Let’s Talk About Sex: Pain, Pelvic Floor, and Pleasure

Pain with sex is common - but not normal. Whether it started postpartum, during menopause, or "out of nowhere," pelvic floor therapy can help you get back to pain-free intimacy and better connection with your body.

What Causes Pain with Sex (Dyspareunia)?

1. Pelvic Floor Muscle Tension: Tight or guarded muscles can create burning, stabbing, or deep pressure pain.

2. Hormonal Changes

   • Estrogen drops (postpartum, breastfeeding, perimenopause) lead to dryness and thinning of tissues

   • Often contributes to discomfort and tearing

3. Scar Tissue (C-Section, Episiotomy, or Perineal Tears)

   • Can restrict mobility and sensation

4. Emotional or Psychological Stress

   • The pelvic floor is a reflexive muscle group - it responds to safety and stress

   • Anxiety, fear, or trauma may result in subconscious guarding

A 2017 study in The Journal of Sexual Medicine found that pelvic floor dysfunction is present in over 80% of women with pain during intercourse.

How Pelvic Floor Therapy Can Help

• Internal & External Muscle Work: Manual techniques help release trigger points, tension, and improve blood flow.

• Breath & Nervous System Regulation: A calm nervous system allows the pelvic floor to relax, release, and open.

• Scar Mobilization & Education: Addressing scar tissue, vaginal pH, and lubricant choices (water-based vs. silicone-based) is essential.

• Empowerment & Autonomy: We guide you in reconnecting with your body in a safe, private environment.

  
  

Final Message

Pain with intimacy doesn’t have to be your new normal. With the right care, you can move from avoidance to confidence - and even pleasure.