Long before CPT began treating intercourse pain, we did not even know our treatment could help in this area. Over time, the CPT team began to notice that many women who came for infertility treatment were also reporting decreased intercourse pain. Some women reported, “I’m not sure why, but I don’t experience pain anymore with intercourse.” Others were considerably bolder and told us, “My orgasms have been incredible since treatment!”

We decided to investigate further and also developed different manual physical therapy techniques that we felt could help female intercourse pain. We then conducted a study to scientifically test how our treatment could help sexual dysfunction and intercourse pain. The results, published in Medscape General Medicine, were more than we could have ever imagined. 91% of study participants experienced a reduction in intercourse pain and large percentages of women reported improvements in orgasm (56%), lubrication (70%), desire (78%), and arousal (74%).

CPT is now proud to offer a treatment plan specifically for women with intercourse pain and sexual dysfunction. As we continue on our path of education, self-improvement, and research, our treatment for these conditions only improves. Even better news is that at CPT, we never treat “parts” of our patients. We believe everything is connected; we often see that pain and dysfunction in one area is linked to dysfunction in another. So if you come for infertility treatment, but also experience intercourse pain, our therapists will treat both conditions. For more information, please see our article Infertility and Sexual Dysfunction are Linked, And Its Not All in Your Head and You Don’t Have to Cope with Painful Intercourse While Trying to Conceive.

Please visit our website to learn more about our treatment for female infertility, female sexual dysfunction, or painful intercourse. Not sure if you have sexual dysfunction? Read our article Is Your Sexual Function Normal?

Many women who experience intercourse pain believe the pain is something they just have to live with or tolerate. They manage the pain by having sex sparingly or avoiding sex at times when it might be particularly painful (such as during ovulation or the week before).

However, if a woman is trying to conceive, she cannot avoid sex or only have sex when it feels best for her. Emily, a former CPT patient, struggled with just this problem. When she and her husband married, she was disappointed to find that sex was extremely painful. She told us that the pain “was almost unbearable.” Emily and her husband seldom had sex due to the pain, but when they decided to have children, she had to endure the pain. Emily told us, “We tried to have sex more often, and the stress of trying to push past the pain was making my menstrual cycles irregular.”

Adhesions at the cervix can cause painful intercourse and infertility

Painful intercourse is not normal. In fact, pain with intercourse is a clue that there might be something else wrong. CPT has treated many women who experienced infertility and a large majority of them experienced painful intercourse as well. We feel that painful intercourse is a sign that adhesions have formed in the reproductive tract, possibly adhering, restricting, and preventing proper function and fertility.

When Emily came to us for help, CPT therapists delicately and sensitively treated adhesions in her reproductive tract. Emily stated, “I felt very comfortable at CPT and in control of the treatment. At times, it was uncomfortable because they were treating a very pain-sensitive area, but I could tell the difference as the pain decreased with each session.”

Emily and her husband were eventually able to resume regular intercourse. Emily reported, “Before treatment my husband had never been able to enter me fully, and finally he was able to!” Emily’s menstrual cycle also returned to a regular cycle and she is currently expecting.

Emily’s full story, along with stories by over 75 patients, will be featured in our upcoming book, Miracle Moms, Better Sex, Less Pain. To read more about the connection between painful intercourse and fertility, read our blog post: Infertility and Sexual Dysfunction are Linked – And It’s Not All in Your Head
Please visit our website to learn more about our treatment for painful intercourse and female infertility.

Many comedic movies like to poke fun at the relationship between men and women in the bedroom. While these portrayals are sometimes humorous, they fail in one regard: showing a real woman. In comedic movies, women are either portrayed as the sex kitten who will bring out the whip at any given moment or the completely bored lover who has to use “fake orgasms” or the excuse of headaches.

What is normal female sexual function? Occasionally having a “headache” or trying to spice things up certainly isn’t abnormal, but for most women, these two extremes don’t represent their sexual relationships.

To help define “normal” female sexual function, doctors designed the Female Sexual Function Index. It breaks-up female sexual function into six quantifiable categories:

• Desire
• Arousal
• Lubrication
• Satisfaction
• Orgasm
• Pain

Doctors have designed a questionnaire to help a woman determine her overall sexual function score. To take the test and see your score, visit the FSFI website.

If a woman scores low on the test, it does not mean there is something “wrong” with her. It may be that a woman isn’t lubricating enough, making sex painful. Or a woman may not be receiving enough foreplay, leading to decreased arousal, lubrication, orgasm, and overall satisfaction. Another possibility is that a woman is experiencing a particularly painful emotional time, thus decreasing her levels of arousal and desire.

