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  • Anicca Holistic Services & Apothecary

  • Yoni Steaming / Womb Massage Consult Form

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  • Contraindications

    Yoni steaming is not recommended in a few instances, please complete below to ensure you don't have any contraindications.
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    NOTE

    If you have a burning itch the warmth from the steam could be uncomfortable since there is already so much heat in that area. In this case it is best to seek treatment from an acupuncturist to get the burning sensation to go away prior to doing a vaginal steam session.

     

  • Sensitivities 

    Some women are very responsive to steam and it can cause a physiological response. If you are in this category then it is okay to steam, however your practitioner will adjust your steam session and herbs so that it perfectly suits you.

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  • The above "yes" replies indicate sensitivity in which case a mild setup which should be performed 10-15 minutes. Under no circumstances should clients who have sensitivity use an advanced setup which is 25- 30 minute steam sessions.

    IMPORTANT

    If you are using the above birth control methods vaginal steaming could cause a birth control failure. It is not recommended unless you are okay with a backup form of birth control or you are not concerned about a possible pregnancy.

  • Herb Selection

    It is best to select herbs suitable to your constitution. Your practitioner will use the info from this intake form to select a suitable vaginal steam formula for you.

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  • Waiver

  • PLEASE BE ADVISED

    Many side effects of vaginal steaming and womb hara massage are positive. You may notice better sleep, lucid dreams, relaxation, reduced swelling, less bloating, increased libido, vaginal lubrication, scar softening, improved emotional balance, clearer skin, fewer PMS symptoms, and a harmonization of your menstrual cycle. These practices can also help relieve tension, promote circulation, and support your reproductive health.

    WHAT TO EXPECT

    Steaming and womb hara massage are cleansing processes. You may experience:

    - The urge to urinate during steaming
    - Brown discharge or clots after steaming
    - Emotional release
    - Earlier or later periods
    - Increased vaginal discharge
    These are signs of clearing stagnation and will ease as balance is restored. Please notify your practitioner of any changes.

    BEST PRACTICES

    1) Go to the bathroom directly prior to vaginal steaming.

    2) Support your period as a cleanse. Avoid tampons. Use cotton pads or period underwear to allow proper release. Rest and nourish your body during menstruation.

    3) Increased vaginal discharge can be addressed by using cotton underwear liners and a peri-bottle throughout the day to clean mucus off the skin.

    CAUTION SIGNS
    If you experience rash, headaches, itchiness, diarrhea, or unexpected bleeding, it may indicate a need to adjust the steam protocol or herbs. Notify your practitioner to address any concerns.

    In 99% of cases, using a mild steam session and herbs tailored to your needs prevents discomfort. Please answer the intake form honestly to ensure the best care.


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    I understand that vaginal steaming and womb hara massage may have positive or negative effects. I accept legal responsibility for my choice to undergo these practices and release the practitioner and facility from liability.

     

    Please Print and sign your name below to confirm you understand all of the benefits steaming and/or womb massage will provide.

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