Tag Archive for: pain with sex

If you are a mother, think back to your final few weeks of pregnancy. You were likely surrounded by a massive community of support. There were doctor visits every single week, baby showers filled with gifts, and family members checking in around the clock to see how you were holding up.

Then, you gave birth.

Almost overnight, the focus shifted entirely. The relentless medical checkups and constant pampering transferred completely to the beautiful new life in your arms. Meanwhile, you were sent home to handle a massive physical and emotional transition with a single, brief six-week medical checkup on the horizon.

During those fragile weeks, maybe you noticed a persistent leak when you laughed. Maybe intimacy felt intensely uncomfortable, or you felt an underlying heavy sadness and trauma when looking back at how your labor unfolded. But when you looked around, nobody seemed to be talking about it. You might have assumed that this is simply the secret, unspoken price of motherhood—that you just have to manage it in silence.

As a physical therapist for women and the founder of No Kegels University®, I hear these exact admissions from thousands of patients. And frankly, it makes me incredibly frustrated. No mother should have to struggle in isolation when clear, life-changing answers exist.

To break down why our maternal healthcare system leaves so many women in the dark, I invited Stephanie—a certified childbirth educator, mindfulness doula, and founder of Bava Birth—onto an episode of the Beyond The V Podcast. Together, we explored why it’s time to completely change the conversation surrounding women’s health.

The Danger of Normalizing the “Mom Leak”

We live in a culture that loves to use humor to deflect from uncomfortable medical realities. You’ve likely seen the social media memes or heard the casual jokes at park playdates: “Oh, don’t make me laugh, I’ve had three kids, I’ll pee my pants!”

While these jokes are meant to create a sense of shared camaraderie among mothers, they carry a subliminal downside: they normalize structural dysfunction. As noted by global health resources like the Mayo Clinic, ignoring chronic pelvic baseline shifts or accepting bladder leaks as normal can delay essential care for issues that are fully treatable.

There is a massive difference between a symptom being common and it being normal.

Leaking urine, experiencing pelvic pressure, or feeling persistent pain during intimacy are incredibly common postpartum occurrences, but they are not a normal or permanent design flaw of the female body. When we treat these issues as unavoidable badges of motherhood, we inadvertently teach women to stop looking for solutions. This silence allows a treatable physical issue to grow into a chronic barrier that robs women of their confidence, their fitness, and their quality of life for decades.

Myth: True Postpartum Care is Just a Checklist

Let’s dismantle a foundational myth in modern maternal medicine: A standard six-week clearing is all a woman needs to successfully resume her normal life.

This checklist approach completely ignores how human anatomy and psychology actually heal. At six weeks postpartum, your tissues are still actively remodeling, your sleep cycle is deeply disrupted, and your nervous system is working overtime to adapt to your new reality.

True postpartum care cannot be wrapped up in a quick, single checkup. Specialized professional organizations like APTA Pelvic Health continually stress that postpartum evaluation should be individualized and thorough, looking far beyond a standard calendar checkmark. It requires an expansive, multi-disciplinary approach that honors both your physical pelvic structure and your emotional mental health.

When I first met Stephanie, I was fully prepared to give her my professional networking pitch about how my pelvic floor physical therapy could serve her doula clients. But as she sat across from me and described her holistic process of birth story processing, I was completely blown away. I realized that despite being a women’s health expert myself, I had buried deep layers of emotional trauma regarding my own two births. I had to step out of my clinical mind, sit down with her as a patient, and intentionally process my stories to truly allow my own body to settle and heal.

How We Collectively Change the Conversation

If we want the next generation of mothers to experience an upgraded standard of postpartum care, we have to actively shift how we communicate about women’s bodies. We must practice three essential shifts in our daily lives:

  • Trade Isolation for Unfiltered Vulnerability: Stop editing your story to only include the happy highlights. Find safe, trusted spaces where you can share the lowlights, the physical frustrations, and the shadowy parts of your experience without fear of judgment.
  • Reject the “Grin and Bear It” Narrative: If a physical symptom is preventing you from enjoying your life, your fitness, or your relationship, don’t accept it as your new baseline. Advocate for your health with the same fierce energy you use to advocate for your children.
  • Build a Multi-Disciplinary Circle: Real wellness requires a team. Surround yourself with professionals who see you as a whole person—pelvic physical therapists who understand pressure mechanics, doulas who protect your emotional sovereignty, and mentors who remind you of your absolute worth.

You are not an afterthought in the birth process. You are the emotional and physical anchor of your family, an heiress to a legacy of strength, and you deserve to feel proud, powerful, and completely at home in your body.

