Pelvic Health Is Pleasure Health
Pelvic Health & Pleasure: Swan Medical’s Guide to Intimate Wellness
Pelvic health might not sound like the sexiest topic at first glance. But for anyone who has ever felt disconnected from their body, struggled with intimacy after childbirth or menopause, or wondered where their libido ran off to, it is a total game-changer.
In a recent Shameless Sex podcast episode, Amy and April sat down with Dr. Peter Castillo and Remy Paille, NP, from Swan Medical. Located in Los Gatos and Danville and serving the greater San Jose area, Swan Medical is a clinic focused entirely on intimate wellness. Dr. Castillo is a fellowship-trained pelvic surgeon and the founder of Swan Medical. His work centers on treating the root causes of pelvic and sexual health issues, including pain, hormonal shifts, and changes in sexual response. Remy is a nurse practitioner with a background in integrative and functional medicine who brings a compassionate, whole-person approach to helping people feel better in their bodies and more confident in their pleasure.
So what does pelvic health have to do with pleasure?
More than most people realize. Your pelvic floor is a network of muscles that supports your bladder, bowel, and genitals. It plays a major role in orgasm, arousal, and overall comfort during sex. When those muscles are weak, tense, or out of balance, you might notice issues like reduced sensation, difficulty reaching orgasm, pain with penetration, or bladder leaks. None of these are rare, and none of them are just something to "deal with."
The great news is that many of these issues are treatable. Understanding that is one of the first steps in reclaiming your relationship with your body.
The shame-free truth about intimate wellness
At Swan Medical, intimate wellness is not just about quick fixes. It is about real care, thoughtful investigation, and addressing what is underneath the symptoms. Dr. Castillo and Remy explained how hormone changes, tissue sensitivity, blood flow, and even skin health can all impact how you experience pleasure. These physical changes are common during perimenopause, after childbirth, or with aging. That does not mean they have to be permanent.
Their approach might include hormone balancing, pelvic floor therapy, or non-invasive options like platelet-rich plasma or light-based therapies that support tissue regeneration. But most importantly, their work is about restoring connection between you and your body.
What stood out to us from the episode
This was one of those conversations that managed to be both technical and deeply human. Some of our favorite moments included:
- A breakdown of pelvic organ prolapse and why it often goes undiagnosed, even though it can absolutely affect sexual function and sensation
- Insight into how perimenopause and menopause can shift your relationship with arousal, lubrication, and orgasm
- A clear reminder that sexual wellness is not just about sex
- Real talk about body confidence, healing, and why no one should feel ashamed for asking for help
Why we are sharing this with you
Because pleasure is not just about toys or techniques. It is also about knowing what is happening inside your body and having the freedom to talk about it. Pure Pleasure Shop is all about offering tools, support, and real-deal information and this conversation checked all those boxes.
If you have ever felt like something changed and you were not sure how to name it, let alone fix it, this episode is worth a listen. Not because it offers one perfect answer, but because it opens the door to curiosity, care, and options.
You deserve pleasure that feels good, connected, and fully yours.
Want to learn more about the work Dr. Castillo and Remy are doing to support shame-free, pleasure-forward wellness? Visit Swan Medical to explore their approach to intimate health and holistic care.