What is pelvic physiotherapy and how it can help you change in bed!

When we have a problem with the muscles in our body, we are usually referred to a physical therapist, who will perform a series of exercises to strengthen our body until we are recovered. But did you know that there is a specific physical therapy that can help solve some sexual problems? This is Pelvic Physiotherapy, which prevents or treats problems in the pelvic floor and provides numerous health benefits for men and women. “But Cátia, what is pelvic physiotherapy? What does she help me with? How can I practice? ”. Calm that in today’s text we will talk a little about what is Pelvic physiotherapy and how it can help you have more pleasure in bed.


In today’s text we will cover the following topics:

  • What is a pelvic floor?
  • Pelvic Floor and Sex Life
  • What is pelvic physiotherapy
  • Post childbirth
  • Why exercise?
  • Benefits for sex life
  • Treatment
  • Exercises
  • Start now

What is a pelvic floor?

The pelvic floor is formed by the muscles and organs that are responsible for functions as important for our body as they are: the excretory system, the urinary system and the reproductive system.

It consists of a set of muscles located in the lower abdomen, which serve – as a support network – for various organs in the area: the bladder, the uterus, the vagina, the rectum, etc. Usually, these muscles are not exercised voluntarily, so that over time or for other circumstances they weaken the loss of their functions.

What is pelvic physiotherapy

I get a lot of emails with questions about what pelvic physiotherapy is. Pelvic physiotherapy is the area of ​​physiotherapy specialized in the prevention and / or treatment of all disorders that affect the pelvic floor. It is indicated especially in the pre and postpartum, menopause or even in the continuous practice of impact sports.

When the musculature is weakened or injured in an advanced way, some dysfunctions can become a nuisance for the patient. The main dysfunctions are:

  • Fecal incontinence: the inability to control the elimination of feces.
  • Organ prolapse: it is the externalization of organs through the vaginal or anal canal. It happens due to the weakening of the pelvic floor muscles and ligaments that have the role of supporting these organs. The organs that are usually projected outward are the bladder, uterus and rectum.
  • Sexual dysfunction: sexual disorders can happen in both men and women, in one (or more) of the three phases that make up the sexual response cycle: desire, excitement and orgasm. The most frequent sexual dysfunctions in women are vaginismus (involuntary contraction of muscles making it impossible to penetrate), anorgasmia (difficulty or inability to reach orgasm), dyspareunia (pain during sex).
  • Gestation and delivery: during pregnancy, the pelvic floor muscles are under greater pressure because they support, in addition to the pelvic organs, the baby and the embryonic attachments.
what is pelvic physiotherapy

Pelvic floor and sex life

Men and women may experience pain or discomfort during intercourse. Approximately 40% of women experience some type of sexual problem during their lifetime. There are many factors that can contribute such as weakness of the pelvic floor muscles: skin lesions, decreased blood flow, joint problems, drug use, fear of pain experienced in previous relationships, etc.

The pelvic floor is formed by different muscle planes. The most superficial is responsible for sexual function, while the deepest is responsible for urinary and fecal continence and the support of pelvic organs. The superficial plane contains a set of muscles and structures responsible for lubricating and erecting the clitoris. Therefore, if we have a weakened pelvic floor, clitoral function can be affected, making orgasm difficult or impossible.

In addition, the person responsible for the pleasant spasms we experience during orgasm is the pubococcygeus, a muscle that surrounds the walls of the vagina. If that muscle weakens, at the moment of climax it will not have enough strength to contract quickly, so that the orgasm is not too intense.

The most common sexual dysfunctions are: decreased and lack of sexual sensitivity, decreased intensity or absence of orgasm and pain during sexual intercourse.

Post childbirth

It is very common that, after having one or more births, a woman feels that her sexual relationship is no longer what it was. This is due to the fact that pregnancy and childbirth are one of the most important risk factors in weakening the pelvic floor due to pressure and stretching during them.

Why exercise?

The biggest problem with the pelvic floor is that it is an area not exposed to natural exercise, it is not a muscle that is spontaneously exercised; voluntary exercise is needed to avoid progressive weakness. That’s where the explanation of what pelvic physiotherapy is.

Through it we can improve sexual relations, desire and quality of life for many patients. A well-toned musculature will improve the functioning of the glands responsible for lubrication.

Benefits for sex life

Vaginismus and Dyspareunia

Specific contraction and relaxation exercises can eliminate vaginismus with psychological support when necessary. Self-awareness exercises and rediscovery of sexuality can be useful for genital awareness.

These exercises improve vaginal lubrication and elasticity. Sometimes this lubrication is altered by changes such as the use of hormonal contraceptive methods, the use of a pill or ring, the presence of fungus or irritation, stress, etc.

