Pain During Sex


Hi, I’m Susan Bratton, your trusted hot
sex adviser, and I’m here with Dr. Jessica Drummond of the Integrative
Women’s Health Institute and we are talking about pain during sex, which
totally stinks, and we’re gonna help you with it right now. So, Dr. Drummond can you just tell us what the major causes of painful sex are?
Yes, one of the most common causes is endometriosis which is a complex disease process that we really can’t cover here, but you could call my office and we
can do a private consultation. Secondly, there is a common condition called
vulvodynia or similarly vestibulodynia, which is pain at the entrance of
the vaginal canal and the vulvar vestibule. It’s literally a little
space between the vulva and the vagina which is that canal. There is also
painful sex in women who have just general tension and tightness in the
muscles of the pelvic floor, which is both these little tiny muscles that you can see
here and the deeper hammock of pelvic floor muscles which you can see from the
inside here. Normally, there’s the bladder, uterus and rectum here as well, but we
took those out so you can see the muscles. And another most common cause the painful sex is low estrogen which is most common postpartum or in the
perimenopausal or menopausal timeframe. So anytime over age 35, when estrogen
levels can drop. Now you have a Three Steps to Natural Hormone Balance webinar, which I’m going to put a link to below so that you can watch that. If you think
that any part, and it’s likely that some part of your painful sex might be
hormonal imbalance, Dr. Drummond has a really good webinar that I want you to
check out. I want to go back to vulvodynia for a second. It seems to
me like there are really two pain sources at the entrance or the introitus,
the entrance to your vaginal canal, so we’re really talking about painful sex.
We’re talking about the time of penetration of intercourse and it’s
like there are, and just tell me if I’m right or wrong on this, the two big
reasons could be this vulvodynia which sounds to me like it’s more of a
muscular issue or dryness and irritation, a lack of resiliency of the actual tissue
at the entrance to the vagina from a hormonal imbalances, or a lack of
estrogen that could also be more like skin pain than actual muscle pain. Did I
get that right? Well, it’s actually a little bit of both.
Those things overlap. They go hand in hand, I’m sure. And so vulvodynia is
really just descriptive, or vulvar vestibulodynia, is descriptive of… “dynia”
just means pain, and so it’s descriptive of where it is. Pain in the entrance of
the vaginal canal right at the vulva and it could be the entire vulva, the circular area, or just posteriorly. It’s often the skin and the
muscles, especially if it’s on the bottom of that vaginal canal, there’s usually a
muscular component to it, where the pelvic floor muscles are tight or have
difficulty relaxing, but because when muscles are tight you also have lack of
blood flow that can contribute to having low lubrication as well, and then if you
layer low estrogen on top of that and/or low testosterone, you set up a
perfect storm where you’ve got a combination of things contributing to
pain in that particular region. And one other thing that’s very common as a
contributor to vulvar pain or pain with penetration or the diagnosis of
vulvodynia, is some kind of autoimmune component. So we also have to optimize
our digestive and immune health to be able to optimize the tissue integrity,
again that resilience of the tissue. So it’s not so inflamed, red, sort of
fragile tissue. Anytime that you have any kind of candida overgrowth or
dysbiosis, or any kind of acid reflux or tummy
issues, and it’s all one system so it’s going to affect your vaginal system just
as it’s going to affect your stomach, your gut, your throat, your mouth could
be inflamed in the entire lumen, the entire alimentary system. That
really makes a lot of sense to me. If a woman has pain during sex,
what are some of the first things that she can do? She can get her hormones
checked. She can go take your webinar and learn more about hormones, she can watch my videos on which hormone tests to get and how to test your hormones, she can
learn how to massage her own vulvar area to release some of the tight muscles and
bring blood flow in. We have a video on vagina massage with Dr. Drummond and I that you can watch in this series. What are some of the other things beyond that
that can also help a woman isolate and then cure or fix or reverse her vaginal
pain? So if that self vaginal massage or doing it with your partner in a relaxed
way isn’t enough to completely relieve the tension and pain, I definitely
recommend a skilled assessment by a pelvic floor specialist, physical
therapist. So I’m a nutritionist but I’m also a public floor specialist physical
