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Dyspareunia

Restore your comfort and intimacy with pelvic floor physical therapy
Dyspareunia

Painful intercourse can make intimacy challenging. If you’re experiencing persistent or recurring pain during intercourse, also known as dyspareunia, treatment is available. At Beyond Basics, we specialize in treating dyspareunia through a holistic approach to pelvic health. Our goal is to help alleviate your pain and restore your confidence in intimacy.

Symptoms of Dyspareunia

Dyspareunia refers to pain during or after sexual intercourse. Symptoms can vary and include:

  • Pain during penetration, either deep or at the vaginal opening
  • Burning, aching, or sharp sensations during intercourse
  • Discomfort that lingers after intimacy
  • Painful muscle tightness or spasms in the pelvic area
  • Reduced sexual desire
  • Anxiety due to fear of pain from intercourse
  • General tenderness in the pelvic or genital region
Symptoms of Dyspareunia
How Your Pelvic Floor Can Contribute to Dyspareunia

How Your Pelvic Floor Can Contribute to Dyspareunia

The pelvic floor consists of muscles that support your pelvic organs, and those muscles play an important role in sexual function. Dysfunction in these muscles can lead directly to dyspareunia. Here’s how pelvic floor issues can cause or worsen pain during intercourse:
  • Tension and Tightness: Overly tense pelvic floor muscles or tightness in surrounding muscles can make penetration painful.
  • Muscle Spasms: Involuntary spasms can trigger sudden, sharp pain during intimacy.
  • Weak Muscles: Weak pelvic floor muscles can cause discomfort due to a lack of proper support for pelvic organs.
  • Nerve Sensitivity: Dysfunctional pelvic floor muscles can irritate or compress nerves, leading to pain in the pelvic area.
  • Reduced Blood Flow: Poor muscle function can impair circulation, limiting oxygen supply to tissues and causing discomfort.

    How Pelvic Floor Physical Therapy Can Help

    At Beyond Basics, we understand how dyspareunia can disrupt your life, and we’re here to help you find relief. Our pelvic floor physical therapy focuses on addressing the root causes of pain and improving your overall function. Our treatment can:

    • Significantly reduce or eliminate pain during and after intercourse
    • Relax and strengthen pelvic floor muscles for improved comfort
    • Enhance your sexual function and intimacy by addressing physical barriers to pleasure
    • Improve your overall quality of life and pleasure by helping you feel confident and pain-free
      How Pelvic Floor Physical Therapy Can Help

      What to Expect During Your Sessions

      During Your Initial Appointment

      Your first session begins with a thorough evaluation of your symptoms, history, and any areas of discomfort. We take the time to listen and understand your concerns. A physical assessment will follow, focusing on external and internal pelvic floor muscles to identify muscle tension, spasms, or nerve issues contributing to your pain.

      These assessments and gentle manual techniques are performed with your consent. The purpose is to locate and address the source of your discomfort. We’ll also explain each step so you feel informed and comfortable throughout the process.

      During Your Additional Appointments

      Each physical therapy session is customized to your needs. Our treatments involve hands-on therapy (with your permission), targeted exercises, and strategies to improve pelvic muscle function and overall comfort. Our goal is to reduce your pain and symptoms, restore ease during intimacy, and empower you with tools for long-term relief.

      Client Testimonials

      Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.
      A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.
      Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
      I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery.
      The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!
      Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.
      I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!
      I cannot recommend Sonali highly enough, she’s truly incredible!
      Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊
      Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.
      Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
      So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!
      I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery.

