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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 A.B.

Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.

I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
-- A.B.

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

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 A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

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 Jackie W.

I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

-- Jackie W., 1/19/17 via Yelp!

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