How to heal pelvic pain and dyspareunia in women

The problem with pelvic pain is that it can’t be seen and it’s hard to diagnose. Women will often suffer for many years before finding help.

You may have been diagnosed with vaginismus, vulvodynia, endometriosis, pudendal neuralgia, bladder pain syndrome or coccydynia…or not.

Either way, this is distressing, both physically and emotionally. You are not alone.

1 in 5 women experiences pelvic pain or dyspareunia (sexual pain).

WHAT IS THE ROLE OF THE PELVIC FLOOR IN PELVIC PAIN AND DYSPAREUNIA?

The pelvic floor muscles attach from the pubic bone in the front to the tail bone at the back, much like a sling.

These muscles play an important role in sexual, bladder and bowel function. If you have difficulty relaxing your pelvic floor muscles, sex can be painful. Chronically tight or overactive muscles can lead to ongoing pain.

The pelvic floor muscles may spasm involuntarily in response to or in anticipation of pain or penetration, leading to an overactive pelvic floor. This may happen with endometriosis, following pelvic surgery, in women with a history of abuse, infection, over-active abdominal muscles, and nerve damage or injury.

Let’s not underestimate the impact stress can have on your symptoms, as well as the hormonal changes associated with breastfeeding and menopause.

WHAT ARE THE SYMPTOMS OF PELVIC OR SEXUAL PAIN?

  • Pain during intercourse
  • Pain on tampon insertion or having a PAP smear
  • Involuntary pelvic floor spasm
  • Vulval pain with sitting and tight clothing
  • Painful periods
  • Pain with a full bladder
  • General chronic pelvic pain that may be related to endometriosis
  • Coccyx pain

HOW CAN PHYSIOTHERAPY HELP OVERCOME SEXUAL AND PELVIC PAIN?

There is sound evidence to support physiotherapy in reducing pain through the treatment of possible pelvic floor muscle tension/over-activity. We can help you to understand your pain and embrace life.

Some techniques I find useful are:

  • Pain education
  • Optimisation of vaginal mucosa through the use of vaginal moisturisers or referral to GP for vaginal estrogen
  • Touch de-sensitisation and manual therapy
  • Relaxation, mindfulness and breathing techniques
  • Use of vaginal trainers

As a Women’s Health Physiotherapist, I understand this complex problem and will work with you to achieve your goals.

If you are suffering from pelvic pain or dyspareunia, please call/WhatsApp on 9780 7274 or get in touch over email to learn how we can work together or to get on top of things (pun intended).

You can also visit our website to learn about other women’s conditions we treat through physiotherapy and how we can help you.

Reference:

Fall, Magnus & Baranowski, A.P. & Fowler, C-J & Lepinard, V & Malone-Lee, James & Messelink, Bert & Oberpenning, Frank & Osborne, J.L. & Schumacher, Stefan. (2005). EAU Guidelines on Chronic Pelvic Pain. European urology. 46. 681-9. 10.1016/j.eururo.2004.07.030.

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    5 star review  I started seeing Preet about 6 weeks ago to try and resolve a niggling back pain. Preet was patient and thorough in her review of what was causing the problem. I found Preet approachable, trustworthy and professional in her approach. She showed me a handful of exercises to do which reduced the pain and made me feel so much better. Her genuine passion for what she does alongside her practical approach makes the service at Embrace unbeatable. Thank you!

    thumb Elizabeth Taylor
    April 1, 2020

    5 star review  Preet was super helpful with my pelvic girdle pain during pregnancy and i saw a significant improvement post seeing her. Thank you!

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    October 22, 2020

    5 star review  I had excellent experience at Embrace Physiotherapy with Brenda. She was so much helpful on my conditions with patience and caring. I can strongly see significant improvement on my body pains. If you want to know how amazing it is if you have physiotherapy demands, definitely go and meet Brenda there! Highly recommend her and of course Embrace’s friendly service.

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    November 14, 2021

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