How to Talk to Your Doctor About Pelvic Floor Pain (Without Feeling Awkward)
Pain during intimacy is common, but it is not normal. A script for advocating for your sexual health at your next medical appointment.
Dr. Ari Chen
Materials Scientist & Research Lead
HealthAdviceWomens HealthWellness
Written By
Dr. Ari Chen
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It happens far more often than we admit: You experience discomfort or sharp pain during intimacy, but when your annual check-up rolls around, you freeze. The doctor asks, "Any other concerns?" and you say, "Nope, all good."
Pelvic floor dysfunction, vaginismus, and dyspareunia (painful sex) affect millions of women, yet the shame surrounding these conditions keeps them untreated.
The Medical Reality
First, understand this: To your gynecologist or pelvic floor physical therapist, discussing vaginal pain is as mundane as a dentist discussing a cavity. They do not judge; they diagnose.
Pain is your body's "Check Engine" light. Ignoring it can lead to worsening hypertonicity (muscle tightness) and severe anxiety around intimacy.
The Script: How to Bring It Up
If bringing it up naturally feels impossible, write it down. Handing a note to your doctor or nurse practitioner shifts the burden of starting the conversation.
If you prefer to speak, use clinical, objective language to remove the emotional weight:
"I have been experiencing a sharp/burning/aching pain near the entrance/deep inside during intercourse for the past [X] months."
"I am having difficulty using tampons or inserting anything without discomfort."
"I feel like my pelvic muscles are constantly clenched and I cannot relax them."
What to Ask For
Do not settle for "just have a glass of wine and relax." Advocate for a referral. Ask: "Can you refer me to a Pelvic Floor Physical Therapist?"
These specialists are trained to assess the muscles, nerves, and connective tissues of the pelvis, offering treatments that range from biofeedback to manual release. You deserve a pain-free life.
How to Talk to Your Doctor About Pelvic Floor Pain (Without Feeling Awkward) | MythToy Blog
