How Pelvic Floor Therapy Helps Relieve Pelvic Pain During Sex

Key Takeaways:

  • Pelvic Floor Therapy: Offering customized, in-home care, this therapy targets the root causes of pelvic pain during sex, transforming sexual health experiences.

  • Common and Complex Causes: Recognizing pelvic pain during sex as a prevalent issue and understanding its multifaceted origins is crucial to finding effective treatment options.

  • Blair Mauri Pelvic Health: This provides compassionate, holistic care that empowers individuals to reclaim intimacy without discomfort, ensuring a pain-free and pleasurable sexual experience.

At Blair Mauri Pelvic Health, Blair is dedicated to providing compassionate, specialized care for those experiencing pelvic health challenges, including pelvic pain during sex. Her focus is on holistic healing that addresses both physical symptoms and emotional well-being, empowering our clients to reclaim comfort and confidence.

Pelvic pain during intimacy is more common than many realize, affecting countless individuals and impacting quality of life and emotional health. This discomfort can arise from various causes, but an effective and increasingly recognized solution is pelvic floor therapy, which can help alleviate pain and restore function.

In this article, we’ll explore the benefits of pelvic floor therapy for relieving pelvic pain during sex, explaining how a comprehensive approach using pelvic floor therapy throughout with compassionate care can make a meaningful difference. Whether you're navigating postpartum recovery, healing from birth, or simply looking to improve pelvic health, we’re here to support your journey to wellness.

Understanding Pelvic Pain During Sex

Pelvic pain during sex, medically known as dyspareunia, can range from mild discomfort to severe pain that significantly interferes with intimacy and can lead to emotional distress and strain on relationships. This pain can be experienced at the entrance of the vagina or deeper into the pelvis, and its causes are varied, often rooted in issues concerning the pelvic floor muscles. These muscles support the pelvic organs, assist in bladder and bowel control, and play a significant role in sexual function and satisfaction. Common causes include:

  • Vaginismus: Involuntary tightening of the superficial pelvic floor muscles, making penetration painful or impossible.

  • Vulvodynia: Chronic pain in the vulvar area without an identifiable cause, which can be exacerbated by touch or pressure.

  • Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus, causing pelvic pain. 

  • Childbirth Trauma: Physical injuries from labor, such as tears or nerve damage, can lead to pelvic floor dysfunction.

  • Chronic Tensing of Pelvic Floor Muscles: Chronic holding of the pelvic floor muscles can lead them to become stuck in a shortened position, which can lead to painful penetration. 

Experiencing pelvic pain during intimacy often brings about a cycle of anxiety and tension. This cycle can perpetuate the pain, making the situation increasingly distressing. Understanding the underlying causes and how they affect your body is the first step toward finding relief.

What Is The Pelvic Floor?

The pelvic floor is a network of muscles that form a supportive hammock at the base of the pelvis. These muscles have several vital functions, including:

  • Supporting pelvic organs, such as the bladder, uterus, and rectum.

  • Assisting with bladder and bowel control.

  • Playing a crucial role in sexual sensation and function.

When the pelvic floor muscles are healthy, they can contract and relax appropriately. However, if these muscles become too tight, weak, or uncoordinated, issues such as pain during sex, urinary incontinence, or bowel dysfunction may arise. The pelvic floor is intricately connected to other areas of the body, which means that a problem in this region can have far-reaching effects.

How Pelvic Floor Dysfunction Contributes To Pain

Pelvic floor dysfunction can result in pain during sex for various reasons. For some, the muscles may be too tight or tense, leading to a sensation of tightness or burning. This overactivity can reduce blood flow, increase nerve sensitivity, and make penetration painful. Psychological factors also play a significant role. People who have experienced sexual trauma, anxiety, or a history of painful intercourse may unconsciously tense their pelvic floor muscles. This response further contributes to a vicious cycle of pain. Understanding this connection highlights why a holistic approach, addressing both physical and emotional aspects, is crucial for effective treatment.

What Is Pelvic Floor Therapy?

Pelvic floor therapy is a specialized branch of Occupational Therapy focused on improving the function of the pelvic floor muscles. It aims to address issues like pain, weakness, and muscle overactivity. By working with a trained pelvic health therapist, individuals can receive personalized care tailored to their unique needs.