Menopause and Vaccine Flaccidity

Pelvic Physiotherapy has the power to improve local vascularization, that is, increase and improve blood circulation. This decreases dryness and weakening of the mucosa, decreases cell death and the consequent weakening of muscles and skin.

Prepartum and postpartum

Pregnancy is a period of great bodily and psychological changes in the woman’s life. Although natural, this state requires some new care. Today it is proven that, among these precautions, exercises for the pelvic floor muscles are indispensable. When he is weak, the ligaments are injured and fail to sustain.

Pleasure for the partner

In addition to having a tighter vaginal canal, the woman who practices intimate gymnastics can also perform movements with the vagina (such as strangling the penis), and these movements provide intense pleasure at the time of intercourse.

Increases your orgasmic ability

Pelvic Physiotherapy increases libido and the intensity of female orgasms . The development of your orgasmic ability results in more sexual disinhibition, knowledge of your own body and favorable psychological conditions to improve other aspects of your life.



Most of the problems related to the pelvic floor are solved with Pelvic Physiotherapy. The main factors addressed in the treatment are:

  • Learn to locate and recognize the pelvic floor muscles. A large percentage of women do not know where they are or what role the pelvic floor has.
  • Exercise the contraction of the pelvic floor muscles without simultaneously contracting the muscles of the buttocks or thighs, if this is not necessary.
  • Strengthen the pelvic floor muscles. For this, specific equipment or exercises can be used.
  • Learn to integrate the pelvic floor musculature in our daily life. That way, we will know how to protect you from unnecessary efforts and, of course, learn how to use it during sexual intercourse to make it more satisfying for women and men.


The first thing to mention is: all therapeutic exercises must be designed, evaluated and controlled by a professional. In that case, a physical therapist. Only he / she is trained to assess the pelvic floor structures and establish a treatment plan with personalized therapeutic exercises. Some of these exercises are:

Pompoirism or Kegel Exercises

Exercises developed by the gynecologist Arnold Kegel, the pelvic floor muscle training system is composed of exercises that seek to increase the contraction force of the perineal muscles. These exercises help to reduce symptoms such as urinary incontinence, improve perineal stability and increase blood circulation in the structures.

Hypopressive Abdominal Gymnastics

Method created by Dr. Marcel Caufriez and which focuses on working the abdominal area and the pelvic floor to reduce intra-abdominal pressure, thus improving static management and body dynamics. Exercises are a progression of postures where breathing is essential. In addition, the patient learns to manage his muscles and prepare the body for efficient management.

Other exercises

The exercises can also be done with accessories such as the vaginal cones or the ben wa – ball of doping (motor coordination and proprioception). As well as perineal massages, electrotherapy, electrostimulation and biofeedback resources. The duration of treatment varies according to the patient and his physiological responses, as well as the dysfunction he has

Pelvic physiotherapy recommendations

  • Find a specialist as soon as possible. The success rate in treating pelvic floor problems improves substantially when they are detected in time. For example, the treatment of a scar after delivery (the result of a rupture or episiotomy) will be more effective the more recent the birth is, avoiding future complications, both in muscle contraction and in the quality of sexual relations.
  • Commit to the treatment once it starts. The physiotherapist can guide and motivate you to reach the goals that she establishes, but the care of your pelvic floor and the performance of the exercises and daily habits depend on you.
  • After treatment, incorporate the learned patterns into your daily routine. The care of the pelvic floor does not end when you leave the office. Not even on the day you are discharged from treatment. Everything you have learned should be incorporated into your daily life because, although the dysfunction that led you to the consultation has disappeared, if you continue with the harmful habits for your perineum and neglect the exercise of that muscle, the symptoms are likely to appear again.
  • Bet on a healthy lifestyle and take care of your whole body, in addition to your pelvic floor. The human body is a whole, not a collection of isolated parts. When we talk about healthy living, we refer to the care of all the systems that comprise it: the cardiovascular, the nervous, the urinary, the digestive, the renal, etc.

Do not ignore what pelvic physiotherapy is and recognize the benefits it can bring are fundamental to maintaining your intimate health in good condition.


Start now

As we saw in the text, knowing what pelvic physiotherapy is and exercising the pelvic floor is extremely important for health, in addition to bringing benefits to the couple’s sexual life. Even if you don’t have any symptoms, you can go to a specialist and start pelvic physiotherapy. Prevention is always better than cure. In addition to avoiding future problems, you will see that your sex life will undergo a major transformation. Do you still have doubts about what pelvic physiotherapy is? Just send your question here and I will be happy to answer!

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