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Heather Jeffcoat at Healthline
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orgams can be painful butt they don't have to be if you just do it right

Painful Orgasms: What are Some of the More Common Causes?

Healthline's latest article on painful orgasms includes Heather's insights into pelvic floor over-reactivity and its correlation to issues of painful vaginal and anal orasms.

Orgasms are always pleasurable, right? Actually, wrong.

For some people, orgasms aren’t even “just OK.” They’re downright painful. Officially known as dysorgasmia, painful orgasms are something someone of any anatomy can experience.

Pelvic floor over-reactivity

In vulva owners, the most common cause of dysorgasmia is pelvic floor dysfunction.

As a refresher: the pelvic floor muscles are located in the — you guessed it! — pelvis. They span from the pubic bone (in the front) to the coccyx (in the back) and from side to side.

They hold the pelvic floor organs — uterus, bladder, and bowels — in place.

During orgasm, these muscles contract really fast. Sometimes pain during orgasm happens because these muscles cramp.

“Sometimes, in patients with already tight, tense pelvic floor muscles, orgasm causes these muscles to become even tighter, which is painful,” says Ingber.

Other times, Heather Jeffcoat, DPT, who specializes in sexual dysfunction, pain, and incontinence, and author of “Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve” says, “The muscle contractions can result in nerve impingement, which leads to pain during orgasm.” Ouch.

Pain during anal orgasm

Nerve impingement

Just as pelvic floor overactivity can cause nerve damage in the vagina, it can also cause it in the anus.

“There is a branch of the pudendal nerve called the inferior rectal branch,” explains Jeffcoat. “If there’s an entrapment or impingement of the pudendal nerve, it can create pain during anal orgasm.”

The full article is here.

 

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    • 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...

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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...

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