Therapy for Painful Sex in Washington & Texas

You want to feel close, to enjoy intimacy, to relax into touch — but instead, your body tenses. Maybe penetration feels impossible, maybe it burns or stings, or maybe you’ve learned to avoid sex altogether because the pain feels unpredictable and defeating.

You’ve likely been told it’s “in your head,” or that you just need to relax — but deep down, you know your body is trying to tell you something. You deserve real answers, real support, and a space that treats both your body and your emotions with care.

Through trauma-informed sex therapy, you can begin to understand your body’s pain response, find safety in your own skin, and reclaim the possibility of pleasure again.


Pelvic pain and painful sex (often called vaginismus, vulvodynia, dyspareunia, or pain related to endometriosis) can impact far more than intimacy — it can affect how you see yourself, your confidence, and your relationships.

Does this sound like you?

You might benefit from therapy for painful sex if…

⟡ Physical therapists say it could be a mental thing

⟡ You hav fear, anxiety, or tears when anticipating intimacy

⟡ Your’e feeling “blocked” or like your muscles won’t relax, no matter how hard you tryYou have difficulty separating your worth from what you were taught about purity.

⟡ Your relationship has strain due to frustration, confusion, or avoidance

⟡ You tend to voiding sex out of fear of pain or disappointment

⟡ You’re feeling broken, ashamed, or like your body is betraying you

How Therapy for Pelvic Pain Can Help You

Painful sex isn’t just physical — it’s emotional, relational, and deeply tied to how safe your body feels. Therapy helps you address both the pain and the story around it: the anxiety, shame, or trauma that may have taught your body to protect you through tension.

In therapy, I’ll help you:

⟡ Learn how your body’s protective responses (like muscle tightening) are connected to your nervous system

⟡ Build tools to calm your body’s pain and fear responses

⟡ Reduce shame and rebuild trust in your body

⟡ Improve communication with your partner about intimacy and touch

⟡ Reconnect with pleasure and feel safe exploring it again

Benefits of Therapy for Sexual Pain

As you begin to rebuild safety with your body, intimacy no longer feels like a threat — it becomes something you can approach with curiosity and confidence.


With support, you can begin to:

⟡ Experience less physical pain or muscle tension

⟡ Feel more comfort and relaxation during touch or intimacy

⟡ Feeling emotionally grounded and connected to their body

⟡ Reclaiming pleasure without guilt or fear

⟡ Improve communication and connection in their relationships

⟡ Confidence in setting boundaries and voicing needs

Healing takes time, but every step toward comfort and trust is meaningful progress.

Hi, I’m Cheyenne McGuire, LMFT, CST.

I take a gentle, collaborative, and body-affirming approach that honors both the physical and emotional sides of pelvic pain. You’ll never be rushed or pressured to talk about anything before you’re ready. Together, we’ll focus on safety first — because your body deserves that.

We’ll use somatic and trauma-informed tools to understand your pain responses, explore the messages your body is sending, and begin to build safety around touch and pleasure again.


If needed, I can collaborate with pelvic floor physical therapists or medical providers to create a holistic plan that supports your healing.Your pain does not define you. With compassion and curiosity, we can help your body find ease, softness, and connection again.

Sex should be pain free and pleasurable

Let’s begin your healing journey with Pelvic Pain and Painful Sex Therapy in Washington or Texas.

You don’t have to live in fear of pain or avoid intimacy to stay safe. Together, we can help your body feel calm, capable, and ready to experience touch and connection with trust.

HOW TO GET STARTED WITH

Sexual Pain Therapy In Washington & Texas

01

I offer a free 15-minute phone call for you to ask any and all of the questions you may have about getting started. We can spend the time getting to know each other and make sure that you feel comfortable moving forward! You can book a time for your free consultation call directly by clicking here or by clicking any of the “book” buttons throughout my website!

02

Schedule Your Session

Towards the end of our consultation call, we will go over logistics, including finding a time that works for your schedule to meet weekly for our sessions. Meeting weekly allows you to get the support you need for your healing journey.

03

Begin Healing

In our sessions, we will begin to work together to understand the areas that are keeping your stuck in fear, guilt, and shame. Let’s work together to rediscover your desire and pleasure.