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Pelvic Floor & Intimacy: What No One Talks About But Should

Writer: Erica O'NealErica O'Neal

couple having intimate moment on a beach, trailhead physical therapy and wellness traverse city

When it comes to intimacy, we often hear about emotional connection, communication, and physical attraction. These are factors that play large roles in intimacy and it's a complex idea. But one major player in sexual health that rarely gets discussed? The pelvic floor. If you're experiencing pain, discomfort, or a disconnect during intimacy, your pelvic floor might be trying to tell you something.


How the Pelvic Floor Affects Intimacy

The pelvic floor is a group of muscles that provide support for your pelvic organs, control bladder and bowel function, and play a significant role in sexual health. When these muscles are functioning well, they contribute to pleasurable, pain-free intimacy. However, if they're too tight, weak, or dysfunctional, they can cause a variety of issues, including:

  • Pain with Intercourse (Dyspareunia): Tight or overactive pelvic floor muscles can make penetration painful. Not just painful, but just not comfortable. Some clients describe it as feeling like sandpaper or uncomfortable.

  • Decreased Sensation: Weak or stretched pelvic floor muscles may lead to reduced sensitivity and pleasure.

  • Difficulty with Arousal or Orgasm: The pelvic floor plays a role in blood flow and muscle engagement during climax. If it's not functioning properly, reaching orgasm can feel more challenging.

  • Postpartum Changes: After childbirth, the pelvic floor certainly has changes with hormones, birth trauma, and just changes from pregnancy and the labor and delivery process (EVEN WITH A C-SECTION!)

  • Pelvic Pain Conditions: Conditions like vaginismus, vulvodynia, or endometriosis can cause discomfort or make intimacy difficult.



woman lying on the bed with pain with intimacy, trailhead physical therapy and wellness, traverse city

Common Myths About Pelvic Floor and Sexual Health

  1. “Pain is normal after childbirth or as I get older.”

    • Pain during intimacy is NOT something you have to live with and it's NEVER normal. Addressing pelvic floor dysfunction can often improve or eliminate pain.

  2. “Kegels fix everything.”

    • While strengthening is beneficial for some, many people actually need relaxation techniques, stretching, or manual therapy instead of just Kegels. It's a complex system!

  3. “If I ignore it, it will go away.”

    • Pelvic floor dysfunction rarely resolves on its own. Seeking care can lead to better function and improved intimacy.


How Pelvic Floor Therapy Can Help

Pelvic floor physical therapy is a powerful tool for improving intimate wellness. A skilled therapist can assess your specific needs and help with:

  • Learning to relax and release tension in the pelvic floor.

  • Strengthening muscles if weakness is contributing to dysfunction.

  • Improving circulation and coordination for enhanced sensation.

  • Providing education on body mechanics, breathing, and positioning for pain-free intimacy.


dr. erica o'neal talking about pelvic floor anatomy, traverse city michigan, trailhead physical therapy and wellness


Let’s Talk About It

Sexual health is an important part of overall well-being. If you’re struggling with pain, discomfort, or a lack of connection due to pelvic floor dysfunction, you’re not alone—and there is help. At Trailhead Physical Therapy and Wellness, we create a judgment-free space to address these concerns and help you feel confident in your body again.


Ready to take the next step? Book an evaluation with us today and start your journey toward better pelvic health and intimacy.

 
 
 

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Trailhead Physical Therapy & Wellness

Phone: (231) 224-6016

Fax: (616) 333-5331

10161 E. Pickwick Court

Suite F

Traverse City, MI 49684

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