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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 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 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 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 A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

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 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.

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