Pelvic Floor Massage: Relaxation for Women and Men

Unterkörper einer Frau nach Schwangerschaft mit Händen davor die ein Herz formen

This guide is based on my expertise as a midwife, pelvic floor therapist, couples counsellor and sex therapist. While AI-generated content often remains superficial, this guide provides measurable added value by combining medical practice, psychological insight and further resources.
You can also learn more about related topics in a therapeutic blog and additional guides (at the end of this article).
In addition to explaining the purpose and benefits of pelvic floor massage, I also introduce therapeutic tools that allow you or your partner to perform it comfortably.

The term “pelvic floor massage” is being heard more and more often. Just a few years ago, it sounded exotic to many people. But what is really behind it?

The pelvic floor is far more than a simple network of muscles: it is a complex system of several muscle layers, fasciae and connective tissue. These fascial structures connect it to the surrounding organs, the pelvic ring and the spine, and they interact closely with our nervous system. This sensitive network responds immediately to stress, reflects emotional strain and influences both our posture and emotional wellbeing. From my experience as a midwife, sex therapist and woman, I know that targeted massage is a direct and effective way to release deep-seated tension within these layers and give the body a signal that it is safe to relax. It can be a powerful key to greater ease and deeper sensuality.

If you are already familiar with the topic and are looking directly for suitable tools, you will find recommendations further below.

Contents

When Pelvic Floor Massage Can Be Helpful

A massage not only feels good physically, it is also a form of self-care that helps calm the entire system. I particularly recommend it during pregnancy and for recovery after childbirth, when the tissues need renewed flexibility. It is equally helpful for chronic pelvic floor tension, pain caused by conditions such as endometriosis or scar tissue, as well as pain of unknown origin.

However, if you are under stress in daily life and notice that you are “tensing up down there”, massage can also provide valuable relief. It helps gently release the often unconscious protective tension in the pelvis and reduce peaks of pain.

Typical Areas of Application

A massage can be helpful in many situations. I particularly recommend it in the following areas:

  • Chronic Tension: Many women unconsciously tense their pelvic floor in response to stress. Massage helps release this hypertonicity – a persistent, involuntary baseline muscle tension. Chronically increased muscle tone may cause a wide range of symptoms: pulling sensations or pressure in the lower abdomen, pelvic or groin pain, pain radiating into the lower back, pain during sexual intercourse and difficulty or pain when inserting a tampon. If blood tests and ultrasound examinations reveal no significant findings despite such symptoms, a hypertonic pelvic floor should also be considered as a possible cause.
  • Pain and Trigger Points: Gentle pressure on painful muscle knots promotes circulation and provides relief. This is particularly valuable in chronic pain syndromes and endometriosis, and can also help prevent menstrual discomfort. By releasing tension between menstrual cycles, you interrupt the vicious cycle of chronic muscle tightness and pain.
  • Pelvic Floor Weakness: Only through relaxation and conscious awareness does the muscle become controllable again and capable of being trained effectively.
  • Childbirth, Surgery and Recovery: A flexible pelvic floor can make childbirth easier. After childbirth or surgery, massage helps keep scar tissue flexible or gently restore it to this mobile state.
  • Grounding and Vitality: In many traditions, the pelvic floor is regarded as the seat of the root chakra – an energy centre associated with security and trust. Massage helps you connect with these qualities, feel grounded and strengthen your vital energy.
  • Body Awareness: Touch helps you experience your pelvic floor once again as your living centre.
  • Sexual Pleasure: A relaxed pelvis is the foundation of pleasure. Massage releases blockages and increases sensitivity and orgasmic intensity.
  • Birth Preparation: Preparatory massage makes the tissues more flexible, improves circulation and may reduce the risk of tearing. This preparation is recommended from the 36th week of pregnancy onwards (from 35+0). After childbirth, it supports gentle recovery once any injuries have healed.

Effects of Pelvic Floor Massage

The effects of targeted massage extend far beyond the local tissues. Because the pelvic floor is closely connected to other parts of the body through fascial chains and nerve pathways, something remarkable often happens: when the pelvic floor relaxes, other areas such as the face, jaw and even your breathing frequently relax almost at the same time.

Additional positive effects include:

  • Targeted Release: Tense muscles return to their natural flexibility.
  • Recovery Stimulus: Improved circulation supplies the tissues with oxygen.
  • Hormonal Balance: Stress reduction through calming of the autonomic nervous system via mindful touch.
  • Relief: Noticeable reduction of pressure and pain in the pelvis and lower back.
  • Sensuality: A relaxed pelvic floor is more responsive to pleasure and orgasms.

How Pelvic Floor Massage Works

You can perform the massage yourself or – if there is deep trust – share it with your partner. What matters most is calmness, time and a caring attitude towards yourself. Through gentle touch, your muscles respond involuntarily by relaxing. In this way, you can effortlessly experience how the delicate structures of your pelvic floor become softer almost automatically and return to their natural vitality. This is not about performance or achieving a technical goal, but about reconnecting with sensation. Only when your nervous system feels safe can the tissues truly soften.

External Massage & Internal Release

Relaxation takes place on different levels. It is often helpful to work gradually from the outside inwards, giving the body a sense of safety and trust.

The External Beginning

Even from the outside, the pelvic floor can be invited to relax. Gentle pressure with the fingertips or rolling on small massage balls (such as Franklin Balls) in the perineal area stimulates circulation. Many women experience their first “aha moment” here when they notice how the tissues begin to soften under warmth and steady pressure. You can also use YoniSphere® externally by gently applying it against the perineum or the sitting bones. This external contact prepares the pelvic floor optimally for deeper work.