Your recovery blueprint should never be restricted to a standard, one-size-fits-all checklist. If you are experiencing leaking, core weakness, or pelvic discomfort and are ready to experience personalized, root-cause physical therapy, we are ready to guide you. Take the first step for your health and fill out our brief assessment form today so we can build your path forward.

Fill Out Your Postpartum Recovery Next Step Form

As Christian mothers, it is incredibly easy to confuse our sacred calling with a sentence to total self-extinguishment.

We read descriptions of biblical womanhood and instantly picture an idealized superhero who never sleeps, works around the clock, feeds her household entirely from scratch, and handles every minor crisis with a flawless smile. We internalize the belief that if we aren’t constantly serving, sacrificing, and performing heavy manual labor for our families, we are somehow falling short of our divine purpose.

This performance-based mindset creates a devastating pattern in women’s health.

When a Christian mom begins experiencing debilitating postpartum symptoms—such as urinary incontinence, core separation, or a lack of pleasure and intimacy in marriage—she often buries it deep inside. She convinces herself that suffering in silence is just her cross to bear as a mother. She treats her body like an old workhorse, expecting it to continuously show up and perform while denying it the essential care, rest, and structural rehabilitation it desperately needs.

But I want to tell you something you may have never heard inside the walls of your church: Your body is not broken, and your work does not equal your worth.

Moving Beyond Performance-Based Value

As a women’s health expert and pelvic floor physical therapist, I frequently have to step outside the purely clinical realm to address the underlying mindsets keeping women trapped in physical dysfunction.

Many years ago, I had to confront this exact barrier in my own life. I was raised in a lineage of incredibly hard-working women who knew how to sacrifice. I naturally tied my value directly to my productivity. During a season where I was intensely pregnant, preparing for a holiday, and running multiple family businesses, my life coach asked me a question that felt like a physical slap in the face:

“Pauli, do you know that your value wouldn’t change if you decided to lay on the couch all day?”

My whole soul rebelled against that idea. Lay on the couch? Do nothing? That sounds like laziness, not holiness.

But the biblical truth is clear: Your worth is an immutable, unchanging reality established by God. You are an heiress and a queen, created intentionally in His image. Your value was fully settled on the cross. It does not increase when you bake perfect treats from scratch, and it does not decrease when your body requires you to stop, rest, and receive specialized medical care.

Stewardship vs. Martyrdom in Postpartum Recovery

Let’s dismantle a pervasive myth keeping Christian women stuck: Taking time to heal your pelvic floor or core is a selfish, vain project.

This couldn’t be further from the truth. According to clinical data published by leading research centers like the Mayo Clinic, pelvic floor dysfunction and associated conditions like pelvic organ prolapse or severe tissue trauma significantly diminish a woman’s everyday quality of life, directly impacting her mental health, systemic vitality, and physical capabilities.

Taking care of your physical vessel isn’t selfish; it is an act of stewardship. God designed your body to be powerful, resilient, and capable of experiencing joy. When you refuse to address physical symptoms out of a false sense of martyrdom, you are denying yourself the vibrant physical health required to fully live out your higher calling. This is about more than symptom management—it is about honoring the design of your Creator.

Reclaiming Joy and Connection in Marriage

We cannot talk about women’s health in Christian motherhood without addressing the sacred space of marriage.

Many women suffer from painful intimacy after childbirth or feel intense shame because pelvic floor trauma has stripped away their physical pleasure. This creates an unspoken, painful barrier to emotional and physical intimacy in marriage, leading to isolation, guilt, and marital strain.

Intimacy is a beautiful, God-given gift designed to bind a husband and wife together in unity. If pain, fear, or leaking has stolen that gift from your relationship, your body is not broken—it is simply crying out for targeted, root-cause pelvic floor physical therapy.

Understanding your body creates confidence, and that structural confidence directly translates into a restored, joyful connection with your spouse. You deserve better than fear-based, dismissive advice that tells you to just accept a sexless or painful marriage as your new postpartum normal. Root-cause healing matters.

Three Steps to Honor Your Temple Today

The goal isn’t temporary relief—it’s long-term strength. If you are ready to step onto the journey of true, root-cause healing, start with these three faithful actions:

  • Practice Holy Rest: Intentionally carve out 10 minutes today to lie down and let your core fully relax. Remind yourself that the world will keep turning while you rest in His grace.
  • Audit Your Roles: Look at your duties as a mom and wife. Identify the parts you genuinely enjoy—like baking with your kids or reading together—and focus on the joy of those moments, rather than viewing them as a checklist to earn your worth.
  • Invest in Specialized Care: Stop ignoring the leaking, the heavy pressure, or the pain. Treat your body with the respect a temple of the Holy Spirit deserves by seeking specialized, root-cause physical therapy.