      The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.
      Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!
      My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.
      Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.
      Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..
      I went to go see Kiko for tailbone pain that I had ignored for 20 months since giving birth. She gave me a thorough assessment and explained the reasons behind the persisting pain. She looked at my body as a whole, not just the pelvic area and we are addressing other problem areas that have been causing the pain. I can’t believe how much I’ve improved even after just one session. Her bedside manners are great too and I feel very comfortable working with her. I highly recommend this place for all new mamas!
      I have had an amazing experience working with Kiko. She takes a holistic approach to assess and address your individual needs. Working with Kiko has dramatically reduced the symptoms of a condition I have had for many years, when nothing else I have tried has helped. My quality of life has greatly improved and I am very grateful!
      High quality, physical care
      I found this place on Maps when my pelvic pain flared up best decision ever. I felt real progress after just a few visits.
      Very knowledgeable skilled understanding and friendly. Highly recommend
      Very helpful!
      Sonali is one of the most caring and kind person I have come across. As a patient and most importantly as a female, to find these two qualities in a therapist are not only extremely important but also extremely rare to find.
      I am working with Sonail. She is a skilled practioner both with hands and heart.
      I want to thank Dr. Solani Patel. Throughout my treatment she has been gentle, polite, patient and very knowledgable. Each of the exercises she gave me were very relevant to my condition and very helpful.
      Beyond basics is such an amazing space for rehabbing postpartum pains and aches.
      The therapists are incredibly knowledgeable, kind, gentle, and wonderful at their job!
      As a dancer, I received the expert care I needed to return to work with confidence.
      Beyond Basics is one the best places to go for physical therapy.... I'm extremely happy I started going here, and it's very convenient, being that it's directly across the street from Grand Central. My physical therapist, Radhi Kadakia, is awesome and highly recommended!
      Vivian is fantastic! I felt like in just a few minutes she identified the reason I’ve been having so much so joint and hip area oain for the past couple of years. I had seen multiple different docs/specialists and no one had been able to figure anything out. She gave me some exercises to help gain more connectivity and activation on my glutes (I over-rely on my core and quads and not enough in my posterior chain), and when I said I’d be more likely to do them if I had a video demo she kindly did demos and let me record them!

      I’ll also add that I’m a childbirth educator and both doula and have been recommending this practice for years because colleagues and clients have raved about them but only recently did I get to actually experience this for myself. (In fact, I ran into one of my birth class students when I went to my appointment!) Now I can recommend even more highly!
      Emily Moore is the most insightful, ingenious and effective PT I have ever worked with, and I've worked with over a dozen over the past 30 years. I wish they were a little more Medicare compliant, but even if it costs more, to me, it's worth it.
      PT Danielle is phenomenal. She knows about the entire body. She gave me exercises for my upper right back which are paying off. BBPT sends you a follow-up email with videos about how to do the exercises. They are awesome.
      I had a great experience at Beyond Basics! I was nervous about going to physical therapy, but Sonali was so professional and nice, which made me feel a lot more comfortable. Sonali fully solved my pelvic floor issues in only a few sessions. She gave me stretches to do on my own time to move my progress along and also to ensure I don't lose any progress I've made. The receptionist Jasmine is also great-she is really helpful when it comes to scheduling appointments. I can't recommend Beyond Basics enough!
      Great care - wonderful therapists. Head and shoulders above most other Physical Therapy practices.
      Sonali was wonderful! Extremely knowledgeable and understanding. Excellent facility.
      The waiting room--always decorated--is a welcoming space. Makela is respectful, resourceful and wonderfully clear in spoken and physical instruction. It is truly a pleasure to work with her,
      I highly recommend Beyond Basics Physical Therapy. Great staff!
      Danielle Santora is exceptionally well-informed, a great listener and and a great educator. She is that rare person who knows her business and has the sensitivity to deal with a delicate subject.
      Eliza is amazing! I am seeing her for pelvic floor PT due to pregnancy related discomfort and in just 2 sessions she has helped reduce my pain/discomfort a lot. She has a very kind and comforting bedside manner and makes you feel very at ease. I highly recommend her.
      Sonali Patel is an excellent physical therapist. She is very knowledgable about pelvic health, and has great manual therapy and communication skills. I highly recommend her.
      This place is amazing!!! I worked with Sonali. She was extremely knowledgable and our sessions were very thorough. Sonali was so compassionate and helped me feel so supported. I felt like she really understood what I was going through. I saw great improvements and am very satisfied with the whole experience. Highly recommend!
      Wonderful place, I've worked with Makela previously, she's "as good as it gets". Natural healer, empathetic, pleasant, smart,,,,,,,what more can u ask for?
      Vivian Zhang at Beyond Basic PT is awesome! She took my concerns seriously and, using exercises and physical releases, improved my breathing and quality of life.
      My experience with Beyond Basics has been outstanding! Danielle is incredibly insightful, professional, and an excellent communicator. She is truly an expert and I am very grateful to have her in my journey!
      Sonali Patel is a miracle worker! I came to Beyond Basics with really bad TMJ issues and Sonali was able to provide me almost instant relief from years of tension. I've never felt better and she taught me some really awesome tips I can use myself moving forward. Overall I had a really great experience at Beyond Basics!
      I’ve now been to Beyond Basics at two different points in my life for two different reasons. They are truly the experts. I walk away from each session in awe of the deep knowledge base of my physical therapist Sonali, who I trust and respect deeply. I have dealt with other physical therapy offices in the past and nothing can compare to the level of care, comfort, professionalism, efficiency, and effectiveness of this office. I actually look forward to my appointments. Highly recommend for anyone with GI issues of any kind or has had a baby!
      I highly recommend Beyond Basics for pelvic floor PT. My therapist, Vivian, was friendly, thoughtful, respectful, and knowledgeable. She knows what she’s doing and made great suggestions for exercises I could do on my own. I had great results in combination with treatment recommended by my doctor. The facility is clean and staff are welcoming. Highly recommend.
      A terrific therapist who made an awkward procedure comfortable and normal. She is smart, sensitive , knowledgeable and a delight to be with during therapy
      Beyond Basics is the Physical Therapy place to go for exceptional, friendly, knowledgeable, and personalized care for your physical rehabilitation, particularly following surgery and pelvic floor strengthening. Danielle, Physical Therapist, is awesome!
      Incredibly caring, experienced and professional. Highly recommended.
      Makela is an amazing PT. The office staff is wonderful and the space is great. Highly recommend.
      Rachel at Beyond Basics downtown is an outstanding, highly skilled, patient, kind and dedicated physical therapist. I love going to see her, she helps me so much. *Highly* recommended!
      I was afraid to go out because of my overactive bladder.  Vivian Zhang saved my life.  My life improved tremendously after spending two months with her.

