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Pain & Discomfort
- Pain with or after intercourse
- Pain with penetration
- Vaginal or vulvar pain
- Penile or testicular pain
- Pelvic or perineal pain
- Rectal discomfort
- Burning, aching, or muscle-related pain
Pelvic Floor Physical Therapy
Pain or pelvic floor symptoms shouldn't keep you from feeling comfortable and confident with intimacy.
Dr. Lina Loyd provides individualized pelvic floor physical therapy for men and women experiencing pain or pelvic floor dysfunction associated with sexual activity. Care is private, respectful, and developed around your symptoms, comfort level, and personal goals.

Understanding Sexual Health Symptoms
Sexual health symptoms can involve pain, muscle tension, difficulty relaxing the pelvic floor, changes following childbirth or surgery, or symptoms that occur with penetration, erection, ejaculation, or other sexual activity. Pelvic floor physical therapy can help identify musculoskeletal and pelvic floor factors that may be contributing.
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Dr. Loyd's physical therapy care focuses on pelvic floor, musculoskeletal, movement, and functional factors related to your symptoms. Some sexual health concerns may also require evaluation or treatment by a physician or another healthcare provider.
Pelvic Floor Physical Therapy
Sexual health symptoms can involve much more than pelvic floor strength.
Pain or difficulty with sexual activity may be influenced by pelvic floor tension, difficulty relaxing, muscle coordination, scar tissue, mobility, surrounding muscles and joints, or other pelvic health concerns. Dr. Loyd evaluates the factors physical therapy can address and develops treatment around your individual symptoms and goals.
Begin with a private conversation about your symptoms, when they occur, relevant medical history, concerns, and goals for treatment.
When appropriate and with your consent, evaluation may assess pelvic floor tension, relaxation, strength, coordination, mobility, and other contributing musculoskeletal factors.
Treatment may address muscle tension, mobility, coordination, scar restrictions, movement, or other physical factors associated with your symptoms.
Care progresses at an appropriate pace toward improved comfort, function, confidence, and participation in the activities that matter to you.
Care is individualized around your symptoms, goals, boundaries, and comfort level. Questions and communication are encouraged throughout treatment.
Sexual Health & the Pelvic Floor
The pelvic floor plays an important role in sexual function, but it doesn't work alone. Muscles, nerves, circulation, joints, connective tissue, breathing, and previous injuries or procedures can all be part of the clinical picture.
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Pelvic floor muscles need the ability to contract, relax, lengthen, and coordinate appropriately.
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Mobility of the pelvis, hips, surrounding muscles, connective tissue, and scars can influence comfort and function.
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Bladder, bowel, pelvic pain, pregnancy, postpartum, and surgical concerns may overlap with sexual health symptoms.
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Breathing, muscle guarding, positioning, movement, and learned responses to pain can also influence symptoms.
Dr. Loyd evaluates the physical factors that may be contributing to your symptoms and develops treatment around what is appropriate for you. When concerns fall outside the scope of physical therapy, coordination with another healthcare provider may also be appropriate.
Getting Started
Sexual health is personal, and discussing symptoms can feel difficult. Your first visit is an opportunity to talk privately about what you're experiencing, ask questions, and determine what aspects of your symptoms may be appropriate for pelvic floor physical therapy.
Discuss your symptoms, when they occur, relevant medical or surgical history, concerns, activities, and goals at a level of detail you are comfortable sharing.
Evaluation is based on your presentation and may include movement, mobility, breathing, strength, muscle coordination, and pelvic floor function when appropriate.
Dr. Loyd will explain relevant findings and discuss the pelvic floor, musculoskeletal, or movement factors that may be related to your symptoms.
Treatment is developed around your individual findings, symptoms, goals, boundaries, and comfort level.
You are in control of your care. Pelvic floor assessment and treatment are individualized and should be explained and discussed with you beforehand. Your consent is required, and you can ask questions, decline an assessment or technique, or communicate your comfort level at any point.
Pelvic Health Project
Contact Dr. Lina Loyd to discuss getting started with individualized pelvic floor physical therapy for sexual health concerns.