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Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve was written by Heather Jeffcoat, DPT, a physical therapist with countless successes in treating pain of this type. Women with vaginismus, overactive pelvic floor, painful intercourse, vulvodynia, vulvar vestibulitis, vestibulodynia, dyspareunia, interstitial cystitis have all benefited from her unique program. Heather uses her orthopaedic background to approach treatment of these muscles like they are....muscles! She utilizes a self-treatment tool called a dilator to provide massage and other muscle relaxation and stretching techniques in a gentle fashion to return a women's muscles back to a resting, rather than guarded, state.

Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve

What Others are Saying About "Sex Without Pain ":

I have seen Heather's treatment program work time and time again with my patients. Her unique approach to treating women with painful intercourse through a combination of hands on skills, patient education and the thorough home program outlined in this book has surpassed the results of her peers. Her techniques and expertise have been an invaluable resource to my practice."

- Kerri Parks, MD (Associate Professor Ob/Gyn USC Keck School of Medicine)


I will use it frequently for clients who cannot afford pelvic floor PT or for those who cannot find pelvic floor PT any where near them! I have so needed this resource. The clarity of each step and the drawings are so helpful - I don't know of any other resource that will be as effective for self-help."

- Joyce Penner, RN, MN (Sexual Therapist, Educator and Co-author of The Gift of Sex, Restoring the Pleasure and numerous other publications)


Sex Without Pain is an essential book for any woman suffering with pelvic or sexual pain. Heather's approach is simple and clear. She empowers the woman and her partner with the resources needed to lead a healthy and pain free sex life. A great read for patients and professionals alike."

- Jennifer Briggs, DPT (Women's Health Physical Therapist, Pennsylvania)


• To order "Sex Without Pain" in paperback from Amazon for $24.99, click here.

• To order an electronic read-only non-printable PDF copy of the book for instant download at $19.99, use the button below:

• To schedule an appointment at one of the Femina PT offices, click here.

• For a list of other trusted health care providers, click here.

Kasia Gondek, PT, DPT, CLT, CSCS

Doctor of Physical Therapy, Certified Lymphedema Specialist, and Certified Strength and Conditioning Specialist

Kasia (she/ her/ hers) earned her Doctorate of Physical Therapy (DPT) from Mount Saint Mary’s University, and her Bachelor of Arts from University of California, Santa Cruz. She has established herself as a compassionate, effective, and respected clinician treating pelvic floor and women's health, orthopedic, neurological, and sports-related injuries and conditions.

Kasia utilizes a whole-body, whole-person treatment approach that is unique to each patient and is focused not only on improving pain and difficulty with activities, but also getting them back to doing what they love. She empowers her patients to become an integral part of their recovery and healing process through providing education, self-care, meaningful goal setting, and incorporating activities that they love into their treatment plan.

She combines functional movement, therapeutic exercise, neuromuscular re-education, yoga, Pilates, and manual therapies (myofascial decompression also known as cupping, trigger point release, joint mobilizations) to improve pain, mobility, strength, coordination, and kinetic chain function.

Kasia has completed specialized training in pelvic floor rehabilitation through the Herman and Wallace Pelvic Rehabilitation Institute (courses 1, 2a, and 2b), and has taken many continuing education courses on prenatal and postpartum exercise and physical therapy treatment. She has completed her training and is a Certified Lymphaedema Therapist (CLT), further specializing in lymphatic massage and complete lymphatic decongestive therapy. She is currently pursuing her Women’s Health Clinical Specialist (WCS) board certification through the American Board of Physical Therapist Specialties. She most recently co-created an online prenatal and postpartum subscription-based online fitness program focused on effective, trimester-specific exercise and education in response to the loss of community access to many gyms/ specialty services due to the COVID-19 situation.

Kasia treats males and females with pelvic floor dysfunction and pain including but not limited to: urinary and bowel incontinence, neurogenic bladder, painful bladder syndrome, male pelvic pain/chronic prostatitis, vestibulodynia, endometriosis, dyspareunia (painful sexual intercourse), pubalgia (pubic bone pain), constipation, irritable bowel syndrome (IBS), pelvic organ prolapse, coccydynia (tailbone pain), prenatal physical therapy (postural control/strength, hip and core strength, flexibility, body mechanics), and postpartum rehabilitation (bowel/bladder sexual function, diastasis rectus abdominus, scar tissue care, safe return to activity/sport).

She also treats patients with orthopedic injuries such as low back pain, radiculopathy, sciatica, disc herniations, sacroiliac joint dysfunction, laminectomy, spinal fusion, knee, hip, foot, and ankle pain, post-operative rehab, neck pain, headaches, tendinopathies, labral tears, and adhesive capsulitis.

As a Certified Strength and Conditioning Specialist (CSCS), competitive runner for 20 years, yoga practitioner, and skier, Kasia understands the impact that pain and injury can have on daily life and performance. After struggling personally with IBS and pelvic pain as a runner, she found that pelvic floor physical therapy not only reduced her pain and minimized flare-ups, but also improved her competitive performance. Kasia has since become a passionate advocate for pelvic health and for raising awareness among healthcare practitioners of the necessity for pelvic floor rehabilitation.

Kasia is accepting patients in our Sherman Oaks and Montrose locations.

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What Our Patients Have to Say

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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 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!

Read more: Testimonial by Rosanna R.,...

Testimonial by Jackie W.

I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

-- Jackie W., 1/19/17 via Yelp!

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 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 Mary L.

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!

Read more: Testimonial by Mary L.

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