(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed) Abstract: Six months after delivery, the patient made a fart-like sound from her vagina during intercourse with her lover, which felt like bubbling, and she could feel flab when washing her vulva. Complete gynecological examination, vaginal discharge examination and gynecological ultrasound examination were all unremarkable. The patient underwent postpartum pelvic floor muscle function measurement and was diagnosed with pelvic floor dysfunction (vaginal laxity with mild vaginal prolapse), and it was considered that pelvic floor dysfunction caused vaginal muscle laxity, which led to pubic blowing. The patient was instructed to perform pelvic floor function rehabilitation training, and the blowing was significantly improved. Basic information】Female, 32 years old 【Disease type】Pussy blowing 【Hospital】Northmoor Group General Hospital 【Time of consultation】September 2021 【Treatment plan】Pelvic floor functional training (low frequency pulse electrical stimulation + Kegel training) + anal lift training 【Treatment cycle】Outpatient treatment for 2 months 【Treatment effect】Pussy blowing improved until it disappeared I. Initial consultation A patient who was 6 months postpartum came to the outpatient clinic. She was embarrassed to tell me that recently she had been making strange noises during intercourse with her lover, like farting, and she even had the sensation of bubbling in her lower body when she walked or carried her baby. The gynecological examination was easy to open the speculum and showed a few parts of the anterior vaginal wall gathering down, a small amount of discharge, no odor, and no pressure pain in the uterus and bilateral adnexal areas. There was no significant abnormality in the routine secretion and gynecologic ultrasound. The pelvic floor function assessment showed that the pelvic floor dysfunction was flaccid. It is considered that the prolonged pressure on the pelvic floor muscles during pregnancy and the excessive stretching of the pelvic floor muscles during normal delivery have caused the vaginal wall to relax and prolapse, thus leading to pussy blowing. The patient was worried whether the pelvic floor dysfunction could be cured because it not only affected her daily work and life, but also her mood. I patiently explained that this symptom can be improved or even disappeared, and the prognosis is good, so don’t worry too much. The patient then started outpatient pelvic floor functional rehabilitation training, including low-frequency pulsed electrical stimulation, Kegel training once every other day, and the patient was told to perform anal contraction training. After 2 months of outpatient treatment, the patient’s pubic blowing phenomenon improved significantly and no more abnormal sounds and sensations in the lower body occurred in daily life. III. Treatment effect Before the treatment, the patient’s pubic blowing symptoms were obvious and had already affected her daily life. After insisting on 2 months of low-frequency pulse electrical stimulation + Kegel training and continuous anal sphincter contraction exercise, the symptoms have improved significantly, and the sensation of bubbling in the lower body in daily life gradually decreased until it disappeared, and the phenomenon of pubic blowing did not occur during intercourse. The quality of life has improved, the patient’s mood has been happy, and life has gradually returned to normal. After a period of treatment and exercise, the patient’s pelvic floor dysfunction gradually improved and the phenomenon of pubic blowing gradually disappeared, as the attending physician is truly happy for the patient. It is suggested that the patient should strengthen the exercise and exercise properly to improve the muscle contraction function, and continue to train the anal sphincter and pelvic floor muscles (contraction of the anal action) twice a day, once in the morning and once in the evening, for 10 minutes. Pay attention to maintain normal weight, do not be overly obese, regulate diet, you can eat more fruits and vegetables, avoid constipation, if necessary, you can use laxative drugs to avoid constipation serious increase in abdominal pressure, resulting in pelvic floor dysfunction. Work and life should also avoid actions that increase abdominal pressure, such as lifting and pulling heavy objects. V. Personal insight Pelvic floor dysfunction is manifested by vaginal laxity, urine leakage, pubic blowing, and in serious cases, it may lead to prolapse of the uterus, bladder and rectum. Women are prone to pelvic floor dysfunction after delivery, which leads to urine leakage and pubic blowing, so it is recommended that women must check whether the pelvic floor function is normal after delivery. Whether it is a normal delivery or a cesarean delivery, pelvic floor function assessment is generally recommended at the 42-day postpartum review. If pelvic floor dysfunction is found to exist, relevant pelvic floor muscle rehabilitation training can be carried out with a better prognosis. Women should not ignore this problem and should not be embarrassed. If the condition is serious and not treated in time, surgical repair may be required at a later stage, which will bring more pain and expense to the patient.