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Heather Jeffcoat at Healthline
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citrus fruit representing vaginal scarring
Image courtesy of Healthline.com
In this Healthline article written by Gabrielle Kassel on May 29, 2020, Heather Jeffcoat was tapped for her experise on vaginal scarring and its effects on painful penetration during sex, tampon insertion, etc. Here are some excerpts from the article, and a link to the full article is shown below.

Yes, it’s possible to have scarring down there

Experts estimate around 75 percent of women find sex painful at some point in their life.

Known by medical personnel as “dyspareunia,” there are basically a bajillion different reasons this could happen.

One of them is vaginal or vulvar scarring.

What exactly is it?

Scar tissue is the body’s way of healing what’s been damaged or injured — it’s the body’s healing mechanism,” says Heather Jeffcoat, a doctor of physical therapy who specializes in sexual dysfunction, pain, and incontinence, and author of “Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve.”

Vaginal scarring occurs when scar tissue has developed inside the vagina as a result of injury, damage, or tearing — like during vaginal childbirth.

Scarring on the outside of the vagina (the vulva) is also possible.

How to recognize it (if you can’t already)

If you ever fell riding your bike or sliced a finger cutting an avocado, you know this to be true: The tissue the body lays down to heal a wound isn’t the exact same type of tissue that was there previously.

It’s stiffer, thicker, and usually either numb or much more sensitive than the surrounding tissue (or skin).

Well, surprise, surprise: This is also true for scar tissue inside the vaginal canal or on the vulva.

So, while there are different types of scars, you’ll likely be able to see the scars on your clitoris, labia, or perineum and around the vaginal opening, either by looking down or holding a mirror between your legs.

What can cause vaginal and vulvar scar tissue?

Anything that causes trauma — that’s tearing, microtearing, puncturing, or splitting — to the area can lead to vaginal scarring.

Beyond pain: How to make sex pleasurable

Once we’ve addressed the pain, we can start to work towards pleasure,” Jeffcoat says.

Here’s what that might look like.

Try sex positions that put you in charge

Penetration may not be on the sex menu for you. But if it’s something you want to try, Jeffcoat recommends positions that either limit the depth of penetration or put the vulva owner in charge of the action.

For instance:

Check out the Ohnut

If the scarring is deep inside the vaginal canal, you might also try using the Ohnut,” Jeffcoat says.

[This] is a device the penis owner or dildo wearer can slide down their shaft to reduce how deep they’re able to enter,” she explains.

And in case you’re wondering: It doesn’t feel like a cock ring. Rather, it doesn’t feel like much of anything.

Buy the Ohnut here.

Give the clit some love

Who needs penetration to experience pleasure when the clit alone has 8,000 nerve endings??

If you’re using your fingers, experiment with different types of strokes:

  • Stroke from the top down and then from the bottom up.
  • Tap on the clitoral hood.
  • Swipe diagonally left to right and then right to left.
  • Use clockwise and counterclockwise circles.

Use lube!

The reason you used a Q-tip with lube is to reduce irritating friction. And that’s the benefit of using lube during sex.

Lube cannot fix vaginal scarring, but it may help make those scars less sensitive to touch,” Jeffcoat.

There is much more useful info in the original article. Continue reading the full article at Healthline here.

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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.

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I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

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Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

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I just wanted to thank you for everything you've done for me for the past 19 months. I literally could not have reached my goals without you and your practice. You gave me the courage to keep moving forth with my treatment no matter how afraid and anxious I was. You were always there to answer questions and made this whole process so much easier than I expected it to be.

It's because of you that my marriage is on the right track, that I can get pregnant and that this part of my life is finally over. I really feel that Fusion Wellness is a team of people you can call family and are there to root for you and cheer you on until you reach your goals. There is nothing better than knowing I accomplished this with you guys by my side and as calmly and patiently as I needed. Thank you from the bottom of my heart for always being there and helping me reach my goals.

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