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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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Testimonial by Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

Testimonial by J.H.

My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

Read more: Testimonial by J.H.

Testimonial by J.B.

My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what I learned. I had no idea that pelvic floor muscles could get tight and have trigger points just like any other muscle in the body. I'm a massage therapist and very familiar with tight muscles, and this new thought really amazed me. Heather's program to help relax and strengthen these muscles made such a difference. I can say that I am 100% pain free during intercourse now. Yippee! Going to the PT appointments and doing the at-home exercises was definitely a discipline, but it's 100% worth it! The rewards are amazing.

-- J.B.

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by S.H., age 24

I just wanted to thank you for everything you've done for me for the past 19 months. I literally could not have reached my goals without you and your practice. You gave me the courage to keep moving forth with my treatment no matter how afraid and anxious I was. You were always there to answer questions and made this whole process so much easier than I expected it to be.

It's because of you that my marriage is on the right track, that I can get pregnant and that this part of my life is finally over. I really feel that Fusion Wellness is a team of people you can call family and are there to root for you and cheer you on until you reach your goals. There is nothing better than knowing I accomplished this with you guys by my side and as calmly and patiently as I needed. Thank you from the bottom of my heart for always being there and helping me reach my goals.

S.H., age 24

Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

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