Anatomy of Sexual Health: Pelvic Floor Pain and Treatment



Why is it necessary to train in the anatomy of sexual health?  In this Webinar, three experts in the field of sexual pain will address the problems, interventions and health concerns of pelvic floor dysfunction.  We will review skill sets, counseling models and sex therapy activities to help couples and individual resume positive sexual relationships and encourage individuals to create and improve erotic function.

Download the teleclass and listen at your convenience.


Taught by:  Dr Tammy Nelson with expert guests Miriam Graham, Talli Rosenbaum, and Rivika Sidorsky

Designed for: Therapists, counselors, mental health practitioners seeking to develop their knowledge of the field of human sexuality.

Course includes: A three part recorded webinar and reading material. Each part is one hour in length.

3 AASECT CEs** available in these Core Knowledge Areas (CKAs): 

Sex Education: B, C, D, E, I, M, N, Q

Sex Therapy CKA: A, B, C, D, E

Certified Sex and Couples Therapist (CSCT): Category 1a, 1c

You must complete a Feedback Form and pass a short quiz at the conclusion of the course to get CE credit. Please email your Feedback Form and quiz to


During this course participants will:
  • Describe three ways that pain, physical limitations, and medical treatments can affect sexuality.
  • Explain how sexual pelvic floor function affects relationships.
  • Help patients and partners restore an erotic connection.
  • Recommend devices that can enable sexual pleasure and comfort.

Session 1: Pelvic Floor and Sexual Pain with Rivka Sidorsky, LCSW-C, CST

This training will introduce therapists to medical and psychological realities of pelvic pain disorders. According to leading research, the prevalence of women who experience vaginal pain is 9.3%, but the figure is even higher (up to 13%) for women between the ages of 20 and 30. For some, this will be a temporary gripe. For others, it may be a longer-lasting condition. It is imperative that therapists have the tools necessary to identify this need, diagnose the disorders, and have some idea as to the treatment of these conditions. The course will cover the biological mechanisms of sexual functioning, sexual pain, and penetration problems. It will also introduce practical tools and intervention techniques for treatment of genital pain disorders.

Session 2: Pelvic Floor Pain – Ongoing Sexual Pleasure and Couples Interventions for Healing with Miriam Graham, PT, DPT, MBA

Patients with sexual dysfunction greatly benefit from a collaborative care team that includes Sex Therapy and Physical Therapy. Dr. Graham will present causes of pelvic pain, pelvic anatomy, physical therapy treatment options self-care activities for patients and couples. The aim is to create a common understanding for Sex Therapists and Physical Therapists for improved collaboration.

This one hour webinar will introduce:

  • Common dysfunctions of the pelvic floor (urinary, lower GI, sexual dysfunction)
  • Common cause of pelvic pain
  • Anatomy of the pelvic floor
  • Physical therapy exam of the pelvic floor
  • Common physical therapy treatments
  • Patient and partner self care activities
  • Case study

Session 3: The Pelvic Floor is a Mirror to the Soul: Understanding Individual and Relational Trauma and Emotional Responses in Patients with Pelvic Floor Disorders with Talli Rosenbaum, MSc, CST

The pelvic floor is complex and multi-dimensional, and so too, are our patients. Addressing the distress of women who present with pelvic floor disorders, including vulvar and vaginal pain, confronts practitioners with the need to recognize the complexities of the psychosocial, relational and sexual, as well as the physiological complexities related to pelvic floor complaints. This has included recognizing that treating women with vulvar pain and overactive pelvic floor, and/or women unable to allow vaginal penetration or engage in sexual intercourse, means meeting them in their most intimate and vulnerable space. The word ‘pudendal’ is, in fact Latin for ‘shame.’

Meet your instructors: 


i-FKjNMdQ-MDr. Tammy Nelson is a sex and relationship expert, an international speaker, an author and a licensed psychotherapist with over 25 years of experience working with individuals and couples, is in private practice and teaches seminars and workshops around the world for couples and professionals.  She is a Board Certified Sexologist, a Certified Sex Therapist, a Licensed Professional Counselor, and a Certified Imago Relationship therapist.  She is an invited speaker at Harvard Medical School, Department of Psychiatry, Cambridge Health Alliance Physicians Organization and at the University of California, Irvine.   She speaks worldwide on global relational change.




Dr. Miriam Graham is physical therapist and co-owner of Restore Motion, a PT private practice specializing in pelvic health in the DC Metro area. She is a graduate of Thomas Jefferson University, Johns Hopkins University and Massachusetts General. Her background includes work from spinal dysfunction, performing arts rehabilitation, cranial sacral and visceral mobilization.


talli-rosenbaumTalli Rosenbaum,  MSc, CST earned a masters in clinical sociology and counseling and a certificate in family therapy and mental health studies from the University of North Texas in Neve Yerushalayim. She also has a bachelor’s degree in physical therapy from Northwestern University and before training in psychotherapy, treated patients as a physical therapist for 25 years.

Ms. Rosenbaum an AASECT certified sex therapist and an internationally recognized expert on the treatment of sexual pain disorders. She has authored over 30 peer reviewed journal articles and several book chapters on sexual health, unconsummated marriage, and sexuality and Judaism. Together with Dr. Anna Padoa, she has edited the Springer textbook entitled The Overactive Pelvic Floor. She is a member of several sexual health and sexual medicine organizations and serves as an associate editor of the Sexual Medicine Reviews. She has also been awarded status of ISSWSH Fellow. In addition to maintaining an active private practice, Ms. Rosenbaum is the academic advisor for Yahel: The Center for Jewish Intimacy, which trains community leaders in sexual guidance counseling. She lectures in the Bar-Ilan Sex Therapy Program, the Tel Aviv University Faculty of Medicine program in Sexual Rehabilitation, the Puah Institute, and the Israeli Institute for Marriage and Family Studies.


Mieke Rivka Sidorsky, LCSW-C is an AASECT Certified Sex Therapist, a licensed psychotherapist, a published author and sex researcher in peer-reviewed journals, a Harvard University research fellowship recipient, and a lecturer on female sexual dysfunction. She is a professional member of the American Association of Sex Educators, Counselors, and Therapists, the Society for Sex Therapy and Research, the International Society of Women’s Sexual Health, and the International Society of Sexual Medicine. In addition to her private practice, she speaks widely on improving intimacy, female function and dysfunction, and on intimacy at professional conferences, universities, hospitals, and for community events.


**This program meets the educational requirements of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and is approved for 3 CE credits – asynchronous. These CE credits may be applied toward AASECT certification and renewal of certification. Completion of this program does not ensure or guarantee AASECT certification. For further information please contact or go to  Please contact your local certifying organization for detailed information on courses they accept for CEs.