Vaginismus Treatment and Pelvic Floor Care
This time of year can bring more attention to connection and intimacy—but if that feels physically uncomfortable or emotionally overwhelming, it might be time to look deeper.
If intercourse is painful, tampons are difficult to use, or pelvic exams bring on anxiety or sharp discomfort, you may be experiencing vaginismus.
Vaginismus is more common than most people realize—and far more treatable than many are told. At Imagine Pelvic Health, we offer a comprehensive, body-first approach to treatment that includes pelvic floor therapy, gentle myofascial release, and pelvic health occupational therapy.
What Is Vaginismus?
Vaginismus happens when the pelvic floor muscles tighten involuntarily—often in anticipation of penetration or touch. That automatic clenching can make insertion painful or impossible.
Over time, these muscles can become conditioned to stay guarded, reinforcing the pain cycle. And while vaginismus is physical, it’s also deeply connected to your nervous system. That’s why treatment has to do more than just stretch a tight muscle—it needs to help your body feel safe, responsive, and regulated again.
Pelvic Floor Therapy for Vaginismus
Pelvic floor therapy helps retrain your muscles to stop guarding and start responding—restoring natural movement and reducing pain. Our approach is personalized to your body and your goals.
Treatment may include:
Pelvic health occupational therapy to improve breath coordination, body awareness, and control
Myofascial release therapy to gently address fascial and muscular restrictions
Manual therapy techniques focused on surrounding areas like the hips, back, and abdomen
Education and pacing so you always understand your plan and feel in control of each step
Whether your goal is pain-free intimacy, feeling confident at your next gynecological exam, or simply reducing chronic pelvic tension, we build a plan that fits your life.
Why We Include Myofascial Release
Fascia—the connective tissue around your muscles and organs—can store tension long after an injury, surgery, or period of stress. When it’s restricted, your muscles can’t fully relax.
Myofascial release is a gentle, hands-on technique used to release these deeper layers of restriction. It often brings a level of relief clients didn’t expect, especially when paired with breathwork and movement therapy.
What to Expect from Treatment
You don’t need a formal diagnosis to start. If you’ve experienced any of the following, pelvic floor therapy may help:
Pain with intimacy or penetration
Discomfort during pelvic exams
Difficulty using tampons or menstrual cups
A sense of guarding or tightness in the pelvic region
Care is private, paced, and individualized. We take time to listen, explain, and work with your body—not against it.
It’s Time to Move Forward
If pain has been part of your routine for months or even years, you deserve answers and support—not assumptions or quick fixes.
Our team at Imagine Pelvic Health helps clients with vaginismus, pelvic pain, and post-surgical tightness through care that’s clinically grounded and focused on the full picture of your pelvic health.
