WHAT IS THE PELVIC FLOOR?

The pelvic floor is a group of muscles that make up part of your core. They work together with your abdominals, diaphragm, back, and hip muscles to provide stability to the spine and pelvis and facilitate pain-free movement.

THE FIVE MAJOR FUNCTIONS OF THE PELVIC FLOOR INCLUDE:

1. Organ support
2. Core stability
3. Reproductive and sexual functioning
4. Bladder and bowel control
5. Optimal breathing and circulation for the abdomen and pelvis

WHAT DOES THE PELVIC FLOOR HAVE TO DO WITH INTIMACY?

Because of its role in reproductive and sexual functioning, the pelvic floor can significantly increase
(or decrease!) intimacy. Muscles that are tight and over-active can make it very difficult to achieve arousal (or even the Big O) or cause pain. Muscles that are weak and under-active may not be strong enough to allow for any intense sensation. Weak muscles could also mean there is not enough blood flow to the necessary sensitive areas.

There is also a huge mind-body connection, not only with intimacy but also with the pelvic floor. Studies show that high levels of stress correlate with clenching of the pelvic floor. We all know that stress can show up in very different ways! For example, if you tend to clench your jaw when you feel stressed or anxious, there is a strong chance that your pelvic floor is clenching, too. And if those muscles are too tight to do their job, then any of those five major functions could be greatly impacted. Releasing tight muscles (or strengthening weak ones) can help enhance pleasure and allow for pain-free intimacy.

HOW CAN PELVIC FLOOR PHYSICAL THERAPY HELP?

Working with a physical therapist who is a certified pelvic specialist is a game-changer. When you work with Origin, you work with therapists who will help you understand your symptoms and develop a treatment plan that is right for you. Sometimes, it’s hard to know if your muscles are over-active and tight or under-active and weak — that’s where we can guide you.

During our visits, you can expect a comprehensive evaluation, including your spine, hips, and pelvis. Your pelvic floor can be evaluated internally or externally, depending on what is right for you (or your preference). Then, with exercises, manual therapy, education, and lifestyle modifications, we can make a huge impact on your quality of life — and, yes, even with intimacy.

With Origin, you can work with a physical therapist face-to-face (like if you come to see me in Bartlett!) or even virtually. You can also check out Theoriginway.com for blogs on different pelvic health topics by our expert team.

Never give up hope! Change and healing are always on the horizon. Let’s get started!

Kathleen Goldberg, PT, DPT, PCES, CAPP-Pelvic, is a physical therapist with specializations in pelvic floor therapy and skills in orthopedics and manual therapy. She provides one-on-one care for both men and women and sees patients in Bartlett. For appointments, call 901.907.0246.

 

By Kathleen Goldberg