Pelvic Floor Therapy in Denver for Pain, Bladder, Bowel, and Sexual Health

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constipated woman straining to poop on toilet due to pelvic floor dysfunction, IBS, hard stool, or difficulty releasing stool

Bowel Issues

Pelvic floor muscles help support the bowels and are a key part to bowel functioning & control. When those muscles are weak, poorly coordinated, or too tense, symptoms can show up. The brain-gut connection is also very strong. Addressing gut function involves a whole body approach.

woman with strong urge to pee stance due to urinary urgency or urinary leaking/overactive bladder

Bladder Issues

Pelvic floor muscles also help support the bladder. They help us stay continent and release urine. When these muscles are coordinating properly, are weak, too tense, or there are other factors at play, we can see symptoms with urination.

woman in pelvic pain holding abdominal wincing in pain sitting on a bed due to chronic pelvic pain conditions

Pelvic Pain

Chronic pelvic pain is real, complex, and often exhausting. We address both the pain and the patterns that keep it going.

Chronic pelvic pain can involve muscles, fascia, nerves, organs, scar tissue, past injuries, brain responses, and pain sensitivity changes over time. Pelvic floor therapy can help with both the musculoskeletal and neuroplastic drivers of pain. Gina specializes in treating chronic pain conditions with additional training in pain reprocessing.

  • Many people with pelvic pain also deal with chronic tension, guarding, painful sitting, or pain that flares with stress.

    Pain can show up in different areas such as:

    • Any genital pain (such as vulvodynia or vaginal pain)

    • Anal pain

    • Pelvic floor pain

    • Low back pain

    • Pudendal neuralgia

    In can also show up through different activities

    • Pain with sitting

    • Painful bowel movements

    • Pain with urination

    • Pain with sex

    • Painful insertion of a tampon or with a gyno exam

    • Pain with movement

    Pelvic pain can also be stemming from pelvic conditions such as

    • Endometriosis

    • Adenomyosis

    • Vaginismus

    • Irritable Bowel Syndrome (IBS)

    • Interstitial Cystitis & More

    Read more on our chronic pelvic pain treatment.

    Click here for booking page.

couple looking intimately at each other as a picture for sexual health and intimacy/pelvic support for painful sex

Sexual Health

Pain with sex is common, but unwanted pain is not normal in that you should not have to experience it.

As an occupational therapy clinic, our care is not just physical. So many elements go into our sexual health and experiences. You may experience pain or inability to engage in insertion, pain or difficulty with arousal & orgasm, sensory sensitivities, and more. We address sexual health with a biospychosocial model. Gina has additional training in sex counseling and incorporates this into sessions.

  • For many people, painful intimacy is linked to fear, protective muscle guarding, societal messaging, scar tissue, chronic conditions, hormones, pain patterns that have built over time, or more. ACOG and NHS resources both include pelvic floor therapy and related pelvic floor work among treatment options for painful sex, vulvar pain, and vaginismus.

    You may be dealing with pain with intercourse, vaginismus, vulvar pain, tampon pain, or difficulty tolerating pelvic exams.

    Care is paced, consent-forward, and individualized.

    Internal treatment is often not done on the first visit unless it makes sense for you. That slower approach can matter, especially when symptoms are tied to anxiety, fear, or past painful experiences. We use a trauma-informed approach, especially for patients with pain and trauma histories.

    Treatment may include:

    • Pain re-processing techniques

    • Pelvic floor awareness

    • Breath training

    • Nervous system support

    • Education around pelvic health, sexual health, & pain

    • Pelvic tool training

    • Movement

    • Sex counseling techniques

    • and more

    More on our therapy for painful sex.

    Read more on our vaginismus treatment approaches - may include somatic practices, pain reprocessing techniques, pelvic floor exercises, breathing and regulation work, shame reduction & pleasure connection activities and pelvic floor dilators when appropriate.

    Click here for booking page.

pregnant women at exam table for pelvic floor therapy assessment and treatment for pregnancy and postpartum/prenatal care in denver

Pregnancy & Postpartum Support

Pelvic floor therapy can help with fertility, navigating pregnancy, preparing for labor & delivery, and postpartum care.

  • Treatment and Prevention of Common Symptoms, such as:

    • Urinary leakage

    • Prolapse

    • Heaviness

    • Constipation

    • Low back pain

    • Diastasis Recti

    • & more

    Education around Pregnancy & Childbirth

    Preparation for Labor and Delivery

    • Breath training for contractions and pushing stage

    • Delivery Positioning

    • Pelvic floor coordination training

    • Pelvic floor & core muscle preparation and optimization

    • Techniques to reduce tearing and prolapse

    • Prep for labor phases and stages

    • Preparation for postpartum

    Learn more about our pregnancy services here.

