Painful sex? Try Botox injections Dr. Deborah Coady states: “The muscles that are newly released, lengthened and relaxed are surrounded by connective tissue, which may still be shortened and inelastic,” Coady said. “Physical therapy is necessary to normalize the connective tissue to accomplish long-term balance and strength.” Botox is just one of many ways to treat sexual pain, but in order to treat the problem, women have to talk to a doctor – the right doctor – about it. Coady said many women feel too uncomfortable discussing the topic with their doctors, and all too often, doctors can be just as uncomfortable or uninformed. This should not stop you from getting the care you need.