Internal Release

Internal release is performed vaginally by gently resting on areas of tension. While your own fingers often tire quickly, anatomically shaped tools allow a much deeper level of relaxation, particularly because you do not have to exert yourself during the process. Thanks to the curved shaft, YoniSphere® allows you to reach the posterior and lateral layers of the pelvic floor without having to strain your wrist.

The goal is always the moment when the muscle noticeably “melts” beneath the gentle contact. This involuntary release is the key to achieving genuine relief, even in cases of deeper dysfunction or chronic pain. One effect is that your buttocks feel broader and softer when sitting, almost as if they were merging with the surface beneath you. As a result, the entire body relaxes – a wonderful feeling.

Suitable Tools for Pelvic Floor Massage

To guide the pelvic floor effectively into relaxation without straining yourself, the right tools are essential. A good tool should allow you to remain passive. If you have to contort yourself to reach a particular area, your shoulders and pelvis often tense up reflexively again – the exact opposite of the intended effect.

Franklin Ball: Gentle Preparation

The Franklin Ball is ideal for the external introduction. Its pleasant texture adapts perfectly to the body's anatomy.

  • Use: You can simply sink into the ball while sitting or lying down.
  • Effect: Through your body weight, gentle movement and focused breathing, you gradually sink into the ball. This releases tension in the muscles and fascia surrounding the bony pelvis. It is the perfect method for preparing the nervous system to let go before moving on to deeper work.

Theros® YoniSphere: Precision Deep Massage

For internal release and targeted work on persistent trigger points, YoniSphere® is the ideal tool. It is particularly practical because:

  • Anatomical Shape: YoniSphere® can be used effortlessly while lying down, without twisting the wrist or having to hold the arm in an awkward position.
  • Effortless Grip: The spherical handle allows your hand to remain relaxed – and that relaxation transfers directly to your entire body.
  • Warmth & Thermal Benefits: Made from highly polished anti-allergenic stainless steel for implants, it immediately adapts to body temperature. An additional advantage is that YoniSphere® can be warmed beforehand in warm water. The stored warmth acts like a gentle deep relaxation directly on the muscle and immediately signals to your nervous system: “You can let go now.”
  • Precision: Thanks to its special curvature, you can reach even the deeper muscle layers and release adhesions (for example after surgery or childbirth) without effort.
  • Hygiene & Sustainability: The non-porous anti-allergenic stainless steel is extremely hygienic, easy to clean and exceptionally durable. Unlike plastic tools, there is no abrasion or release of plasticisers – making it a sustainable investment in your health that can accompany you for many years.
Theros YoniSphere made from implant-grade steel – a tool for pelvic floor massage

How to Perform a Pelvic Floor Massage

The most important rule first: let your breath guide the process. Create a warm, undisturbed environment so that your nervous system can switch into a state of safety.

Step 1: Preparation (The External Beginning)

Sit on a stool or a chair with a firm seat. Place the Franklin Balls beneath your sitting bones.

  • With every exhalation, allow your pelvis to become heavier and notice how you sink more deeply into the balls.
  • This gentle compression releases the muscles and fascial structures surrounding the bony pelvis. It prepares your body to let go more deeply.

Tip: You can find a detailed illustrated guide to this introduction in our download section. In the PDF “Pelvic Floor Exercises With Viball®”, we show two specific relaxation exercises using Franklin Balls that help you release pelvic floor tension in a targeted way.

Step 2: Preparation – Warmth & Moisture

To relax the tissues even more deeply, a short Yoni Steaming session before the massage is recommended. The warm steam opens the pores, promotes circulation and makes the tissues particularly supple while preparing you mentally and physically for the practice. If you use fragrant herbs, the effect can be enhanced.

  • While steaming, you can place your YoniSphere® in a bowl of warm water. This prevents a cold sensation during insertion and further supports the relaxing effect of the steaming session.

Step 3: Internal Release (Arriving)

Move into a comfortable position – either lying flat on your back or in a semi-reclined seated position (comfortably supported by a wall or the headboard of your bed). Keep your legs relaxed and bent.

  • Use sufficient luricant and slowly insert the warmed YoniSphere® (it is advisable to place a towel underneath beforehand, as some lubricant may leak out).
  • Use your breath here as well: with each exhalation, allow the tool to glide a little deeper without applying active pressure.
  • Thanks to the spherical handle, your hand can remain comfortably beside your body without any need to twist your wrist.

Step 4: Finding and Releasing Tension

Move the sphere of the YoniSphere® very slowly in circular motions along the muscles – imagine the face of a clock that you explore point by point. When you find a firm or sensitive area (a trigger point):

  • Simply remain there for a few moments.
  • Important: Do not forcefully press against it. Maintain only steady, gentle contact.
  • Breathe deeply into your pelvis and notice how the tissues soften and yield beneath the warmth. Allow yourself to soften as well.
  • As soon as you feel the tension easing, move on to the next area.

Step 5: Integration

Carefully remove the YoniSphere® and remain lying down for a few minutes. Can you feel the new sense of openness and warmth? This feeling of relaxation helps reduce protective tension in the pelvis throughout daily life.

Additional Support in Daily Life

To carry this sense of relaxation and vitality into everyday life, Viball® Kegel balls are a perfect complement. Through their subtle passive vibration, they continually remind the pelvic floor of its natural mobility without overloading it. This helps prolong the effects of the massage and keeps the pelvis feeling alive and relieved throughout the day.

Conclusion: Pelvic floor massage is your path from rigidity back to softness. It is a foundation for health, upright posture and fulfilling sexuality.

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Hera Schulte Westenberg
Hera Schulte Westenberg

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