    Click here for booking page.

  • Addressing any pelvic pain, bowel/bladder concerns, and sexual health concerns postpartum

    Treatment of common symptoms you may experience postpartum & general pelvic health:

    • Urinary leakage, incomplete emptying or other bladder concerns

    • Pain with toileting

    • Constipation, incomplete bowel movements, or other bowel concerns

    • Prolapse or heaviness

    • Pain with sex

    • And more

    Addressing any scar tissue or adhesions - whether due to c-section, perineal tearing, or otherwise.

    Assistance with engaging in new roles and routines

    Helping you with return to Intimacy

    Learn more about our postpartum care here.

    Click here for booking page.

woman crouched in pain in bed likely due to period pain, PMDD, endometriosis, or adenomyosis

Endometriosis & Period Pain

Whole-body support for people living with endometriosis and/or navigating painful menstrual cycles.

  • Endometriosis can affect much more than the uterus or ovaries.

    It can also affect pelvic muscles, bowel function, bladder symptoms, scar mobility, breathing, the nervous system’s response to pain, and more.

    Endometriosis is described as a long-lasting condition that may require ongoing treatment, and endometriosis-related pain can be associated with pelvic floor tension, pelvic and abdominal pain, low back pain, and bladder or bowel symptoms.

    While pelvic therapy cannot remove endometriosis lesions, it can help address the muscle tension, guarding, mobility limits, and pain patterns that often build around the condition.

    Care may support:

    • pain reduction

    • bowel and bladder functioning

    • scar mobility

    • movement confidence

    • and daily function 

    This kind of supportive care is especially useful when chronic pain has changed how your body moves and protects itself.

    Click here for booking page.

  • No matter the cause, painful periods can be supported with pelvic floor therapy.

    Get pain relief and self management tools

    If you have difficulty inserting menstrual products, pelvic floor therapy can help train the body for smooth insertion.

    Click here for booking page.

trans woman and non-binary person smiling for photo for gender affirming pelvic floor therapy, LGBTQIA+ healthcare, and bottom surgery recovery - vaginoplasty, phalloplasty

Gender Affirming Care

Whether you are trans, non-binary, gender fluid, or anywhere along the gender spectrum, you may experience pelvic floor concerns and be seeking a safe provider to navigate this care. We also provide support for surgical preparation and recovery for gender affirming surgeries.

  • Surgery prep and recovery for:

    • Vaginioplasty

    • Metiodoplasty

    • Phalloplasty

    • Hysterectomy

    WPATH materials cite pelvic floor therapy programs in the context of gender-affirming vaginoplasty care, reflecting the role of pelvic rehabilitation within multidisciplinary gender-affirming support.

    Prep and post surgical care may look like:

    • Scar management

    • Nervous system regulation

    • Prep of muscles and tissues for surgery

    • Help with adjusting to any new roles and routines

    • Nerve re-education/helping with numbness, pain, and sensory return

    • Dilator protocols

    Other care unrelated to surgery may look like:

    • Body (re)connection strategies

    • Addressing general pelvic floor dysfunction and habits

    • Pregnancy, fertility, and postpartum care

    • Education and safety with binding and tucking

    • Sex counseling activities

    Care is identity-centric, trauma informed, consent based, and patient led.

    Learn more about our gender affirming services here.

    Click here for booking page.

Surgical Preparation and Recovery

Feel well prepared and have a smoother recovery with pelvic floor therapy before and after any pelvic or abdominal surgeries such as c-sections, hernia repairs, hysterectomy, prolapse surgeries, bowel & bladder surgeries, gender affirming surgeries, and more.

  • Pelvic floor therapy can help people prepare for surgery by improving tissue mobility and blood flow, and build supportive movement & daily activity habits.

    It may look like:

    • Breath training

    • Soft tissue mobilization

    • Blood and lymph flow techniques

    • Bowel & bladder training

    • Pressure management strategies

    • Nervous system regulation

    • Preparation for immediately post-op

    • And more

    Click here for booking page.

  • Surgery changes tissue, mobility, and how the nervous system responds to the body. That is why preparation and recovery both matter.

    Rehabilitation principles support prehabilitation before treatment and rehabilitation after treatment to improve function, recovery, and quality of life.

