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If sex is painful, you are not alone — and you are not broken. Pain during sex is one of the most underreported and undertreated conditions in women's and men's health, largely because people are embarrassed to bring it up, or have been told there's nothing that can be done.
There is something that can be done. At Pelvicore Rehab & Wellness, we treat the pelvic floor root cause of sexual pain — without judgment, without embarrassment, and with nearly 30 years of clinical experience in exactly these concerns.
Sexual pain and dysfunction have many forms — and each one has a pelvic floor component that can be identified and treated. At Pelvicore we treat:
Pain during or after penetration, whether superficial or deep. One of the most common presentations we see and one of the most successfully treated through pelvic floor physical therapy.
Involuntary contraction of the vaginal muscles that makes penetration painful or impossible — including during sex, gynecological exams, or tampon insertion. Highly treatable with the right approach.
Chronic vulvar pain or burning without an identifiable cause. Often dismissed or misdiagnosed. Responds well to pelvic floor manual therapy and desensitization techniques.
Declining estrogen causes vaginal tissue changes that can make sex painful. This is one of the most common and most treatable forms of dyspareunia and is often addressed in combination with our hormone therapy program.
Pelvic floor changes during pregnancy and childbirth frequently cause pain during sex — both during pregnancy and in postpartum recovery. Early treatment produces the best outcomes.
In men, pelvic floor tension and dysfunction is a common and frequently missed driver of erectile dysfunction. Pelvic floor physical therapy and dry needling treatment can address the musculoskeletal component directly.
Post-surgical adhesions and scar tissue from procedures like hysterectomy, prostatectomy, episiotomy, or C-section can cause ongoing sexual pain that responds very well to scar tissue release and manual therapy.
Pelvic floor dysfunction — whether too tight or too weak — can interfere with arousal and orgasm. Biofeedback therapy and targeted pelvic floor rehabilitation can address this directly.
Endometriosis frequently causes deep pelvic pain during sex. While pelvic floor physical therapy doesn't treat the endometriosis itself, it addresses the pelvic floor tension and adhesions that amplify pain and significantly reduces the overall pain experience.
"I was terrified about a proctectomy surgery mostly because the I was worried about long term erectile dysfunction after. I regained full ability very quickly and surprised all the doctors at how quickly I was able to recover. Thank you!" Ben, age 59
"Sex was so painful. From my first time, until I found Pelvicore. The reason was my pelvic floor muscles. Once they were addressed, sex went from being a painful chore to a pleasurable, intimate experience. My husband and I are so grateful." Anonymous Female, age 26
MEET YOUR PELVIC FLOOR THERAPIST
Susan Winograd, MSPT has been treating pelvic floor dysfunction in men and women for nearly 30 years. She founded Pelvicore Rehab & Wellness with a single focus: getting to the root cause of symptoms that other providers have dismissed, misdiagnosed, or failed to resolve.
Susan specializes in the kind of cases that arrive at her door after years of dead ends — chronic pelvic pain, post-surgical recovery, bladder and bowel dysfunction, and sexual health issues that most men have never been able to talk openly about with a provider. She's been featured in Peloton, Fit + Well, and numerous health podcasts for her whole-body, non-surgical approach to pelvic health.
Her approach is thorough, judgment-free, and built around one question: what is your body actually telling us?
MEET YOUR PELVIC FLOOR THERAPIST
Jaime Greene, DPT is a Doctor of Physical Therapy and pelvic floor specialist at Pelvicore Rehab & Wellness. She earned her Doctor of Physical Therapy degree from Ohio University in 2005 and spent over 16 years in outpatient clinical practice in the Chicago area — including 12 years at Rush University Hospital, where she also served as a clinical supervisor.
The most common cause is pelvic floor muscle tension or dysfunction — the muscles are too tight, poorly coordinated, or affected by scar tissue or trigger points. Other contributing factors include hormonal changes (particularly during menopause), endometriosis, vulvodynia, vaginismus, and post-surgical adhesions. An accurate diagnosis requires a proper pelvic floor evaluation — which is exactly what we provide.
Yes — for the majority of patients, pelvic floor physical therapy produces significant and lasting improvement in sexual pain. The key is identifying the specific cause. Pain during sex is almost never 'just how it is' — it has a source, and treating that source changes the outcome.
It's common — but it's not something you have to accept. Declining estrogen causes vaginal tissue changes that can make sex painful, and this is highly treatable through a combination of pelvic floor physical therapy and hormone therapy. If you've been told this is just part of aging, a second opinion at Pelvicore is worth having.
Yes. We treat men with erectile dysfunction, sexual pain, and post-surgical sexual dysfunction related to pelvic floor dysfunction. The pelvic floor is not exclusively a womens' concern — and in men, it's frequently the missing piece in sexual health treatment.
For most pelvic pain conditions, an internal assessment provides the most complete and accurate picture of pelvic floor function. This is always discussed with you in advance, fully explained, and completely consensual. You are never asked to do anything without understanding why and agreeing to it.
Most men overlook the pelvic floor — but it’s key to better erections, ejaculation, and confidence in the bedroom. In a powerful new video, pelvic health expert Susan Winograd, PT, shares why pelvic floor health matters and what you really need to know (hint: it’s not all about Kegels).
Most men have been told that the secret to lasting longer in bed is to edge – but what if edging is hurting your pelvic floor and causing even more performance-related issues?
Sexual pain has a source. Treatment at Pelvicore Rehab & Wellness in Boca Raton finds it. Call us at 561-295-1631 or book your free discovery call below — confidential, judgment-free, and no obligation.
350 Camino Gardens Blvd, Unit 102, Boca Raton, FL 33432
