Pelvic Floor Involvement in Male and Female Sexual Dysfunction and the Role of Pelvic Floor Rehabilitation in Treatment: A Literature Review
Abstract
Introduction: The sphincteric and supportive functions of the pelvic floor are fairly well understood, and pelvic floor rehabilitation, a specialized field within the scope and practice of physical therapy, has demonstrated effectiveness in the treatment of urinary and fecal incontinence. The role of the pelvic floor in the promotion of optimal sexual function has not been clearly elucidated. Aim: To review the role of the pelvic floor in the promotion of optimal sexual function and examine the role of pelvic floor rehabilitation in treating sexual dysfunction. Main Outcome Measure: Review of peer-reviewed literature. Results: It has been proposed that the pelvic floor muscles are active in both male and female genital arousal and orgasm, and that pelvic floor muscle hypotonus may impact negatively on these phases of function. Hypertonus of the pelvic floor is a significant component of sexual pain disorders in women and men. Furthermore, conditions related to pelvic floor dysfunction, such as pelvic pain, pelvic organ prolapse, and lower urinary tract symptoms, are correlated with sexual dysfunction. Conclusion: The involvement of the pelvic floor in sexual function and dysfunction is examined, as well as the potential role of pelvic floor rehabilitation in treatment. Further research validating physical therapy intervention is necessary.
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The primary way to deal with the physical aspects of vaginismus is through pelvic floor physical therapy and the use of vaginal dilators of increasing size inserted into the vagina to increase the size of the vaginal opening and desensitise the area.
“the primary way to deal with the physical aspects of vaginismus is through pelvic floor physical therapy and the use of vaginal dilators of increasing size made of silicone, plastic or glass inserted into the vagina to increase the size of the vaginal opening and to desensitise the area.”
From TOWARDS A NEW UNDERSTADING OF THE CURSE OF EVE: FEMALE SEXUAL PAIN IN GENESIS 3:16 AND OTHER ANCIENT TEXTS (2020) · cites this paper as Rosenbaum (2007:9)
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- Authors
- Rosenbaum, T. Y.
- Affiliations
- Urogynecological Physiotherapy Private Practice , Tel Aviv and Jerusalem , Israel
- Corresponding author
- Rosenbaum, Talli Yehuda
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-01-01
- Volume
- 4
- Issue
- 1
- Pages
- 4-13
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W2012521118
- Cited by
- 231
- References
- 90
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 13 · 2023: 12 · 2022: 14 · 2021: 11 · 2020: 10 · 2019: 11 · 2018: 16 · 2017: 10 · 2016: 6 · 2015: 16 · 2014: 3 · 2013: 11 · 2012: 13
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- pelvic floor, sexual dysfunction, pelvic floor rehabilitation, sexual arousal, orgasm, sexual pain disorders, pelvic pain, pelvic organ prolapse, lower urinary tract symptoms, physiotherapy
- MeSH terms
- Exercise Therapy, Female, Health Promotion, Humans, Male, Quality of Life, Sexual Dysfunction, Physiological, Pelvic Pain, Pelvic Floor, Muscle, Skeletal
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