    After surgery, pelvic floor therapy care can support:

    • Scar mobility

    • Comfort and pain management

    • Bowel and bladder function

    • Pressure management

    • Nerve and sensory training

    • Return to activity

    • And more

    Click here for booking page.

woman in peri-menopause experiencing heat flash, vaginal dryness, painful sex, leaking pee, and low estrogen

Peri-Menopause Care

Peri-menopause symptoms on average, can start around mid-40s. Genitourinary Syndrome of Menopause (GSM) involves vaginal, sexual, and urinary symptoms caused by decreased estrogen. Key symptoms include vaginal dryness, burning, itching, pain during intercourse, urgency, and recurrent UTIs. Menopause can also come with mood swings, hot flashes, sleep disturbances, brain fog, and more.

    • Assistance with navigating the healthcare system and accessing hormonal support

    • Help with management of peri-menopause symptoms

    • Bladder and bowel support

    • Vulvo-vaginal tissue support

    • Nervous system regulation strategies to help manage mood swings

    • Sleep hygiene support

    • Roles, routines, and occupational support for changes that may impact work, leisure, and socialization

    Click here for booking page.

Anxious Pelvis Clinic provides pelvic floor therapy in person in Denver, CO, and virtual support accessible worldwide. ‍ ‍

gina, a denver based pelvic floor ot, providing virtual pelvic floor consult for anxiety and pelvic floor dysfunction
Our Booking Process

Why People Choose The Anxious Pelvis

Care that is personal, trauma-informed, and built for real life

Treatment here at The Anxious Pelvis Clinic in Denver considers your whole body, nervous system, routines, values, and lived experience. This is especially important for people with pelvic pain, painful sex, chronic tension, or trauma histories.

The goal is not to hand you a generic home program. The goal is to build care that actually fits your life, nervous system, values, and goals.

  • “Gina was an absolute delight to work with. I had no prior knowledge of the pelvic floor and had only heard about it from my friends during post partum. She broke down the basics in a way that was really easy for me to understand and also helped give me tools I can take with me throughout my day to continue cultivating this relationship with my pelvic floor. It was clear that she was incredibly knowledgable and I would highly recommend her for anyone seeking help with their pelvic floor!”

    - E. H.

  • “I cannot recommend Gina enough! Working with her through telemedicine has been an incredible experience. From the very beginning, she made me feel comfortable, supported, and truly heard.

    Each week, I noticed real progress—not only with my specific pelvic issues, but also in how I manage stress and intentionally breathe through challenging situations. Gina has a way of breaking things down so they feel approachable and achievable, even in a virtual setting.

    What stands out most is how she communicates. She creates such a safe, open environment where I feel comfortable discussing anything without hesitation. Her encouragement, knowledge, and genuine care make every session meaningful and productive.

    If you’re considering pelvic floor therapy, I would recommend Gina to anyone without hesitation. She is exceptional at what she does!”


    - D. B.

  • “Working with Gina was incredibly helpful during my pregnancy journey! Gina is very attentive, makes every session personable and specific to what my needs were that week, and offers her support in between sessions as well if I ever have questions. I felt so much improvement in my breathing exercises, bladder control and stretches, and have gained a new outlook on the importance of breathing techniques and controlling my bladder. Gina has gone out of her way several times to check in me postpartum and to make sure I have access to the resources I need. Gina is fantastic and I would absolutely recommend her to anyone looking for a pelvic floor expert, especially during pregnancy. She will ease your anxiety and make you feel comfortable throughout your pelvic floor journey!! Thank you, Gina!”


    - K. M.

  • “I have had pelvic floor issues for as long as I can remember and tried many different treatment options. I was always left feeling disappointed, misunderstood, and discouraged. Within my first session with Gina, I felt validated, safe, and finally hopeful. She is extremely knowledgeable and taught me so many things about myself that I did not know. She has supported me through my journey with compassion and patience. Gina offered me a safe space, both physically and emotionally, that helped me make more progress than I’d ever thought possible.”

    - C. W.

  • “Healthcare is so often filled with dead-ends and practitioners who couldn't care less but Gina is the exact opposite: She is always learning/bring up new techniques and therapies and adjusting her practice to the unique needs of each client. I love the curiosity (and skill!) that Gina brings to the table. I have had dyspareunia since I was 15 but have avoided seeking formal help for years because of re-traumatizing experiences with healthcare professionals. Since I started seeing Gina in September I have seen loads of progress. My chronic nerve pain has abated and so has my dyspareunia. ”

    - J. D.