      She is very patient, knowledgeable, and professional.  She spends a full hour with me which I could not find in any other physical therapy.  She gave me so much attention and continued to look for the root cause of my problems.  She explains the purpose of the exercises.  She teaches me the exercises and makes sure I do it correctly.  She will check my understanding in the next session to make sure I do it correctly.  If I don’t do it correctly, she will find another way to explain to me and check my understanding.   All other physical therapy just spends 30 minutes on me and leaves me alone to do the exercises myself.  They don’t check to see if I am doing it correctly.  Before coming to Beyond Basic, I was in another physical therapy for a year and was not able correct my overactive bladder problem.  I am so lucky to have found Vivian and Beyond Basic.
      You don't take my insurance.
      Superb and attentive care. Highly recommended!
      I've really appreciated my experience so far at Beyond Basics, working with Makela. I was nervous going into pelvic floor physical therapy and she was respectful and considerate of my hesitation. She also makes a great effort to connect with other members of my treatment team, which makes me feel like I'm being supported holistically. I have already noticed improvement in my daily life, and I'm very grateful!
      At Beyond Basics I found the help I needed for my Postpartum recovery after a traumatic delivery. Little did I know all the benefits I could get from pelvic floor PT. Here I learned a lot of tools to have a better pelvic health and improve my wellbeing. I really recommend pelvic floor PT to all women! This will help you for life.
      Vivian has been my PT and she is great! She has helped me in a lot of ways, physically and emotionally, she’s caring and very knowledgeable.
      Also, the girls from front desk are very kind.
      Beyond basics is a great place!
      My experience with Beyond Basics has truly been life changing!

      After having a variety of symptoms without a true diagnosis for months, I found Beyond Basics, and, while I was completely unfamiliar with pelvic floor physical therapy before going there, I quickly realized the benefits even after my first session.

      I've now been working with Vivian Zhang for almost a year, and I am continuously amazed by her work. Out of all of the medical professionals that I've worked with in the past, Vivian has shown the most care and interest in my well being. Healing is definitely a journey, and Vivian has shown the utmost respect and patience for me as I work through ups and downs of my personal path. With Vivian, I feel like I have a trusted resource and someone who genuinely listens to me, and that has made such a difference in my recovery.

