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# Biofeedback, Physical Therapy and Relaxation: Biofeedback, often done by physical therapists, involves inserting a vaginal sensor to get a sense of the strength of the muscles and help a patient get greater control of her muscles to feel the difference between contraction and relaxation.

Sessions are linked with at-home recommendations including often Kegel exercises ( e. g., hold for 9 seconds, relax for 30 for 10 – 15 sets ) and relaxation ( breathing deep into the gut ).

Other physical therapy involves direct manipulation of the muscles ; the therapist may go inside the vagina and physically press on and stretch the muscles.

( One may practice stretching along with Kegel's at home using a dilation kit or series of different size dildos.

This is a common treatment for those suffering primarily from vaginismus, but may also help individuals with vaginismus that results from and worsens preexisting pain.

) Other therapists encourage strengthening one's core muscles, believing that the pelvic region overcompensates for the work the core muscles should be doing, causing strain and pain.