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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.

Physical Activity has Psychological and Physical Benefits

Studies have shown that physical activity has many physical and psychological benefits. Staying physically active can increase happiness (Wang et al., 2012), improve health (Lee and Skerrett, 2001), and enhance quality of life (Penedo and Dahn, 2005).

Getting Started with a Problem Can Be Hard but Mindfulness Can Help

Dishman and Buckworth (1996) found that it is common for adults to quit an exercise program within the first 6 months of starting it, which decreases the chance for folks to fully receive the benefits of an exercise program. One factor that has been identified as helping people stick with an exercise program is satisfaction with physical activity.

In 2016 Tsafou et al. (2016) found that a mindfulness practice while you are exercising can increase

one’s sense of satisfaction with exercise, thereby helping one reinforce and sustain the habit of staying active. Other studies have found that mindfulness can also help bolster motivation to stay active and reported levels of enjoyment of exercise (Schneider et al., 2018).

Mindfulness not only helps with reinforcing habit, motivation, satisfaction and enjoyment of exercise, but can also help with dealing with the common challenges that come with physical activity: fatigue, discomfort, and overcoming obstacles (Schneider et al., 2018). This fact could be very helpful for those who have negative attitudes towards exercise or find exercise uncomfortable.

Mindfulness Meditation For Beginners

Use Deep Breathing to Gain Body Awareness

This 5 Minute Mindfulness Meditation is led by Tara Brach, a renowned meditation teacher and psychologist who is based out of Washington, DC.

Download a Meditation App

Insight Timer
Insight timer is a free app/website with an archive of guided meditations, longer talks teachings, sound healings, and other offerings.

Headspace
Headspace is a paid subscription app/service which provides guided meditation instruction. There is currently some free offerings on their website to deal with stress and overwhelm connected to COVID-19.

Get Connected with a Local Meditation Group

Insight LA
Insight LA is a meditation center based in Los Angeles, which is now offering classes and group guided meditations online via teleconference platforms.

Resources

Schneider, J., Malinowski, P., Watson, P. M., & Lattimore, P. (2018). The role of mindfulness in physical activity: a systematic review. Obesity Reviews. doi:10.1111/obr.12795

Tsafou, K.-E., De Ridder, D. T., van Ee, R., & Lacroix, J. P. (2016). Mindfulness and satisfaction in physical activity: A cross-sectional study in the Dutch population. Journal of Health Psychology, 21(9), 1817–1827. doi:10.1177/1359105314567207

Tsafou, K.-E., Lacroix, J. P., van Ee, R., Vinkers, C. D., & De Ridder, D. T. (2016). The relation of trait and state mindfulness with satisfaction and physical activity: A cross-sectional study in 305 Dutch participants. Journal of Health Psychology, 22(10), 1221–1232. doi:10.1177/1359105315624748

Wang F, Orpana HM, Morrison H, et al. (2012) Longterm association between leisure-time physical activity and changes in happiness: Analysis of the Prospective National Population Health Survey. American Journal of Epidemiology 176(12): 1095–1100

Lee IM and Skerrett PJ (2001) Physical activity and all-cause mortality: What is the dose-response relation? Medicine and Science in Sports and Exercise 33(6): S459–S471 (discussion S493–S494). Available at: https://www.ncbi. nlm.nih.gov/pubmed/11427772

Penedo FJ and Dahn JR (2005) Exercise and wellbeing: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry 18(2): 189–193

Dishman RK and Buckworth J (1996) Increasing physical activity: A quantitative synthesis. Medicine

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What Our Patients Have to Say

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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”.

Read more: Testimonial by R.M., Age 40

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 M.M.

A personal journey and testimonial from one of my patients:

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.

Read more: Testimonial by M.M.

Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by T.H.

I started seeing Heather in October 2014. For more than two years, I had been suffering from painful urinary tract infection type symptoms after my bartholins gland surgery which included constant burning and urinary frequency sensation that led to more and more painful intercourse. I had made multiple visits to internist, obgyn and urologist's offices, went through a range of treatment with UTI and bladder frequency medication that included antibiotics, vesicare, estrogen cream, but nothing worked.

Read more: Testimonial by T.H.

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

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