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Impaired sexual arousal is significantly related to lower urinary tract symptoms. In fact about 40-60% of women with urinary tract problems such as incontinence and prolapse report problems with their sex lives. Women tend to report low libido, vaginal dryness, painful intercourse, decreased orgasm rates and intensity and decreased overall sexual satisfaction. Urinary leakage can take place during sexual intercourse and it can occur either during penetration, during orgasm or both. Women might feel embarrassed and uncomfortable to share this information due to the intimate nature of the problem. However a women’s health physiotherapists role would be to explain the interaction of the pelvic floor and sexual function to provide a woman with a safe and open environments in which the patient is able to discuss her concerns easily. It would be advisable for women who have weak pelvic floor to start practicing pelvic floor exercises daily. A pelvic floor contraction, both with a short and long duration of a hold helps strengthen the pelvic floor and a woman should feel a lift and a hold sensation. It would be advisable for women with lower urinary tract symptoms and sexual dysfunction to have an assessment and teaching session done by a specialized women’s health physiotherapist to ensure correct  technique of the exercise.