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Can Pelvic Floor Physical Therapy Really Improve Sex?

February 15, 2017 | Meghan Graf, LPT

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Increased pelvic floor strength and flexibility can lead to better orgasms.

A healthy pelvic floor is typically strong and flexible with the ability to contract and relax without pain. The pelvic floor muscles are necessary for sexual health and responsible for comfortable vaginal penetration and a woman’s ability to orgasm. During orgasm, the pelvic floor muscles contract. When the muscles are healthy and strong, the orgasms feel bigger and stronger.

Pelvic floor strength and flexibility varies from person to person. Pelvic floor complaints are usually related to one of two problems with the muscles.

Low-tone problems indicate weakness in the muscles. This can occur from not using muscles enough as a result of surgery or after childbirth. Women in this group may experience weak or absent orgasms. If a pelvic floor complaint is related to weakness of the muscles, a pelvic floor strengthening program can be very beneficial.

High-tone problems occur when the muscles are tense, inflexible, or in spasm. The muscles can be either strong or weak in this category. Women in this group may have pain with vaginal penetration (dyspareunia), pain with orgasm/sexual arousal, or the inability to orgasm. If a woman has a tense, shortened pelvic floor, doing kegels could actually make the problem worse, so it’s important to be evaluated by a trained pelvic floor physical therapist. Manual therapy techniques performed by a therapist can be very helpful in lessening the tightness or spasm in the muscle.

Pelvic floor physical therapy can address either weakness or tightness in the pelvic floor with a specialized program tailored to an individual’s needs. After going through pelvic floor physical therapy, it’s not unusual to hear that women are able to orgasm again for the first time in years. In some cases, women have experienced orgasm for the first time as a result of effective therapy treatment. With pelvic floor physical therapy, it’s possible to restore sexual relationships and enjoy pleasurable, pain-free sex.

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