Päivitetty 1.4. 17:05</time></div></div><a href="https://web.archive.org/web/20240402063725/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20081319" class="aw-pqa0kd GtYAc">Avaa Yle-sovelluksessa<svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true"><path d="M15 2a1 1 0 1 0 0 2h3.586l-9.293 9.293a1 1 0 1 0 1.414 1.414L20 5.414V9a1 1 0 1 0 2 0V3a1 1 0 0 0-1-1h-6ZM5 7a1 1 0 0 0-1 1v11a1 1 0 0 0 1 1h11a1 1 0 0 0 1-1v-6a1 1 0 0 1 2 0v6a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3h6a1 1 0 1 1 0 2H5Z" fill="currentColor"></path></svg></a><div class="aw-itub5i eehAxh"><div><button aria-label="Jaa artikkeli" aria-disabled="false" id="share-menu-button" aria-haspopup="true" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 jrqhnK kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-wi5224 fZrvxl"><path fill-rule="evenodd" clip-rule="evenodd" d="M12.43 3.078a1 1 0 0 1 1.087.207l8.182 8a1 1 0 0 1 0 1.43l-8.182 8a1 1 0 0 1-1.7-.715v-3.855h-.008c-1.968.029-3.972.988-5.827 2.417L3.61 20.389a1 1 0 0 1-1.592-.981l.5-2.597.014-.062c.23-.883.58-1.911.986-2.865.4-.94.88-1.876 1.387-2.532.964-1.246 2.07-2.138 3.405-2.709 1.057-.45 2.219-.684 3.508-.76V4a1 1 0 0 1 .612-.922Zm1.388 3.298v3.48h-1c-1.529 0-2.727.202-3.722.627-.984.42-1.826 1.081-2.609 2.093-.351.454-.753 1.206-1.129 2.09a19.46 19.46 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12l-5.752-5.624Z" fill="currentColor"></path></svg></span><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 WDnuQ yds-button__text">Jaa</span></button></div></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Yhdyntäkivut alkoivat <strong class="aw-ak79eh hgoSon yle__article__strong">Niinan</strong> ollessa 18-vuotias.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kipuja ei ollut ollut aiemmissa suhteissa. Hän hakeutui gynekologin vastaanotolle.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Siitä alkoi pitkä prosessi. Kävin vuosien varrella tosi monta kertaa lääkärissä gynellä tai muualla kipujen takia. Ja sitten jotenkin ei otettu tosissaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Niinan nimi on muutettu juttuun asian arkaluontoisuuden vuoksi. Hänen henkilöllisyytensä on Ylen tiedossa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lääkärissä Niinalta otettiin aina sukupuolitautitestit, jotka tulivat joka kerta takaisin negatiivisina. Asian tutkiminen jäi siihen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Elin kipujen kanssa. Muistan yhden lääkärikäynnin, kun lääkäri sanoi minulle, että olet niin nuori ja kokematon, että sitten kun opit mistä tykkäät, niin ei se sitten satu enää. Yritin itkien selittää, että ei se ole siitä kiinni. Jotain on vialla.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">10 vuoteen Niina ei pystynyt harrastamaan kipujen takia yhdyntäseksiä. Se vaikutti parisuhteisiin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Sitten oli tosi monta vuotta, etten käynyt lääkärissä, oli jotenkin vain niin lannistunut olo.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Hampaiden narskuttelu on yhteydessä ongelmaan</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vuonna 2022 Niina päätti yrittää vielä kerran selvittää syitä kipuihin. Naistentautien poliklinikalla hän vihdoin sai diagnoosin: vaginismi.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vaginismi eli emätinkouristus tarkoittaa tilaa, jossa emättimen alaosaa ympäröivät lantionpohjan lihakset kouristuvat, kun emättimeen yritetään laittaa esimerkiksi penis, sormi tai tamponi.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Menneisyyden traumat voivat vaikuttaa vaginismin kehittymiseen. Näitä ovat esimerkiksi vanhanaikaiset moraalikäsitykset, seksuaali- tai muu väkivalta sekä uskonnollinen vanhoillisuus. Niitä oli ollut myös Niinan elämässä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lisäksi Niinalla todettiin bruksismi eli hampaiden narskuttelu. Purentalihakset kuuluvat samaan lihasketjuun kuin lantionpohja. Usein hampaiden narskuttelu ja lantionpohjan lihasten kireys ovat yhteydessä toisiinsa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Tunteet diagnoosista olivat ristiriitaiset.