After birth, the pelvic floor and vaginal tissues may feel different for a long time. The body has stretched significantly and needs gradual recovery. Pain during intercourse is common in the early months, especially during breastfeeding when low estrogen causes vaginal dryness. Scar tissue from tears may feel tight, sensation may be altered, and the muscles may be weak or tense.

The pelvic floor consists of several muscles that influence continence, core stability, and sexual function. Some people struggle to “find” their pelvic floor after birth, while others develop overactive muscles due to pain or fear. Both can contribute to painful intercourse, difficulty emptying the bladder or bowels, or a sense of heaviness.

Nerve strain can occur after prolonged pushing or pressure from the baby’s head. This may cause numbness, reduced sensation, or weakness, typically improving over weeks to months.

Scar tissue often softens with time and gentle massage. Many notice improvement after a pelvic health physiotherapist demonstrates how to mobilize and relax the area safely. Returning to exercise should be gradual: walking first, then light strength, and eventually more intense activity as the pelvic floor becomes stronger.

Seek help if intercourse remains painful, if heaviness or bulging increases, if you experience urinary or bowel leakage, or if healing does not feel normal. Birth injuries are common — but you should not have to live with symptoms.

Alma’s tips

• Use plenty of lubricant during sex — dryness is normal postpartum.

• If finding your pelvic floor is difficult, a physiotherapist can guide you.

• Gentle scar massage can reduce tightness and pain.

• Pain is a signal — not something to push through.