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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.

Photo by JESHOOTS.COM on Unsplash
Photo by JESHOOTS.COM on Unsplash

Chronic pain doesn’t just happen to the body. It effects our thoughts and our feelings.

When pain persists beyond the body's normal healing range, 12-20 weeks (let alone over 6 months or even 6 years) it can make us worried and upset. That worry and upset can make the pain feel worse. In fact, studies now show that unchecked thoughts and feelings can hijack the body/mind setting off a vicious cycle of chronic pain.

Unrelenting stress creates wear and tear in the body. By design, stress prevents us from relaxing. A relaxed body/mind lives in a state of repair and allows us to breath more deeply and fully. Not breathing deeply and fully means that the body isn’t pumping enough blood to its vital parts, causing constrictions in those parts. Sustained constrictions of those parts causes pain in those and other nearby parts, which sounds-off more stress alarms, and round and round we go.

The body is programmed to return to wellness.

One way to mitigate pain and return yourself to wellness is to learn how to regulate your stress response. To do this, we must learn to interrupt our outdated auto-pilot programs, tune in to the present moment and get an accurate read on present danger. By hitting the pause button, we can choose a more appropriate stress response - one which matches the actual level of threat in the environment. By practicing this process over and over again we can preserve the necessary energy needed return to a baseline of wellness. To stick with the software metaphor - we have to “install" new neural programs which expand our resilience - our capacity to cope with stressors, which can break the cycle of pain.

Manage inappropriate, persistent and unwanted stress responses.

Another way to say this is, we should spend no MORE energy than is absolutely necessary to get away from, or to fight, the threat and no LESS energy than what the situation actually demands. Both is costly to our nervous system and/or body/mind. Imagine expending the same amount of energy to pick up a coffee mug as you would use to lift a 6 foot couch. Now, imagine going into a rage over a glass of spilled milk. In both cases, we waste precious energy which could be used to repair our overtaxed systems. It’s like going into credit card debt instead of paying cash. Eventually, we must pay the piper.

Why then, do we use these seemingly high level strategies for everything we do, if it will cost us our health? Typically, it’s because we haven’t fully understood the process until now, plus our culture values the “go, go, go, push, push, push” mentality. Luckily, the “new pain science” helps us understand how we can be hijacked by our systems. Until now, we didn’t fully understand how important it is to our mental, emotional, physical, social and spiritual health to pause, assess and match. We call it “regulation”.

So how do we hit the pause button on our disproportionate stress responses to help mitigate pain?

If you suspect mis-matched stress responses might be contributing to your pain symptoms, it may be time to seek out the help of an expert. Whether its outdated programming from childhood, unresolved trauma or injuries lingering in the tissue, developing some sustainable embodiment practices can help you pay off your debt.

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What Our Patients Have to Say

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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 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!

Read more: Testimonial by Ann V.

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!

Read more: Testimonial by Ann V.

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 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 S.P., Age 26

I would like to start off by thanking Heather Jeffcoat for educating me and curing me of Vaginismus. I had been married for almost three years before I was referred to Heather. I never knew about Vaginismus until almost three years into my marriage. I knew something was wrong when I went on my honeymoon and came back a Virgin. I had always imagined how magical my first night would be but boy was I wrong.

Read more: Testimonial by S.P., Age 26

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