therapists and we exist all over the world and having that skilled assessment
can help you kind of define what are the key contributors to your pain. Is it more
of a gut overlap, are there problems where because sometimes there’s a bladder pain condition and/or endometriosis and/or vulvodynia.
A lot of times these things coexist together and often they have similar
root causes. So relaxing the muscles is almost always a piece of the equation,
but we also want to optimize gut health, we want to make sure you’re doing even
simple things like drinking enough water so that your bladder is healthy or that
you have the right kind of bacteria in your vaginal canal and around your urethra so you’re not
dealing with chronic UTIs or chronic yeast infections or bacterial vaginosis.
So having a skilled assessment I think where where your clinician looks at all
of those different pieces can help you figure out the root cause of your
particular sexual pain. It makes total sense and I’ll put a link to Dr.
Drummond’s website on the notes below this video as well as a link to her
webinar, and I’ll also put a link to my Women’s Sexual Empowerment email
newsletter because if you were here because you have painful sex and you
want to solve it, there are many things I cover with regard to moving
into pleasure around intercourse and other areas of sexuality. One of the
things that I want to share with you Dr. Drummond is that I recently video
blogged 22 episodes of a vaginal rejuvenation series. I did a vaginal
rejuvenation stack. I had no pelvic floor issues. I had
hormones completely in balance, all in a really nice topped-up bioidentical
hormone replacement, everything was good and I still had pain at the entrance to
my vagina all the way around and I just couldn’t solve it so I decided to try the Femi-lift laser up
inside the vaginal canal. I also had the Revive by Viora which is on the outer
labia. It kind of plumps that tissue up and gets the collagen back in it. And I
also had two o shots which is orgasm shots which is platelet-rich
plasma, PRP, injected from your own body back into your clitoris, and all three of
those things. It took five femi lifts for me with the vaginal resurfacing, the
laser resurfacing, of my vaginal tissue to bring strength back to it, but
I had also done a lot of laser resurfacing of my skin because I get a
lot of age spots So I thought if it worked on my body
so well, with my skin on my face, I bet it’ll work in my vaginal tissue. It
really did. It took a couple of Femi lifts procedures and ultimately I ended up doing five to get the tissue back, to
being robust enough to not have pain with intercourse, but it was that
finally fixed it for me. So I really want to share that because I’ll be 57
this year, and I really feel like those particular stack of
procedures turned back the clock on my vulva to feeling like I was 30 or 35
again. It shaved 20 years off em. I didn’t realize how much as I had aged
I’d lost sensation, even though I feel incredible sensation, I have incredible
orgasmic capacity. I engorge very easily because I’ve had so much vaginal massage from my husband we’ve been having an Expanded Orgasm practice for 14 years
now where I’ve gotten regular vaginal massages. I have the happiest
vagina in the universe, but I still have pain and so I think that if you
have painful sex… I’m glad you’re here and I really want to
encourage you to figure out what you’ve got to do to fix it because I
want you to have sex for the rest of your life. It is so healthy for you, such
a good thing for you that people like Dr. Drummond, people like
myself, we are the vanguard of women’s sexual pleasure and health, and take a
look at the links below and ask us questions. We will reply because we are
here for you. It’s our passion, right Dr. Drummond. Yeah, and I would just say that I was at a conference just last week and there’s new evidence that
PRP shots the O shots are starting to be looked at in common medical research and we’re finding some good results, so stay alert that that hopefully will be more
widespread and available soon. It’s fantastic. I highly recommend it. So you take good care of that vulva, girlfriend, and we are here for you if
you need us. I’m Susan Bratton and I’m here with Dr. Jessica Drummond. We’ll see you on the other side.

4 Replies to “Pain During Sex”

  1. what about if you're 70 haven't had intercourse for 10 years. had breast cancer survivor of almost 10 years and can't take any estrogen hormone replacement??

  2. I almost always have some internal pain and it feels like it swells a balloon inside of me that climbs to the ovary and creates some pressure with pain in almost all area of my abodomen! Why ia that? Do you have any idea?

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