Anorgasmia is the technical term for inability or difficulty reaching orgasm despite ample stimulation. This is most commonly affects women and can have either physical, emotional or psychological factors. Some common causes are pain with intercourse, insufficient lubrication or post-traumatic experiences. Here at CTS, we can help release tight muscles in the pelvic floor, educate regarding lubrication and relaxation techniques, and provide psychological assistance if necessary.

Erectile Dysfunction (ED) is the inability for a man to obtain erection or maintain an erection long enough for sex. An erection is dependant on healthy nerves, blood vessels, muscle function and hormones, and damage, injury or malfunction of any of these components can lead to ED. A number of physical factors such as disease, surgery or certain types of medications as well as psychological factors can also contribute to erectile dysfunction. Conditions such as diabetes, heart disease, leaking veins, neurological disorders, hormone imbalances, pelvic surgery and pelvic injury have all been shown to cause ED.

Dyspareunia describes pain during or after sex, and can include pain during entry into the vagina, pain during deep thrusting, or pain after sex. This pain can be on the surface, deep, along the middle of the pelvis, on one or both sides. Dyspareunia can have physical, emotional and psychological factors that contribute to its symptoms. The muscles of the pelvic floor can spasm, preventing the vagina from relaxing and allowing penetration. A history of trauma, sexual or non-sexual, can also cause an abnormal emotional response to the idea of sex as well as anxiety which can cause physical tightening of the pelvic floor muscles. Dyspareunia is treatable with soft tissue mobilization, specific pelvic exercises and/or relaxation training.

Low libido, or low sex drive, can result from many causes including hormone imbalance, drugs, physical impairment including diabetes or stroke, disorders affecting blood vessels such as kidney disease, heart disease or athelerosclerosis, relationship problems and anxiety. Low libido is often related to erectile dysfunction or other pelvic dysfunction. Both men and women can experience low libido.

Vaginismus is a term used to describe vaginal tightness causing discomfort, pain, burning, problems with penetration or an inability to have sex or use tampons. This tightness usually results from an involuntary muscle spasm in the pelvic floor and is treatable with soft tissue mobilization techniques.