Physiotherapy for Painful Sex (Dyspareunia): What You Need to Know

For many women, intimacy is meant to be a source of connection and closeness. But for some, sex can bring discomfort or even sharp pain, a condition known as dyspareunia. While it’s more common than many realise, painful sex can take a toll not only on physical health but also on emotional wellbeing and relationships. The good news is, support is available. Physiotherapy for painful sex in Belair with physiotherapist Sangeeta Sharda offers safe, evidence-based treatment to help women regain comfort and confidence.

What is Dyspareunia (Painful Sex)?

Dyspareunia refers to ongoing or recurrent pain during or after sexual intercourse. This pain can occur at the vaginal opening, deeper in the pelvis, or sometimes as a general discomfort in the pelvic area. Some women experience burning or stinging, while others feel tightness or aching. It’s important to know that painful sex is not something you just have to put up with it’s a medical issue that deserves care.

Why Pain During Sex Happens

There are many reasons why women may experience painful intercourse, including:

• Pelvic floor muscle tension or spasm – tight or overactive muscles can make penetration uncomfortable.

• Postnatal changes – childbirth can lead to scar tissue, pelvic floor weakness, or changes in vaginal tissue.

• Hormonal factors – low oestrogen, especially during breastfeeding or menopause, can cause vaginal dryness.

• Medical conditions – such as endometriosis, pelvic inflammatory disease, or infections.

• Emotional factors – stress, anxiety, or past trauma may also play a role.

Understanding the underlying cause is the first step in choosing the right treatment.

How Pelvic Floor Physiotherapy Can Help

A women’s health physiotherapist specialises in treating pelvic floor concerns, including painful sex. At a physiotherapy clinic in Belair, physiotherapist Sangeeta Sharda provides tailored care, which may include:

• Pelvic floor assessment – identifying muscle tightness, weakness, or imbalances.

• Gentle manual therapy – techniques to release tension and improve blood flow.

• Relaxation strategies – breathing exercises and guided relaxation to reduce involuntary muscle tightening.

• Education and lifestyle advice – guidance on posture, movement, and self-care practices that reduce irritation.

• Individualised exercise program – designed to restore muscle function and comfort.

This approach addresses both the physical and emotional impact of dyspareunia, helping women feel more in control of their health.

What to Expect in a Physiotherapy Session

Your first session is focused on listening to your story and understanding your symptoms. Physiotherapist Sangeeta Sharda will take a detailed history, explain the possible causes, and discuss whether an internal examination is appropriate. Treatment is always tailored to your comfort level, nothing is rushed, and consent is prioritised every step of the way.

When to Seek Professional Help

If sex is consistently painful, or you notice vaginal dryness, pelvic floor tightness, or ongoing discomfort, it’s time to seek help. Early intervention can make treatment more effective and prevent pain from becoming a long-term issue. Remember, painful sex is common but not normal and there are safe, proven solutions.

Final Thoughts

Painful sex can feel isolating, but you don’t have to live with it. With the right support, recovery is possible. Physiotherapy for painful sex in Belair, guided by physiotherapist Sangeeta Sharda, offers compassionate, personalised care to help women restore comfort, rebuild confidence, and reconnect with intimacy.

Reference: 

Mosca L, Riemma G, Braga A, Frigerio M, Ruffolo AF, Dominoni M, Munno GM, Uccella S, Serati M, Raffone A, et al. Female Sexual Dysfunctions and Urogynecological Complaints: A Narrative Review. Medicina. 2022; 58(8):981. https://doi.org/10.3390/medicina58080981