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This project was supported by the grant from Czech Science Foundation No. 406/07/0274

Contact: PhDr. Ing. Hana Konečná, Ph. D.

"One of the conditions for excellent health and hence good fertility is sufficient exercise." The quotation is from a medical book from 1947 but not even 50 years later is this fact taken seriously, in spite of the fact that we have an original therapeutic method which can treat the kind of infertility caused by a poor condition of the skeletal-muscular apparatus. Its correct name is “Rehabilitation treatment of certain kinds of functional female sterility.”, but everyone use the name the Mojzis method.

This therapy is based on the principle that there are reflexive relations between the spinal column and the inner organs. If a dysfunction of the spinal column occurs, a dysfunction of the corresponding inner organ also occurs. And vice versa. Long-term and excessive irritation of the nerve fibres causes an excessive increase in spasms in the muscles around the vertebrae and the muscles of the pelvic floor. This can arise also due to injury, repeated minitraumas, inflammatory processes in the pelvis, changes in the configuration of the vertebra bodies, and through civilisation illnesses. It is assumed that excessive strain of the glabrate musculature of the fallopian tubes causes their obstruction (it is as if they were “strangulated”), spasms of the cervix uteri cause dysmenorrhoea (i.e. painful menstruation), spasms of the uterine body cause the an “irritable womb” (the consequence of which can, under certain circumstances, be repeated miscarriages) and spasms of the vagina can cause dyspareunia (pain during sexual intercourse). Suggestions have appeared to use this treatment for certain problems of male fertility, but unfortunately no one has so far tried to show the effectiveness of this rehabilitation treatment in a sufficient number of male patients.

Therapy and risks

The therapy is based on intervention within the nervimuscular apparatus of the pelvic floor. Many people know this type of therapy under the term “the Mojzis exercises” and they often think that the therapy consists only of certain special exercises. That is not true. In addition to the exercises that are done by the patient on her own at home (the exercises are of the relaxation and the strength-building kinds), repeated intervention by a trained physiotherapist is necessary. The intervention is called mobilisation. Through regular relaxation exercises, the shortened muscles will lengthen, through strength-building exercises, the weakened muscles will firm up and, through mobilisation, the blockages are removed. This leads to elimination of the dysfunction of the spinal column and of the irritation of the inner organs. However, risks are involved in the performance of this method by persons who are not properly trained. In the better case, the efficiency of the method is reduced or the intervention is not effective, in the worse case, if the manipulation techniques are conducted by an improperly trained therapist, damage to health is possible.

Demands

What can those who are acquainted with this therapeutical method tell us about it?

I exercise regularly. I have some hope - a more regular cycle, less painful menstruation.
I have focused on exercising and reducing my body weight. I've observed alleviation of pain in the back and the joints, and reduction in body weight has also occurred. (f)
I underwent the Mojzis therapy years ago and I still exercise on my own. It hasn't helped me to conceive yet, but after the exercises I feel well, I have no pains in my back and in my tummy during menstruation. (f)
I am glad that the Mojzis method exists. I've been exercising for years, it's good for me and, above all, I feel that I'm doing something. (f)
I asked the doctor for a recommendation for the therapeutical method according to Mojzis. He didn't give it to me, he said it was either him or Mojzis. But I discovered that I had an indication for this treatment, so I found a recommendation in a complicated way by myself, via references through the health insurance company. I don't understand the doctor's policy. Even if he didn't believe in the efficacy of therapy, he must have seen that it would have helped me mentally if I were able to do something on my own, and that's so important. (f)
My gynaecologist forbade the exercises for me after I got pregnant so that I wouldn't miscarry. I miscarried anyway. (f)
Without the Mojzis method, I would disintegrate, physically and especially mentally. (f)
My physiotherapist made an appointment for a check-up with two of us at the same time. We then went to have a coffee together and had a wonderful talk. Perhaps we will even go on a holiday together with our husbands, all of our and their friends have small children, and therefore they spend holidays differently. (f)
I've been performing the Mojzis method for several years. Most often, women seek me out on their own, they find out about me through friends. Only rarely are they advised by a doctor. Sometimes, I feel more like a psychotherapist, though. The women pour out their stories, they tell me all about what they've gone through, sometimes they even break into tears. I have a feeling that I am often the first one with whom they can talk about their suffering. (p)
We went to the physiotherapist together with my husband and then we did the exercise set according to Mojzis at home. We got involved in the exercises so much that we did it every day for an hour and a half and, moreover, we enjoyed it because we could also talk during that time or we could listen to something together while exercising. (f)

The treatment is not painful - the exercises must not be done to a feeling of pain. The exercises and the mobilisation are perceived by most patients as pleasant. The therapy usually lasts 6 months, the physiotherapist's intervention is once a month (one hour) and thus, as far as taking time off work is concerned, this therapy is not demanding. It is demanding in terms of the time spent on it at home, one must exercise in the morning and in the evening, in the evening with the help of a partner. It is also necessary to limit certain activities and habits. The therapy includes regularly drinking enough, ensuring proper posture, and avoiding certain sports activities (hard rhythmic exercises, skiing, etc.). Patients consider the "mending of the coccyx," which is done through the rectum, to be an unpleasant element, especially psychologically.

It is advisable to use this method right at the beginning of the quest for a child. For the person for whom it is suitable, the effect will become apparent after a few months and, for those whom it will not help to conceive, it can be useful in coping with the long period of examinations (the search for the cause of the failed efforts), when one can feel rather helpless. Pregnancy and fatherhood and motherhood are periods that are very demanding on the stamina, and so the time and energy put into the therapy will pay off when the child is born, even if it is through other therapeutic methods. Needless to say, the time devoted to the care of the skeletal muscular apparatus is not lost for anyone. Moreover, better stamina and posture will improve one's self-esteem, which often gets rather damaged by the difficulties on the quest for a child.

Most of all the therapies, this method is in your own hands. If you expect that someone else will solve everything for you, and if you do not like to exercise, then you will probably - to your own detriment - not accept this therapy. On the other hand, if you approach problems actively and helplessness is hardly bearable for you, then this therapy is for you.

The therapy of fertility problems is an affair of the whole couple, but in most of the diagnostic and therapeutic methods only one partner is involved. The Mojzis method is an ideal opportunity to do something together for your future child. Some of the exercises require the help of a partner, and in the ideal case the partner also exercises - because of his indication (for example, back pain). Most things are easier to achieve with the help of someone else, including regular exercise. When one does not feel like it, the other person can convince him or her. Moreover, the exercises have a relaxing effect. It is helpful if you go for the check-up and the therapy at the physiotherapist's together. Not only is it easier to monitor the effect of the exercises in both partners and help wherever needed, but you may also meet couples who are in the same situation as you at the therapy centre.


(Konečná, H. (2006). On the Quest for a Child. Two Small Wings. Prague: Triton. ISBN 80-7254-811-3, pages xxx-xxx)

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