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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 Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

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 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.

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.

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