Pelvic Floor Physical Therapy for Painful Sex
Pain with sex is common—but it’s not something you have to live with. Pelvic floor physical therapy helps address the underlying causes of painful sex so you can feel more comfortable, confident, and connected in your body.
Is this you?
Painful sex can show up in many ways. You might:
Feel pain with penetration, tampons, or pelvic exams
Have burning, sharp, or deep pain during or after sex
Notice symptoms that started during or after pregnancy
Avoid intimacy because it feels uncomfortable or stressful
Feel tightness, guarding, or fear around penetration
If any of this sounds familiar, pelvic floor physical therapy may help.
Why painful sex happens
Pain with sex is often related to how the pelvic floor muscles are functioning—not just strength, but tension, coordination, and nervous system response. These muscles may be overactive, guarded, or not working in sync with breathing and movement, especially after pregnancy, injury, or periods of stress.
Pelvic floor physical therapy focuses on restoring balance so intimacy doesn’t feel painful or overwhelming.
How pelvic floor physical therapy helps
Pelvic floor PT for painful sex may include:
One-on-one assessment of pelvic floor, hips, core, and breathing
Education on muscle tension, relaxation, and pressure management
Manual therapy as appropriate (always discussed first)
Guided exercises to improve coordination and control
Gradual, respectful return to penetration if desired
Care is always collaborative, trauma-informed, and tailored to your comfort level.
What care looks like at Revelle
Private, 1:1 sessions with a pelvic floor physical therapist
A calm, supportive environment where nothing is rushed
Individualized treatment plans—no cookie-cutter protocols
Manual therapy-based treatment sessions
You are always in control of your care. Internal exams or treatments are never required and are only performed with your consent.
Common questions
Do I need a referral?
No. You can book directly without a physician referral.
Is an internal exam required?
No. Internal exams are optional and discussed beforehand. Many patients make progress without one.
How long does it take to see improvement?
Every body is different, but many patients notice changes within a few sessions as tension and coordination improve.
Ready to take the next step?
Revelle Physical Therapy offers pelvic floor physical therapy for women at our clinics in Atlanta (including Alpharetta & Chamblee) & Denver.