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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 women, 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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What Our Patients Have to Say

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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 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 Mary L.

I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

Read more: Testimonial by Mary L.

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

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 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.

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