Human sexuality is a complex combination of biological, psychological, and social aspects that influence our relationships and intimate experiences. Within this broad landscape, the pelvic floor emerges as a crucial but often neglected component (though fortunately, increasingly less so). This muscular and connective tissue forms the foundation of our reproductive and urinary systems, as well as certain parts of the digestive system, and its health and function significantly impact our sexuality and emotional well-being. From a psychological perspective, this article explains the relationship between sexuality and the pelvic floor, highlighting its importance and how understanding it can enrich our sexual, emotional, and interpersonal lives.
The importance of the pelvic floor in sexuality
The pelvic floor is a set of muscles, ligaments, and connective tissues that support the pelvic organs, including the bladder, uterus, and rectum. Its primary function is to maintain urinary and fecal continence and provide support during activities such as childbirth and general movement. However, its role in sexuality goes beyond simple anatomy.
During sexual activity, the pelvic floor plays a crucial role in the sexual response of both men and women. In women, a toned pelvic floor musculature contributes to the intensity and control of orgasms, while in men, a strong pelvic floor can improve erectile function, orgasm intensity, and ejaculatory control. Additionally, the sensitivity of the pelvic floor can influence the subjective experience of pleasure during sex: for example, it has been found that a more toned pelvic floor increases contractions during orgasm, making it feel more intense.
Psychological impact of pelvic floor problems on sexuality
Pelvic floor problems, such as urinary incontinence, pelvic organ prolapse, or sexual dysfunction, can significantly impact the quality of life and emotional well-being of individuals. These difficulties can generate anxiety, shame, and low self-esteem, which in turn can negatively affect intimacy and sexual satisfaction.
The experience of pelvic floor dysfunction can also have implications for a person’s self-image, self-esteem, or sexual identity. It is common in these cases for feelings of shame or discomfort to occur, affecting self-confidence and the ability to fully enjoy sexual intimacy.
Psychological approach to the pelvic floor in sexual therapy
Sexual therapy offers a safe and supportive space to address challenges related to the pelvic floor and sexuality. A comprehensive approach may include education on the anatomy and function of the pelvic floor, muscle strengthening techniques, and mindfulness exercises to increase body awareness and mind-body connection during sexual activity.
Additionally, sexual therapy can help address the psychological and emotional concerns associated with pelvic floor problems. This may involve working through the feelings of shame or guilt mentioned earlier, improving communication within the couple, and exploring new forms of intimacy that do not exclusively focus on vaginal penetration.
Improving relationships with pelvic floor exercises
It is possible to improve sexual relationships through specific pelvic floor exercises. These can consist of manual methods guided by a specialist (such as a specialized physiotherapist), the use of devices designed for this purpose such as the Winner Flow, hypopressive exercises or Kegel exercises (simply put, conscious contractions of the vaginal muscles), or physical training such as Pilates or strength training, always with supervision. All of this can impact various sexual aspects: erection and ejaculation potency, orgasm quality, subjective relationship well-being…
Strategies to promote sexual and pelvic floor health
Maintaining good sexual and pelvic floor health requires a holistic approach that encompasses both the physical and emotional aspects. Some strategies include:
- Regular exercise: Incorporating specific pelvic floor strengthening exercises, such as the aforementioned Kegel exercises, into the exercise routine can improve pelvic floor function and sensitivity.
- Sexual education: Learning about sexual anatomy and physiology can help normalize experiences and reduce the shame associated with pelvic floor problems, as well as identify which parts of our anatomy we perceive as weaker or stranger.
- Open communication: Maintaining honest and open communication with your partner about sexual and pelvic floor concerns can strengthen intimacy and emotional connection.
- Mindful attention: Practicing mindfulness can help increase body awareness and mind-body connection during sexual activity, which can enhance the pleasure experience.
Conclusion
The relationship between sexuality and the pelvic floor is complex and multifaceted, with important implications for health and emotional well-being. From a psychological perspective, it is essential to address both the physical and emotional aspects of pelvic floor function to promote healthy and satisfying sexuality. With proper education, therapeutic support, and open communication, we can cultivate a more conscious and rewarding relationship with our bodies and our sexuality.
Xavi Ponseti
Col. Nº B-03138