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Olin tosi helpottunut, että syy löytyi ja sitä voi hoitaa, mutta toisaalta myös pettynyt ja surullinen siitä, kuinka älyttömän kauan kesti saada diagnoosi. Se on vaikuttanut paljon elämääni. Ja kuinka paljon minulta on ryöstetty sen takia, että en ole saanut apua siihen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Niina sai lähetteen fysioterapeutille. Sieltä saadut harjoitteet auttoivat.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Minulla oli viime vuonna kumppani ja hänen kanssaan edistyimme. Nyt viimeisen vuoden aikana on ollut onnistuneita yhdyntäkertoja. Ja se on ollut tosi ihanaa.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Lantionpohjan kiputilat ovat hyvin monisyisiä</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lantionpohjan ylijännittyneisyys on yksi oire useissa gynekologisissa sairauksissa, kuten vaginismissa, vulvodyniassa ja endometrioosissa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Aina kipujen taustalla ei ole selvää diagnoosia, vaan jännittyneisyyttä ilmenee myös muuten. Pelkästään lantionpohjan lihasten ylijännittyneisyys voi aiheuttaa yhdyntäkipuja, vessassa ravaamista, virtsankarkailua ja ulostamisvaikeuksia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Mielestäni tämä vaiva tunnetaan hyvin huonosti, kertoo lantionpohjan fysioterapeutti <strong class="aw-ak79eh hgoSon yle__article__strong">Laura Ukonmaanaho</strong>.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph"><strong class="aw-ak79eh hgoSon yle__article__strong">Videoilla Ukonmaanaho neuvoo kaksi yksinkertaista harjoitetta lantionpohjan lihasten rentouttamiseen. Ensimmäinen harjoitus tehdään istuen.</strong></p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20081319","@context":"https://web.archive.org/web/20240402063725/https://schema.org","video":{"@type":"VideoObject","description":"Harjoituksen tarkoituksena on tutustua lantionpohjan lihaksiin ja venyttää niitä kevyesti. 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Video: Rami Moilanen / Yle</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph"><strong class="aw-ak79eh hgoSon yle__article__strong">Toinen harjoitus tapahtuu makuulla.</strong></p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20081319","@context":"https://web.archive.org/web/20240402063725/https://schema.org","video":{"@type":"VideoObject","description":"Harjoituksessa pyritään rentouttamaan koko keho, mutta kiinnittämään huomiota erityisesti lantionpohjan lihasten rentouttamiseen. Jalkojen on hyvä olla auki, jotta ei vahingossakaan purista sisäreisiä yhteen. Video: Rami Moilanen / Yle","name":"Lantionpohjan fysioterapeutti Laura Ukonmaanaho neuvoo rentoutusharjoituksen, jossa on pyritään rentouttamaan koko keho, mutta kiinnittämään humiota erityisesti lantionpohjan lihasten rentouttamiseen.","thumbnailUrl":"https://web.archive.org/web/20240402063725/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-42973859c268d07fd2f","uploadDate":"2024-03-28T15:32:25+02:00"}}</script><div class="aw-1a00tic ircCun"><div><div data-testid="video-player" class="aw-1kfkhk6 kyBcqJ"></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Harjoituksessa pyritään rentouttamaan koko keho, mutta kiinnittämään huomiota erityisesti lantionpohjan lihasten rentouttamiseen. Jalkojen on hyvä olla auki, jotta ei vahingossakaan purista sisäreisiä yhteen. Video: Rami Moilanen / Yle</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lantionpohjan ylijännittyneisyydessä lantionpohjan lihakset ylityöskentelevät jatkuvasti. Lihaksissa on jatkuva jännitystila, joka aiheuttaa sen, että ne ovat kireät ja väsyneet samanaikaisesti. Pitkittyessään ongelma aiheuttaa erilaisia oireita.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Jännittyneisyys on Ukonmaanahon mukaan yleensä oire jostakin. Iso vaikuttava tekijä lantionpohjan kireyteen on myös stressi.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Tyypillinen asiakas vastaanotolla on nuori nainen, joka opiskelee tai on jotain isoja asioita elämässä meneillään, kuten vaikkapa ylioppilaskirjoituksia. Usein kyseessä on tunnollinen suorittajapersoona. Se on tietenkin yleistys, eli voi se tulla ihan kelle tahansa, missä iässä tahansa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lantionpohjan ylijännittyneisyydestä voivat kärsiä kaikki sukupuolet. Ukonmaanahon vastaanotolle hakeutuu pääsääntöisesti naisia. Yleensä vaivasta on kärsitty jo jonkin aikaa, ennen kuin on tajuttu tulla fysioterapeutin puheille.