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Dyspareunia is persistent or recurrent pain either in or around the vagina that occurs just before, during or after intercourse.
Women may also notice difficulty tolerating internal examinations and inserting a tampon. There are many reasons that this can occur, it is important to know this is common and is nothing you have done wrong.
Sexual pain can occur postnatally due to many reasons. Medical treatments that can lead to pain include pelvic surgery, hysterectomy, and some cancer treatments.
If pain can be associated with medical conditions such as cystisis, endometriosis, fibroids, interstitial cystitis, irritable bowel syndrome (IBS), ovarian cysts, pelvic inflammatory disease or prolapse. Your specialist pelvic health physiotherapist can help diagnose, treat and manage dyspareunia. Depending on your presentation, your specialist pelvic health physiotherapist can:
- provide manual therapy to release tension
- provide pelvic floor down training and pelvic stretches
- prescribe breath and relaxation exercises including medical dilators and vibrators
- provide you with prescriptive exercises to alleviate pain and/or prevent the pain from recurring or getting worse
- recommend psychosocial counselling