Is sexual intercourse prohibited during pelvic floor muscle therapy?

After childbirth, women often experience pelvic floor muscle relaxation. Such relaxation can impair the normal function of reproductive organs. If pelvic floor muscle laxity is particularly severe postpartum, pelvic floor rehabilitation may be required. So, does pelvic floor muscle therapy necessitate abstinence from sexual intercourse? Below, we address this question.

Is Abstinence Required During Pelvic Floor Muscle Therapy?

Yes—abstinence from sexual intercourse is mandatory during pelvic floor muscle therapy. Sexual activity may cause pelvic congestion and, more critically, introduce pathogenic microorganisms, potentially triggering cervical or vaginal inflammation, thereby interrupting pelvic floor muscle rehabilitation. Additionally, maintaining external genital hygiene and wearing loose-fitting underwear during treatment helps ensure optimal local blood circulation. Furthermore, incorporating regular Kegel (anal lift) exercises into daily routines is recommended to aid in restoring pelvic floor muscle tone. Postpartum pelvic floor rehabilitation cannot follow a universal standard or fixed training protocol; instead, it must adhere to the principle of individualized treatment. Rehabilitation plans—including exercise modes and protocols—must be tailored according to each woman’s unique physiological condition and therapeutic response throughout the recovery process.

Knowledge Expansion: What Are the Methods of Pelvic Floor Muscle Therapy?

1. Kegel (Anal Lift) Exercises

Kegel exercises can be performed conveniently during spare moments to aid pelvic floor muscle rehabilitation. By repeatedly contracting and relaxing the relevant muscles, these exercises help restore pelvic floor function. Also known as Kegel exercises, they can be done while lying supine or standing. During deep inhalation, consciously contract the muscles around the anus, urethra, and vagina inward. Regular practice supports pelvic floor muscle recovery.

2. Yoga-Based Exercises

Yoga is another effective modality for pelvic floor strengthening. Lie supine on a mat with knees bent and feet flat on the floor, keeping the back fully supported and relaxed. Gently tilt the pelvis posteriorly, then actively draw the pubic bone toward the tailbone before releasing. Repeat this movement multiple times. The emphasis lies in anterior–posterior contraction, which helps strengthen the bulbospongiosus muscle.

The above outlines whether abstinence is required during pelvic floor muscle therapy. We hope this information proves helpful to you.