Sexual intimacy is a crucial aspect of human relationships, contributing to our emotional connection with ourself and others, our physical health, and our overall well being. Unbeknownst to most, sex is considered a basic, physiological human need accord to Maslow’s Hierarchy of Needs.

However, many individuals experience sexual dysfunction, which can significantly impact their quality of life. Fortunately, there are two powerful tools that, when used together, can empower patients to overcome sexual dysfunction: pelvic floor physical therapy (PFPT) and sex counseling. In this blog post, we’ll explore how these two therapeutic approaches complement each other, offering a holistic and effective solution for individuals seeking to revitalize their sexual health.

Understanding Sexual Dysfunction

Sexual dysfunction encompasses a range of issues that interfere with an individual’s ability to experience satisfaction and pleasure during sexual activity. Common problems include erectile dysfunction, premature ejaculation, low libido, vaginal pain, and difficulty reaching orgasm. These challenges can arise from physical, psychological, or relational factors, making the treatment approach multifaceted.

The role of PFPT is a specialized form of physical therapy that focuses on the muscles, ligaments, nerves, and connective tissues in the pelvic region. Pelvic floor physical therapists are trained to treat a variety of pelvic floor dysfunctions, especially those related to sexual health.

• Identifying Physical Issues: A comprehensive evaluation by a pelvic floor physical therapist can identify musculoskeletal issues, tension, or weakness in the pelvic floor muscles. For instance, hypertonic (overly tight) pelvic muscles can cause pain during intercourse, while weak or uncoordinated muscles may lead to difficulties with arousal and orgasm
• Personalized Treatment: Following assessment, a tailored treatment plan is designed to address the patient’s specific issues. Pelvic floor exercises, stretches, and relaxation techniques are often employed to release tension and improve muscle strength, flexibility, and coordination
• Pain Management: For patients experiencing pain during intercourse or other sexual activities, pelvic floor physical therapy can be instrumental in reducing discomfort by addressing underlying physical factors

Pelvic Floor PT for Sexual Dysfunction

PFPT offers a comprehensive range of specialized services for individuals experiencing sexual dysfunction. These services are tailored to address the specific needs and concerns of each individual and typically involve the following components:

• Assessment and Evaluation: Pelvic floor physical therapists begin by conducting a thorough assessment to understand the underlying causes of sexual dysfunction. This may include a detailed medical history, physical examination, and discussion about symptoms, sexual history, and any contributing factors. This evaluation helps therapists develop a personalized treatment plan
• Manual Therapy Techniques: Pelvic floor physical therapists use hands on techniques to release tension and improve the mobility of pelvic floor muscles and surrounding tissues. These techniques can include myofascial release, trigger point therapy, and soft tissue mobilization to alleviate pain and improve blood flow
• Education and Lifestyle Modification: Therapists provide education about pelvic anatomy, sexual health, and the relationship between pelvic floor muscles and sexual function. They may also offer guidance on posture, breathing techniques, and lifestyle modifications to optimize pelvic floor health and alleviate sexual dysfunction
• Pain Management Strategies: For individuals experiencing pain during intercourse or other sexual activities, pelvic floor physical therapists may employ various pain management strategies. These can include relaxation techniques, exercises/stretches, mindfulness, and education on pacing and positioning during sexual activity

The Role of Sex Counseling

Sex counseling focuses on addressing emotional and relational barriers to sexual health and intimacy. While sex counselors are not always mental health providers, they are trained to discuss sensitive topics surrounding sex, relationships, and intimacy in a nonjudgmental and supportive environment.

• Exploration: Sex counseling allows patients to explore their attitudes, beliefs, and emotions related to sex, helping them gain insight into potential barriers that may contribute to sexual dysfunction
• Communication: Effective communication is vital for any intimate relationship. A sex counselor can provide tools to help partners communicate openly about their desires, needs, and boundaries, fostering a deeper emotional connection
• Intimacy Building: Sex counseling can aid in rebuilding intimacy and trust between partners, especially if sexual dysfunction has been a factor in the relationship

The Synergy of Pelvic Floor Physical Therapy and Sex Counseling

When pelvic floor physical therapy and sex counseling are combined, they create a potent synergy, addressing both physical and emotional aspects of sexual dysfunction simultaneously.

• Comprehensive Assessment: The collaboration of pelvic floor physical therapist and a sex counselor ensures a thorough evaluation of all potential contributing factors to sexual dysfunction
• Holistic Treatment: Integrating biopsychosocial therapies enables patients to achieve holistic healing. Physical improvements, such as pain reduction or muscle relaxation, can enhance the effectiveness of sex counseling by promoting a more positive and enjoyable sexual experience
• Education: Patients receive essential and accurate education about their bodies, sexual health, and communication skills (unlike the sex ed you likely got in high school)
• Support System: The combined approach establishes a strong support system for patients, providing a safe space to discuss their concerns openly and work towards a fulfilling and satisfying sex life

Sexual dysfunction is a prevalent issue that can deeply affect an individual’s overall quality of life. By combining the expertise of pelvic floor physical therapy and sex counseling, patients are offered a comprehensive and empowering solution. This integrated approach addresses physical, emotional, and relational aspects, allowing individuals to overcome barriers to intimacy and rediscover the joy of a fulfilling sex life. Seeking professional help from pelvic floor physical therapists and sex counselors can be the first step towards a healthier and more satisfying sexual experience. Remember, there is no shame in seeking support for sexual health; it is a courageous step towards self-improvement and a more connected, intimate life.

Kyle Hartman is a pelvic floor physical therapist with a focus on guiding people through chronic pelvic pain, sexual dysfunction, and complex pelvic pain diagnoses. She is a trauma-informed therapist that treats all genders and is queer friendly. She is currently working towards becoming an AASECT certified sexuality counselor to further help patients that are experiencing difficulty with intimacy.