Dyspareunia

Dyspareunia is a term used to describe recurrent and persistent pain within the genital or pelvic area with sexual intercourse.

Pain during penetration which can range from mild to severe sharp pain
Superficial Pain – pain upon initial penetration
Deep Pain – pain or discomfort in the deeper areas of the pelvis during intercourse and throbbing pain may even persist hours after intercourse.
Pelvic pain – which certain activities may worsen.
Pelvic cramping and muscle spasms.
Anxiety and Emotional distress which can negatively impact a relationship

Vaginal dryness which could be from low estrogen, lack of foreplay, or medications like antihistamines and birth control pills
Vaginal Infections such as UTI, yeast infections, or sexually trasmitted infections
Injury to Genitals caused by accident or surgery
Endometriosis
Skin problems or allergies
Anxiety and Relationship conflict
Certain conditions like Vaginismus, Vulvodynia and Pelvic inflammatory disease
Injury to the pelvic floor from child birth or post surgery
Depression and Anxiety

Strengthening exercises for weak or underactive muscles (kegel exercises)
Relaxation strategies for tensed muscles
Manual Therapy to release tension, improve mobility in the pelvic region, desensitize areas and normalize overactive muscles
Education and Lifestyle Modification
Biofeedback to help patients regain the focus of relaxation through the pelvic floor
Electrical stimulation to stimulate the muscles