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Experiencing Painful Sexual Intercourse?

You may be shocked to be asked this question but painful sexual intercourse is more common than you think, especially after having a baby.  Women usually just don’t talk about it because when they ask their OB/GYN they are told everything looks okay in there.

What women need to understand is that most doctors don’t understand the muscles and connective tissue problems of the pelvic floor area.  Their expertise is in the organ’s functioning.  While everything may look “normal” most doctors do not check the ability of the tissues to move and expand and this may be where your problem lies.

Do you realize there are three distinct specialty areas in the small, little vagina?  You have to see a urologist for any bladder issues, a gynecologist for your uterus and if you have issues with your bowel you need to see a proctologist.  Unfortunately very few of these specialists fully understand how the connective tissue or fascia, and the pelvic floor muscles contribute to pain and problems in this area.  This is where a Birth Healing Practitioner or woman’s health physical therapist can help you.  They are trained to work specifically with the muscles and connective tissues of your pelvic floor.

Pain with Intercourse

Typically there are two types of pain with intercourse, pain with insertion and/or pain with deep thrusting.

Insertion Pain

Pain with insertion may be caused by tightness in the pelvic floor tissues.  Just like our shoulders can get a “knot” in them, the pelvic floor muscles can also develop increased tension that can cause low back pain along with painful intercourse.  Any tearing during childbirth creates scar tissue which can also inhibit the movement and stretching of the pelvic floor tissues to allow for penetration.  A couple of sessions with a trained practitioner can help to free up or relax the pelvic floor tissues to allow for more enjoyment during intercourse.

Deep Thrusting Pain

Deep thrusting pain may be contributed to the lack of motion of the cervix and uterus.  If the uterus isn’t able to move from adhesions or scarring from a c-section every time the penis hits the organ it will create pain.  All the organs in our pelvis need to have free mobility or deep thrusting may be painful.  A Birth Healing practitioner or a physical therapist trained in visceral manipulation and scar tissue release work should be able to help you free up your pelvic organs so deep penetration pain is no longer a concern.

Release Work Should Not Be Painful

Just be aware that your treatment sessions should never be painful. I’ve trained my Birth Healing practitioners to respect the tissues.  Forcing the tissues to release and creating pain is not what needs to happen.  I’ve learned that when tissues are holding tension in them and not wanting to release, there is usually a deeper issue going on.  Sometimes an emotion or trauma can get stuck in the tissues and when you address that first the tissues relax automatically.

I have also learned that when you work with the vaginal tissues in a certain way it helps the muscles and tissues to release so much easier.  I’ve developed a special protocol for doing intravaginal work that helps to make internal work less painful when followed. This is what I teach to practitioners in my Holistic Treatment of the Pregnant and Postpartum Body courses.

Please keep this in mind when working with your providers; if they aren’t respecting your tissues it’s not the best approach.

Intercourse can be enjoyable again and we so want that for you.  When I work with clients with this issue, most of the time, it only takes ONE session to get you looking forward to being intimate again.  My Birth Healing practitioners tend to get the same results as well.

You can find a Birth Healing practitioner in my directory.

Best of luck to you!

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