Pain with Sex
Pain with sex isn’t something you have to live with.
Pain with penetration. Dryness. Pain that makes you avoid intimacy.
If you’ve been told everything looks “normal,” but sex still hurts, this is where things start to make sense.
This is for you if:
• You have pain with penetration
• Sex feels tight, burning, or uncomfortable
• You feel dry—even when you’re aroused
• You’ve stopped having sex because it hurts
• You’ve tried lubricants or treatments, and it hasn’t fully helped
WHAT’S ACTUALLY GOING ON…
Pain with sex is usually caused by more than one thing.
Most patients have:
Changes in vaginal tissue
The tissue depends on estrogen and testosterone
When these are low, tissue becomes more sensitive and prone to pain
Pelvic floor muscle tension
Tight muscles make penetration painful
Nerve sensitivity
Pain becomes more easily triggered over time
These are connected.
If you treat only one, symptoms often continue.
Pain with sex is often connected to pelvic pain and hormonal changes, which are both addressed as part of your care.
This is what I do differently.
I treat the actual causes of pain with sex.
Most patients need a combination of:
Restoring vaginal tissue health using estrogen and testosterone
Relaxing the pelvic floor muscles with targeted treatments
Treating pain at the muscle and nerve level
Coordinating with pelvic floor physical therapy when needed
Advanced treatments when needed, including vaginal Botox injections
Your treatment plan is built around what is actually causing your symptoms.
You are not broken, and this is treatable.
Most of my patients have already tried multiple treatments and are still in pain.
This is the step that finally moves things forward.
How it Works
We start with a comprehensive visit
I identify what’s actually causing your pain
You leave with a clear plan