Pelvic Floor Involvement in Male and Female Sexual Dysfunction and the Role of Pelvic Floor Rehabilitation in Treatment. Journal of Sexual Medicine, January 2007, 4(1): .
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.
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.
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.
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