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Asiaa on saatettu selvitellä gynekologikäynnillä monen otteeseen, mutta voi olla, ettei sieltä ole mitään selvää diagnoosia löytynyt.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Taustalla on voinut olla toistuvia ongelmia kuten virtsatieinfektioita, mutta ongelma ei ole ratkennut niitä hoitamalla.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Sitten on vähän googleteltu ja selvitelty, mistä tässä voi olla kyse, kunnes on luettu, että on olemassa vaiva nimeltä lantionpohjan ylijännittyneisyys.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Oikeilla harjoituksilla vaiva voi helpottaa nopeastikin</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vaivaa hoidetaan erilaisilla lihaksia venyttävillä ja rentouttavilla harjoituksilla, ja hoidossa hyödynnetään tarvittaessa myös elektromyografiaa eli lihassähkökäyrää sekä biopalauteharjoittelua.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Ukonmaanahon mukaan hoidon kesto on hyvin yksilöllistä – ongelma voi ratketa fysioterapialla hyvin nopeasti, mutta se voi kestää myös pitkään.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Jos kipuja ja muita oireita on ehtinyt olla jo pitkään, helpotus vaivan hellittäessä voi olla suuri. Vastaanotolla Ukonmaanaho näkee reaktioita laidasta laitaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Nopeimmillaan on jo ensimmäisen käynnin jälkeen saatu niin paljon aikaiseksi, että on tultu aivan ihmeissään kiittelemään. Ei käsitetä, miten iso muutos on saatu aikaiseksi pelkästään keskittymällä rentouteen, eikä aina vaan jumppaamaan ja pumppaamaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sen lisäksi, että vaiva tunnetaan huonosti, ongelmaa ylläpitävät Ukonmaanahon mukaan yhteiskunnan asenteet. Lantionpohjan lihasten treenaamisesta puhutaan paljon mutta rentouttamisesta paljon vähemmän.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Yhteiskunnallinen ongelma liittyy naisen tiukkuuden ihannointiin. Ajatellaan, että naisen lantionpohjan pitää olla tiukka, aina pitää jumpata, treenata ja olla parempia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Samaa mieltä on myös Niina.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Olen miettinyt monta kertaa sitä, et jos olisin mies ja sanoisin, että seksi on minulle kivuliasta, niin uskoisin, että asiaan olisi suhtauduttu vakavammin ja sille olisi tehty jotain nopeammin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Samalla Niina myös huomasi, että vaiva tunnetaan todella huonosti.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Haluaisin, että tästä puhuttaisiin enemmän. Jotenkin se asenne, että kipu kuuluu naisen elämään, on tosi veemäinen juttu. Kipu ei kuulu seksiin.</p></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 2 linkkiä</h2><h2 class="sc-eqUAAy dUJkWc yle__article__heading yle__article__heading--3" aria-hidden="true">Aiheesta enemmän</h2><div class="yle__article__links" role="list" aria-label="Aiheesta enemmän"><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240402063725/https://yle.fi/t/18-204765/fi" aria-label="Lisää artikkeleita aiheesta Hyvinvointi " class="aw-l7odld jXfkxq">Hyvinvointi </a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240402063725/https://yle.fi/aihe/a/20-10001708" class="aw-3ocnud eBKakF">Upea orgasmi voi jäädä saamatta ja pissa lirahdella housuun jo nuorena – viisi vinkkiä, joilla hellit liian kireitä lantionpohjan lihaksia</a></h3><time class="aw-4gocmc guzJZN">2021</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-883230619e1e7b00475 2x, https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-883230619e1e7b00475 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-883230619e1e7b00475 2x, https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-883230619e1e7b00475 1x"/><img alt="Lähikuva, jossa sitruunan päällä istutaan peffalla." src="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-883230619e1e7b00475" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240402063725/https://yle.fi/t/18-205451/fi" aria-label="Lisää artikkeleita aiheesta Lantio" class="aw-l7odld jXfkxq">Lantio</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240402063725/https://yle.fi/a/3-10509989" class="aw-3ocnud eBKakF">Mies, missä kunnossa on lantionpohjasi? Sillä nimittäin on väliä makuuhuoneessa ja kuntosalilla</a></h3><time class="aw-4gocmc guzJZN">2018</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/13-3-10514262 