Sexual Health Physical Therapy in Central Iowa
Reclaim Intimacy
Intimacy is part of a healthy, whole life — and your pelvic floor plays a bigger role in it than most people realize.
At Revive Physical Therapy, our specialized pelvic health therapists identify the root cause of painful intercourse, low libido, and other sexual health concerns — for both men and women — and build a personalized plan to help you feel confident, comfortable, and fully present again.
You may experience some of the following:
Pain during or after intercourse
Low libido or a change in desire
Discomfort during or after ejaculation
Difficulty reaching orgasm or feeling present during intimacy
Pelvic pain that flares with sexual activity
Erectile difficulties tied to pelvic floor tension
Vaginal tightness, dryness, or discomfort with penetration
What Causes Sexual Health Concerns?
These concerns are incredibly common, and they're rarely talked about — which means most people spend years assuming nothing can be done. That's not the case.
Pain during intercourse, low libido, discomfort during or after ejaculation, or difficulty feeling present during intimacy. Different symptoms, but often the same root cause: how your pelvic floor muscles, nerves, and surrounding tissues are working together (or not).
The good news? Most symptoms respond well to specialized pelvic floor physical therapy, with a plan built entirely around your body and your comfort.
we see this all the time
Do You Experience Any Of This:
Avoiding intimacy because of pain or discomfort
Feeling disconnected from your body during sex
Wondering if this is something you'll just have to live with
Tension or bracing you can't quite relax
Discomfort you've never mentioned to a partner or doctor
A sense that something feels "off" but hard to explain
Anxiety building around intimacy over time
Relief followed by fear it will happen again
Many Factors Shape Pelvic Floor Health
Sexual health concerns develop for all kinds of reasons — childbirth, surgery, chronic tension, hormonal changes, past injury, or even stress and anxiety can all affect how your pelvic floor functions during intimacy. Understanding what's behind your symptoms is the first step toward finding the right treatment for you.
Childbirth or pelvic surgery
Stress and anxiety
Chronic pelvic floor tension
Prostate-related issues
Hormonal changes or menopause
Scar tissue
Nerve irritation or injury
Chronic pain conditions
Personalized Care
Judgment-free, expert care
Our therapists are trained specifically in pelvic floor rehabilitation, including the nuanced, sensitive work sexual health concerns require — for both men and women.
We're not mental health therapists, but this work often goes deeper than a typical physical therapy session. We hold space for how these symptoms affect your relationships, your confidence, and your sense of connection with your own body.
Nothing you share with us is off-limits. We treat these symptoms and hear these stories every day, and there's nowhere else we'd rather be — because real healing starts with feeling safe enough to talk about all of it.
Related conditions
Pelvic health conditions often go hand in hand
Pelvic floor symptoms rarely show up in isolation — understanding how these conditions connect can help you recognize your own experience and find the care that actually fits you.
Take the FIRST step
Ready to reclaim intimacy?
Nothing is TMI for us
Whether you're managing pain, low libido, or discomfort you've never told anyone about, real relief is possible — and it starts with a team that's fully in your corner. Our specialized therapists are here to help you feel confident, comfortable, and fully present again.