How a Men’s Health Physiotherapist Can Help With Painful Intercourse

June 30, 2025 |
Physiotherapist Can Help With Painful Intercourse

Image credits: Freepik / Pexels


Painful sex is not only physically painful but also frustrating emotionally. Although it is more widely spoken of about female health, pain during intercourse in male patients is a commonly underemphasized issue. However, it's more prevalent than most realise, and it can negatively affect not only sexual fulfilment but also self-esteem and relationship quality. Fortunately, men's health physiotherapists provide a natural and non-surgical method of addressing and eliminating this pain.


Understanding Male Pelvic Pain

The male pelvic floor is a web of tissues, ligaments, and muscles that hold the bladder, bowel, and sexual organs in place. These muscles regulate urination, bowel function, and erections. If these muscles become too tight, weak, or out of balance, this can cause dysfunction, such as pain during intercourse in male individuals.


This pain may present as burning, aching pain upon ejaculation, testicular pain, penile sensitivity, or post-coital pain. This may be initiated by tension in the pelvic muscles, previous surgery, prostatitis, or compression of the nerves. Psychological stress, anxiety, or sexual/health-related trauma may also exacerbate the symptoms in some individuals.


Role of a Men's Health Physiotherapist

A men’s health physiotherapist is trained to assess, diagnose, and treat issues related to the male pelvic floor. Here’s how they can help if you’re experiencing pain during intercourse in male situations:


Thorough Assessment

The process starts with a thorough assessment, physical and emotional. Your symptoms, medical history, lifestyle, and level of stress will be inquired about. A physical check-up of pelvic posture, core strength, flexibility, and tone is given to determine possible causes.


Pelvic Floor Muscle Retraining

Using a combination of manual therapy and guided exercises, the physiotherapist will help relax overactive muscles and strengthen weak areas. You’ll learn how to properly engage and release your pelvic muscles—a key step in reducing pain.


Biofeedback and Breathing Techniques

Biofeedback makes you more aware of what your pelvic muscles are doing in the moment. Coupled with diaphragmatic breathing and relaxation techniques, this assists in re-establishing normal function and decreasing tension that leads to discomfort.


Correction of Posture and Movement

There are instances where pain arises from inappropriate posture or body mechanics. Your physiotherapist will educate you on stretches, strength exercises, and changes in the way you move in daily activities in order to avert straining of the pelvic floor.


Education and Lifestyle Coaching

Knowing the cause of your symptoms can be liberating. Men's health physiotherapists offer guidance on how water intake, bowel function, exercise, stress, and even your sitting position affect pelvic pain. Personalized recommendations can enable you to make straightforward changes that result in long-term relief.


Dealing with the Psychological Effect

Pain during intercourse in male patients usually leads to emotional distress, shame, or sexual anxiety. Although a physiotherapist does not offer counseling for mental health, they collaborate with psychologists or sex therapists when required, providing you with overall care.


Advantages of Physiotherapy Treatment in Men's Painful Intercourse

  • Drug-free, non-surgical, and tailored treatment
  • Enhanced sexual functioning and comfort
  • Muscle tension relief and improved bladder/bowel control
  • Confidence and emotional boost
  • Restoration of normal movement and posture

Significantly, physiotherapy is concerned with long-term rehabilitation. Instead of suppressing symptoms, it aims at the source and facilitates the body to regain balance and function.


When to See a Physiotherapist

If you’ve been dealing with pain for more than a few weeks, or if the discomfort is affecting your sexual or emotional well-being, it’s time to seek professional help. Many men delay treatment due to embarrassment, but early intervention can prevent further complications and speed up healing.


In summary, pain during intercourse in male patients is an actual and manageable condition. With proper direction and assistance, men are able to overcome this obstacle and regain comfort and confidence in their sexual function.


For individuals in Mumbai looking for specialized pelvic floor therapy, Dr. Leena Daware offers decades of experience and a multidisciplinary mind to men's pelvic health. A senior physiotherapist at Sion LTMG Hospital with a special commitment to pelvic rehabilitation, she offers individualized, evidence-based treatment that addresses both physical and psychological dimensions of recovery.

Contact Us

Dr. Leena Daware - Pelvic Floor Physiotherapist

Follow Me

Contact Us

Contact For Online Consultation