Dyspareunia is painful sexual intercourse due to medical and/or sometimes psychological causes. This can affect up to one-fifth of women at some point in their lives. Pain may also be hormonal in nature and a medical assessment by an experienced vulvar pain specialist is warranted. Much of the time the pelvic floor muscles become tight and hypertonic, acting as either one of the leading causes or a complication from the pain a woman has. Regardless of the cause, a woman can helped, even when the pain is long-standing.