Dyspareunia or Pain with Sex: Common, But Not Normal

If you’re experiencing pain during intercourse, known as dyspareunia, you’re not alone. Many individuals, even highly active females like CrossFitters, face this issue. But it’s important to know that while dyspareunia is common, it’s not normal—and you don’t have to live with it.

As a pelvic health physical therapist, I work with female CrossFit athletes just like you who are frustrated by this kind of pain and other common pelvic health dysfunctions. Learn more about some of the common ones here.

You may have been told that pain during sex is “just something to deal with” or that it’s a normal part of life. But I want you to know that’s totally not true. Pain during intercourse is your body’s way of telling you something is off, and there are solutions to help.

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What Causes Dyspareunia?

There are several possible reasons for dyspareunia and the list below isn't necessarily all-inclusive. Everyone’s experience is unique, but some of the most common causes can include:

• Pelvic Floor Dysfunction: We know the pelvic floor muscles support your organs and help your body function at its optimal capacity. But, if these muscles are tight, weak, or not working properly, they can result in pain symptoms.

• Hormonal Changes: Changes in hormones, such as after childbirth or when a woman is experiencing menopause, can lead to dryness or tissue sensitivity, which may make intercourse painful.

• Scar Tissue: Scars from childbirth, surgeries, or injuries in the past can make the tissues in and around the pelvis less flexible and more sensitive to movement or pressure.

• Stress or Anxiety: Your emotional health affects your physical health. Stress, anxiety, or past trauma can cause your pelvic floor muscles to tighten, leading to pain.

Why This Matters to Your Health

If fitness is a big part of your life, like it is for many CrossFit athletes, you’re likely focused on keeping your body strong and healthy. Pelvic health is just as important as hitting your next PR or perfecting your form. Ignoring pelvic pain can affect your overall well-being, including your workouts, your relationships, and your sense of confidence.

Learn about the importance of pelvic health in CrossFit athletes at the blog post here.

You Don’t Have to Live with Pain

The good news is that pain during intercourse is totally treatable. A pelvic health physical therapist, like myself, can help you address the root cause of your discomfort and create a plan to relieve it. Depending on your specific needs, treatment may include:

• Pelvic Floor Specific Exercises: Contrary to popular belief, Kegels aren't always the answer when it comes to pelvic health issues - and you can find out why at the blog post here. Pelvic floor specific exercises involve learning to relax, strengthen, or better coordinate your pelvic floor muscles to promote optimal function.

• Manual Therapy: Gentle, hands-on techniques can help reduce scar tissue, release muscle tension, or improve mobility.

• Education: Understanding your body and how it works is a key part of healing and staying pain-free in the long term.

Conclusion

If you’ve been experiencing pain during intercourse, you deserve to feel better. Dyspareunia may be common, but it’s not normal—and there’s no need to put up with it.

As a pelvic health physical therapist, I’m here to help you move toward a life free from pain. Together, we can create a personalized plan that helps you feel strong, confident, and connected to your body again. Reach out today, and let’s get started. You deserve to feel your best, both in and out of the gym.