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Therapy for Painful Sex (Dyspareunia)

Pain with intimacy is common, and it is not something you have to live with or feel embarrassed about. Overactive or tender pelvic floor muscles are a frequent, very treatable contributor, and this is one of the areas I treat most.

Sound familiar?

Pain with penetration or afterwards

Burning, stinging, or tightness

Pain since birth, surgery, or menopause

Difficulty with tampons or exams

Anxiety that makes symptoms worse

How I can help

Care is private, unhurried, and always at your pace. Depending on your situation we may use:

Gentle manual therapy to release overactive or tender pelvic floor muscles

Down-training and relaxation strategies for a pelvic floor that cannot let go

Graded, at-home tools and techniques you control

Education about what is driving the pain, which is often a relief in itself

I came to Kylie dealing with painful intercourse due to endometriosis, and to prepare for my excision surgery to remove it. She was so knowledgeable, kind and easy to talk to. My pain improved so much after seeing her I highly recommend!

Katlyn Zirkelbach

★★★★★ · Google review

What your first visit looks like

A conversation, fully clothed

Your history and your goals, at whatever depth you are comfortable sharing.

Nothing without your consent

Internal assessment is offered only if and when you are ready, and it is always optional.

You set the pace

We agree on a plan and a speed that feels safe to you, and adjust as we go.

Common questions

Is this a normal thing to see a pelvic floor therapist for?

Completely. Painful sex is one of the most common reasons women come to see me, and it responds well to treatment.

Do I have to have an internal exam?

No. An internal assessment gives useful information, but it is always optional, and there is plenty we can do externally while you build comfort.

How many visits does it usually take?

It varies with how long symptoms have been present, but most women notice change within a handful of sessions once we find what is driving the pain.

Wondering if this is what you're experiencing?

Tell Dr. Kylie what's going on and she'll get back to you within one business day.

Request a visit

or call 720-588-3533