Pelvic Pain Syndromes

Vaginal Pain / Vaginismsus

Vaginal pain varies significantly among women. It may occur with or without physical contact and can range from occasional discomfort to persistent, unrelenting pain. The onset can also differ—some women experience pain from their first attempt at vaginal contact, such as inserting a tampon or having intercourse, while others develop symptoms after years of pain-free experiences.

Misdiagnosis is common, with many women being treated for yeast infections or referred to multiple specialists without receiving a clear diagnosis or treatment plan, leading to ongoing pain and distress.

Vaginal pain is often linked to irritation or injury of the local pain nerves, which may be triggered by trauma, infection, or sensitivity to environmental factors. Many women also experience increased pelvic floor tension and tightness in the surrounding connective tissue.

Our approach to treatment is holistic, focusing on:

  • Pelvic floor rehabilitation – learning to control both contraction and relaxation of the muscles

  • Tissue release techniques – addressing tight structures that contribute to pain

  • Desensitisation therapy – reducing pain sensitivity in affected areas

  • Pain, anxiety, and stress management – providing strategies to improve well-being and comfort

  • Guided return to normal activities – helping you regain confidence in daily life and intimacy

Vulval Pain / Vulvodynia

Vulvodynia refers to overactive nerve endings in the vulval region, leading to pain that can affect the vulva, perineum, and/or vagina.

Symptoms often include:

  • A constant burning sensation on the external vulval skin

  • Burning or itching inside the vagina

  • Pain with touch—even light contact can cause an intense burning sensation

  • Pain with insertion—tampons or intercourse may feel like tearing, accompanied by severe burning

Vulvodynia may be caused by pelvic floor nerve irritation, muscle overactivity, connective tissue tightness, hormonal changes (such as from birth control or menopause), genetic factors, skin conditions, or central sensitisation (increased pain sensitivity in the nervous system).

Because pelvic floor muscle tension often plays a key role, treatment focuses on:

  • Desensitisation techniques to reduce nerve irritation

  • Pelvic floor muscle therapy to restore normal function and release tight muscles

  • Tissue mobilisation to relieve discomfort and improve flexibility

  • Pain and anxiety management to help you regain confidence in daily life and intimacy


We take an evidence-based, tailored approach to treatment—because every woman’s experience of pain is unique. With the right support, it is possible to reduce pain, ease anxiety, and return to a fulfilling, pain-free life.

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