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Pelvic Pain Isn’t “Just in Your Head”—And It’s Not Something You Have to Live With

Pelvic pain during sex is one of the most common—and most misunderstood—issues I see in my practice. And if you’re dealing with it, I want you to hear this loud and clear: there is real help available.

On the Open Bedroom Doors Show, I sat down with Brooke Kalisiak of Legacy Physical Therapy to talk about something most people don’t realize—pelvic pain is often connected to how you move, stand, and even breathe in your everyday life.

It’s Not Just About Sex—It’s About Your Whole Body

A lot of clients come to me thinking their problem is “just sex.”

But pelvic pain is rarely isolated to the bedroom.

It can be influenced by:

• How you sit at your desk

• How you stand and carry your weight

• How you walk and move through the day

• Even how you breathe and hold tension

That means your body might be practicing pain patterns all day long—without you even realizing it.

Sometimes, You Simply Haven’t Been Taught How to Use Your Body

I’ll be honest—I’ve been there myself.

I’ve gone to physical therapy for:

• Plantar fasciitis (turns out…I was walking wrong)

• Back and neck pain (yep…posture mattered more than I thought)

And what I learned is this:we’re not always taught how to use our bodies in ways that actually support us.

So if you’re experiencing pain with sex, there’s a good chance your pelvic floor is responding to patterns it’s learned over time—not because your body is broken, but because it needs guidance.

Pelvic Floor Physical Therapy Can Be a Game-Changer

This is where pelvic floor physical therapy comes in—and I cannot recommend it enough.

Working with a specialist like Brooke Kalisiak or professionals at places like Evora Women's Health (hi, Dr. Becky 👋) can help you:

• Understand how your pelvic floor is functioning

• Learn how to relax or strengthen muscles appropriately

• Change movement patterns that are contributing to pain

• Reconnect with your body in a safe, supported way

And here’s the key: this is active, empowering care—not just something done to you, but something you learn to do for yourself.

Yes, Medication Can Help—But It’s Not the Only Option

Let me be clear—I am not anti-medication.

If creams, medications, or other medical treatments help, use them. Absolutely.

But I also want you to know that there are deeper, root-level approaches available that go beyond symptom management.

Pelvic floor physical therapy is one of the most effective ways to address the why behind the pain—not just the pain itself.

You Don’t Have to Do This Alone

At Open Bedroom Doors, we believe in collaborative care.

That means we don’t just stay in our lane—we partner with other trusted professionals to make sure you’re getting the best possible support.

Whether that’s:

• A pelvic floor physical therapist

• A medical provider

• Or other specialists who can support your healing

We want your care to feel comprehensive, connected, and actually effective.

Want to Learn More?

You can watch my full conversation with pelvic floor specialists on the Open Bedroom Doors Show here:👉 youtube.com/@OpenBedroomDoors

Pelvic pain is not something you just have to tolerate.Your body is trying to communicate with you—and with the right support, you can learn how to listen, respond, and heal.

Let’s open the door to care that actually works.