Why Sex Still Hurts Even After Pelvic Floor Therapy

Pelvic floor therapy can help loosen muscles and reduce pain, yet many people still experience painful sex afterward. When penetration continues to hurt despite physical treatment, it’s often because the nervous system has learned to associate penetration with threat rather than arousal. This article explains why pain can persist after pelvic floor therapy and how sex therapy helps retrain the brain–body connection so sex can feel safe, chosen, and pleasurable again.