Dyspareunia and Vaginismus

Dyspareunia: The medical term for painful sexual intercourse. 

​Vaginismus refers to the involuntary muscles spasms that can make penetration painful or impossible.

​If you have painful intercourse, you might experience: 

• Pain with initial penetration 

• Deep pain during thrusting

• Pain with penetrative activities such as inserting a tampon and with speculum exams

Endometriosis

Endometriosis is a painful condition in which tissue similar to the lining of the uterus grows outside of the uterus and causes inflammation and pain.

What are the symptoms?

• Pelvic pain, abdominal pain, back pain 

• Painful periods 

• Pain during sexual intercourse

• Pain with bowel movements

•  Fatigue

• Digestive issues

• Heavy bleeding

Pudendal Neuralgia 

Pudendal Neuralgia that causes pain, discomfort, or numbness in the pelvis or genitals. 

What are the symptoms? 

• Sharp, burning pain 
• Numbness in genital region
• "Swollen" feeling 
• Pain during sexual intercourse

Tail Bone Pain 

Coccyx pain can occur due to various reasons including trauma from a fall directly on the tailbone, poor posture when sitting or prolonged sitting on hard surfaces, an injury during childbirth, clenching of your butt cheeks, or increased tension in your pelvic floor muscles. Many individuals that have gone through traditional physical therapy do not often get the results that they need. Pelvic floor physical therapists have the unique ability to assess the pelvic floor muscles that attach directly to the tail bone!

Vulvodynia

Vulvodynia is chronic vulvar pain, usually without any identifiable cause. 

Symptoms may include pain with penetrative activities such as inserting a tampon, engaging in penetrative intercourse, and pain with GYN examinations. You may also experience pain with sitting and/or wearing tight pants.

Pubic Symphysis Dysfunction (SPD)

Pelvic girdle pain that may be extremely painful especially when performing activities such as walking, climbing stairs, getting dressed and getting in/out of the car. Pelvic floor physical therapy can be very effective in treating SPD pain (even in pregnancy).