Sexual health is an important part of quality of life — and concerns with intimacy are more common than most people realize. At Pelvitone Physical Therapy in San Diego, we provide specialized pelvic floor physical therapy for sexual dysfunction in both women and men.
Many sexual symptoms are related to pelvic floor muscle tension, weakness, nerve sensitivity, or coordination issues. Our treatment focuses on restoring comfort, function, and confidence through individualized care.
You do not have to simply tolerate pain, avoidance, or frustration — these conditions are highly treatable.
Sexual Dysfunction in Women
Pelvic floor dysfunction can cause the muscles to guard, tighten, or lose coordination, making intimacy uncomfortable or difficult.
We commonly treat:
- Pain with penetration (dyspareunia)
- Vaginismus
- Burning or sharp pain
- Postpartum discomfort
- Pain after gynecologic procedures
- Vaginal dryness related to hormonal changes
- Difficulty using tampons or undergoing exams
Treatment focuses on improving muscle relaxation, mobility, and tolerance so intimacy becomes comfortable again.
Sexual Dysfunction in Men
Men can also experience pelvic floor dysfunction that affects sexual performance and comfort.
We commonly help with:
- Erectile dysfunction related to pelvic floor coordination
- Pain during or after ejaculation
- Pelvic tension or genital discomfort
- Post-prostate procedure recovery
- Performance anxiety related to muscle guarding
Pelvic floor therapy supports improved blood flow, muscle timing, and confidence.
Common Causes of Sexual Dysfunction
Sexual symptoms are often multifactorial and may include:
- Overactive or tight pelvic floor muscles
- Weak pelvic support muscles
- Nerve sensitivity
- Hormonal changes (including perimenopause)
- Childbirth recovery
- Injury or surgery
- Chronic pain conditions
Our approach addresses the underlying cause rather than masking symptoms.
Our Treatment Approach
Your evaluation is private, respectful, and always explained beforehand. Treatment progresses at your comfort level.
Care may include:
- Pelvic floor muscle relaxation or strengthening
- Manual therapy techniques
- Desensitization and mobility training
- Breathing and nervous system regulation
- Education and guided progression
- Home strategies for continued improvement
The goal is restoring automatic, comfortable function — not forcing symptoms.
Frequently Asked Questions
Is pelvic floor therapy appropriate for both men and women?
Yes. The pelvic floor plays a role in sexual function for everyone.
Will treatment be painful?
No. Treatment is gentle and progresses gradually at your comfort level.
How long does improvement take?
Many patients notice early changes within several visits, with continued improvement over weeks as coordination and tolerance improve.
Do I need to be postpartum to benefit?
No. Sexual dysfunction can occur at any stage of life and is highly responsive to targeted therapy.
When to Seek Help
You may benefit from pelvic floor therapy if you experience:
- Pain with intimacy
- Avoidance of intercourse due to discomfort
- Erectile or arousal difficulties
- Ongoing pelvic tension
- Symptoms affecting relationships or confidence