01/13/2026
At my pelvic floor assessment, Dr. Alicia Keefe told me the most common topic clinic is individuals having pain with s*x. We had a great discussion about this common concern, and here are three factors we talked about that may contribute to pain with s*x.
💪🏼 Musculoskeletal issues - physically tight muscles in the pelvic floor from lifestyle or injuries
🧠 Neuromuscular issues - psychological issues from past traumas causing pelvic floor tightness
🧪 Hormonal issues - imbalances from hormonal changes during pregnancy, postpartum, or menopause that affect pelvic tissue
Preparing before s*x using a dilator, vi****or, or diaphragmatic breathing may all help alleviate some of the painful symptoms. I highly recommend seeing a pelvic floor therapist for an assessment and guidance and more personalized solutions!💗
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