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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 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.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by Ann V.

I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

Read more: Testimonial by Ann V.

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 Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

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)

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