"The vulva needs to breathe"

Physiotherapist Mireia Grossman teaches workshops to maintain a healthy pelvic floor and improve sexual relations.

Pelvic floor physiotherapist Mireia Grossman with a pillow representing a vulva.
16/08/2025
4 min

BarcelonaMireia Grossman appears with a vulva-shaped pillow and an anatomical model of the kind she uses in her workshops to teach thousands of women what they have between their legs. "I am like The stranger "in a crotch version," she jokes. She discovered it in her forties, when she was studying physiotherapy and signed up by chance for the elective course on women's health. "Elective!" she exclaims. What she discovered was so surprising that she has since dedicated herself to spreading the word as a pelvic floor physiotherapist. And not just to help prevent it. common problems such as prolapse or urine loss, but to guarantee and prolong the fun.

"If we talk about sex, our brain thinks directly about foreplay and penetration, but sexuality is neither a penis nor a hole, this is a male pattern. However, it is not until the penis does not work or the vagina is not for organs that we do not consider that sexuality must be more global, more sensitive, more communicative and not so coital and reproductive," he says. He explains it this way starkly: "Male sexuality is the zambomba movement, while when we give ourselves pleasure, we do not, we give ourselves pleasure has sensitivity. A structure that must expand ten times for a birth cannot be sensitive or we would die! Now, our sexuality is considered preliminaries, as if we were opening acts, as if it were a toll to enter. This must be worked on a lot," he laments.

"Hole sexuality is very limiting," he affirms. tunnel model, which implies that what is started must be finished, is what breaks up couples. Because men are a switch system, if she doesn't want to rock'n'roll "He doesn't even touch her, he doesn't kiss her, he doesn't pinch her, because there's a risk of her getting going. This brings everything down: corporality, friendship, tenderness... Either you believe something else or you have nothing, because sex takes its toll, it implies pain: every arousal process needs blood flow," explains Grossman. "The vagina is not a subway entrance that is always open and available, it's more like a glove. She would directly change the name of the sex so that it is not synonymous with intercourse and proposes "erotic-festive experience, because you don't know what to expect, you don't even expect an orgasm, but you know you're going to have a good time."

Since nature doesn't send fertility peaks naturally when the body has problems (stress, anguish, pain) or no longer has the capacity to reproduce, "libido is... to achieve pleasure we must relax, otherwise the parasympathetic nervous system, which is what allows erections to occur, in men and women, does not connect," she explains. And from there we enter the recommendations to stimulate blood flow to the vulva. 1. Erotic reading: "It awakens the body, it excites." 3. Therapeutic orgasms: "They are vaginal gymnastics. Any muscle that does not contract atrophies." First, she advises rediscovering the desire alone, because "the body has a hard time adapting to another human being and one's own well-being can't depend on anyone."

And two extra tips. On the one hand, the mirror: "For the brain to regenerate the pelvic floor, it must first generate neural connections and, therefore, it must locate it. That's why men have such a connection with their penis, due to culture and because they touch it every day, while we feel guilty and dirty just by looking at our genitals." On the other hand, sleeping without panties. "The vulva is mucous, and a warm, moist tissue, if we always cover it, is a source of candida and infections. The vulva needs to breathe; therefore, the easiest recommendation is to sleep without panties. Our grandmothers already slept without panties," says Grossman, who defines herself as "dona tricks." Now she has thousands of followers, in talks and on social media. Her next challenge is to create an online course so that the other 50% can listen to it and her advice can also reach men.

Menopause and pelvic floor care

The problem is that "you don't know the pelvic floor exists until you have problems, and that's perverse because it prevents you from helping it sooner," she says. Typically, interest in that area comes with menopause, when the vagina tends to cause problems. Grossman takes the anatomical model and shows the muscles and ligaments that exist between the pelvic bones, which support the urethra, vagina, and rectum. She compares the pelvic floor to the underside of a balloon: you must help avoid compressing it with your posture, or it will burst. "When you climb stairs, push down with your leg to activate the muscles," she recommends as we walk. "You have to sit in a vagina suction cup," she shows me as we sit. Another easy exercise for women who spend the day on their feet: "Imagine you have a five-hundred-dollar bill between your hips and someone wants to stretch it: you close your glutes. It's the way to activate the abdominal girdle," she tells me.

"Every woman has her menopause. The problem is that people get their minds set and the brain, which is very obedient, programs itself. If you think your menopause will be hell, it will hardly ever be. The body will try," she says. She recommends trying to reprogram the brain and sexuality to adapt it to the person you are at that moment in life. Menopause is being explained as a terrifying period and the market is taking advantage of it to profit. She is opposed. For example, panty liners Newspapers and non-cotton fabrics should be banished from private parts. "And full hair removal is very aggressive because it causes micro-injuries to the skin, which is the first line of defense, but hair also acts as thermal protection for the bladder, which is hypersensitive to the cold," she explains. "Before, it was sold as aesthetics, and now it's sold as health, when modifying your body is never healthy except in medical cases," she affirms. "I was cuter when I was 25, but I like myself much more now. Menopause is saying, 'If you don't like me, don't look at me,' and that's a real pleasure," she asserts.

stats