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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 A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

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 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 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 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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