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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 A.B.

Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.

I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
-- A.B.

Testimonial by Alexandra B.

Heather is without exaggerating AMAZING! After years of trouble with a certain part of my body, in no time, she made everything change back to equilibrium and to what would be considered normal. She explains everything in detail and therefore gives you a better understanding of why things are the way they are, and how you can work towards turning things around. I would highly recommend Heather for any type of Physical Therapy. She has created her own "Method/Therapy" through years of studying (with some of the greatest practitioners), practice and breaking down the issues of her past patients, enabling her to fine tune her own system. I'm so thankful to have found her, and I'm especially grateful for the quick recovery I've achieved, after years of distress. If you cannot afford her, I recommend you purchase her book. Although it may not be Heather in person, it can still help you to get on the right path to recovery!

-- Alexandra B., 5/20/2015 via Yelp!

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!

Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

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.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.

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