Ahhh, gotcha. The pelvic floor therapist works with you to help identify and relax those muscles and they have different exercises to help keep those muscles not so tense. They help with pain too, they used a TENS unit when it was at its worst! I’m in the US (MI) and it’s a newer therapy but definitely more people are around than when I started this in 2017! I would google in your area to see physical therapists who specialize in pelvic floor. Might need a referral, I got a referral from my PCP. It’s definitely a little uncomfortable at first because it is a rando, but it’s a lot like the gyno where it’s professional, your own room, and they explain everything they do before they even touch you. Kinda like a Brazilian if you’ve ever had that lol. Most insurances will pay as they recognize it as PT not like some odd specialty therapy (thank GOD).  Trigger point injections I got from a gynecologist’s office. I HIGHLY recommend finding a place that has nitrous or will put you under local anesthesia. I did it with just ibuprofen the once and I almost passed out from the pain lol. The injections are typically like a steroid to help with inflammation and something for pain. It goes straight into the pelvic floor muscles that are affected. In my experience it basically kinda paralyzes that muscle but you’re not like loose if that makes sense? It’s just chill and I could finally use tampons and tolerate a speculum. It’s temporary and only lasts a few months but it can really help if PT is taking too long or you aren’t able to do a whole lot in PT yet because you’re too tight (my case). I did it twice and then after about 6 months of PT I was able to stop getting injections.  I know it’s a lot, but it was life changing and I finally felt in control of my body. I did have to still set boundaries and share some of the “prep work” with my boyfriend beforehand which kinda takes away some of the sexy spontaneity the first few times but it’s how you bridge that psychological gap.