Reproductive and pelvic health

Cycles, pelvic floor, pregnancy, and postpartum intimacy.

• Anal health and sphincter careFissures, haemorrhoids, screening and continence — what is normal and what needs a clinician.
• Birth injury and perineal recoveryPerineal tears, episiotomy and caesarean recovery: how common each is, healing timelines, and what the evidence says about returning to sex comfortably.
• Crohn's disease and anal sexHow Crohn's disease and ulcerative colitis affect anal and receptive sex, what perianal disease changes, and how to have anal sex safely with IBD — based on gastroenterology guidance and patient research.
• Endometriosis and intimacyA common cause of deep pain during sex, and what the evidence supports.
• Fertility and trying to conceiveWhat actually affects the chance of conceiving, and when to seek help.
• Menopause, GSM and hormone therapyWhat changes at menopause, and the evidence on treatments including HRT.
• PCOS and intimacyPolycystic ovary syndrome affects cycles, fertility, body image and sexual function. What the diagnostic criteria are and which effects are well evidenced.
• Pelvic floor healthHow pelvic floor muscles affect sex for everyone, and why more Kegels is often the wrong answer.
• Pregnancy and postpartum intimacyWhat is safe during pregnancy, what changes after birth, and realistic recovery timelines.
• Prostate health and screeningBenign enlargement, prostatitis and prostate cancer: what each does to sexual function, what PSA screening can and cannot tell you, and treatment trade-offs.
• The menstrual cycle and intimacyHow the cycle affects desire, lubrication and comfort, and sex during menstruation.
• Urinary tract infections and sexWhy sex triggers UTIs in some bodies, what prevention is actually supported by trials, and what to do about recurrent infection.
• Vaginismus and pelvic pain conditionsWhat vaginismus and related pain conditions are, and the treatments with trial evidence.