Pelvic floor physiotherapy for vaginismus and painful sex

Vaginismus is an involuntary tightening of the pelvic floor that can make sex, tampons or exams painful or impossible. It’s very treatable, and care goes entirely at your pace.

No referral needed · Covered by physiotherapy benefits · Free parking

A woman in cream loungewear lies on soft bedding with both hands over her lower abdomen and pelvis

Does this sound familiar?

  • Pain or burning with penetration
  • Unable to insert a tampon
  • Painful or impossible pelvic exams
  • Fear or anxiety about penetration
  • Pain after childbirth or menopause
  • Feeling of “hitting a wall”

What contributes to vaginismus

  • Anxiety, fear or past painful or traumatic experiences
  • Stress and relationship or emotional factors
  • Medical causes such as infections, hormonal changes or vulvodynia
  • Limited education about anatomy and sexual health
  • Childbirth and postpartum changes

How we treat it

You are in control at every step. We begin with education about your anatomy and what’s happening, which on its own often reduces fear. From there we use gentle desensitization, relaxation and breathing, and when you’re ready, internal release and guidance on using dilators or a pelvic wand at home.

What treatment can include

  • Education and reassurance
  • Breathing and relaxation
  • Gradual desensitization
  • Internal release when you’re ready
  • Dilator and wand guidance
  • Home program

Every plan is built around you after a thorough one-on-one assessment, and your progress is re-tested at each visit.

“I loved seeing Ellie Hong for my pelvic floor therapy! She was kind, informative and very helpful!”
Revival Physio patient · Pelvic floor therapy

Common questions

Related

Do I have to have an internal exam?

No. Many people with vaginismus start with external work and education. We only progress when you feel ready.

Is there anything I can read first?

Yes. Our free guide, “Painful sex: the road to recovery,” is on our free resources page.

Let’s find the cause

Book an assessment online. No referral needed, and most extended health plans cover your visits.

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