Painful sex can affect both Women and Men. Intercourse pain can cause problems in a couple's sexual relationship. In addition to the physically painful sex, there is also the possibility of negative emotional effects. So the problem is addressed as soon as it arises. We can help!
Often called Dyspareunia, the pain can be either be on entry or deep penetration or both during sexual intercourse. Specialist physiotherapy treatment can help and cure this problem. We are trained both in musculoskeletal physiotherapy, chronic pelvic pain therapy and women’s/mens health physiotherapy combining a unique skill set to comprehensively assess and diagnose problems affecting the pelvis including painful sex. It is possible to break this cycle of pain
The examination will include the lumbar spine, pelvis, hips, and pelvic muscles. Most of the examination will be external but may include direct palpation of the perineum or instruction to the patient to palpate their own perineum (saddle region in front of the anus). We may also palpate on the inside of the pelvis. This is called an internal examination and allows the physiotherapist to determine the presence of trigger points inside the pelvis that may be inhibiting muscle function or causing pain. Gaining access requires palpation through the vagina or anus, this is by no means an absolute necessity but remains the gold standard for assessment of the pelvic floor. We will ensure there is full understanding and consent by the patient before any internal examination takes place. Electromyography (EMG) biofeedback may also be used to assess the pelvic floor function.
Below is a list of the most common conditions we see but if you can’t find what you are suffering from here and are in any doubt as to whether we can help, please contact us to discuss and we will advise accordingly.
- Vaginismus - an involuntary spasm in the vaginal muscles
- Vaginal yeast infections
- Problems with the cervix (the penis can’t reach the cervix at maximum penetration)
- Problems with the uterus. (this may include fibroids, adhesions, pelvic floor spasms that can cause deep intercourse pain
- Problems with the ovaries
- Pelvic inflammatory disease