You are on a journey, and you don’t have to walk it alone. Your sisters, your friends, and the women standing next to you in the carpool lane are all navigating these exact same pressures. I am cheering you on every single step of the way.

You don’t need more random, generic exercises you found on social media. You need a comprehensive, evidence-informed strategy designed specifically for your unique body. If you’re ready for support, I’d love to help. Take the first step by filling out our brief assessment form today.

Fill Out Your Core & Pelvic Floor’s Next Step Form

As Christian mothers, it is incredibly easy to confuse our sacred calling with a sentence to total self-extinguishment.

We read descriptions of the virtuous woman and picture a superhero who never sleeps, works around the clock, feeds her household from scratch, and handles every crisis with a flawless smile. We internalize the belief that if we aren’t constantly serving, sacrificing, and performing manual labor for our families, we are somehow falling short of our divine purpose.

This structural twist creates a devastating pattern in women’s health.

When a Christian mom begins experiencing debilitating postpartum symptoms—such as urinary incontinence, core separation, or a lack of pleasure and intimacy in marriage—she often buries it. She convinces herself that suffering in silence is just part of her cross to bear. She treats her body like an old workhorse, expecting it to continuously show up and perform while denying it the essential care, rest, and rehabilitation it desperately needs.

But I want to tell you something you may have never heard inside the walls of your church: Your body is not broken, and your work does not equal your worth.

Your Value Was Settled on the Cross

As a women’s health expert and pelvic floor physical therapist, I frequently have to step outside the purely clinical realm to address the spiritual mindsets keeping women trapped in physical dysfunction.

Many years ago, I had to confront this exact barrier in my own life. I was raised in a lineage of incredibly hard-working women who knew how to sacrifice. I naturally tied my value to my productivity. During a season where I was intensely pregnant, preparing for a holiday, and running multiple family businesses, my life coach asked me a question that felt like a physical slap in the face:

“Pauli, do you know that your value wouldn’t change if you decided to lay on the couch all day?”

My whole soul rebelled against that idea. Lay on the couch? Do nothing? That sounds like laziness, not holiness.

But the biblical truth is clear: Your worth is an immutable, unchanging reality established by God. You are an heiress and a queen, created intentionally in His image. Your value was fully settled on the cross. It does not increase when you bake perfect treats, and it does not decrease when your body requires you to stop, rest, and receive medical care.

Myth: Prioritizing Your Healing Is Selfish

Let’s dismantle a pervasive myth keeping Christian women stuck: Taking time to heal your pelvic floor or core is a selfish vanity project.

This couldn’t be further from the truth. According to clinical foundations taught by leading institutions like the Herman & Wallace Pelvic Rehab Institute, pelvic floor dysfunction significantly diminishes a woman’s quality of life, impacting her mental health, physical capabilities, and marital relationship.

Taking care of your physical vessel isn’t selfish; it is a matter of stewardship. God designed your body to be powerful, resilient, and capable of experiencing joy. When you refuse to address physical symptoms out of a false sense of martyrdom, you are denying yourself the vibrant health required to fully live out your calling. This is about more than symptom management—it is about honoring the design of your Creator.

Root-Cause Healing and Marital Intimacy

We cannot talk about women’s health in Christian motherhood without addressing the sacred space of marriage.

Many women suffer from painful intimacy after childbirth or feel intense shame because pelvic floor trauma has stripped away their physical pleasure. This creates a painful barrier to emotional and physical intimacy in marriage, leading to isolation, guilt, and marital strain.

Intimacy is a beautiful, God-given gift designed to bind a husband and wife together. If pain or leaking has stolen that gift, your body is not broken—it is simply crying out for targeted, root-cause pelvic floor physical therapy.

You deserve better than fear-based, dismissive advice that tells you to just accept a sexless or painful marriage as your new normal. Understanding your body creates confidence, and that confidence directly translates into a restored, joyful connection with your spouse.

How to Honor Your Body Today

The goal isn’t temporary relief—it’s long-term strength. If you are ready to step onto the journey of true, root-cause healing, start with these three faithful actions:

  • Practice Holy Rest: Intentionally carve out 10 minutes today to lie down and let your core relax. Remind yourself that the world will keep turning while you rest in His grace.
  • Audit Your Roles: Look at your duties as a mom and wife. Identify the parts you genuinely enjoy—like baking with your kids or reading together—and focus on the joy of those moments, rather than viewing them as a checklist to earn your worth.
  • Invest in Specialized Care: Stop ignoring the leaking, the heavy pressure, or the pain. Treat your body with the respect a temple of the Holy Spirit deserves by seeking specialized, root-cause physical therapy.

