Quick Answer
Yes, there’s real evidence behind this. Pelvic floor muscle training, the broader category of exercise that Hypopressives belongs to, has been shown to improve several aspects of sexual function, including arousal, orgasm and satisfaction, across a 2024 review of 21 clinical trials. The evidence is genuine, though not yet specific to Hypopressives itself, since no study has looked at this exact technique on its own for this outcome, and the researchers behind the review rated the overall certainty as low given how much the studies varied. That doesn’t make the finding meaningless, it makes it a real, promising, still-developing area worth knowing about.
This is a topic that doesn’t get discussed openly very often, so if you’ve come here wondering whether there’s anything real behind the idea that pelvic floor work can affect this part of life, here’s what’s actually been found.
What the Research Actually Found
A 2024 systematic review and meta-analysis in the American Journal of Obstetrics and Gynecology looked at 21 randomised controlled trials of pelvic floor muscle training aimed at improving sexual function. Training was associated with real improvements in arousal, orgasm, satisfaction, pain, and overall sexual function scores (Jorge et al., 2024, American Journal of Obstetrics and Gynecology).
A more recent 2025 review looked specifically at postmenopausal women and found a similar pattern: real improvements in orgasm, arousal and satisfaction, though notably no significant improvement in desire or lubrication specifically (García-Laria et al., 2025, Sexual Medicine). That’s a genuinely useful thing to know, not every aspect of sexual function responds the same way, so it’s worth being clear about which parts the evidence actually supports.
Why Pelvic Floor Function Is Genuinely Connected to This
The pelvic floor plays a real, established role here. One specific muscle, the pubococcygeus, is directly involved in orgasm through rhythmic contractions, and weakness in this muscle has been associated with difficulty reaching orgasm. Better pelvic floor control and awareness can genuinely change how sensation and muscle engagement feel during sex too, which is plausibly why training shows up as an improvement in arousal and satisfaction as well.
Hypopressives builds exactly this kind of pelvic floor coordination and function, through breath and posture rather than direct, isolated contraction. That’s the same underlying territory the research above is measuring, approached from a different angle to traditional Kegel-based training.
What This Means Practically
Building genuine pelvic floor strength and awareness through consistent practice is a reasonable, evidence-informed thing to try if this is an area you’d like to work on. Real improvements were found across multiple trials, in arousal, orgasm and satisfaction especially. If low desire specifically is your main concern, that’s worth knowing is a slightly different picture, the evidence for that particular aspect is weaker than for the others.
When to Seek Assessment
This guide is educational and can’t diagnose the cause of any specific sexual function concern. If pain during sex, persistent low desire, or a change in sensation is affecting you, a pelvic health physiotherapist or your GP can properly assess what’s contributing to it, which matters because the right approach depends on the actual cause, not just the symptom.
If you want to understand the full Hypopressives technique before starting, my complete guide to Hypopressives covers how it works and who it tends to help most. You’re welcome to start a free 14-day trial if you’d like to try it.
Sources
- Jorge CH, Bø K, Chiazuto Catai C, Oliveira Brito LG, Driusso P, Kolberg Tennfjord M. Pelvic Floor Muscle Training as Treatment for Female Sexual Dysfunction: A Systematic Review and Meta-Analysis. American Journal of Obstetrics and Gynecology, 2024
- García-Laria R, Alonso-Calvete A, Justo-Cousiño L, Da Cuña-Carrera I, Soto-González M. Effects of Pelvic Floor Muscle Training on Sexual Function of Postmenopausal Women. Sexual Medicine, 2025
