I've had a lack of sex drive for about 3 years, after having treatment for bipolar disorder. I went off the medications that typically cause low libido, and still wasn't feeling it. Any time I attempted sex, it was painful. Heck, I even had pelvic pain just while sitting. I'd frequently have stress urinary incontinence. I'm 32 and overweight so I didn't think much of leaking when I cough, sneeze, or laugh very hard. But after finally seeing my gyno about the painful sex, I was referred to pelvic floor rehab. My therapist told me I had major muscle spasms and knots throughout my pelvic floor; she told me how the pain and incontinence are related. I've only had 2 visits thus far with the therapist, but I've already noticed a bit of decrease in pelvic pain.