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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.

Your pelvic floor muscles will wake up when you have an orgasm
Health Digest reached out to me to hear what I had to say about what happens to your body when you have an orgasm. It's a long read and it's worth it - in addition to my insights there is lots of info on neurochemical changes, hormonal levels, and pain threshold during the "Big O". Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

Having an orgasm can be one of the most satisfying and gratifying experiences for the human body. Plus, there's really no "wrong" way to achieve the Big O — as long as everyone involved has given their enthusiastic consent, of course. You do you!

Where things really start to get interesting is when you get all hot and nerdy about anatomy, as some pretty fascinating things happen within when you have an orgasm. Whether you're well-versed in the language of la petite mort or are here because you want to learn more about this pleasurable experience, you're bound to learn something new. Yes, the human body really is capable of some amazing things — including this unique physical sensation.

Your pelvic floor muscles will wake up when you have an orgasm

You may not have given much thought to your pelvic floor — especially if you're a male or if you're young and relatively fit. But if you're a bit older, or you've given birth to a baby, chances are the health of your pelvic floor is definitely on your radar, as noted by the BBC.

A healthy pelvic floor can actually play a huge role in your orgasms, according to Heather Jeffcoat, a physical therapist and pelvic health expert.

Your pelvic floor muscles contract when you have an orgasm," she explained to Health Digest. "Stronger pelvic floor muscles are correlated with forceful expulsion of vaginal fluid during orgasm." She added that those muscles also impact the length and intensity of your orgasm.

That's not just good news for women, as Jeffcoat says there's another benefit your pelvic floor provides when you have an orgasm.

The pelvic floor is involved in enhancing sexual pleasure for both partners through muscle activation and vaginal ballooning," she continued. Yes, it can also feel pretty nice for the male partner in a heterosexual relationship.

When you have an orgasm, your toes may curl

Clearly your brain does a lot of heavy lifting when you have an orgasm, as it's in charge of distributing all of the hormones and chemicals that flood your system. But in addition to that, the way your brain is structured can trigger other reactions in your body, physical therapist and pelvic health expert Dr. Heather Jeffcoat revealed to Health Digest. "

Our brain is not organized from the top down, nor is their a clear line where one body region begins and one ends in the brain," she explained. "Your toes curl because the genital area is next to the toes in the brain." Isn't that wild?

So, what exactly is going on in your noggin to bring about this strange particular movement?

There is overlap of the nerves, which in turn creates an overflow of muscle function, thus toes curling during the pelvic floor muscle contractions that occur during an orgasm," Jeffcoat continued.

Sometimes, the human body can be endlessly fascinating! If you are still curious about what happens to your body when you have an orgasm, continue reading the full article here.

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What Our Patients Have to Say

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Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

Read more: Testimonial by M.M.

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 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 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 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 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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