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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.

US News and World Report reaches out to Heather Jeffcoat for an article entitled "Tips for Better Vaginal Health"

Here is an excerpt from this thorough and very informative article by Vanessa Caceres:

For women, vaginal health is an important part of overall health. However, vaginal health is often shrouded in mystery and a little confusion. How do you keep your vaginal area clean? What can make it prone to infection? What types of vaginal odors are normal, and which ones are not? Here's a guide to help address questions you might have about vaginal health.

Basics About a Women's Genital Organs

Many people use the word vagina to describe what are actually several different body parts:

  • The outside genital organs are the vulva. The parts of the vulva include the mons pubis, labia majora/minora and the clitoris. The clitoris is an area with sensitive tissue that's associated with sexual arousal.
  • The opening from where you urinate is called the urethra. It's directly above the vaginal opening and below the clitoris.
  • The vagina itself is actually inside your body. It's a tube that connects the external genital organs with the internal genital organs, which include the cervix and uterus.
  • The vagina is lubricated by what are called the Bartholin glands.
  • The cervix is the entrance to the uterus that opens when you give birth.
  • The uterus is what carries a baby. When you have your period, your body sheds a lining from the uterus called the endometrium.

A healthy vagina has a balance of good bacteria and low pH. A pH level indicates how acidic or alkaline something is. The vagina is usually acidic. If the pH is too high, it can make you more vulnerable to vaginal infections.

Importance of Vaginal Health

Vaginal health plays a key role in overall health for a few reasons:

  • Sexual problems and vaginal health problems that recur can have an impact on your self-esteem and affect relationships, says Dr. Gil Weiss, a partner at Association for Women's Healthcare and an assistant professor of clinical medicine in the Department of Obstetrics and Gynecology at Northwestern Memorial Hospital, both in Chicago.
  • Recurring problems, such as a yeast infection or bacterial vaginosis, can lead to chronic pain in the vaginal area, says Heather Jeffcoat, a pelvic floor physical therapist, owner of Femina Physical Therapy in Los Angeles and author of "Sex Without Pain: A Self Treatment Guide to the Sex Life You Deserve."
  • Certain vaginal problems can be signs of other whole-body health problems. For instance, if the labia or the clitoris are becoming smaller, these can be signs of hormone deficiencies, Jeffcoat says.
  • Maintaining good vaginal health is also important for keeping sperm alive if you're trying to get pregnant.

The full article can be found here.

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What Our Patients Have to Say

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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 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

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 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.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

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