Painful Intercourse: Why It Happens and How Pelvic Physiotherapy Can Restore Intimacy

Sex is supposed to be pleasurable and connecting. But for many people, it is a source of anxiety, sharp pain, or deep aching discomfort.

If you are experiencing pain during or after intimacy (Dyspareunia), you might feel broken, alone, or frustrated. You may have even been told by well-meaning friends or even doctors to "just relax" or "have a glass of wine."

We are here to tell you: Pain during sex is NOT normal, but it IS highly treatable.

Why Does It Hurt? The pain is rarely "in your head"—it is often in your muscles.

• Hypertonicity (Overactive Muscles): Imagine clenching your fist all day. Eventually, it hurts to open it. If your pelvic floor muscles are constantly clenched (due to stress, past trauma, or injury), any attempt at penetration—whether a tampon, speculum, or partner—will be painful.

• Vaginismus: An involuntary spasm of the pelvic floor muscles that can make penetration impossible.

• Vulvodynia: Chronic pain, burning, or rawness at the opening of the vagina.

• Scar Tissue: Pain from healed tears after childbirth (episiotomy) or pelvic surgeries.

  
  

Reclaiming Your Intimacy with Milton Physio Plus Our approach is slow, respectful, and entirely in your control. We never force treatment.

1. Education: Understanding why your nerves and muscles are reacting this way is the first step to calming them down.

2. Down-Training: We teach you specialized breathing and relaxation techniques to lengthen and soften the pelvic floor "guarding" response.

3. Manual Therapy: Gentle internal and external release of tight trigger points and scar tissue to improve blood flow and flexibility.

4. Desensitization: Gradual exposure therapy (sometimes using dilators) to retrain your brain that touch does not equal danger.

   
   

You don't have to choose between a painful sex life or no sex life at all. Let our compassionate experts help you reconnect with your body and your partner.