Hi Jess567 – just wanted to say congrats on you making progress in physical therapy! It’s great to hear that you are in way less pain than you were years ago. The part about being tense after orgasm is frustrating I’m sure, and Heather’s advice was good. I’m sure this phenomenon has in some ways contributed to an association between sex and discomfort, which is a tricky mental loop to break. It can also feel like dilating/physical therapy take a lot of work, which can make sex feel like a chore. You’re doing a lot of work right now, but it’s also an investment in a future with less pain that will hopefully take less effort and maintenance. I hope your physical therapist will have additional answers and advice for you, but for now try to give yourself as much grace as possible and recognize how hard you’re working for yourself. It’s something to be proud of!