Pelvic Pain
Pelvic pain isn’t just tight muscles.
Burning. Irritation. Pain with sitting. Pain that hasn’t gone away.
If you’ve tried treatments and you’re still in pain, this is where things start to make sense.
This is for you if:
• You have burning, irritation, or rawness at the vaginal opening.
• Sitting is uncomfortable or painful.
• You’ve been told everything looks “normal,” but it doesn’t feel normal.
• You’ve tried pelvic floor PT—and you’re still in pain.
• You feel like something is being missed.
WHAT’S ACTUALLY GOING ON…
Pelvic pain is rarely caused by one thing.
Most of the time, it’s a combination of:
Vaginal and vulvar tissue health.
Low estrogen - and often low testosterone, which is commonly overlooked - can make tissue more sensitive and prone to pain.
Pelvic floor muscle tension.
Tight, overactive muscles that don’t relax.
Nerve sensitivity.
Pain pathways that have become more reactive over time.
These systems are connected.
If you treat only one, symptoms often persist.
Pelvic pain often overlaps with pain with sex and hormonal changes, which are also evaluated as part of your care.
This is what I do differently.
I evaluate all three systems together and treat them directly.
Most patients need a combination of:
Treating vaginal and vulvar tissue directly using estrogen and, when appropriate, testosterone.
Pelvic pain suppositories that act directly on the pelvic floor muscles without whole-body side effects.
Coordination with pelvic floor physical therapy (when needed).
Advanced treatments when needed, including vaginal Botox injections when pelvic floor muscles remain tight.
Your treatment plan is built around what is actually causing your symptoms.
How it Works
We start with a comprehensive visit
I identify what’s actually causing your symptoms
You leave with a clear, step-by-step plan
No guessing. No being told everything looks normal.