Sexual Dysfunction

Sexual Dysfunction caused by tight pelvic floor, inner thigh muscles can manifest in difficulty in achieving orgasm, pain following orgasm and erectile dysfunction.  Muscles, connective tissue and fascia surround the penis and testicles and if these structures tight, they can decrease the ability for good blood flow to the penis and good function of the pelvic floor muscles. Chronically tight pelvic floor muscles can lead to weaker orgasms as the fast twitch muscle fibers of the pelvic floor are not working optimally.


Your pelvic physical therapist will figure out what faulty habits, postures and tension patterns you may be doing daily to cause or exacerbate your symptoms and then will educate on how to reverse these patterns.  We implement a wide variety of manual therapies such as myofascial release, skin rolling, trigger point release and nerve mobilization techniques to lengthen and normalize tone.  We use cold laser (light therapy used by many sports teams for healing injured tissues) and biofeedback training to help you become aware of pelvic floor muscle tension.  We’ll teach you an individualized stretching, relaxation, and include some yoga poses for your exercise program.  When ready, we will implement a strengthening and core stabilization program to further improve function.


Most patients begin to experience significant improvement between two and three months of consistent, weekly, pelvic physical therapy visits.  Because daily home exercises are so important to the healing process, your therapist will design a program that is tailored specifically to you.

Below is one example of an exercise your therapist may assign for you as a part of the home exercise program designed to treat sexual dysfunction.  It is called “Pelvic Floor Downtraining – Contract to Relax”

Pelvic Floor Downtraining – Contract to Relax

You can find this exercise and more like it by using the PelvicTrack app for iPhone users.  You allows can track your pelvic floor dysfunction symptoms and check the library of commonly assigned home exercises to treat pelvic floor dysfunction.  For more information, check out our blog post on the PelvicTrack app or visit the PelvicTrack website.

For a detailed and comprehensive exercise program, please schedule a visit with one of our staff pelvic physical therapists, who are under the direction of Evelyn Hecht, PT, ATC

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