“For those with a penis, pelvic floor physical therapy can help to alleviate pain during sex. .” - Dr. Sandy Shulca, DPT

Introduction:

Painful sex is an increasingly common problem that affects those with a penis. People with a penis can experience deep discomfort or pain in the pelvic area before, during or after sexual activity. This can be due to a number of factors, including tightness, weakness or over activity of the pelvic floor muscles, emotional stress, previous trauma, or lack of lubrication.

WHAT HAPPENS TO THE PENIS DURING SEX?

During sex, the penis becomes erect due to increased blood flow.  When the penis becomes erect, the pelvic floor muscles contract and tighten, causing a sensation of increased sexual pleasure. As arousal and pleasure increase, the penis may become even harder and may release pre-ejaculate fluid. During orgasm, the penis will become even harder and contractions may occur which can lead to ejaculation. These contractions are usually very pleasurable and can help achieve a more intense orgasm. However, when there is already increased muscular tension or overactivity from the daily stresses of life, the tightening and contracting of the pelvic floor muscles during sex, can ultimately cause pain or discomfort.

WHAT THE HECK ARE PELVIC FLOOR MUSCLES & WHAT DO THEY HAVE TO DO WITH MY PENIS PAIN?

Pelvic floor muscles are responsible for supporting the pelvic organs and providing stability for the lower spine. And before we continue, allow me to remind you that EVERYONE has a pelvic floor! Weather you have a penis or a vagina, the pelvic floor exists and they can become overactive or tight due to a variety of different factors that we will talk about next.

HOW DID MY PELVIC FLOOR MUSCLES GET SO TIGHT??

Tight pelvic floor muscles can be caused by a number of different factors in men, including muscular tension due to stress or anxiety, poor posture, muscle weakness or tightness, an overactive bladder, surgery, weight lifting at the gym, or pushing down while emptying your bowels (aka while pooping!). Poor posture can lead to a tight pelvic floor because the muscles must work harder to keep the body stable. Muscle weakness can lead to the muscles becoming overactive and tightening. An overactive bladder and pushing down while pooping can lead to increased tension in the pelvic floor muscles that can lead to them becoming tight, and you know who takes the hit? YOUR PENIS!

PELVIC FLOOR PHYSICAL THERAPY CAN HELP ALLEVIATE PENIS PAIN!

For those with a penis, pelvic floor physical therapy can help to alleviate pain during sex. Physical therapy is a form of medical treatment that focuses on improving the function of the body’s muscles and joints. It can be used to treat a variety of conditions. In the case of painful sex, pelvic floor physical therapy can help to reduce tightness, tension and pain in the pelvic floor muscles.

Pelvic floor physical therapy can help to alleviate this pain. It works by gently stretching the muscles and releasing tension in the area. This can help to reduce pain during sexual activity. It can also help to improve flexibility, range of motion, and overall function.

The therapist will do a comprehensive assessment to determine the best course of treatment for the individual. This can include manual therapy techniques such as massage, myofascial release, joint mobilization, and trigger point therapy. It can also include exercises to help strengthen the pelvic floor muscles and improve overall stability.

Pelvic floor physical therapy is an effective way to reduce pain during sex and improve overall pelvic health. It can help to improve blood flow to the area, reduce inflammation, and promote healing. It can also help to improve the overall function of the pelvic floor, which can lead to better sexual performance and satisfaction.

Conclusion

If you’re experiencing pain during sex, pelvic floor physical therapy may be the answer. It can help to reduce tightness in the pelvic floor muscles and alleviate pain during sex. With the help of a qualified pelvic floor physical therapist, you can bounce back and enjoy a healthier and more pleasurable sexual experience. If you have any questions about pelvic floor physical therapy please don't hesitate to ask. I look forward to helping you start your pain free journey today!