Integrated specialty care for women: Care you can trust

Pelvic floor disorders are a weakening or injury of the muscles and connective tissues of the pelvic areas. This may cause issues with bladder control and bowel control, as well as pain during intercourse. In addition, it can cause a condition called pelvic organ prolapse, which is when one or more of the organs in the pelvis slip out of the normal position, causing a feeling of heaviness in your stomach or genitals or a bulge into the vagina.

While very common, these conditions can be embarrassing for patients to talk about, even with a health care provider. With sensitivity and compassion, our team of experts will develop a treatment plan to help you manage your symptoms and regain your health.

Sexual health is a vital part of your overall health. Our certified sex therapists treat individuals of all gender identities and couples struggling with sexual health concerns in a nonjudgmental, inclusive and safe environment. When needed, your sex therapist will also collaborate with other members of your health team, including gynecologists, urologists, primary care providers and pelvic floor physical therapists, to ensure that you receive holistic care.

Our sex therapists can help with many common concerns:

• Low sexual desire or arousal

• Different sexual desires and preferences between partners

• Concerns related to sexual interests or paraphilias

• Questions of sexual or gender orientation

• Concerns related to polyamory or open relationships

• Out-of-control sexual behavior

• Erectile issues, such as erectile disorder, delayed ejaculation and premature ejaculation

• Delayed, infrequent or absent orgasms

• Painful intercourse

• Intimacy issues related to a chronic condition or disability

• Female genital anomalies

• Chronic perineal wounds

• Botox injections can relax the muscles, giving you more time to reach the bathroom

• Nerve stimulation helps the brain communicate with the bladder or bowel to reduce incontinence

• Medications can improve your bowel/bladder function and reduce symptoms and discomfort

• A pessary is a small, non-invasive, removable plastic or rubber ring that controls leakage

• Pelvic floor physical therapy and biofeedback help strengthen weak muscles and damaged nerves that cause incontinence

• Surgery can lift the urethra back into normal position. Depending on your needs, options include vaginal, laparoscopic and robotic-assisted surgery.
  

• Non-surgical treatment options include pessaries (see above), Kegel exercises and biofeedback, all of which can strengthen the pelvic floor muscles.

• Surgical options may be done through the vagina or the abdomen to restore a drooping organ back to its original position.

Pelvic pain is a common issue, and your team will recommend the best treatment options for you after a physical exam and tests. Treatment could involve medication, surgery and/or physical therapy.

Sex therapy is a specialized form of psychotherapy, also knows as talk therapy, and does not include physical touch. During your first session your therapist will review your mental health history, clarify sexual health concerns, discuss your treatment goals and refer you to other specialties as needed. During follow-up sessions you and your therapist will work together to address goals using talk therapy, including sex education and normalization.

• Intersex and transgender patient care

• Vulvar reconstruction