Ep 132. Painful sex, low libido & pelvic pain: a sex therapist explains what helps
If you've ever struggled with painful sex, low libido, or feeling guilty about turning down intimacy because of your bladder or pelvic pain, this episode is for you.In this episode of IC You, I'm joined by Hannah Strom, a licensed therapist specializing in sex therapy and Pain Reprocessing Therapy (PRT), to talk about the complicated relationship between chronic pelvic pain, sexual desire, intimacy, and the nervous system.Hannah shares her personal experience with interstitial cystitis (IC), vaginismus, and vulvodynia, including how she went from experiencing chronic pain for years to finding relief through a neuroplastic approach.We also get pretty personal about our own experiences with painful sex, the emotional impact of years of pelvic pain, and why sexual desire doesn't always return immediately after the pain resolves.In this episode, we discuss:Hannah's recovery from interstitial cystitis, vaginismus, and vulvodyniaHow Pain Reprocessing Therapy (PRT) can help with neuroplastic pelvic painWhy painful sex can lead to low libido, anxiety, and avoidance of intimacyThe difference between spontaneous and responsive sexual desireHow your nervous system can influence sexual pain, arousal, and pleasureWhy guilt and pressure around sex can make intimacy even more difficultHow sex therapy can help couples navigate mismatched sexual desirePractical strategies for rebuilding intimacy, including gradual exposure, somatic tracking, and taking penetration off the table temporarilyWhy recovering from pelvic pain doesn't automatically resolve the emotional associations you've developed around sexWhether you're navigating interstitial cystitis, bladder pain syndrome, vulvodynia, vaginismus, or painful intercourse (dyspareunia), this conversation offers a compassionate, practical look at how you can begin rebuilding a healthier relationship with sex and intimacy.Resources mentioned:The Way Out by Alan GordonCome As You Are by Emily NagoskiMind Your Body by Nicole SachsPain Reprocessing Therapy practitioner directoryConnect with Hannah:Hannah's websiteWant to learn more about the role your nervous system may be playing in your chronic bladder symptoms?Watch my FREE masterclass to learn about the different factors that can contribute to interstitial cystitis symptoms and how we address them inside Road To Remission.Disclaimer: This podcast is for educational purposes only and does not replace individualized medical or mental health care.