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Heather Jeffcoat in Cosmo
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Positions to Try if Penetrative Sex Is Painful

Looking for Positions to Try if Penetrative Sex Is Painful?

Since its inception Cosmopolitan Magazine has been a "go-to" source of valuable information for women looking to improve their sex lives. In a recently released online article, Heather Jeffcoat, DPT was their first source of insight when it comes to overcoming painful intercourse due to endometriosis and other factors.

There can be many reasons for pain during vaginal intercourse. Conditions like vaginismus and vulvodynia can make penetration hurt even if you're super turned on and just put on plenty of lube. Sexual trauma could be one cause; endometriosis, a condition where the tissue that normally lines the uterus grows outside of it, is another.

Sex, of course, should never be narrowly defined as just penetration. But, if you find yourself wanting to have intercourse, there are some angles and positions that can potentially reduce, or even fully avoid, discomfort. For instance, “Women with endometriosis typically have pain upon deeper thrusting, so positions that limit the depth of penetration are key,” says Heather Jeffcoat, a doctor of physical therapy and author of Sex Without Pain: A Self Treatment Guide to the Sex Life You Deserve. If this all sounds familiar, here are five positions you can try (and, of course, if you've never seen a gynecologist about this, please do so first!):

The Goddess

"Consider additional erotic activities that don't include penetration," says Jenni Skyler, PhD, a certified sex therapist and sex expert for AdamEve.com. "Penetration can be the side dish for sex while the other activities dominate. Pleasure is the goal, so creatively figuring this out is key."

The Cowgirl Crouch

"The person with the vagina gets on top and kneels over the person who's prone to control the depth and speed of penetration," says Carol Queen, PhD, Good Vibrations staff sexologist, curator of the Antique Vibrator Museum, and co-author of The Sex and Pleasure Book with Shar Rednour.

Curious about more positions to try if penetrative sex Is painful? The full article can be found here.

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What Our Patients Have to Say

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Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

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 having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.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 Jackie W.

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.

-- Jackie W., 1/19/17 via Yelp!

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