Sexual symptoms/diagnoses in women:

  • Dysparunia:  Pain with initial penetration, deep penetration, thrusting.  May be due to lack of lubrication, superficial vaginal scarring, vaginal adhesions, skin irritation, or levator ani muscle tenderness.
  • Levator Ani Syndrome: pain, pressure, or ache in the vagina, sacrum, coccyx, and/or rectum caused by abnormal tension in the levator ani muscles.
  • Vulvodynia:  Vulvar discomfort characterized by burning, irritation, rawness, and inability to have penetration without pain.
  • Vaginismus:  Inability to penetrate the vagina to due muscle spasm
  • Pubic Bone Pain

Sexual symptoms/diagnoses in men:

  • Inability to achieve or maintain an erection
  • Pain with ejaculation

Physical Therapy treatments include:

  • Manual therapy to pelvic floor muscles, hip, abdominal, low back muscle
  • Internal manual therapy if needed
  • Trigger point release
  • Biofeedback
  • Relaxation exercises
  • Strengthening exercises
  • Bladder retraining
  • Dilator training
  • Coordination with OB/GYN and/or other health professionals