Sexual Health Physical Therapy

Sexual health is a very important part of the function of the pelvic floor. It is important to note that when the bladder and bowel are dysfunctional, this can alter the sexual response. As pelvic health therapists, it is our job to educate our patients and bring awareness to the physical part of sexual health regarding the pelvic floor, as well as helping them to feel confident in their bodies.

Sexual Health Rehabilitation

How Pelvic Floor Therapy Can Help

Pelvic floor therapy is a valuable resource when sexual activity is painful, uncomfortable, or simply doesn’t feel pleasurable. Treatment focuses on releasing pelvic floor muscle tension, increasing bodily awareness, addressing scar tissue, breathing/ relaxation, and gaining confidence in intimacy. In pelvic floor therapy, our goal is not to tell you how to have sex but rather to help you and your body feel more comfortable and capable of participating in the activities that matter to you.

Solstice Physical Therapy Reviews - One Therapist and Patient on a yoga mat on the ground doing PT exercises

Dyspareunia and Vaginismus Physical Therapy

In pelvic floor therapy, we address conditions like dyspareunia and vaginismus. These are terms used to describe pain that occurs during penetrative sexual intercourse. It can happen for a variety of reasons, including trauma, significant hormonal shifts (menopause, postpartum, breastfeeding), birth control use, cancer history, fecal incontinence, cultural/religious beliefs, and anxiety/depression. Pelvic floor therapy focuses on understanding how your body is responding to penetration. Treatment includes manual therapy, breathing and relaxation exercises, education, and dilator training to aid in gradual exposure to penetration.

Sexual Health Tools & Products

A purple Intimate Rose pelvic wand is displayed in front of its packaging, which highlights features like HSA/FSA approved, FDA registered, BPA free, and a flower logo. The wand is curved with rounded ends.

Sexual Health Tools

Sexual tools and toys can be a helpful way to better understand your body, explore different sensations, arousal, and intimacy. Tools such as dilators can be incorporated into pelvic floor therapy. Dilators are used as a gradual treatment approach for exposure to penetration at a comfortable level. The key is to use these toys intentionally and comfortably, not to push through pain. Your pelvic floor therapist can help you understand how certain tools may help you understand what tools can fit into your individual treatment plan and provide guidance on positioning, relaxation and comfort.

A clear glass bottle labeled "überlube" with a white spray pump, containing 112 ml or 3.79 oz of liquid. The bottle is mostly filled, and a plastic tube is visible inside.

Proper Lubrication

Lubrication can make a significant difference in comfort during sexual activity. Even when you feel aroused, the body might not be producing enough natural lubrication due to factors such as medication, hormones, stress, breastfeeding, or menopause. Using an external water-based lubricant can reduce friction and make sexual activity more comfortable.

Foreplay

Arousal and relaxation are closely connected to pelvic floor function. Giving your body enough time to become aroused prior to penetration will allow the pelvic floor muscles to soften and vaginal tissue to become more receptive to penetration. There is no set script, blueprint, or time required for foreplay. Kissing, touching, communication, etc., whatever feels pleasurable and comfortable for you can all be a part of the process. Also, if penetration is painful, taking penetration off the table during that episode of sexual activity can reduce the cycle of anticipation, decrease muscle guarding, and allow for intimacy to be more relaxed and enjoyable.

How Pelvic Floor Physical Therapy Can Improve Sexual Health

Pelvic floor therapy is a valuable resource when sexual activity is painful, uncomfortable, or simply doesn’t feel pleasurable. Treatment focuses on releasing pelvic floor muscle tension, increasing bodily awareness, addressing scar tissue, breathing/ relaxation, and gaining confidence in intimacy. In pelvic floor therapy, our goal is not to tell you how to have sex but rather help you and your body feel more comfortable and capable of participating in the activities that matter to you.

Sexual health is health. Pain with sex, difficulty with penetration, or changes in sexual function should be addressed with the same care as any other physical concern. Pelvic floor therapy offers a private supportive space to better understand and work toward improved comfort and confidence during intimacy.

Welcome New Patients

Solstice Physiotherapy accepts new patients at our five New York Locations, including New York City: Midtown & Downtown, Long Island, Huntington, and Westchester.

Contact us to make an appointment for your initial evaluation.

We do accept insurance and are out-of-network providers.

Sexual Health Blog Articles

Can I Benefit from Pelvic Floor Physical Therapy

Can I Benefit from Pelvic Floor Physical Therapy

Pelvic floor physical therapy (PT) is a specialized therapy that focuses on the muscles, ligaments, and connective tissue at the base of your pelvis. These muscles support the bladder, bowel, and reproductive organs, and they play a role in everything from core...

read more
Understanding Anal Receptive Sex, Safe Binding and Tucking

Understanding Anal Receptive Sex, Safe Binding and Tucking

​ Happy Pride Month! Sexual wellness and gender expression are an important part of good health. Pelvic floor therapy can play a meaningful role in helping individuals engage in this activity safely and comfortably. Whether you are exploring anal receptive sex,...

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Sexual Health after Cancer: What Women Need to Know

Sexual Health after Cancer: What Women Need to Know

Cancer treatment can be lifesaving. But for many survivors, especially those who undergo pelvic radiation or reproductive surgeries, it brings side effects that impact sexual and pelvic health. If you’re navigating this phase of healing, you are not alone. There are...

read more

Patient Testimonials

Solstice Physiotherapy is proud to help our patients recover from injuries and live pain-free lives. But don’t take our word for it, here are some reviews from patients who have benefited from our services.

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“I have been going to Solstice PT for a few months now, and I cannot recommend them enough! Pelvic floor PT can be daunting at first, but they make the whole process easy. Scheduling appointments is a breeze.  The best PT group out there, hands down!!”

— Kasey

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“Erica’s highly empathetic and warm! She gave me a proper diagnosis and made me feel optimistic about my situation. She genuinely cares about the wellbeing of each and every patient. I have been to other PT centers that don’t even compare to the way that Solstice operates.”

— Sara

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“From the first phone call to every therapy experience I have been treated with great respect, my questions answered quickly and accurately and with discretion. My complicated medical situation is improving after only 4 sessions. Highly recommend the clinic in NYC.”

— ELEANOR

Five Convenient New York Locations

A bright exercise room with large windows, wooden floors, gym equipment including a stability ball, kettlebells, and resistance bands, and shelves with storage baskets and plants.

NEW: HUNTINGTON

11 Stewart Ave.
Suite #1
Huntington NY 11743

NYC - MIDTOWN

315 Madison Ave., Suite 2100
New York, NY 10017

NYC - DOWNTOWN

139 Fulton Street, Suite 1012
New York, NY 10282

LONG ISLAND

8 Bond Street, #301
Great Neck, NY, 11021

WESTCHESTER

862 Scarsdale Avenue
Scarsdale, NY 10583