Provide a rigorous, scientific review of the relationship be...

Prompt

Provide a rigorous, scientific review of the relationship between pelvic floor muscle tone, high-impact athletic training (heavy deadlifts/squats vs. reformer Pilates vs. racquet sports), and clinical dyspareunia. Requirements: - Contrast evidence for pelvic floor hypertonicity vs. pelvic floor weakness across athletic cohorts. - Cite specific peer-reviewed studies (Primary Author, Year, Journal Name, Sample Size/Cohort). - Separate physiological/anatomical findings from psychological factors without editorializing or colloquial generalizations.