Repeated pain during intercourse triggers an automatic defense reflex in the pelvic floor. Over time, these muscles remain in a state of chronic spasm. In this article, I discuss the importance of pelvic floor physical therapy in breaking the pain-spasm cycle.
The Pain-Spasm-Pain Cycle
An initial source of pain (like dryness or infection) triggers involuntary muscle guarding. This tightening increases friction during the next attempt, causing more pain and locking the patient in a cycle.
How Pelvic Physical Therapy Intervenes
We utilize specialized physical therapy to stretch and release hyperactive pelvic floor muscles, integrating biofeedback to help patients regain voluntary control over muscle relaxation.