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talk with your partner about endo
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Perhaps you've read all about endometriosis and learned about its causes, how to deal with its symptoms, and what kinds of treatments to pursue. And now that you've come to understand the situation, perhaps it's time to speak to your partner to let them know what you're dealing with and how best to handle it. Health Central writer Gabrielle Kassel hit me up about this very topic, and here are a few of my thoughts followed by a link to the full article.

Heather Jeffcoat, DPT

Wondering How to Talk With Your Partner About Endo?

The pain of endometriosis can make intimate relationships a huge challenge. Experts and patients give advice on how to talk about this invisible condition so that your partner understands.

By Gabrielle Kassel
Medical Reviewer: Andrea Eisenberg, M.D.

In this article Gabrielle Kassel speaks to a number of experts on endo, including yours truly. If you're suffering from pain during sex and looking for tips on how to talk with your partner about endo, read on. Topics covered include:

Why Hiding Endo Can Backfire

Gabrielle wanted to know about the potential pitfalls of hiding your pain. Here's what I had to say:

While having endometriosis will not necessarily impact your relationship in negative ways, hiding it can, notes Glashow. If your partner does not know when it’s your endo symptoms that have you avoiding occasional dates or certain sex acts, they may assume that you’re not interested in the relationship or serious about them long-term, she says. Worse yet, you shouldn’t feel you have to disguise any pain during intercourse. Gritting your way through intercourse can cause your pelvic floor muscles to clench up, which can hinder penetration as well as cause additional painful symptoms, says Heather Jeffcoat, a physical therapist in Los Angeles, CA, and author of Sex Without Pain.

Talk Specifically About Sex

She also wanted to stress the importance of being specific with your partner about how endo can affect your sex life, to which I said:

If pain during sex is a symptom you experience, you should share that with your lover, says Jeffcoat. Then, work with them, as well as your healthcare team, to come up with solutions—because there are solutions. “It can be helpful to remember that sex does not have to include penetration or intercourse to be pleasurable,” says Shannon Chavez Qureshiz, a licensed psychologist and sex therapist in Beverly Hills, CA. Pelvic floor therapy and OTC pain relievers can also be effective at reducing pain during penetration, adds Jeffcoat.

There is much great information in the full article which includes quotes from a number of other endo experts, including:

  • You Decide When the Timing Is Right
  • How Being Open Can Bring You Closer
  • Getting the Conversation Started
  • Keep the Conversation Going
  • You Can Learn About Endo Together
  • How Your Partner Responds Can Be Telling
  • Discussing Endo and Future Plans

Go here to read the full article and learn to talk with your partner about endo, and go here if you're ready to make an appointment with one of our trained physical therapists.

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As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

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Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

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My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

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Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

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I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

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I wanted to thank you so much for helping me get through something I thought I may never be able to. We have achieved pain-free intercourse and this has really solidified our marriage. We are so grateful to you for all the work you do! Thank you!!

-- R.S.

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