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Pain with Intercourse
(Dyspareunia)

Pain with intimacy is more common than most women realize, but it is never something you should ignore or “just live with.” With the right care, you can move beyond pain and reconnect with confidence, comfort, and closeness.

What Is Dyspareunia?

Dyspareunia refers to pain experienced during sexual activity. The discomfort may be sharp, burning, or achy, and it can occur at the vaginal opening, deeper inside the pelvis, or linger after intercourse.

Common Causes

Pain with intercourse can develop from a variety of factors, including:

  • Childbirth recovery (tearing, scarring, C-section changes)

  • Pelvic floor muscle tightness or overactivity

  • Hormonal changes such as postpartum or menopause (vaginal dryness, thinning tissues)

  • Endometriosis or pelvic inflammatory conditions

  • Infections or irritation

  • Past pelvic surgeries

  • Anxiety or fear related to pain and intimacy

How Treatment Helps

Addressing pain with intercourse often requires both physical and educational support. Care may include:

  • Gentle muscle relaxation techniques to reduce tension in the pelvic area

  • Scar tissue mobilization for perineal or C-section scars

  • Strategies for tissue health (hydration, lubrication, lifestyle adjustments)

  • Breathing and body awareness training to reduce pain responses

  • Education on comfortable positions and pacing for intimacy

  • Holistic support to address emotional and physical aspects of recovery

What to Expect in Care

Treatment begins with a thorough, respectful assessment of your history, symptoms, and comfort level. Internal treatment is never required; external techniques are highly effective and often the starting point. You will always have full control over your care plan.

The Goal of Care

The goal is to help you move beyond pain so that intimacy is no longer stressful, but instead safe, enjoyable, and affirming. Healing is possible, and you do not have to carry this struggle alone.

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