Dyspareunia is described as pain with intercourse. This pain can be on the outside of the vaginal opening or deep in the pelvis. Sometimes the muscles in the pelvic floor are tense or tight and this can cause pain. Dyspareunia can be caused by many other things such as endometriosis or postpartum issues. PT can help patients manage their pain with relaxation techniques for the pelvic floor, exercises to control pelvic movement, and education to manage symptoms.