Pain during intercourse can be either superficial (within the vestibule of the vagina) or deep (associated with tension in the pelvic floor muscles and smaller pelvic structures). It is often the result of complex mechanisms involving muscles, fascia, scars, the nervous system, as well as hormonal and emotional factors.

In clinical practice, we most commonly observe:

• excessive tension of the pelvic floor muscles (hypertonia)
• improper functioning of the diaphragm and deep abdominal muscles
• fascial restrictions within the pelvis and lower abdomen
• painfulness of scars from cesarean section or episiotomy
• reduced tissue trophism (e.g., during the perimenopausal period)
• sensory disturbances and hyperreactivity of nerve endings

Pain is not solely a "local" problem. It is often a result of disturbed biomechanics of the entire body and chronic tension of the nervous system. Therefore, effective therapy requires a holistic and interdisciplinary approach.

The therapy for painful intercourse at our center is based on precise functional diagnostics and an individualized management plan. Each patient requires a different protocol – schematic actions in this area do not yield results.

In the therapeutic process, we utilize:

• detailed medical history and functional pelvic assessment
• assessment of pelvic floor muscle tension and coordination
• internal and external manual therapy
• scar mobilization after childbirth and gynecological procedures
• techniques for relaxing pelvic and abdominal fascia
• breathing and neuromotor retraining
• elements of working with the nervous system (tension regulation)
• in selected cases – medical radiofrequency therapy INDIBA supporting tissue regeneration and trophic improvement

The therapeutic process leads to the normalization of muscle tension, improvement of tissue elasticity, reduction of nervous hypersensitivity, and restoration of proper pelvic floor function. This is not a quick, one-time intervention – it is a conscious, staged restoration of comfort.

The problem can affect women of any age. The key is to recognize the indications and rule out causes that require gynecological treatment.

Therapy is recommended in cases of:

• pain during penetration
• burning or "tearing" sensation in the vaginal vestibule
• deep pain during intercourse
• discomfort after natural childbirth or cesarean section
• painful perineal scars or C-section scars
• suspicion of vaginismus
• chronic pelvic tension
• soreness during gynecological examination
• reduced tissue elasticity in the perimenopausal period

If pain leads to avoiding intercourse, fear of intimacy, or affects the partner relationship, it is a clear signal that therapy should be initiated. The earlier the issue is addressed, the shorter and more effective the intervention will be.

The effectiveness of the therapy is based on restoring the proper function of the muscles and tissues of the pelvis. The effects are gradual but lasting if the process is conducted systematically.

Patients observe:

• a significant reduction or complete cessation of pain during intercourse
• improvement in tissue elasticity and blood circulation
• normalization of pelvic floor muscle tension
• reduction of nerve ending hyperactivity
• improvement in muscle control and body awareness
• increased comfort during gynecological examination
• reduction of pain in the pelvic and lower abdomen areas
• improved quality of intimate life and partner relationship
• increased sense of security and control over one's own body

It is worth emphasizing that the therapy not only eliminates pain but also restores the physiological function of the pelvic floor. It's an investment in health for years, not just a solution to a current problem.

Each patient undergoes a qualification for therapy. In some situations, a prior gynecological consultation is necessary.

The contraindications include:

• active intimate infections
• unexplained vaginal bleeding
• fresh wounds and unhealed stitches after childbirth
• active pelvic inflammatory conditions
• cancers of the reproductive organs (without the consent of the attending physician)

Safety is a priority. The therapy is always conducted within the patient's comfort zone, with full respect for her decisions and pace of work.

The effectiveness of therapy also depends on the patient's own efforts between appointments. Education and conscious support of the regeneration process are crucial.

We recommend:

• performing prescribed exercises at home
• working on breathing patterns and tension reduction
• avoiding chronic abdominal tension retention
• conscious relaxation of the pelvic floor muscles
• appropriate tissue hydration (if indicated)
• gradual return to intercourse according to the therapist's recommendations

Regularity and consistency significantly shorten the therapy duration. It is a process that requires cooperation – but it brings real, measurable results.

Painful intercourse is not a "psychological issue by definition" or something to just wait out. In the vast majority of cases, there is a specific functional cause that can be identified and effectively treated.

At the Beauty Embassy in Warsaw, we provide:

• specialized urogynecological physiotherapy
• complete discretion and comfort during your visit
• an individual therapy plan
• modern methods supporting tissue regeneration

If pain is limiting your intimate life – it's not a topic to postpone "for later." It's a signal from your body that deserves serious and professional attention.