Treatment for Painful Sex in Portland
Compassionate Therapy for Dyspareunia, Vaginismus, and Sexual Pain
If sex hurts, whether it's burning, tearing, deep aching, or impossible to even attempt, you deserve compassionate, skilled care that addresses both the physical and emotional layers of sexual pain.
At Portland Pelvic Therapy, we treat painful sex (dyspareunia) and vaginismus with a trauma-informed approach that honors your body's wisdom, releases held tension and trauma, and helps you reclaim pleasure and connection.
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Vaginismus: Involuntary muscle spasm that makes penetration difficult or impossible
Dyspareunia: Pain with intercourse (can be at the entrance, deep, or both)
Vulvodynia: Chronic vulvar pain or burning
Post-Surgical Pain: After childbirth, gynecological surgery, or other pelvic procedures
Endometriosis-Related Pain: Deep dyspareunia from endo, adhesions, or organ restrictions
Trauma-Related Pain: When your body holds "no" in its tissues from past violations or medical trauma
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Pelvic Floor Manual Therapy: Gentle release of tight, protective muscles
Visceral Manipulation: Addressing organ and fascial restrictions that cause deep pain
Trauma Release: Your body may be holding stories that conventional therapy can't touch. We work somatically to release what's held.
Nervous System Regulation: Teaching your body that intimacy can be safe
Dilator Training: (If appropriate) gradual, patient work at your pace
Partner Education: (If desired) helping your partner understand and support your healing
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Sexual pain is rarely "just" a muscle problem. It's often layered with trauma, grief, disconnection, shame, and nervous system protection.
I hold space for all of it—the physical, the emotional, the soul level.
This is sacred work. Your body's "no" is wisdom. We'll listen to it, honor it, and help you find your way back to safety and pleasure.
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Treatment is gentle, trauma-informed, and always at your pace. Many women start to see improvement in 4-8 sessions, though deeper healing takes time.