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Dr. Hope L. Hayes illustrating mind-body connection in pelvic floor therapy with hands on chest and lower abdomen
Dr. Hope L. Hayes DPT pelvic floor specialist for vaginismus vulvodynia and painful intercourse

Virtual Pelvic Floor Therapy for Painful Sex, Vaginismus & Vulvodynia

The painful sex specialists women come to when sex hurts and everything else has failed

Dr. Hope Hayes

Virtual Pelvic Floor Therapy for Painful Sex

The Pelvic Floor Specialist Women Come To When Sex Hurts and No One Has Given Them Answers

Dr. Hope L. Hayes DPT pelvic floor specialist for vaginismus vulvodynia and painful intercourse
Herman and Wallace Pelvic Rehabilitation Institute certification
American Academy of Manipulative Therapy pelvic floor training certification
Graston Technique certified provider for pelvic floor muscle treatment

Pelvic and Sexual Pain Is Real.

And It’s More Than Physical.

It’s the way your body flinches before anything begins. The way you hold your breath, or check out completely. The way sex starts to feel like a performance.

You are not the only one, and it’s not in your head.

We’re pelvic floor physical therapists who start with your nervous system, not your muscles. We help women get to the other side of painful sex, from home.

A Different Approach to Treating Painful Sex

Most pelvic floor treatment starts with the muscles. We start with what controls them, your nervous system.

Dr. Hope L. Hayes conducting an online pelvic floor therapy session, holding anatomical pelvic models to explain vaginal health concepts

What our clients say

Conditions We Treat

01

Dyspareunia

Ongoing or recurring pain during intercourse that can make intimacy feel stressful, tense, or difficult.

02

Vaginismus

Involuntary tightening of pelvic floor muscles that makes penetration painful, difficult, or feel completely impossible.

03

Vulvodynia

Chronic burning, irritation, or sensitivity around the vulva that can make touch or intimacy uncomfortable.

04

Painful Sex After Menopause

Hormonal changes can cause dryness, tissue sensitivity, and discomfort that make intimacy painful after menopause.

05

Painful Sex Postpartum

Pelvic tension, soreness, or discomfort after childbirth that can make returning to intimacy feel challenging.

06

Pelvic Floor Dysfunction

When pelvic floor muscles become too tight, weak, or uncoordinated, affecting comfort and intimacy.

Learn More →

Dr. Hope L. Hayes sitting on a sofa, smiling warmly in a relaxed and welcoming posture

Meet Dr. Hope

If you’ve been told everything looks normal, to relax, or to give it time, you’re in the right place. Most practitioners begin with exercises. I begin with your nervous system, which is almost always where this actually lives. If you’ve been dismissed, doubted, or left to figure this out on your own, that ends here.

Work 1:1 With Dr. Hope

From your very first session, you’ll notice something different. You’ll have time to tell your whole story without being rushed. You’ll be asked questions no one else has thought to ask. And you’ll walk away understanding what’s happening in your body in a way that finally makes sense.

For the first time, you’ll have a plan built around you: your story, your body, your pace. The women who do this work don’t just get out of pain, they get back to themselves. And intimacy stops being something they brace for and starts being something they desire.

Dr. Hope L. Hayes smiling during an online pelvic floor therapy consultation, providing a supportive and reassuring presence
Dr. Hope L. Hayes seated on the floor in profile, with knees bent and hands resting on the ground, looking upward in a calm, reflective pose

Not Ready Schedule? Read This First.

Sex shouldn’t hurt. If yours does, this guide explains what’s actually happening in your body, what vaginismus, vulvodynia, and pelvic floor tension really mean, and what the right kind of care looks like.

Dr. Hope L. Hayes laughing with her arms crossed in a relaxed and confident pose

From the Blog

You Don't Have to Live With Painful Sex.