2x, https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/13-3-10514262 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/13-3-10514262 2x, https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/13-3-10514262 1x"/><img alt="mies joogaa" src="https://web.archive.org/web/20240402063725im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/13-3-10514262" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div></div><div><div class="aw-1n3c5tg lkXQTI"><a href="/web/20240402063725/https://yle.fi/t/18-209306/fi" aria-label="Lisää artikkeleita aiheesta Terveys" class="aw-1viu5l0 ihpQdr">Terveys</a><a href="/web/20240402063725/https://yle.fi/t/18-217052/fi" aria-label="Lisää artikkeleita aiheesta Kipu" class="aw-1viu5l0 ihpQdr">Kipu</a><a href="/web/20240402063725/https://yle.fi/t/18-206307/fi" aria-label="Lisää artikkeleita aiheesta Gynekologia" class="aw-1viu5l0 ihpQdr">Gynekologia</a><div class="aw-cf4nb3 caaAug"><button 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hLpKvJ">Köyhyys</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20080076" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">”Minkä tässä pitäisi naurattaa”, kysyy työntekijä leikkausvitsailusta köyhien aamiaisella – nyt puhuvat pienituloiset</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><div aria-hidden="true" class="MinimalHeadlines__Index-sc-79c54a90-5 ffWqMg">2</div><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIP"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-22117/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Lapset</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20074127" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Joonas Konstigin kolumni: Nuorison mielenterveyskriisi saattaa johtua lahjasta, jonka he saivat hyvää tarkoittaneilta vanhemmiltaan</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><div aria-hidden="true" class="MinimalHeadlines__Index-sc-79c54a90-5 ffWqMg">3</div><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIP"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-334977/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Venäjän hyökkäys</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20010573" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Forbes: Venäjä teki viikonloppuna sodan suurimman panssarivaunuhyökkäyksen</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><div aria-hidden="true" class="MinimalHeadlines__Index-sc-79c54a90-5 ffWqMg">4</div><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIP"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-209306/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Terveys</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20080738" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Ensin tulivat uniongelmat, sitten Kaisa, 51, mietti itsemurhaa – vaihdevuodet ovat naisen elämän vaarallisinta aikaa</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><div aria-hidden="true" class="MinimalHeadlines__Index-sc-79c54a90-5 ffWqMg">5</div><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIP"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-22117/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Lapset</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081414" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Päiväkodin sijainen teki ilmoituksen lapsille huutamisesta ja tuuppimisesta – valvoja puuttui, mutta johto kiistää</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><div aria-hidden="true" class="MinimalHeadlines__Index-sc-79c54a90-5 ffWqMg">6</div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 cQedTi"><a href="/web/20240402063725/https://yle.fi/t/18-216121/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Asuminen</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081167" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Rakennustyömaat hiljenivät – Kuopion uuden asuinalueen rakentaja toivoo ihmisten hyväksyvän uuden normaalin</a></h3></div></li></ol></div></aside><aside class="GridSystem__GridCell-sc-59ad6967-0 SidebarLayout__SidebarItemContainer-sc-62834cb4-1 SJjbS imIATf"><h2 id="sb-most-recent" class="Typography-sc-905807c5-0 bMPfte SidebarLayout__SidebarItemHeader-sc-62834cb4-0 cxIXFb SidebarLayout__SidebarItemHeader-sc-62834cb4-0 cxIXFb">Tuoreimmat</h2><div class="MinimalHeadlines__Container-sc-79c54a90-0 