Generally, pelvic floor muscles (like any other muscle group in the body) can have hypotonic or hypertonic tendencies. Our nervous system plays a major role in managing muscle tone. If a client is living in a constant state of anxiety and stress or they find sex stressful, it’s likely their pelvic floor muscles will have a difficult time coordinating with the system. Regulating the pelvic floor will be especially difficult during sex.

Our pelvic floor muscles form the base of our spine and deep core. They wear many hats: bladder and bowel elimination, sexual activity, support and stability, pressure management, and shock absorption. I often refer to this group of muscles as Grand Central Station: there are a million convoluted routes to take! There is a TON going on down there. Not only are there about 16-20 muscles, but numerous ligaments, tendons, nerves, and fascial connections that help us complete ADLs/IADLs without the very embarrassing occurrence of urinary or bowel leakage and passing gas uncontrollably.

Let’s talk about what roles these pelvic floor muscles & organs play in our favorite occupation - sex!

"Sexuality and intimacy contain so much more than the act of sexual activity. Beyond the physical mechanics of “sexual activity,” sexual and intimate occupations encompass a broad range of personally meaningful activities for building intimate partnerships, developing a sense of self, actualizing desire, and experiencing pleasure.” - Ellis & Ungco, 2023.

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I had the pleasure of speaking with Dr. Sam for my latest Teach Me Sex episode and it was a great one! Dr. Sam DuFlo PT, DPT, PRPC is a physical therapist as well as the owner and founder of Indigo Physiotherapy, based in Maryland. She and her team of fellow healthcare workers including PTs, lactation consultants, Craniosacral therapists and bodywork therapists focus on pelvic health, pelvic physical therapy, prenatal and postpartum training, oncology and women’s/men’s/pediatric/transgender health concerns. You can learn more about Dr. Sam and Indigo Physiotherapy here!