Physical Therapy for the
Pelvic Floor

Pelvic floor therapy can be a solution to numerous sexual dysfunction (problems)  in men and women. Pelvic floor physiotherapists treat problems like erectile dysfunction, rapid ejaculation and performance anxiety in men, and inability to reach orgasm, or pain in the vagina, during penetration, and after, in women.

To better understand what a pelvic floor physiotherapist does and how it helps men or women improve sexual function, I chose to interview two experts in the field, Inbal Guy and Daniella Tsarfati, who have been working with men and women for many years.

The first question that arises is, what exactly does a pelvic floor physiotherapist do?

Inbal: Physical therapists in this area specialize in treating everything related to the muscles located on the outer and inner parts of the pelvis. This treatment provides a therapeutic solution to all disorders whether in the urinary, digestive or reproductive system. We also provide treatment for people suffering from orthopedic pain around the pelvic region, lower back, abdomen, inner thigh and groin.

What are the main reasons for bringing men to treatment?

Daniella: Men with difficulties getting an erection or erectile dysfunction, and problems of premature ejaculation.

Shelly: Quite a few men, as much as I know, experience erectile dysfunction, for example, they feel that morning erections suddenly weaken, or suddenly they do not function during sex because the erection does not last throughout intercourse.

My question to you is, how did the man know when to come to treat the pelvic floor with this kind of problem?

Inbal: Patients usually turn to a physician first, like a urologist, who reviews their medical status. Many of them will be referred to sexual treatment and from there they are usually sent to us. I have to point out that there are cases in which there is no reference to pelvic floor muscles. I point it out because over-tightening of the pelvic floor muscles can certainly cause a blood supply and nerve pressure problem, leading to an erection problem.

There are also cases where there is the involvement of the urinary system, such as difficulty or urgency in urination, which can also affect sexual function! Moreover, anxious personality type, and elements of stress in the man's life, can also lead to pelvic muscles contractions, causing sexual problems, and this is exactly where pelvic floor therapy can be beneficial.

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Do you mean the emotional pressure can affect the body and therefore, the erection?

Yes, but then it is also important to treat the emotional side with the help of a sexual counselor, as well as the body itself with the help of physical therapy.