Pre & Post Natal Issues Fertility Issues: Some issues becoming pregnant may be a result of the shear pain with having intercourse. Painful intercourse may arise from muscle spasms surrounding the vagina, nerve related pain (such as spinal pain), or many other reasons (see Pelvic Pain Disorders). Scarring or adhesions from endometriosis, pelvic conditions or pelvic surgeries can also lead to difficulties conceiving. Sacroiliac Joint (SI Joint)/ back pain/ sciatica: During pregnancy, the significant changes in the pelvic region lead to positional changes of the spine, sacrum, hips, and pelvic bones. These changes often lead to stain on the muscles, joints and nerves and can lead to pain. Sciatica (pain arising from the sciatic nerve) is common during pregnancy and may cause deep buttock pain or radiating pain down one or both legs. Pubis Symphysis Pain: In addition to back pain, the front potion of the pelvic bones called the Pubic Symphysis, can also shift or become very painful during or after pregnancy. Coccyx (tailbone) pain: Coccyx pain can arise due to trauma sustained during the birthing process and can cause significant difficulty with sitting. Urinary or Bowel problems: After delivery can arise due to nerve stretch injuries, weakening of the pelvic muscles, muscle tearing or trauma, Perineal or C-Section scarring: Scarring of the pelvic muscles or vagina can lead to tightness of those muscles that can cause pain during intercourse, pelvic muscles weakness (leading to incontinence), or general vaginal discomfort. C-Section scarring can sometimes cause binding or adhesions around the abdominal muscles, intestines, bladder leading to abdominal pain or dysfunction of those organs. Painful Intercourse after delivery: The American Journal of Obstetrics and Gynecology (April 2001) reported 22 percent of women still had pain when attempting intercourse at six months after delivery of their baby. This can occur due to trauma to the pelvic muscles during childbirth. Diastasis Recti: Diastasis Recti is when the two sides of the rectus separate and is common during pregnancy (occurs in approximately 30% of all pregnancies). While this condition is not commonly associated with pain, treatment of the diastasis is considered important as these muscles are very involved in pelvic and spinal stability.