Pelvic Health
Pain with Intercourse (Dyspareunia)
Pain during sex is common — but it is not normal, and help is available.
- No referral required
- Evidence-based care
- Led by your comfort
- Albany, WA
About this condition
What is dyspareunia?
Persistent or recurrent pain before, during or after penetration. It can range from mild discomfort to pain that prevents intimacy, and often has more than one contributing factor — physical, hormonal and emotional. No matter how long it's been happening, it's worth assessing.
Signs & symptoms
You might experience…
- Burning, sharp or aching pain
- Deep pelvic pain with intercourse
- Pain with initial penetration
- Muscle tightness or a tearing sensation
- Vaginal dryness
- Pain with tampons or examinations
- Pain lasting after intercourse
- Anxiety around intimacy
Why it happens
Common causes
- Pelvic floor muscle overactivity
- Vaginal dryness (breastfeeding or menopause)
- Perineal or surgical scar tissue
- Endometriosis or adenomyosis
- Vulval conditions
- Bladder or bowel conditions
How we help
How physiotherapy helps
Treatment usually begins with learning to relax and lengthen the pelvic floor — not strengthening it — and is always guided by your consent.
Pelvic floor relaxation
Breathing and down-training to release tension.
Manual & scar therapy
Gentle, consent-based techniques.
Moisturisers & lubricants
Reducing friction and improving comfort.
Dilators & wands
A gradual, confident return to penetration.
Explore
Related conditions
When to see your GP
Seek medical review if you have:
- New or unexplained pelvic pain
- Bleeding after intercourse
- A new vulval lump or skin change
- Fever or signs of infection
Get started
Ready to take the next step?
Our approach is compassionate, evidence-based and always led by your comfort.