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talk with your partner about endo
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Perhaps you've read all about endometriosis and learned about its causes, how to deal with its symptoms, and what kinds of treatments to pursue. And now that you've come to understand the situation, perhaps it's time to speak to your partner to let them know what you're dealing with and how best to handle it. Health Central writer Gabrielle Kassel hit me up about this very topic, and here are a few of my thoughts followed by a link to the full article.

Heather Jeffcoat, DPT

Wondering How to Talk With Your Partner About Endo?

The pain of endometriosis can make intimate relationships a huge challenge. Experts and patients give advice on how to talk about this invisible condition so that your partner understands.

By Gabrielle Kassel
Medical Reviewer: Andrea Eisenberg, M.D.

In this article Gabrielle Kassel speaks to a number of experts on endo, including yours truly. If you're suffering from pain during sex and looking for tips on how to talk with your partner about endo, read on. Topics covered include:

Why Hiding Endo Can Backfire

Gabrielle wanted to know about the potential pitfalls of hiding your pain. Here's what I had to say:

While having endometriosis will not necessarily impact your relationship in negative ways, hiding it can, notes Glashow. If your partner does not know when it’s your endo symptoms that have you avoiding occasional dates or certain sex acts, they may assume that you’re not interested in the relationship or serious about them long-term, she says. Worse yet, you shouldn’t feel you have to disguise any pain during intercourse. Gritting your way through intercourse can cause your pelvic floor muscles to clench up, which can hinder penetration as well as cause additional painful symptoms, says Heather Jeffcoat, a physical therapist in Los Angeles, CA, and author of Sex Without Pain.

Talk Specifically About Sex

She also wanted to stress the importance of being specific with your partner about how endo can affect your sex life, to which I said:

If pain during sex is a symptom you experience, you should share that with your lover, says Jeffcoat. Then, work with them, as well as your healthcare team, to come up with solutions—because there are solutions. “It can be helpful to remember that sex does not have to include penetration or intercourse to be pleasurable,” says Shannon Chavez Qureshiz, a licensed psychologist and sex therapist in Beverly Hills, CA. Pelvic floor therapy and OTC pain relievers can also be effective at reducing pain during penetration, adds Jeffcoat.

There is much great information in the full article which includes quotes from a number of other endo experts, including:

  • You Decide When the Timing Is Right
  • How Being Open Can Bring You Closer
  • Getting the Conversation Started
  • Keep the Conversation Going
  • You Can Learn About Endo Together
  • How Your Partner Responds Can Be Telling
  • Discussing Endo and Future Plans

Go here to read the full article and learn to talk with your partner about endo, and go here if you're ready to make an appointment with one of our trained physical therapists.

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Testimonial by M.M.

A personal journey and testimonial from one of my patients:

My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

Read more: Testimonial by M.M.

Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

Read more: Testimonial by M.M.

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 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 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 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.

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