Pelvic Floor Physical Therapy for Sexual Dysfunction

Private, respectful support for pain with intimacy, pelvic floor-related sexual dysfunction, and changes in sexual function through an individualized pelvic floor approach.

Service Overview

Sexual health is an important part of overall health and well-being. The pelvic floor muscles play an important role in sexual function, sensation, and comfort for both men and women.

When these muscles are too tight, weak, painful, or not coordinating properly, they may contribute to discomfort during intimacy or changes in sexual function. Other factors, including hormonal changes, pregnancy, childbirth, surgery, nervous system responses, and underlying medical conditions, can also influence sexual health.

Pelvic floor physical therapy focuses on identifying musculoskeletal factors that may be contributing to symptoms and developing an individualized treatment plan to improve comfort, mobility, muscle coordination, and overall pelvic health.

Symptoms and Concerns

  • Pain during or after intercourse

  • Pain with vaginal penetration, tampon insertion, or gynecologic exams

  • Pelvic floor muscle tightness or difficulty relaxing

  • Pain with ejaculation

  • Erectile dysfunction when pelvic floor dysfunction is a contributing factor

  • Decreased comfort or sensation during intimacy

  • Vaginal or pelvic discomfort

  • Pain following childbirth or pelvic surgery

  • Difficulty returning to comfortable intimacy postpartum

  • Pelvic pain that interferes with sexual activity

How Pelvic Floor Physical Therapy May Help

  • Assess pelvic floor muscle strength, tension, mobility, and coordination

  • Address pelvic floor muscle tightness and difficulty relaxing

  • Improve pelvic floor strength and endurance when appropriate

  • Incorporate breathing and relaxation techniques to reduce muscle guarding

  • Address hip, core, and surrounding muscle restrictions

  • Improve mobility and coordination of the pelvic floor

  • Provide education on positioning and movement strategies to improve comfort during intimacy

  • Develop a personalized home exercise and management plan

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