Pelvic floor muscle spasms can create feeling of constant vaginal pain, pain with penetration, difficulty with penetration, painful orgasm, painful menstrual cycles, constant arousal, constipation difficulty starting urination, or feeling like you need to urinate more frequently. The pelvic floor muscles attach from the pubic bone to the tailbone. They help to support the internal organs and aide in sexual, reproductive, and urinary functions. In terms of vaginismus (type of pelvic floor muscles spasm), themuscles are in a contracted state only in anticipation of sexual intercourse.
There are many possible causes for pelvic floor muscle spasms. Some causes can be related to pelvic pain disorders including but not limited to endometriosis and vulvodynia. Other causes may be related childbirth (vaginal delivery), hysterectomy, constipation, and/or traumatic events.
Your physical therapist will perform a thorough evaluation to assess your symptoms. Being the evaluation will be internal and external, you and your therapist will work together to ensure your comfort throughout the entire process. If your therapist feels you may need further examination or testing, she will refer you to an MD.
Treatment for pelvic floor spasms will consist of releasing the muscle spasms throughout the pelvic floor musculature through various exercises and gentle manual techniques. Your therapist and you will also discuss home exercises and strategies to reduce your pain and discomfort.