However, pelvic floor tightness isn’t the only cause of painful sex. So, if it’s been a while since you’ve seen your gynecologist and sex has become painful, I would recommend starting there. I would also check in with your doctor if the pain is accompanied by itching, an odor, numbness or tingling, a change in bowel or bladder habits, a change in the color or texture of your genitals, or any other strange symptoms such as bloating. Your doctor will be able to guide you in treatment for anything they find, and if they suspect pelvic floor muscle dysfunction, they will refer you to pelvic floor physical therapy.