MEDICAL PRACTITIONER-LED WOMEN’S INTIMATE HEALTH
Painful Intercourse & Vaginismus
Private consultations for pain before, during or after intercourse, vaginal muscle tightening, penetration difficulties and related concerns.
Confidential clinical discussion
Pain during intimacy can have different causes
Pain before, during or after sexual activity is often called dyspareunia. Vaginismus involves involuntary tightening of pelvic floor muscles that can make penetration or examination difficult or painful.
Possible contributors include vaginal dryness, menopause, pelvic floor factors, infection, inflammation, vulval skin conditions, trauma, surgery or emotional factors.
Symptoms and concerns
Concerns that may be discussed
Medical practitioner-led care
Consultations with Dr Mike
Dr Mike is an Australian medical practitioner, cosmetic physician and founder of Géniale and Géniale Intimate, with 30+ years’ medical experience across cosmetic medicine, medical laser procedures, menopause-related care and intimate-health consultations.
AHPRA Registration MED0001162043Meet the clinical team
Géniale Intimate is part of Géniale medical, cosmetic and skin services.
Private medical setting
Private, doctor-led care
Consultations and selected treatments are provided in established medical settings, subject to service availability and individual suitability.
Why assessment matters
Pain should not be reduced to one assumed cause
Assessment may consider symptom location, timing, dryness, skin symptoms, infection risk, pelvic floor factors, medical history and emotional wellbeing.
Referral to a GP, gynaecologist, pelvic floor physiotherapist, counsellor or sex therapist may be appropriate.
Consultation and next steps
Consultation and possible next steps
What may be discussed
Examination, testing, conservative care, pelvic floor physiotherapy, medical treatment, counselling or referral.
Procedure suitability
O-Shot or laser is not automatically recommended for painful intercourse or vaginismus.
Locations and availability
Locations and Telehealth
Sydney | Melbourne | Gold Coast | Telehealth
Availability varies by service, clinic, practitioner and individual suitability.
Telehealth can be a private first step; examination, investigation or referral may still be required.
Medical references and further reading
Medical references
General education from recognised health organisations.
Frequently asked questions
Questions about this consultation
What is dyspareunia?
Dyspareunia is pain before, during or after sexual activity.
What is vaginismus?
Vaginismus involves involuntary tightening of pelvic floor muscles around the vagina, which may make penetration difficult or painful.
Can vaginal dryness contribute to pain?
Yes. Vaginal dryness and GSM are possible contributors, but other causes may also need assessment.
Could pelvic floor physiotherapy be recommended?
Yes. Pelvic floor physiotherapy may be recommended depending on symptoms and assessment.
Is O-Shot automatically recommended?
No. A procedure is not assumed before diagnosis and assessment.
Can I begin with a painful intercourse consultation by telehealth?
Yes, but an in-person examination or testing may still be required.
Start with telehealth
Book your complimentary telehealth consultation
Discuss your concern privately and understand the next appropriate step.
This page provides general information and does not replace individual medical advice. Suitability is assessed individually; all procedures carry risks, and outcomes and recovery vary.
