Pain with Intimacy Post-Birth: How Pelvic Physio Supports Healing

Common Causes

Pain during intimacy after giving birth—also known as postpartum dyspareunia—is more common than many women realize. Causes can vary, and often include:

• Scar tissue from a tear, episiotomy, or C-section

• Pelvic floor muscle tension or overactivity

• Hormonal changes, such as lower estrogen while breastfeeding

• Dryness and irritation

• Nervous system sensitivity after trauma or pain during delivery

While these challenges are real, they are not something you need to “just live with.” With the right care, intimacy can become comfortable and enjoyable again.

Gentle Assessment

A pelvic physiotherapist provides a safe, respectful environment to discuss your concerns. With your consent, they may perform a gentle exam to check:

• Scar mobility

• Muscle tone and coordination

• Areas of tenderness or sensitivity

Everything is explained step by step, and you remain in control throughout the process. The goal is not only to assess but also to help you feel heard and supported.

Relaxation & Desensitization

If pain is linked to muscle tension, your physio may teach strategies to help your pelvic floor relax and release. These might include:

• Breathing techniques that calm the nervous system

• Gentle stretches and mobility work

• Gradual desensitization techniques for scar tissue or sensitive areas

This approach helps reduce pain while building confidence and trust in your body.

Pelvic Floor Coordination

Sometimes pain comes from muscles working “too much” rather than being weak. Pelvic physiotherapy focuses on coordination—teaching the muscles to relax when needed and contract when appropriate. Over time, this balance supports comfort and pleasure during intimacy.

Next Steps

Pain with intimacy after birth is common, but it doesn’t have to be your new normal. With pelvic physio in Milton, you can address the root cause with gentle, personalized care—and restore both comfort and confidence.

👉 Ready to take the first step toward healing? Call us at 905-876-8886 or Milton Physio Plus.