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And if you’ve had repeat c-sections – holy moly cannoli! You might not have problems now, but if you don’t work that scar, you have problems later. So, if you’ve found yourself with any of the Seven Unsexy Sins, there is good help available.Pelvic floor physical therapy is a specialty of physical therapy that is completely devoted to pelvic issues – whether it’s pain or incontinence or constipation or something quite scandalous.It can make your muscles in your vagina way too tense when they are supposed to be relaxing. This can cause bladder problems, bowel problems and…painful sex. You might have perineal tearing and a c-section scar.No one really enforces how important it is to work that scar. You’ve got a lot of reasons why sex could hurt, so work the scars in both places to minimize and eliminate the problem.The doctors take it upon themselves to do this because they think they are doing you a favor – for your sex life. Some women don’t even know they got this, all they know is that their vagina feels smaller and they have “no idea why”. It’s not that the stitch doesn’t heal correctly, it’s that your vagina is smaller. These stitches will heal well, but sometimes they can leave you with scar tissue at the perineum. Even with natural tearing you are going to have some scar tissue. Breastfeeding can lower your natural hormone levels inside and outside the vagina making sex dry and lowering your sex drive. So, the really cool thing about the pelvic floor (the support muscles in the pelvis that keep up all your organs and span from all around your vagina and clitoris to all around your anus and from one hip to the other, basically) is that they respond to what we’re thinking. This makes your vagina and your anus smaller – in that moment. It’s your body’s old-fashioned way of trying to protect your reproductive parts so that you will survive and continue to make more humans. I really stress that if you have pain with sex, you really have to have sex when the timing is right for your mind. Just like the stitch scenario, c-sections leave scars.This opens up a whole can of worms that this post isn’t going into. This can be really problematic with sex because scar tissue makes everything tighter and more sensitive. If you don’t work through this scar tissue and massage it and knead it (yes, like bread) then it can create painful sex. When your brain is more relaxed, your vagina is more relaxed. If you don’t work this scar, the scar tissue will grown down into the layers beneath it and really create problems. But, it’s not really funny because both your pelvic floor and abdomen have been through Hell and back.

Sometimes women ask for this, most of the time they don’t. So, if you needed stitches and had an physician, then you got exactly what you needed. When your vagina doesn’t get wet enough, there is friction and this feels like sandpaper and tearing. I think that the most gentle lubricants for painful sex are coconut oil and olive oil or something water-based like Slippery Stuff. They do great marketing, but they’re really not made for the sensitive vagina. Having sex and worrying about the baby waking or being in the room. When you are scared, nervous, anxious or uncomfortable, your pelvic floor muscles will automatically respond and tense up.This is the most common comment anyone from Pakistan will hear the first time they have a conversation with a foreigner.to have sex, it just means your body will not explode if you have sex at this point.Let’s cut to the chase – sex can suck after having a baby. I’m counting the reasons sex hurts after having a baby and I can think of seven of them: 1. If you had a vaginal birth and tore naturally or the doctor cut the perineum (the space between the vagina and the anus) you have a really, really old-fashioned doctor…it’s very possible you got “the Husband Stitch”.

A pelvic floor physical therapist will do an exam on your pelvic floor muscles, determine what your exact reason for painful sex is, then they will teach you things that you can do at home and they will do “hands on” work inside the vagina and outside the vagina.

If you have an unsexy sin, checking out a Pelvic floor physical therapist is worth a shot.

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