The pelvic floor is the group of muscles that supports the bladder, bowel, and reproductive organs and helps control continence and sexual function. When these muscles are too weak, too tight, or uncoordinated, they can contribute to discomfort or changes in sexual response.

Dyspareunia is the medical term for persistent or recurrent genital pain that occurs before, during, or after intercourse. It has many possible causes, including dryness, hormonal changes, pelvic floor tension, or medical conditions, and is worth discussing with a healthcare provider.

Pelvic floor therapy is specialized physical therapy that assesses and treats the pelvic floor muscles. A trained therapist may use guided exercises, manual techniques, and education to address pain, tightness, weakness, or coordination problems that affect comfort and intimacy.