You say intercourse is “less than stellar” and suspect that pelvic floor muscle tone may be an issue. The pelvic floor does play a number of important roles in our overall health, as well as our sexual health. A good place to start is with your gynecologist, because a thorough pelvic exam would be helpful. Other factors beyond pelvic floor muscle function can affect intercourse, including your comfort and satisfaction. Other issues can be identified and addressed through that exam.
Gynecologists typically have close relationships with pelvic floor physical therapists they can recommend and refer you to.
Dr. Barb DePree, M.D., has been a gynecologist and women’s health provider for almost 30 years and a menopause care specialist for the past ten.