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  • Writer's pictureNashville PT

Let's Talk About (Pain with) Sex

Updated: Jul 11, 2023

Alright, let's address the elephant in the room: pain with sex. We get it, it's a topic that often gets whispered about or brushed under the rug. But guess what? You're not alone. Many people experience pain during sex, and it's time to shed some light on the issue. In this blog post, we're diving headfirst into the world of pain with sex, discussing the possible causes, debunking myths, and offering solutions to help you enjoy a pleasurable experience. So, grab a cup of tea (or your favorite beverage), and let's get down to business!

Understanding Pain with Sex

First things first, experiencing pain during sex is not something to be ashamed of. It happens, and there are various reasons why it might occur. Some common causes of pain with sex include:

1. Insufficient lubrication: Inadequate lubrication can make intercourse uncomfortable or painful. Remember, your body might need a little extra help in the slick department, and that's totally normal.

2. Vaginal tightness or muscle spasms: Sometimes, the muscles around the vagina can become tight or go into spasms, causing discomfort during penetration. This can be related to anxiety, stress, or even certain medical conditions.

3. Vaginal infections or conditions: Infections such as yeast infections or conditions like endometriosis or pelvic inflammatory disease can lead to pain during sex. It's essential to get proper medical care if you suspect an underlying issue.

4. Pelvic floor muscle dysfunction: The muscles in your pelvic floor play a vital role in sexual pleasure and function. If these muscles are tense, weak, or dysfunctional, they can contribute to pain during intercourse.

Debunking the Myths

Before we go any further, let's bust some myths surrounding pain with sex:

Myth #1: Pain with sex is normal for everyone.

Fact: Pain with sex is common, but it's not something you have to accept as the norm. It's essential to address the issue and seek help if it's affecting your sexual well-being.

Myth #2: It's all in your head.

Fact: Pain with sex is not purely psychological. It can have physical causes that need to be addressed. Your feelings and emotions are valid, but it's crucial to rule out any underlying physical factors as well.

Myth #3: There's no solution.

Fact: There are solutions! With the right guidance, support, and pelvic floor physical therapy, you can find ways to manage and reduce pain during sex.

Finding Solutions

Now that we've debunked some myths, let's explore potential solutions for pain with sex:

1. Open communication: Talk to your partner about your concerns and experiences. It's crucial to have an open, honest, and non-judgmental conversation to ensure mutual understanding and support.

2. Lubrication: Don't underestimate the power of lubrication! Adding lubricant can significantly enhance comfort and pleasure during sex. Experiment with different types and find what works best for you.

3. Pelvic floor physical therapy: Yep, you heard it right! Pelvic floor physical therapy can be a game-changer when it comes to addressing pain with sex. A skilled physical therapist can help assess and treat any muscle dysfunction or tightness in the pelvic floor.

4. Relaxation techniques: Incorporate relaxation techniques into your routine to reduce muscle tension and promote a more comfortable sexual experience. Deep breathing exercises, meditation, or even a relaxing bath can work wonders.

Pain with sex is a common concern, but it's not something you have to suffer through silently. Remember, seeking help is the first step toward a more pleasurable and satisfying experience. Whether it's trying different lubricants, exploring pelvic floor physical therapy, or simply having an open conversation with your partner, there are solutions out there. So, embrace your journey toward pain-free and enjoyable sex, and reclaim your sexual well-being!

If you're ready for pain free sex, give us a call (615-428-9213) or hop on our website ( and set up your appointment with one of our amazing pelvic floor physical therapists, Sandy (Franklin and West Nashville) and Sara (East Nashville and South Nashville). You can also download our FREE pelvic floor e-book HERE!


1. Mayo Clinic. (2021). Painful intercourse (dyspareunia). Retrieved from

2. American College of Obstetricians and Gynecologists. (2020). Dyspareunia. Retrieved from

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