Women's Sexual Health Treatment in Los Altos, CA

Pain during intimacy, decreased sensation, or changes after childbirth or menopause don't have to be your new normal. Physical therapy offers real solutions — gently, privately, and effectively.

You Deserve to Enjoy Intimacy Again

Sexual discomfort is incredibly common — and incredibly under-discussed. Many women suffer in silence, assuming it's just something they have to live with. It's not. The pelvic floor muscles play a crucial role in sexual function. When these muscles are too tight, too weak, or uncoordinated, they can cause pain, decreased sensation, or difficulty with arousal and orgasm.

Women's sexual health physical therapy addresses the root cause of these issues through gentle, hands-on treatment, targeted exercises, and education. Most women see significant improvement — and many find complete resolution of their symptoms

Conditions We Treat

Our women's sexual health physical therapy addresses a wide range of concerns.

Postpartum Sexual Changes

Pain, tightness, or weakness after vaginal delivery or C-section. Scar tissue work and pelvic floor rehab restore function and comfort.

Difficulty with Orgasm

Trouble reaching orgasm or decreased intensity can stem from pelvic floor muscle dysfunction. Targeted exercises can improve muscle coordination and sensation.

Painful Intercourse (Dyspareunia)

Pain during or after penetration — whether it's a sharp, burning, or aching sensation. Often caused by tight pelvic floor muscles, scar tissue, or hormonal changes.

Vulvodynia & Vestibulodynia

Chronic vulvar pain or sensitivity at the vaginal opening. PT addresses muscle tension, nerve sensitivity, and tissue health to reduce pain.

Vaginismus

Involuntary tightening of vaginal muscles that makes penetration difficult or impossible. Highly treatable with gradual desensitization and pelvic floor therapy.

Decreased Sensation or Arousal

Reduced feeling or difficulty becoming aroused can be related to pelvic floor weakness, poor blood flow, or muscle tension. PT can help restore sensation.

Common Causes of Sexual Pain & Dysfunction

Stress & Anxiety:
Emotional tension often manifests as physical tension in the pelvic floor.

Tight Pelvic Floor Muscles:
The most common cause. Muscles that won't relax create pain and resistance.

Scar Tissue:
From childbirth (tears, episiotomy), surgery, or endometriosis. Creates tightness and pain.

Hormonal Changes:
Menopause, breastfeeding, or hormonal birth control can affect tissue health and lubrication.

Chronic Pain Conditions:
Endometriosis, interstitial cystitis, or pelvic inflammatory disease can contribute.

How Physical Therapy Improves Sexual Health for Women

Understanding the mechanics helps you see why PT works.

Scar Tissue Mobilization

Gentle techniques break up adhesions from childbirth, surgery, or endometriosis — restoring mobility and reducing pain.

Strengthen & Coordinate

The ischiocavernosus and bulbospongiosus muscles help maintain rigidity during erection. Targeted strengthening improves erectile quality and ejaculatory control.

Release Tension

Manual therapy and relaxation techniques help tight pelvic floor muscles let go, reducing pain and allowing comfortable penetration.

Sexual Health at Every Life Stage

Different phases of life bring different challenges. We're here for all of them.

Young Adults

First-time pain, vaginismus, or difficulty with tampon use. Early intervention prevents years of suffering.

Trying to Concieve

Pain or difficulty with intercourse can be a barrier. We help make intimacy comfortable again.

Postpartum

Healing from delivery, scar tissue, weakness, and changes in sensation. Recovery is possible.

Perimenopause & Beyond

Hormonal changes affect tissue health. PT addresses dryness, pain, and changes in function.

What to Expect

We understand this is deeply personal. Our approach prioritizes your comfort, consent, and autonomy at every step.

Your Comfort Comes First

  • Private 1:1 sessions — always
  • Female therapists available
  • Everything explained before it happens
  • You can stop or pause at any time
  • Internal exam only with your consent
  • Go at your own pace

What Treatment May Include

  • Comprehensive evaluation
  • External and/or internal assessment
  • Manual therapy for muscle release
  • Scar tissue mobilization
  • Dilator training if appropriate
  • Strengthening exercises
  • Home program for continued progress

Results You Can Expect

  • Reduced or eliminated pain
  • Comfortable penetration
  • Improved sensation and arousal
  • Better orgasm quality
  • Confidence and connection restored
  • Tools to maintain progress

Move better.
Live better.

Move better. Live better.

PhysioFit Physical Therapy & Wellness, like Los Altos itself, combines an inviting, community environment with exceptional talent. Founded and led by Kim Gladfelter, a keen, well-rounded expert in healing through movement, and a dedicated team that takes a holistic approach to optimal health.

Why are you getting pain during intercourse?

What Our Clients Say

H.S.
⭐⭐⭐⭐⭐

“Allison is the most skilled PT that I have been treated by in a long time. She told me about a ligament "Uranus" problem today that I have never heard of being a PT myself. She also goes the extra mile in never cutting the hour short, in sending clarifying emails afterwards, in keeping her hands on me truly treating and not just talking and documenting the session afterwards mot during our time!!”
Los Altos, CA

Frequently Asked Questions

Private 1:1 Sessions: Every session is just you and your therapist. No shared appointments.

Specialized Training: Our team has advanced training in women's pelvic health conditions.

Flexible Scheduling: We work around your schedule to make recovery convenient.

Free Sexual Health Guide for Women

Sexual Health Guide for Women

"Education and Myth Busting on common pelvic floor issues that cause sexual dysfunctions in women."

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