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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 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 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 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 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 J.H.

My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

Read more: Testimonial by J.H.

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

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