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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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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.

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I was hopeful but frankly skeptical when the doctor treating me for Interstitial Cystitis recommended that I go to Heather for physical therapy. Medication and diet helped control my IC symptoms, but I had never heard of physical therapy being used to treat IC. The education and treatment I received from Heather was a revelation. She explained that the pain I experienced with IC had helped create a cycle of muscle guarding which affected the entire pelvic area. I had no idea of the amount of tension being held there. No wonder my husband and I had not been able to have sexual intercourse for years!

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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.

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Testimonial by Rosanna R., age 35

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.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

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Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

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Testimonial by Ann V.

I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

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