cMuccD"><ol aria-labelledby="sb-most-recent"><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T09:09:59+0300">9:09</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-220306/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Politiikka</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081049" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Suomi rikkoo kansainvälistä sopimusta, koska sosiaaliturva on liian alhainen – Virpi Hyttinen voi menettää asuntonsa</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T08:47:24+0300">8:47</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-206683/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Työttömät</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081665" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Kokoomuksen Pia Kauma: Työttömyysturvan suojaosa voidaan palauttaa, jos sen poistamisen vaikutus on negatiivinen</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T08:39:08+0300">8:39</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-189456/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Jääkiekko</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081660" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Sidney Crosby nousi yksin Wayne Gretzkyn rinnalle – tilasto, joka kertoo paljon</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T08:30:49+0300">8:30</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-213160/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Eläimet</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20080991" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Kissarekisteri viivästyy jälleen, tällä kertaa syy on uusi: EU haluaa jäsenmaihin yhtenäiset rekisterit</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T08:16:31+0300">8:16</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-205598/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Jalkapallo</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081497" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Hehkutettu stadion ja uusi visio – näin Ilves aikoo nousta Veikkausliigan kestomenestyjäksi</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T08:06:49+0300">8:06</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-216121/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Asuminen</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081167" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Rakennustyömaat hiljenivät – Kuopion uuden asuinalueen rakentaja toivoo ihmisten hyväksyvän uuden normaalin</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T07:56:06+0300">7:56</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-354470/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Gazan sota</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20081658" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Israel aikoo estää uutiskanava Al-Jazeeran lähetykset</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T07:22:16+0300">7:22</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-215090/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Yritykset</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20080293" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Vain näiden verhojen takana Heidi Enroth paljastaa hiuksensa kotinsa ulkopuolella</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T07:04:38+0300">7:04</time><div 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cqDOIZ"></div></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 jYVeIk"><a href="/web/20240402063725/https://yle.fi/t/18-22117/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Lapset</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240402063725/https://yle.fi/a/74-20074127" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Joonas Konstigin kolumni: Nuorison mielenterveyskriisi saattaa johtua lahjasta, jonka he saivat hyvää tarkoittaneilta vanhemmiltaan</a></h3></div></li><li class="MinimalHeadlines__Item-sc-79c54a90-1 idtWDG"><div class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-04-02T06:30:41+0300">6:30</time><div class="MinimalHeadlines__ListLine-sc-79c54a90-4 cqDOIZ"></div></div></div><div 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Jutun videoilla Ukonmaanaho antaa vinkkejä lantionpohjan lihasten rentouttamiseen.","id":"39-126398566053709f2707","type":"image","alts":[{"language":"fin","value":"Toimittaja Henna Korkala makaa jumppasalin lattialla, vieressä fysioterapeutti Laura Ukonmaanaho ohjaa."