Painful Intercourse (Dyspareunia)

Pelvic Physical Therapy Support in Boca Raton & Fort Lauderdale

Pain with intercourse is common — but it is not something you should have to tolerate.

Whether pain occurs at penetration, deep inside, or after intimacy, it often involves pelvic floor muscle tension, tissue sensitivity, or hormonal changes.

Pelvic physical therapy addresses the mechanical and neuromuscular drivers of painful intercourse.

Types of Pain We Address

  • Pain at entry

  • Deep pelvic pain

  • Burning or tearing sensation

  • Postpartum pain

  • Pain after C-section or tearing

  • Pain after surgery

  • Pain related to endometriosis or IC

How Can Physical Therapy Help?

Pain with intercourse often stems from:

  • Pelvic floor muscle overactivity

  • Scar tissue restriction

  • Decreased tissue mobility

  • Nervous system sensitization

Therapy focuses on restoring tissue mobility, improving muscle coordination, and reducing protective guarding patterns.

In Our Sessions We May Work On:

  • Pelvic floor down-training

  • Gentle internal manual therapy (optional)

  • Scar tissue mobilization

  • Desensitization techniques

  • Breathwork and relaxation strategies

  • Gradual return-to-intimacy guidance

 FAQs

  • Your first visit will include a thorough conversation about your health history, current symptoms, lifestyle, and goals. We'll do a full-body assessment, including posture, breathing, and movement patterns. If appropriate and with your consent, we may also assess your pelvic floor. From there, we’ll begin building a personalized treatment plan.

  • Yes, when appropriate and with full consent. Internal exams can be a helpful tool for understanding pelvic floor function and potential causes of dysfunction. If together we decide on an internal exam, just pants and underwear need to come off! Ps. Yes, you can be on your period for them!

  • Wear something comfortable that allows you to move freely.

  • Yes, as an out-of-network provider I will provide you with a superbill to submit to your insurance.

  • Every body is different. Some clients feel better after just a few visits, while others benefit from ongoing support. We’ll create a plan that fits your goals, timeline, and lifestyle—and I’ll be honest with you every step of the way.