Fertility

Optimizing Pelvic Health for Fertility

The journey to parenthood can be a challenging one, and for many couples, fertility issues can add an extra layer of complexity and emotional strain. While there are various medical interventions available to address fertility challenges, the role of pelvic floor health often goes overlooked. Pelvic floor therapy, a specialized area of physical therapy, can play a crucial role in optimizing pelvic health and enhancing fertility.

Understanding Mechanical Fertility

Mechanical fertility refers to the physical factors that facilitate sperm transport and egg-sperm interaction. Pelvic floor dysfunction can impair mechanical fertility in several ways:

  • Uterine fibroids: Noncancerous growths in the uterine wall, can distort the uterine cavity and interfere with implantation.
  • Scar tissue: Adhesions, or scar tissue, in the pelvic cavity can restrict the movement of the fallopian tubes and ovaries, hindering sperm transport and egg retrieval.
  • Uterine position abnormalities: Retroverted or anteverted uterus positions can affect the flow of sperm towards the egg or the movement of the fertilized egg towards the implantation site.

Restoring Uterine Tube Opening

Fallopian tube blockage, often caused by inflammation or scarring, can prevent sperm from reaching the egg. Pelvic floor therapy can help address these issues by:

  • Improving blood flow: Enhanced blood circulation to the pelvic region can promote healing and reduce inflammation, potentially restoring tubal patency.
  • Releasing adhesions: Manual therapy techniques can gently break down scar tissue and adhesions, freeing up the fallopian tubes.
  • Improving tubal mobility: Specific exercises can enhance the movement and flexibility of the fallopian tubes, facilitating sperm transport.

Creating a Hospitable Environment for Conception

A healthy pelvic environment is essential for successful conception and pregnancy. Pelvic floor therapy can contribute to this by:

  • Optimizing pelvic muscle function: Strong and coordinated pelvic floor muscles support the uterus and ovaries, creating a stable environment for implantation.
  • Improving cervical health: Pelvic floor therapy can address issues like cervical pain and inflammation, which can interfere with sperm passage and implantation.
  • Promoting relaxation: Stress can negatively impact fertility. Pelvic floor therapy can incorporate relaxation techniques to reduce stress and promote hormonal balance.

Alleviating Pain and Discomfort

Pelvic pain, a common symptom of endometriosis, ovarian cysts, and pelvic muscle dysfunction, can hinder fertility efforts. Pelvic floor therapy can alleviate pain by:

  • Reducing muscle tension: Manual therapy and relaxation techniques can help release muscle tension and spasms, reducing pain and discomfort.
  • Improving muscle coordination: Pelvic floor exercises can strengthen and coordinate the pelvic muscles, improving their ability to support and relax, thereby reducing pain.
  • Addressing underlying causes: Pelvic floor therapists can identify and address underlying causes of pain, such as scar tissue or nerve entrapment.

Supporting Interventions for IUI and IVF

Intrauterine insemination (IUI) and in vitro fertilization (IVF) are assisted reproductive techniques often used for couples struggling with infertility. Pelvic floor therapy can enhance the success of these procedures by:

  • Optimizing uterine lining: Pelvic floor therapy can improve blood flow to the uterus, promoting a healthy uterine lining for implantation.
  • Reducing stress and anxiety: Stress can negatively impact the success of IUI and IVF. Pelvic floor therapy can incorporate relaxation techniques to reduce stress and promote hormonal balance, enhancing the chances of successful implantation.
  • Improving post-procedural recovery: Pelvic floor therapy can help reduce pain and discomfort after IUI and IVF procedures, promoting a more comfortable recovery.

Enhancing Fertility Through Pelvic Floor Care

Pelvic floor therapy offers a non-invasive, patient-centered approach to optimizing pelvic health and enhancing fertility. By addressing underlying physical issues, improving pelvic muscle function, and reducing pain, pelvic floor therapy can empower couples on their journey to parenthood.

If you are experiencing fertility issues or are considering assisted reproductive techniques like IUI or IVF, we encourage you to explore the benefits of pelvic floor therapy. Our team is committed to helping you achieve your fertility goals and embrace the joy of parenthood.

Contact us today to schedule an appointment and embark on your journey to achieving optimal pelvic health and fertility.

Request An Appointment

Please fill out this form and we will contact you about scheduling.

This field is for validation purposes and should be left unchanged.

Nicole Eads


Dr. Betty DeLass is heaven sent. Betty addressed my #1 goal with pelvic floor therapy in our very first visit, and has continued to address my most important goals including preparing my pelvic floor for a VBAC. I would write a million reviews for her. She knows what she’s doing and she understands the pelvic floor better than any other pelvic floor therapist I’ve met with. I have met with four other wonderful pelvic floor therapists who helped me in some smaller ways, but Dr. Betty helped me in the most significant ways. I am so grateful for her expertise and passion to help women have better functioning pelvic floors and to be empowered in their health because of that.

Bryn Bradley


Dr. Betty is truly a vagina magician! I first started treating with Dr. Betty when I was 7 months pregnant. After only one treatment I was no longer having issues with incontinency, decreased SIJ area pain, and I didn’t feel like my baby was going to fall out. I wish I would had known about pelvic floor therapy when I had my first two children. Dr. Betty is very knowledgeable, understanding and very easy to communicate with which makes you feel comfortable during treatment. I like that she not only focuses on your pelvic floor but also treats your whole body with the use of manual therapy, dry needling and recommended home exercises. Dr. Betty is definitely at the top of her field and continues to educate herself to better help her patients. I would recommend Dr. Betty and her team to anyone looking to optimize their pelvic floor.