Pelvic floor therapy involves a comprehensive assessment to determine the root cause of the pain. This assessment may include a discussion of symptoms, a physical examination, and in depth analysis of lifestyle habits. The therapy sessions are designed to teach individuals how to both relax and engage their pelvic floor muscles effectively, with the goal of reducing pain and enhancing overall function.

Benefits Of Pelvic Floor Therapy For Sexual Pain

Pelvic floor therapy offers a range of benefits for those experiencing pain during sex. These advantages include:

Muscle Relaxation

Many people with pelvic pain have overactive pelvic floor muscles. Pelvic floor therapy includes techniques to help these muscles relax and relieve pain. A combination of manual therapy and body awareness are used to release tension and provide increased comfort.  

Strengthening Weak Muscles

In some cases, weak pelvic floor muscles may also contribute to pain. Therapy includes exercises designed to strengthen these muscles, improving support and function. A balanced pelvic floor can make sexual activity more enjoyable.

Improving Muscle Coordination

Pelvic floor therapy focuses on teaching individuals how to coordinate their pelvic floor muscles correctly. By enhancing control, therapy can reduce pain and make sexual experiences more pleasurable.

Increasing Pelvic Floor Awareness

Many people are unaware of how their pelvic floor muscles operate. Therapy can improve body awareness, helping individuals understand how to engage or relax these muscles as needed.

Reducing Anxiety And Fear

Addressing the psychological impact of pelvic pain is an integral part of therapy. By learning how to control pelvic floor muscles and understanding the source of the pain, many individuals feel more confident and less anxious about intimacy.

Techniques Used In Pelvic Floor Therapy

Pelvic floor therapists use a variety of techniques to help patients find relief. Some common methods include:

Manual Therapy

Manual therapy involves hands-on techniques to release muscle tension and improve pelvic floor mobility. Therapists may use gentle internal or external techniques to relieve trigger points and reduce pain. Your therapist will also teach you how to release these tissues on your own. 

Breathing And Relaxation Exercises

Breathing techniques are always taught to promote relaxation. The diaphragm and pelvic floor work together, so diaphragmatic breathing can help relax overactive muscles and reduce pain.

Education And Lifestyle Modifications

Education is a key component of pelvic floor therapy. Therapists provide information on posture, ergonomics, and daily habits that may affect pelvic health. They may also offer advice on lifestyle changes, such as improving bowel habits or adjusting physical activities. Understanding the why behind any recommendation will directly improve client outcomes. 

How Blair Mauri’s Services Can Help

Blair Mauri offers pelvic health services designed to provide effective and empathetic care for individuals struggling with pelvic pain. At Blair Mauri Pelvic Health, each treatment plan is customized to address the patient's unique needs. Her practice is known for its compassionate approach, combining the latest evidence-based techniques with a deep understanding of the physical and emotional aspects of pelvic pain.

By choosing Blair Mauri, you can expect a safe and supportive environment where your concerns are heard and your treatment goals are prioritized. She works collaboratively with her clients to develop a comprehensive plan that promotes healing and restores comfort.

Tips For Starting Pelvic Floor Therapy

If you are considering pelvic floor therapy, here are some practical tips to help you get started:

Find A Certified Therapist

It’s crucial to work with a qualified pelvic floor therapist who has specialized training in treating sexual pain. Research local practitioners, and read reviews to find someone you feel comfortable with.

Be Prepared For An Open Discussion

Your therapist will ask about your symptoms, medical history, and experiences with pelvic pain. Being open and honest will help them create a tailored treatment plan.

Understand The Commitment

Pelvic floor therapy often requires multiple sessions, and progress may take time. Patience and consistency are key. Your therapist will guide you through the process and provide exercises to do at home.

Address Any Fears Or Misconceptions

Some people feel nervous about pelvic floor therapy, especially if it involves internal work. Throughout treatment, your therapist should make it clear exactly what this looks like in order to have your fully informed consent. It’s perfectly okay to express your concerns. A good therapist will explain each step, ensure your comfort, and adjust the treatment as needed.

