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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 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 Y.L. (mom of 2)

After having my second baby via C-section I searched for months to try to find help for my lower back pain and separated abdominal muscles. I finally came across Heather Jeffcoat via a mommy blog. I reached out to her via email and set my first appointment. My first appointment went amazing … she listened to what my symptoms, check my separation and explained to me in detail what the next steps would be. Not only did my abdominal separation go from 3 to about 1 -1/2 but my back has pain has significantly reduced. I’m personally recommending all my mommy friends to Heather!

Y.L. (mom of 2)

Testimonial by Jamie M.

I have been going to see Heather for a while now, and I can't tell you enough how much she has improved my quality of life. Heather specializes in issues like pelvic floor, but I see her for other orthopedic issues.

I have a lot of chronic joint pain and dysfunction issues (back, hips, neck) that require that have ongoing physical therapy maintenance. The effects of my problem joints/areas overlap and interconnect with each other in complex ways, so helping me requires really having a complete understanding of the entire skeletal and muscular system. Pain does not always appear where the problem actually is, the human body is a twisty, many-layered puzzle. I have an exercise program I do at home and I am very functional, but there are just something things I need a PT to help me out with.

Read more: Testimonial by Jamie M.

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

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

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