The muscles of the pelvic pelvic pain after sex are essential to healthy sexual function. In women and men, the pelvic floor is an active sexual organ.
Its role in sexual dysfunction, however, is often underestimated or overlooked. Maintaining good muscle tone and the ability to fully contract and relax these muscles improves sexual functioning and and enhances the perception of pleasure. Conversely, chronic tension or persistent weakness can lead to dysfunction and pain, as well as a diminished sensory experience and lack of sexual feelings. Recently, musculoskeletal factors have been recognized as significant contributors to the mechanism of pelvic pain and associated sexual dysfunction, and in particular, pelvic floor muscle hypertonus has been implicated. In her 2009 book Heal Pelvic Pain, Amy Stein states that “Studies have shown that more than 90 percent of men who suffer pelvic pain also experience sexual dysfunction, and that more than half of them improved their sexual function through massage of the pelvic floor muscles and relaxation techniques. Hover your cursor over citation numbers to view the source in a pop-up text box or scroll to the bottom of the page for the full list.
The physical process of erection is largely a circulatory event, initiated and assisted by the nervous system. Simply put, adequate blood must flow into the penis, and it must be trapped there to maintain rigidity. When weak, these muscles cannot effectively inhibit this outflow, resulting in partial or total flaccidity, or ED. In another study, Colpi and colleagues report that “Our results clearly demonstrated that a reduction of contractile activity of the perineal muscles may be related to erectile dysfunction.
Weak pelvic floor muscles compromise penile erection. Carriere and Feldt: “An increasing ability to contract and relax the pelvic floor improves sexual functioning in men with erectile dysfunction. The pelvic floor muscles viewed from below. See my Anatomy page for a larger size and full labeling. Exercises for the pelvic floor with a focus on these two muscles have proven to be very beneficial for ED. Pelvic floor exercises are very effective in treating erectile dysfunction.