Final Thoughts

Pelvic pain during sex is a challenge that many face, but it is not one that you have to endure in silence. With the compassionate and specialized care provided by Blair, you have a supportive partner on your journey towards healing. Pelvic floor therapy is more than just a treatment; it's a form of empowerment, helping you reclaim the joy and comfort of intimacy without discomfort.

Under the expert guidance of Blair Mauri, MS, OTR/L, and her tailored in-home sessions, you're not just addressing symptoms; you're embarking on a holistic path to recovery that respects the unique needs of your body and your experience. Remember, pelvic pain during sex is a common issue, and with the right support, it's one that can be resolved.

Frequently Asked Questions On Pelvic Pain During Sex

What is pelvic floor therapy? 

Pelvic floor therapy is a specialized form of physical therapy that focuses on the muscles, ligaments, and tissues of the pelvic floor. These structures support the pelvic organs and play a crucial role in functions such as urination, bowel movements, and sexual intercourse. Therapy aims to strengthen, relax, or rehabilitate the pelvic floor muscles to improve these functions and alleviate discomfort. 

How does pelvic floor therapy relieve pelvic pain during sex? 

Pelvic floor therapy addresses the underlying causes of pelvic pain during sex, which often include muscular tension, weakness, or dysfunction in the pelvic floor. By employing a range of techniques such as manual therapy, biofeedback, and specific exercises, therapists can help improve muscle coordination and strength and decrease muscle tightness. This not only alleviates pain but also enhances sexual function and pleasure.

What causes pelvic pain during sex? 

Pelvic pain during sex, also known as dyspareunia, can be caused by a variety of factors, including pelvic floor muscle dysfunction, endometriosis, pelvic inflammatory disease, vaginal infections, and conditions such as vulvodynia. Emotional factors like stress and a history of sexual trauma can also contribute to pain during intercourse.

Can both men and women benefit from pelvic floor therapy?

Yes, both men and women can benefit from pelvic floor therapy. While women may seek therapy for conditions related to pregnancy, childbirth, or menopause, men can also experience pelvic floor dysfunction, leading to issues like erectile dysfunction, pelvic pain, or urinary incontinence. Therapy is tailored to address the unique needs of each individual. Blair only works with clients with female anatomy at this time, but if you’d like a referral for a therapist who works with male anatomy don’t hesitate to reach out.

How do I know if I need pelvic floor therapy? 

If you experience symptoms such as chronic pelvic pain, painful intercourse, urinary or fecal incontinence, frequent urination, or difficulty with bowel movements, you might benefit from pelvic floor therapy. Consulting with a healthcare provider specializing in pelvic health can help determine if pelvic floor therapy is right for you.

What techniques are used in pelvic floor therapy?

Pelvic floor therapists use a variety of techniques, including manual therapy (the therapist's hands-on manipulation of pelvic muscles), pelvic floor exercises, body awareness, lifestyle modification, and relaxation techniques. Each treatment plan is customized based on the patient's specific symptoms, lifestyle, and goals.

Is pelvic floor therapy painful?

Pelvic floor therapy should not be painful. A skilled therapist will work within the patient's comfort level to ensure that the therapy promotes relaxation and healing. If discomfort occurs, it's important to communicate with the therapist to adjust the approach accordingly.

How long does it take to see results from pelvic floor therapy?

The time it takes to see results from pelvic floor therapy varies depending on individual factors such as the severity of symptoms, adherence to the therapy plan, and the presence of any underlying conditions. While some patients may notice improvement within a few sessions, others may require several weeks or months to achieve significant relief.

Are there exercises I can do at home to complement pelvic floor therapy?

Yes, your therapist can recommend specific exercises to perform at home to strengthen and relax your pelvic floor muscles. These may include corrective exercises, stretching, and relaxation techniques. Consistently performing these exercises as directed by your therapist can enhance the effectiveness of your therapy sessions.

Can pelvic floor therapy help with conditions other than pain during sex?

Absolutely. Pelvic floor therapy can help address a wide range of conditions beyond pain during sex, including urinary and fecal incontinence, pelvic organ prolapse, chronic pelvic pain, and postpartum recovery. The therapy aims to restore function and improve the quality of life for individuals experiencing various forms of pelvic floor dysfunction.

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