Can dyspareunia cause pelvic muscle spasms?
Yes, dyspareunia can trigger involuntary pelvic muscle spasms, particularly in women who develop anxiety or fear around intercourse.
Detailed Medical Explanation
Pelvic floor muscle spasm may develop as a protective response to ongoing or anticipated pain during intercourse. This can lead to vaginismus, where the muscles tighten involuntarily, making penetration difficult or impossible. Physiotherapy and psychological support can help break this pain-spasm cycle. NHS: Vaginismus.
Clinical Context
Women experiencing spasms should seek a women’s health physiotherapist or sexual health specialist for assessment and tailored therapy.
Evidence-Based Approaches
NICE and BASHH recommend multidisciplinary support for women with pelvic muscle spasm or vaginismus, including physiotherapy and psychosexual counselling. BASHH: Vaginismus.