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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.

right type of lube

Looking for the right type of lube for whichever kind of sex you're having?

Joseph Lamour writing for Mic.com reached out to me for my input on the right type of lube for various types of sex, and I was glad to offer my advice. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

I believe it was Colin Powell who said, “Trust is the glue that holds people together, and is the lubricant that keeps an organization moving forward.” I’m certain he was not talking about the gooey stuff you get in the unmentionables aisle in your local drugstore. But I still think the impassioned statement works when we’re talking about sex — which also holds people together, if you will, moving forward toward a goal. Lube really does keep us moving forward, and it’s a super underrated bedroom accoutrement, mostly because people aren’t aware of its versatility.


Just what is the right type of lube?

Any lubricant — natural or not — has the potential to irritate your tissue, so always apply a few drops on your forearm to make sure there is no immediate sensitivity,"

says Heather Jeffcoat, a doctor of physical therapy that specializes in treating women, men, and non-binary folks with painful sex. She talks about the right type of lube every day with patients, and she even wrote a book on achieving pleasurable sex for those who find it more challenging — so she truly knows her stuff.

If you do have trouble getting wet for any reason, or your vaginal lubrication doesn’t last very long, Jeffcoat also suggests a thick, gel-like water-based lubricant like Slippery Stuff or Uber Lube.

Anal Sex

Everyone has a butt. Thus, everyone has the capability to partake in a bit of peach entry from time to time (or all the time, if you’re lucky). “Any lubricant that be used vaginally should be able to be used with anal sexual activity as well, and without the concern for a certain pH,” Eilber says, adding that it’s important to remember that the anal canal does not produce natural lubricant, so frequent reapplication may be necessary.

Of the many experts I spoke to, all suggested the same thing: a silicone-based lube — and I concur. “Lubrication for anal penetration needs to be longer lasting since it doesn’t lubricate like vaginal tissue. Pjur’s Back Door, which is silicone-based, works well for this,” she tells me.

It’s also important to note that certain kinds of toys warrant the right type of lube — silicone lubes should not be used with silicone toys, Eilber tells me. A suggestion for people who are using their fingers, thicker is also the way to go.

Using a thicker gel for digital play is nice, so you can get the lubricant where you want it. Lubricants that are too liquid tend to go everywhere you don’t want it to,” Jeffcoat says.

If you are still curious about the right type of lube for the sex you are having, continue to the full article here.

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What Our Patients Have to Say

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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 R.H.

No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.H.

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 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 Lauren B.

Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

Read more: Testimonial by Lauren B.

Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

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