      I cannot thank Vivian, and Beyond Basics as a whole, enough for the improvement that they've made to my quality of life and I highly recommend this practice to anyone who is even remotely considering pelvic floor PT!
      Eliza was so great to work with. She was very helpful. She is caring and compassionate. She helped me feel better. Grateful for all of her support. Can’t say enough good things. Would be better if they accepted insurance though.
      Beyond Basics PT identified my needs and listened to my concerns as well as planned a treatment regimen that addressed the fundamental causes of my issues. Makayla knowledge regarding body mechanics is extraordinary.
      I needed a specialized pt called pelvic floor therapy following rectal surgery. I found Vivian Zhang a very able and knowledgeable therapist at Beyond Basics Physical Therapy on William Street in lower Manhattan. After six weekly one hour sessions, I had a significant improvement in returning to a normal life. Vivian was very clear in her instructions, provided illustrated email instructions for at-home exercises and was available via email as needed. She was also very patient and kind with this 87 year old client.
      Dr. Spielman and the Beyond Basic staff are amazing. The front desk is kind, friendly and very helpful when booking appointments.

      Dr. Spielman is a life saver. She helped me at a time when I had experienced months of debilitating pain. I had seen multiple specialists and tried various medications to no avail.

      Dr. Spielman was the first doctor to diagnose me with an overly tight pelvic floor. She has helped me with workouts, stretches and provided me with important anatomical information on my road to recovery.

      I am so grateful for her and I can't recommend both Dr. Spielman and Beyond Basics enough!
      I received excellent care at Beyond Basics
      I have been a patient at the Beyondbasics PT for almost 3 years and they successfully helped me with both the pelvic floor and orthopedic issues.
      I have health issues and I have used several physical therapists in the past.
      Beyond Basics is the best!!
      They were recommended to me by my doctors
      And I am grateful for the recommendations.
      Beyondbasics PTs are knowledgeable, attentive, patient and kind.
      Front desk representatives are very friendly and kind.
      Thank you
      I am extremely grateful for Ekta's work. She figured out a complex problem within 2 visits. Importantly, I now understand the problem and know what to do to fix it. I went to so many medical specialists and Pelvic PT's and they couldn't figure out problem. I highly recommend Beyond Basics a perfect name.
      Excellent treatment, knowledgeable therapist. Very informative and comfortable experience.
      Joanna was super helpful, knowledgeable, and caring. Would absolutely recommend!
      we-can-help

      Beyond Basics: We Can Help

      At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

      Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.

      The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel at our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.

      Get help now from a pelvic floor therapist for pain during intercourse

      Dyspareunia

      — Beyond Basics PT | Pelvic Floor Therapy NYC.

      Frequently Asked Questions

      What causes painful intercourse?
      Painful intercourse (dyspareunia) can result from issues like pelvic floor dysfunction, dryness, or other related pelvic conditions. These factors can affect the flexibility and comfort of pelvic floor muscles, making sexual intercourse very uncomfortable.
      Can pelvic floor physical therapy help with sexual pain?

      Yes, pelvic floor physical therapy can address sexual pain by targeting the root causes, such as tightness, spasms, or weakness in pelvic floor muscles. Physical therapy often includes manual techniques, exercises, and education to reduce your discomfort and improve function.

      How is dyspareunia diagnosed and treated?

      Painful sexual intercourse is diagnosed through a comprehensive physical examination and a detailed discussion of symptoms. Potential causes such as vaginal atrophy, vulvar pain, pelvic pain, or sexual dysfunction are considered during a differential diagnosis (ruling out other potential conditions). Treatment often includes pelvic floor physical therapy to address muscle tension, improve flexibility, and reduce your discomfort.

      How does pelvic floor dysfunction contribute to painful intercourse?

      Pelvic floor dysfunction, such as tight or weak pelvic floor muscles, can cause tension or limit flexibility, leading to discomfort during sexual intercourse.

      Will pelvic floor physical therapy help if I experience deep pain during intercourse?

      Yes, pelvic floor physical therapy can help alleviate deep pain during intercourse by relaxing tense muscles and improving blood flow to the pelvic area. The physical therapy is customized to address your specific pain points.

      Can vaginal dryness worsen dyspareunia?

      Yes, vaginal dryness can increase friction and make penetration more uncomfortable, contributing to dyspareunia. Treatment can address dryness alongside pelvic floor dysfunction for comprehensive relief.

      Is dyspareunia common after childbirth?

      Yes, postpartum dyspareunia can occur as a result of changes in pelvic floor muscles or scar tissue from delivery. Pelvic floor physical therapy is very effective in addressing these issues and helping you regain comfort during intimacy.

      How long does it take to see results from pelvic floor therapy?

      The time frame varies, but many patients notice improvement in symptoms like sexual pain within a few sessions. Consistent therapy, exercises, and education can lead to long-term relief.