Can the condition of the pelvic floor affect one’s sex life?

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Pelvic floor problems can lead to physical sexual difficulties, such as the inability to have sexual intercourse in women (vaginismus, pain during intercourse, and inability to reach orgasm) as well as in men (functional erectile dysfunction, pain during ejaculation, and inability to achieve orgasm).

With a healthy pelvic floor that has adequate tone, a couple’s sex life and sexual intercourse should be functionally satisfying and pain-free, and both partners should be able to reach orgasm. Once the strength and tone of the pelvic floor decline, or if the opposite extreme occurs—when a woman or man has an overactive pelvic floor—we are dealing with impaired function, leading to sexual dysfunction.

This is another area that we at Intim Fyzio can address through a gentle initial examination followed by pelvic treatment for both women and men. We recommend the most appropriate therapy, which, with good cooperation from the patient, yields positive results and resolves the problem. However, it is important to emphasize that a satisfying sex life for partners is primarily related to their emotional and psychological state. Your mental state, emotions, and lifestyle are very closely linked to the condition of your pelvic floor—all the more so when it comes to your sex life. That is why here at Intim Fyzio, we also provide psychological therapy to ensure a holistic approach to any issue our patients may face.

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The body does not need to be fixed. It needs to be understood.

I am a woman, wife, mother and physiotherapist. Over the years of practice, I have realised that health does not come only from eliminating symptoms or solving a specific problem. Real change comes when a person begins to better understand themselves, their body, and the way they live their life.

It was this idea that led me to create the space you know today as ToBe – a place where different areas of expertise, perspectives, and approaches to health are interconnected. A place that does not see a person only through a diagnosis or individual symptoms, but as a unique whole.

My professional journey began in physiotherapy and the musculoskeletal system. Over time, clients and their stories gradually led me deeper – from working with the body through the pelvic floor to understanding the meaning of emotions, the psyche, and the functioning of the nervous system. Today, I see the body as the bearer of a person’s story, and therapy as a space where we can get to know that story, understand it, and support its natural process of change.

How I work

Years of practice have taught me to slow down. To listen more. To place less emphasis on performance, results, or quick change.

In therapy, I strive to create a safe space where clients can become more aware of their bodies, their needs, and the connections between what they are experiencing and what is happening on a physical level. I don’t focus only on symptoms; I also look for their possible causes and the context in which they arise.

Over the years, I have become increasingly aware of how closely the body, mind, and nervous system are connected. This is why I naturally integrate a psychosomatic perspective and the principles of nervous system regulation into my work – gently, clearly, and always with respect for where each client is in their own process.

I believe the body has a remarkable capacity for healing and renewal. Sometimes it doesn’t need more pressure — it needs understanding, a sense of safety, and the right conditions to begin functioning in a different way.

What I can help you with

In my practice, I specialise mainly in:

urogynecological physiotherapy
pelvic floor dysfunction
incontinence
painful conditions after childbirth
preparation for childbirth and postpartum recovery
painful menstruation
pain during sexual intercourse
functional disorders of the musculoskeletal system
chronic pain without an organic cause
unintegrated scars
psychosomatic connections of health problems
regulation of the nervous system

Methods and approaches I use

In my work, I connect physiotherapy with knowledge from psychosomatics, work with the nervous system, and a holistic therapeutic approach. I mainly use:

urogynecological physiotherapy
pelvic floor therapy
diagnosis and therapy of functional disorders of the musculoskeletal system
visceral manipulation
osteopathic principles
craniosacral therapy
psychosomatic approach in physiotherapy
principles of nervous system regulation
knowledge from Somatic Experiencing® training

In therapy, I combine professional knowledge with a sensitive perception of the person and their story. My goal is not only to relieve the problem, but to support the client in better understanding themselves and their body.

ToBe – the concept

ToBe grew naturally out of the original IntimFyzio centre. Over time, I increasingly felt the need to bring different areas of expertise together and create a place where a person does not have to be divided into separate parts.

Today, ToBe is a multidisciplinary space where physiotherapy, psychology, psychotherapy, women’s health, traditional Chinese medicine, work with the nervous system, and other approaches come together – united by a common idea: to see a person in their entirety and create the conditions for health, growth, and a deeper connection with oneself.

Education and professional development

I studied physiotherapy at the Faculty of Medicine of Comenius University in Bratislava, and completed my master’s degree at the University of Brighton in the United Kingdom.

I have completed a specialisation in functional and structural disorders of the musculoskeletal system at the Slovak Medical University in Bratislava. I hold a licence for independent medical practice and am a member of the Slovak Chamber of Physiotherapists.

Training that has significantly shaped my therapeutic approach

Somatic Experiencing® (currently in training, Lilian Troost)
Psychosomatic approach in physiotherapy (CKP Edu, Prague)
Visceral manipulation and osteopathic approach (Inge Schuermans, MSc)
Birth trauma in physiotherapy and self-regulation tools in client practice (Mgr. Radka Tomášková)
Holistic approach to scar and pelvic floor therapy (PhDr. Michaela Prokešová, PhD.)
Traditional care for women and mothers (Angelina Miranda Martinez)
Osteopathic approach in pregnancy and gynaecological dysfunctions (Inge Schuermans, Jory Paul)
Ludmila Mojžišová method (Mgr. Jana Jedličková)
Physiotherapy of pelvic floor dysfunction and urinary incontinence (Prof. Magdaléna Hágovská, Mgr. Zuzana Woleková)
Craniosacral therapy (Mgr. Helena Toušková, Upledger Institute)
Certified DNS Therapist Diploma (Prof. Pavel Kolář)
Diagnosis and Therapy of Functional Disorders of the Musculoskeletal System (Eva Janíková)
Stott Pilates (Jitka Kadish)

I believe health is not a goal to be achieved. It is a relationship we build with ourselves, our bodies, and our lives – and it is a journey I love to accompany my clients on.