Many women have pain with penetration at some times in their lives. There can be pain with sexual intimacy such as intercourse, pain with PAP tests, or pain using tampons (or the tampons just get pushed out). Many factors can be involved: hormones, pelvic muscle hypertonicity, prior trauma, or a combination of these are examples.

Assessing and treating the local tissues of the pelvis is a key component of addressing this issue. And doing so in the context of the entirety of the whole body–the pelvic floor dose not live in isolation–is particularly important. There can be fascial and neuromuscular connections to other areas of the body such at the diaphragm and low back. There are visceral fascial connections to the bladder, uterus, colon, kidneys. Fluidic connections involve lymphatic and vascular vessels and their pathways through and around tissues plus dural fluidic links up to the cranium. This is where osteopathy, combined with physiotherapy, makes such a difference in making changes that are truly healing.

If you have any questions about this topic or the points discussed, please contact me!