Men and women can both experience pelvic floor muscle dysfunction that can lead to discomfort with intercourse. Pain during intercourse (dysparuenia) is very common. For many, the search for help can be a frustrating and unproductive journey of referrals from one doctor to another (gynecologist, urologist, pain specialist, urogynecologist, psychiatrist/phsychologist)- adding to the frustration. Some patients even have surgery for issues related to dyspareunia with unfortunately no change in symptoms. A missing link can be your pelvic floor muscles. After being evaluated by a physician to rule out other medical conditions or diseases, musculoskeletal causes of dyspareunia need to be addressed.
Some medical diagnoses or reasons that may cause dyspareunia:
- Vestibulodynia (vulvar vestibulitis) or vulvodynia
- Intersticial cystitis
- Painful episiotomy
- Scar tissue restriction/ adhesions
- Vaginal dryness
- Pelvic floor muscle spasm
- slip/fall related trauma to the pelvis
- No reason
It is so common that patients become frustrated when they have no apparent reason for pain or have been told to "just relax". You can find help from a pelvic floor physical therapist to help elongate the muscles, treat myofascial trigger points, and make both the fascial and muscular systems healthy again.
Physical therapy treatment will include one on one treatment with education about findings, teaching you a home program of self-treatment, stretching exercises, and deep breathing with behavioral techniques.
Contact me for information or to see if physical therapy is right for you. Don't let your pain and frustration limit your happiness and overall quality of your life.