Paging Dr. Google: What to do When Sex Hurts

Author: Dr. Robin Ellis PT, DPT, OCS

Have you ever Googled ‘why does it hurt down there?’ Spoiler: You’re NOT alone! Intimacy is a natural and meaningful part of life, but for many, it’s accompanied by physical pain that can make it difficult to enjoy or even engage in sexual activity. Painful intercourse, also known as dyspareunia, is an issue that affects people of all ages and backgrounds. Despite its prevalence, pain during intimacy is a topic many avoid discussing, yet it’s an issue that affects countless individuals. Whether due to embarrassment, cultural taboos, or the misconception that painful intercourse is “normal,” many people suffer in silence. 

The truth is, pain during intercourse is not something you have to live with. It’s a sign that something in the body isn’t functioning as it should, and there are effective solutions to address it. Physical therapy is one such solution, offering conservative, holistic care to help individuals regain comfort and confidence in their intimate lives.

Common Causes of Painful Intercourse

Pain during intimacy can stem from various physical and emotional factors. Understanding these causes is the first step toward finding relief:

• Pelvic Floor Dysfunction: The pelvic floor muscles support vital organs and play a key role in sexual health. When these muscles are too tight, weak, or uncoordinated, they can cause pain during intimacy.
• Hormonal Changes: Menopause, postpartum recovery, or conditions that affect hormone levels can lead to reduced lubrication, tissue sensitivity, and discomfort during intercourse.
• Scarring and Trauma: Scars from childbirth, surgeries, or injuries can create restrictions in the pelvic tissues, leading to pain during movement or intimacy.
• Medical Conditions: Conditions like endometriosis, vaginismus, vulvodynia, or interstitial cystitis can cause pain and make intimacy challenging.
• Emotional and Psychological Factors: Stress, anxiety, or a history of trauma can lead to tension in the pelvic muscles, contributing to discomfort during intercourse.

How Physical Therapy Can Help

Physical Therapy for painful intercourse focuses on addressing the root causes of discomfort. Some key components include:

• Pelvic Floor Rehabilitation: Tight, weak, or uncoordinated pelvic floor muscles often contribute to pain. Manual therapy and exercise can help restore muscle function and alleviate discomfort.
• Scar Tissue Management: Scarring from childbirth, surgery, or injury can create restrictions and pain. Mobilization techniques can improve tissue flexibility and reduce discomfort.
• Education and Support: Understanding your body is empowering. Having the right tools and knowledge will help you make meaningful changes in your daily life.
• A Holistic Perspective: Addressing stress, breathing patterns, and even posture can have a profound impact on your pelvic health.

Understanding your body empowers you to make meaningful changes. Therapists provide guidance on posture, movement, and self-care techniques that support healing.

Breaking the Stigma

Painful intercourse is more than just a physical issue—it impacts emotional well-being, relationships, and quality of life. Yet, many people feel isolated in their experiences, unaware that help is available. Talking openly about these challenges is a crucial step toward breaking the stigma and ensuring that those affected get the care they deserve.

If you or someone you care about is experiencing pain during intimacy, know that it does not have to be that way! Physical therapy offers effective, compassionate care tailored to your unique needs. By addressing the underlying causes, you can find relief, restore your confidence, and rediscover intimacy without fear or discomfort.

Reaching out for help can feel daunting, but it’s an act of courage and self-care. Pain-free intimacy is possible—and you deserve it.

Do you struggle with pain during sex? We can help! Click here and someone on our team will reach out!