Post-Partum Conditions

Dyspareunia (pain with intercourse)

Postpartum pain with intercourse, also known as dyspareunia, is a common issue experienced by many women after giving birth. Physical therapy can be an effective approach to addressing and managing postpartum pain with intercourse. Here’s how physical therapy can help:

  1. Assessment and evaluation: A physical therapist specializing in pelvic health can assess your pelvic floor muscles, scar tissue, and any musculoskeletal imbalances or dysfunctions that may contribute to pain during intercourse. This assessment helps identify the underlying causes of your pain and guides the development of an appropriate treatment plan.
  2. Pelvic floor muscle rehabilitation: Physical therapists can provide targeted exercises to improve the strength, flexibility, and coordination of the pelvic floor muscles. Strengthening and releasing tension in these muscles can help alleviate pain and discomfort during intercourse.
  3. Scar tissue management: If you have any scars from perineal tears, episiotomies, or cesarean section incisions, a physical therapist can use manual techniques, such as scar mobilization and massage, to reduce restrictions and improve tissue mobility. This can help minimize pain and improve comfort during intercourse.
  4. Education and self-care techniques: Physical therapists can provide education on sexual health, arousal, and lubrication techniques to optimize comfort during intercourse. They can also guide you on self-care techniques, such as relaxation exercises and proper use of vaginal dilators, to improve vaginal tissue flexibility and reduce pain.
  5. Communication and counseling: Physical therapists can provide a safe and supportive environment for open communication about sexual concerns and difficulties. They can offer counseling and guidance on strategies to enhance intimacy, and communication with your partner, and addressing emotional and psychological aspects of postpartum pain with intercourse.
  6. Integration of relaxation and breathing techniques: Physical therapists can teach relaxation and breathing techniques to promote relaxation of the pelvic floor muscles and reduce pain and tension during intercourse.
  7. Gradual reintroduction of sexual activity: A physical therapist can guide you on a gradual and individualized progression of sexual activity, ensuring that you feel comfortable and safe throughout the process. They can provide strategies and recommendations on positions, pacing, and communication with your partner.

Apex Physical Therapy & Wellness Center is here to help

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs.

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