}],"blurhash":"LFH-fD~W0yI:4.kB%2jFBgIVz@%1","tags":[{"label":[{"language":"eng","value":"Physiotherapy"},{"language":"fin","value":"fysioterapia"},{"language":"swe","value":"fysioterapi"}],"extId":"18-19780"},{"label":[{"language":"fin","value":"fysioterapiamenetelmät"},{"language":"swe","value":"sjukgymnastik"}],"extId":"18-12823"},{"label":[{"language":"fin","value":"Lantion pohja"},{"language":"swe","value":"Bäckenbotten"}],"extId":"18-250937"}],"copyright":[{"language":"und","value":"Rami Moilanen \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":111,"width":5330,"height":2992}},{"name":"2:3","aspect":0.67,"coordinates":{"x":1626,"y":0,"width":2374,"height":3562}},{"name":"1:1","aspect":1,"coordinates":{"x":1268,"y":0,"width":3562,"height":3562}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":568,"width":5330,"height":2132}}],"height":3563,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1711618287","width":5344,"recommendedFormat":"jpg"},{"text":"Lantionpohjan lihasten kireys aiheuttaa yhdyntäkipuja, vessassa ravaamista, virtsankarkailua ja ulostamisvaikeuksia.","type":"text"},{"text":"Yhdyntäkivut alkoivat **Niinan** ollessa 18-vuotias.","type":"text"},{"text":"Kipuja ei ollut ollut aiemmissa suhteissa. Hän hakeutui gynekologin vastaanotolle.","type":"text"},{"text":"– Siitä alkoi pitkä prosessi. Kävin vuosien varrella tosi monta kertaa lääkärissä gynellä tai muualla kipujen takia. Ja sitten jotenkin ei otettu tosissaan.","type":"text"},{"text":"Niinan nimi on muutettu juttuun asian arkaluontoisuuden vuoksi. Hänen henkilöllisyytensä on Ylen tiedossa.","type":"text"},{"text":"Lääkärissä Niinalta otettiin aina sukupuolitautitestit, jotka tulivat joka kerta takaisin negatiivisina. Asian tutkiminen jäi siihen.","type":"text"},{"text":"– Elin kipujen kanssa. Muistan yhden lääkärikäynnin, kun lääkäri sanoi minulle, että olet niin nuori ja kokematon, että sitten kun opit mistä tykkäät, niin ei se sitten satu enää. Yritin itkien selittää, että ei se ole siitä kiinni. Jotain on vialla.","type":"text"},{"text":"10 vuoteen Niina ei pystynyt harrastamaan kipujen takia yhdyntäseksiä. Se vaikutti parisuhteisiin.","type":"text"},{"text":"– Sitten oli tosi monta vuotta, etten käynyt lääkärissä, oli jotenkin vain niin lannistunut olo.","type":"text"},{"text":"Hampaiden narskuttelu on yhteydessä ongelmaan","level":2,"type":"heading"},{"text":"Vuonna 2022 Niina päätti yrittää vielä kerran selvittää syitä kipuihin. Naistentautien poliklinikalla hän vihdoin sai diagnoosin: vaginismi.","type":"text"},{"text":"Vaginismi eli emätinkouristus tarkoittaa tilaa, jossa emättimen alaosaa ympäröivät lantionpohjan lihakset kouristuvat, kun emättimeen yritetään laittaa esimerkiksi penis, sormi tai tamponi.","type":"text"},{"text":"Menneisyyden traumat voivat vaikuttaa vaginismin kehittymiseen. Näitä ovat esimerkiksi vanhanaikaiset moraalikäsitykset, seksuaali- tai muu väkivalta sekä uskonnollinen vanhoillisuus. Niitä oli ollut myös Niinan elämässä.","type":"text"},{"text":"Lisäksi Niinalla todettiin bruksismi eli hampaiden narskuttelu. Purentalihakset kuuluvat samaan lihasketjuun kuin lantionpohja. Usein hampaiden narskuttelu ja lantionpohjan lihasten kireys ovat yhteydessä toisiinsa.","type":"text"},{"text":"Tunteet diagnoosista olivat ristiriitaiset.","type":"text"},{"text":"– Olin tosi helpottunut, että syy löytyi ja sitä voi hoitaa, mutta toisaalta myös pettynyt ja surullinen siitä, kuinka älyttömän kauan kesti saada diagnoosi. Se on vaikuttanut paljon elämääni. Ja kuinka paljon minulta on ryöstetty sen takia, että en ole saanut apua siihen.","type":"text"},{"text":"Niina sai lähetteen fysioterapeutille. Sieltä saadut harjoitteet auttoivat.","type":"text"},{"text":"– Minulla oli viime vuonna kumppani ja hänen kanssaan edistyimme. Nyt viimeisen vuoden aikana on ollut onnistuneita yhdyntäkertoja. Ja se on ollut tosi ihanaa.","type":"text"},{"text":"Lantionpohjan kiputilat ovat hyvin monisyisiä","level":2,"type":"heading"},{"text":"Lantionpohjan ylijännittyneisyys on yksi oire useissa gynekologisissa sairauksissa, kuten vaginismissa, vulvodyniassa ja endometrioosissa.","type":"text"},{"text":"Aina kipujen taustalla ei ole selvää diagnoosia, vaan jännittyneisyyttä ilmenee myös muuten. Pelkästään lantionpohjan lihasten ylijännittyneisyys voi aiheuttaa yhdyntäkipuja, vessassa ravaamista, virtsankarkailua ja ulostamisvaikeuksia.","type":"text"},{"text":"– Mielestäni tämä vaiva tunnetaan hyvin huonosti, kertoo lantionpohjan fysioterapeutti **Laura Ukonmaanaho**.","type":"text"},{"text":"**Videoilla Ukonmaanaho neuvoo kaksi yksinkertaista harjoitetta lantionpohjan lihasten rentouttamiseen. Ensimmäinen harjoitus tehdään istuen.