issues & treatments

Pelvic Floor

Sexual Medicine

Low tone pelvic floor dysfunction (HTPFD)

Some women and men with sexual health problems related in part to underactive, weak (hypotonic) pelvic floor.

This may occur in patients with aging/menopause, hormonal deficiency states, pregnancy and childbirth, chronic straining, persistent coughing, recurrent constipation, occupations involving heavy lifting/straining, or prolonged standing.

Women and men with underactive, weak (hypotonic) pelvic floor may have sexual dysfunction and associated pelvic organ prolapse, urinary and bowel incontinence.

Pelvic floor physical therapists may provide such treatments as strength training, coordination of muscle contraction with appropriate breathing   and simultaneous recruitment of core muscles, pelvic floor surface electromyography (EMG) biofeedback, and low current transvaginal or external electrical stimulation.