Sexual Health and Pelvic Floor Muscle Function
Sexual health is a deeply personal aspect of your wellbeing. For many, it’s an area that brings up questions, discomfort, or past experiences that can be difficult to speak about. At 18 Physio, we understand how sensitive these concerns can be. We aim to create a space that is safe and respectful.
We work with people of all genders, identities, and backgrounds. Whether you’re experiencing pain, changes in sensation, or challenges with sexual function, our approach is gentle, collaborative, and led by you. We understand that for some, these experiences may be linked to trauma, past medical procedures, or emotional distress. You will never be rushed or pressured, we go at your pace, with your comfort and consent at the centre of everything we do.
Sexual Pain
Pain during or after intercourse is a common experience that can affect people of any gender. This pain might be felt externally in the genitals, deeper in the pelvis, or across the lower abdomen. It can feel sharp, burning, aching, or may simply show up as a sense that something doesn’t feel quite right.
There are many possible reasons for sexual pain, including pelvic floor muscle tension, scar tissue from childbirth or surgery, hormonal changes, or conditions such as endometriosis, vaginismus, vulvodynia, or prostatitis. For some, emotional factors such as anxiety or past trauma may also play a role, which is why we take a respectful, person-centred approach to care.
During sessions, you’ll be given clear information and supported to make choices that feel right for you. You’ll never be pressured into any assessment or treatment and everything happens at your pace, with your full consent. We may use education, breathing techniques, guided relaxation, pelvic stretches, or gentle hands-on work, depending on your needs. Our aim is to help reduce pain and support you in rebuilding comfort and trust with your sexual health.
We may work collaboratively with your wider healthcare team including:
- Gynaecologist
- Urologist
- General Practitioner
- Sexual Therapist
- Psychologist
Sexual Difficulties
Sexual difficulties such as problems with arousal, desire, intimacy, erection, or ejaculation can feel isolating or distressing, and often go unspoken. These concerns can be influenced by both physical and emotional factors, including tension in the pelvic floor muscles, post-surgical changes (such as after urological/gynaecological surgery), or underlying health conditions.
We work slowly and thoughtfully, with an emphasis on safety, education, and choice every step of the way.
Reduced Sensation
Changes in sexual sensation, specifically noticing a decrease in pleasure can be upsetting and confusing. Reduced sensation may stem from pelvic floor muscle changes, hormonal changes, or stress.
We work with you to explore possible contributing factors in a respectful, collaborative way. Treatment may involve improving pelvic floor muscle awareness and strength, promoting blood flow and nerve function, and supporting your overall connection to your sexual function. We recognise that intimacy can carry a wide range of experiences and emotions. Our approach is grounded in respect, consent, and safety – honouring your pace and your story.