You are on a journey, and you don’t have to walk it alone. Your sisters, your friends, and the women standing next to you in the carpool lane are all navigating these exact same pressures. I am cheering you on every single step of the way.

You don’t need more random, generic exercises you found on social media. You need a comprehensive, evidence-informed strategy designed specifically for your unique body. If you’re ready for support, I’d love to help. Take the first step by filling out our brief assessment form today.

->Fill Out Your Core & Pelvic Floor’s Next Step Form

If sex hurts, you are not alone—and you are not broken.

Pain with sex is one of the most common concerns women experience, yet it is also one of the least talked about in detail.

Many women are told to relax more, use lubrication, or just “give it time.” While those suggestions can help in some cases, they often miss the real underlying issue.

Most women were never taught this, but one of the most common root causes of pain with sex is pelvic floor dysfunction.

Understanding your body creates confidence.

And understanding where pain actually comes from is the first step toward real healing.

What Pain With Sex Actually Means

Pain during intercourse (also called dyspareunia) is not a diagnosis by itself—it is a symptom.

It tells us something in the system is not functioning optimally.

That “something” is often the pelvic floor muscles.

These muscles play a major role in:

  • Supporting pelvic organs
  • Stabilizing the core
  • Controlling bladder and bowel function
  • Allowing comfortable penetration

When something disrupts how these muscles function, pain can occur.

The Pelvic Floor: A Group of Muscles Most Women Never Learn About

The pelvic floor is a layered group of muscles that sits at the base of your pelvis.

It is not one single muscle.

It includes multiple layers that work together to provide support and movement control.

Healthy pelvic floor muscles should be able to:

Contract

Provide support and stability.

Relax

Let go of unnecessary tension.

Lengthen

Adapt to stretch, pressure, and penetration.

When this balance is disrupted, discomfort can appear during intimacy.

Why Dysfunction Leads to Pain With Sex

When pelvic floor muscles are not functioning well, they may remain in a partially tightened state.

This means they are not fully relaxing or lengthening when needed.

So when penetration occurs, the muscles may respond as if they are being pushed beyond their comfortable range.

This can create:

  • Burning sensations
  • Sharp or stabbing pain
  • Tightness or pressure
  • Difficulty with penetration
  • Fear or anticipation of pain

This is not weakness.

It is a protective response.

Myth Busting: Pain Means Something Is Wrong Structurally

One of the biggest fears women have is:

“What if something is physically wrong with me?”

Myth: Pain with sex always means injury

Reality: Many cases involve muscle coordination and nervous system sensitivity, not structural damage.

Myth: You just need to relax more

Reality: The pelvic floor cannot relax on command if it is in a protective state.

Myth: Everyone experiences pain at first

Reality: Pain is common, but not something to normalize or ignore.

You deserve better than fear-based explanations.

Root Cause: Why the Pelvic Floor Becomes Dysfunctional

Pelvic floor dysfunction can develop due to:

  • Stress or anxiety
  • Previous painful experiences
  • Childbirth or trauma
  • Chronic muscle guarding
  • Lack of education about pelvic health

Over time, the muscles may learn to stay “on” instead of fully relaxing.

This creates a cycle:

  1. Anticipation of pain
  2. Muscle tightening
  3. Pain during sex
  4. Increased fear next time

Breaking this cycle requires addressing both muscles and the nervous system.

What Healing Actually Requires

Healing is not about forcing the body to tolerate pain.

It is about restoring normal muscle function:

  • Relaxation
  • Coordination
  • Lengthening ability
  • Comfort with touch

The goal isn’t temporary relief—it’s long-term strength and confidence.

Action Steps

1. Stop blaming yourself

Pain is not a personal failure.

2. Learn how your pelvic floor works

Education reduces fear and confusion.

3. Avoid pushing through pain

Pain reinforces protective responses.

4. Pay attention to patterns

Notice when pain shows up and what your body feels beforehand.

5. Seek pelvic floor physical therapy & reach out to Beyond the V

Click here to fill out a Your Pelvic Floor’s (or Core) Next Step form for a personalized answer from our team!

Pain with sex is common—but it is not something you are meant to just accept.

For many women, pelvic floor dysfunction plays a major role in discomfort during intimacy.

Your body is not broken.

Most women were never taught how deeply connected muscle function, nervous system responses, and intimacy truly are.

But when you understand your body, everything changes.


If you’re ready to stop guessing and start understanding your body, fill out this form to create the first step in a personalized plan that addresses the root cause—not just the symptoms.