For women, vaginal penetration that you desire shouldn’t hurt, yet sometimes discomfort or pain during sexual intercourse or penetration may occur. Your pelvic floor plays a major role in sexual functioning. For instance, if you have vulvar pain or post-ejaculatory pain, you’ll understandably develop hesitation around sex. For some patients, their symptoms might even make sex all but impossible.

Sexual Pelvic Pain Disorders

  • Dyspareunia: Pain during sexual intercourse at sexual entry (penetration) or deep pain during shearing.
  • Vaginismus: Involuntary tightening of the vagina. Often during intercourse, gynecological exam, or when inserting tampons. Often caused by muscle spasms.
  • Vulvodynia: Chronic pain or discomfort around the opening of your vagina (vulva).
  • Endometriosis: Disorder in which the tissue that normally lines the uterus grows outside the uterus and may require surgical intervention.
  • Genito-urinary symptoms of menopause: Changes that occur with or after menopause (natural or induced) that can affect the vagina, vulva, urethra, and bladder.

Sexual Pelvic Pain Symptoms

  • Pain with penetration, including putting in a tampon or a gynecological exam.
  • Burning pain or aching pain at the perineum (area between anus and scrotum or vulva).
  • Throbbing pain, lasting hours after intercourse.
  • Painful ejaculation or painful erections.
  • Pain in the testicles, penis, or pelvis.

Begin Your Journey to Better Wellness

If you need a specialized physical therapist, I highly recommend Rosie Radford. Rosie is very competent, kind and compassionate about her work. Rosie is truly professional and puts you at ease knowing how difficult and personal these issues can be. Rosie had genuine concern for my treatment and well-being. Most importantly, Rosie’s treatment worked!

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