Painful Intercourse (Dyspareunia)

Painful Intercourse (Dyspareunia)

Painful intercourse, or dyspareunia, can result from physical, emotional, or hormonal factors. Physiotherapy addresses physical causes to alleviate pain and improve quality of life.

Common Causes of Dyspareunia

  • Pelvic Floor Dysfunction: Overactive or tight pelvic muscles.
  • Hormonal Changes: Vaginal dryness or atrophy due to menopause or postpartum.
  • Scarring or Trauma: From childbirth, surgeries, or injuries.
  • Medical Conditions: Endometriosis, pelvic inflammatory disease, or irritable bowel syndrome (IBS).

Physiotherapy for Painful Intercourse

  • Pelvic Floor Relaxation Techniques:
    • Focuses on reducing muscle tension through breathing exercises, manual therapy, and stretches.
  • Trigger Point Release:
    • Direct treatment of muscle knots or tight areas causing pain.
  • Vaginal Dilator Therapy:
    • Gradual desensitization to reduce pain and improve tolerance.
  • Education on Body Mechanics:
    • Guidance on positions and movements that minimize discomfort during intimacy.
  • Scar Tissue Mobilization:
    • Techniques to improve mobility and reduce pain in areas affected by scarring.
  • Coordination Exercises:
    • Helps retrain the pelvic floor to work in sync with the rest of the body.