**","type":"text"},{"caption":"Harjoituksen tarkoituksena on tutustua lantionpohjan lihaksiin ja venyttää niitä kevyesti. 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"}},"id":"1-69267533","image":{"main":{"fin":{"type":"Image","id":"39-12639846605370935d56","version":1711633326}}}}},{"text":"**Toinen harjoitus tapahtuu makuulla.**","type":"text"},{"caption":"Harjoituksessa pyritään rentouttamaan koko keho, mutta kiinnittämään huomiota erityisesti lantionpohjan lihasten rentouttamiseen. Jalkojen on hyvä olla auki, jotta ei vahingossakaan purista sisäreisiä yhteen. 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Lihaksissa on jatkuva jännitystila, joka aiheuttaa sen, että ne ovat kireät ja väsyneet samanaikaisesti. Pitkittyessään ongelma aiheuttaa erilaisia oireita.","type":"text"},{"text":"Jännittyneisyys on Ukonmaanahon mukaan yleensä oire jostakin. Iso vaikuttava tekijä lantionpohjan kireyteen on myös stressi.","type":"text"},{"text":"– Tyypillinen asiakas vastaanotolla on nuori nainen, joka opiskelee tai on jotain isoja asioita elämässä meneillään, kuten vaikkapa ylioppilaskirjoituksia. Usein kyseessä on tunnollinen suorittajapersoona. Se on tietenkin yleistys, eli voi se tulla ihan kelle tahansa, missä iässä tahansa.","type":"text"},{"text":"Lantionpohjan ylijännittyneisyydestä voivat kärsiä kaikki sukupuolet. Ukonmaanahon vastaanotolle hakeutuu pääsääntöisesti naisia. Yleensä vaivasta on kärsitty jo jonkin aikaa, ennen kuin on tajuttu tulla fysioterapeutin puheille.","type":"text"},{"text":"– Asiaa on saatettu selvitellä gynekologikäynnillä monen otteeseen, mutta voi olla, ettei sieltä ole mitään selvää diagnoosia löytynyt.","type":"text"},{"text":"Taustalla on voinut olla toistuvia ongelmia kuten virtsatieinfektioita, mutta ongelma ei ole ratkennut niitä hoitamalla.","type":"text"},{"text":"– Sitten on vähän googleteltu ja selvitelty, mistä tässä voi olla kyse, kunnes on luettu, että on olemassa vaiva nimeltä lantionpohjan ylijännittyneisyys.","type":"text"},{"text":"Oikeilla harjoituksilla vaiva voi helpottaa nopeastikin","level":2,"type":"heading"},{"text":"Vaivaa hoidetaan erilaisilla lihaksia venyttävillä ja rentouttavilla harjoituksilla, ja hoidossa hyödynnetään tarvittaessa myös elektromyografiaa eli lihassähkökäyrää sekä biopalauteharjoittelua.","type":"text"},{"text":"Ukonmaanahon mukaan hoidon kesto on hyvin yksilöllistä – ongelma voi ratketa fysioterapialla hyvin nopeasti, mutta se voi kestää myös pitkään.","type":"text"},{"text":"Jos kipuja ja muita oireita on ehtinyt olla jo pitkään, helpotus vaivan hellittäessä voi olla suuri. Vastaanotolla Ukonmaanaho näkee reaktioita laidasta laitaan.","type":"text"},{"text":"– Nopeimmillaan on jo ensimmäisen käynnin jälkeen saatu niin paljon aikaiseksi, että on tultu aivan ihmeissään kiittelemään. Ei käsitetä, miten iso muutos on saatu aikaiseksi pelkästään keskittymällä rentouteen, eikä aina vaan jumppaamaan ja pumppaamaan.","type":"text"},{"text":"Sen lisäksi, että vaiva tunnetaan huonosti, ongelmaa ylläpitävät Ukonmaanahon mukaan yhteiskunnan asenteet. Lantionpohjan lihasten treenaamisesta puhutaan paljon mutta rentouttamisesta paljon vähemmän.","type":"text"},{"text":"– Yhteiskunnallinen ongelma liittyy naisen tiukkuuden ihannointiin. Ajatellaan, että naisen lantionpohjan pitää olla tiukka, aina pitää jumpata, treenata ja olla parempia.","type":"text"},{"text":"Samaa mieltä on myös Niina.","type":"text"},{"text":"– Olen miettinyt monta kertaa sitä, et jos olisin mies ja sanoisin, että seksi on minulle kivuliasta, niin uskoisin, että asiaan olisi suhtauduttu vakavammin ja sille olisi tehty jotain nopeammin.","type":"text"},{"text":"Samalla Niina myös huomasi, että vaiva tunnetaan todella huonosti.","type":"text"},{"text":"– Haluaisin, että tästä puhuttaisiin enemmän. Jotenkin se asenne, että kipu kuuluu naisen elämään, on tosi veemäinen juttu. 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