Conditions We Treat › Sexual Health

Pelvic Floor Physical Therapy

Sexual Health

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.

Pelvic floor physical therapy for sexual health concerns
Private, individualized care Pelvic floor physical therapy for sexual health concerns in men and women

Understanding Sexual Health Symptoms

Sexual activity should not routinely cause pain or pelvic discomfort.

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.

01

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

02

Pelvic Floor Symptoms

  • Pelvic floor muscle tightness or spasm
  • Difficulty relaxing the pelvic floor
  • Vaginismus
  • Pain associated with erection
  • Pain with or after ejaculation
  • Pelvic pressure or tension
  • Symptoms associated with bladder or bowel function

03

Changes After Life Events

  • Postpartum pain with intercourse
  • Symptoms following C-section or childbirth
  • Symptoms following prostate surgery
  • Changes after pelvic or abdominal surgery
  • Scar-related discomfort or restriction
  • Changes following cancer treatment
  • Difficulty returning comfortably to sexual activity

Sexual health symptoms often overlap with other pelvic health concerns.

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 dysfunction
Chronic pelvic pain
Vaginismus
Vulvar or vaginal pain
Postpartum pelvic pain
Pelvic floor muscle overactivity
Prostatitis / pelvic pain symptoms
Post-prostatectomy concerns
Pain following pelvic surgery

Pelvic Floor Physical Therapy

Treatment starts with understanding what's contributing to your symptoms.

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.

01

Understand Your Symptoms

Begin with a private conversation about your symptoms, when they occur, relevant medical history, concerns, and goals for treatment.

02

Evaluate Pelvic Floor Function

When appropriate and with your consent, evaluation may assess pelvic floor tension, relaxation, strength, coordination, mobility, and other contributing musculoskeletal factors.

03

Address Contributing Factors

Treatment may address muscle tension, mobility, coordination, scar restrictions, movement, or other physical factors associated with your symptoms.

04

Work Toward Your Goals

Care progresses at an appropriate pace toward improved comfort, function, confidence, and participation in the activities that matter to you.

Your treatment may include:

Pelvic Floor Training Improving relaxation, coordination, strength, or control based on your individual needs.
Hands-On Treatment Manual techniques addressing muscle tension, mobility, connective tissue, or scar restrictions when appropriate.
Movement & Exercise Individualized mobility, strength, breathing, and movement strategies that support pelvic function.
Education & Self-Management Helping you understand your symptoms and use practical strategies outside of treatment.

Your comfort is part of your treatment.

Care is individualized around your symptoms, goals, boundaries, and comfort level. Questions and communication are encouraged throughout treatment.

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Sexual Health & the Pelvic Floor

Comfortable sexual function involves several systems working together.

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.

01

Muscle Function

Pelvic floor muscles need the ability to contract, relax, lengthen, and coordinate appropriately.

02

Mobility & Tissue

Mobility of the pelvis, hips, surrounding muscles, connective tissue, and scars can influence comfort and function.

03

Pelvic Health

Bladder, bowel, pelvic pain, pregnancy, postpartum, and surgical concerns may overlap with sexual health symptoms.

04

Movement & Response

Breathing, muscle guarding, positioning, movement, and learned responses to pain can also influence symptoms.

Treatment is about understanding your individual symptoms, not making assumptions.

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

What to expect at your first visit.

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.

01

Start With a Conversation

Discuss your symptoms, when they occur, relevant medical or surgical history, concerns, activities, and goals at a level of detail you are comfortable sharing.

02

Complete an Individualized Evaluation

Evaluation is based on your presentation and may include movement, mobility, breathing, strength, muscle coordination, and pelvic floor function when appropriate.

03

Understand Contributing Factors

Dr. Loyd will explain relevant findings and discuss the pelvic floor, musculoskeletal, or movement factors that may be related to your symptoms.

04

Develop Your Treatment Plan

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

Ready to take the next step?

Contact Dr. Lina Loyd to discuss getting started with individualized pelvic floor physical therapy for sexual health concerns.