But what if you scored low and you feel your sexual function has been low for years? What if you and your husband have tried to increase your sexual experience in multiple ways, but it just isn’t working? What if no matter what you do, you still experience pain with sex?

If any of these questions sound like you, adhesions may be contributing to your sexual dysfunction and pain. Adhesions form after any injury to the body – including vaginal infections, bladder infections, rough sex, etc. The minute an infection occurs, tiny strands of collagen rush to the site. They not only seal off the area from the rest of the body, but also help it heal. Although helpful, these strands of collagen can blanket the sensitive walls of the vagina. When the nerves of the vagina are blanketed, desire, lubrication, satisfaction, and orgasm can be decreased.

In addition to blanketing the vagina, collagen can continue to build and form adhesions. Adhesions can constrict the vagina, pull on the cervix, or pull on nearby structures. Whenever a woman attempts sex, pain is generated as the adhesions are stretched.

To learn more about a safe, non-invasive treatment for sexual function and intercourse pain, please visit our painful intercourse page and sexual dysfunction page.

Maintaining a sexually satisfying relationship can be difficult for couples struggling with infertility.  Judith C. Daniluk, author of an article entitled, “Keeping Your Sex Life Alive While Coping with Infertility” explains that, “Infertility affects a person’s feelings about themselves – their masculinity or femininity, their self worth, their self esteem, their body.”

Many women experience a deterioration of sexual satisfaction during infertility treatments, often related to feelings of disappointment, guilt, or low self esteem. These feelings can decrease a woman’s sexual desire, arousal, ability to lubricate, and overall satisfaction.

A study published by Fertility and Sterility (October 2007) found that women experience greater levels of anxiety and sexual stress due to infertility than men. For some women, infertility treatments directly decrease desire and arousal because of altered hormonal levels.

Although these articles and studies show that decreased sexual satisfaction can be related to emotional and mental health, it is imperative that women know sexual dysfunction or painful intercourse is not always, “all in your head.”

At CPT, we often find that female infertility and sexual dysfunction are physically linked. Frequently, a woman will experience a common event such as a car accident, vaginal infection, STD, sexual abuse, or surgery that causes adhesions to form within the reproductive tract. These adhesions can lead to infertility by restricting or pulling the fallopian tubes, ovaries, uterus, and vagina. Although some women may not initially experience any pain or sexual dysfunction at the time, the continued pulling and restriction can cause more adhesions to form, eventually resulting in painful intercourse and sexual dysfunction six to twelve months later. Because of the delayed onset, women often do not see the connection between their infertility and sexual dysfunction.

CPT therapists see sexual dysfunction as a clue to discover the cause of a woman’s infertility. We often ask patients, “When did your sexual dysfunction begin? How often does it occur? Are you experiencing trouble with arousal, desire, satisfaction, orgasm, pain, or lubrication? In what sexual positions does sex hurt? Where exactly does it hurt and what does it feel like?”

The answers to these questions shape our individualized treatment for each woman. Many women find that when we resolve the cause of their infertility, we also resolve the cause of their sexual dysfunction and pain.

To learn more about our treatment, please visit our sexual dysfunction page, painful intercourse page, or female infertility page.

Sexual intimacy and intercourse should provide some of life’s greatest pleasures. But because the female urogenital and reproductive organs are very susceptible to adhesions, intercourse can become painful, dissatisfying, and embarrassing. Many women still believe the old misconception that “there isn’t anything that can be done,” or “it’s just the way it is,” or “my mother didn’t enjoy sexual intimacy and neither did hers, therefore I won’t be able to either.”

If you are not satisfied with sexual intercourse, you are not alone. Did you know that approximately 50% of all US women and 43% of women aged 18-59 experience female sexual dysfunction (FSD) according to data from Urology and the Journal of the American Medical Association? In 2000. the Journal of Sex & Marital Therapy classified female sexual dysfunction into six measurable domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Intercourse pain affects between 46% and 60% of all US women, according to reports in American Family Physician (2001) and Obstetrics & Gynecology (1996). Have you ever been informed that female sexual dysfunction can occur during any stage of intercourse?

Although sexual dysfunction and intercourse pain are prevalent among women, these conditions should not be considered “normal” or “untreatable.” An informative article found in Science Daily (November 16, 2006) discusses a recent study about a possible cause of sexual dysfunction in women. The study, completed by researchers of the Department of Obstetrics, Gynecology, & Reproductive Sciences at Yale School of Medicine and The Albert Einstein College of Medicine, found that many female competitive bicyclists experienced decreased genital sensation. The researches found that external genital nerves and arteries were negatively affected by being directly compressed in women who consistently cycled an average of at least 10 miles a week, four weeks per month.

Other known causes of sexual dysfunction and intercourse pain include bladder infections, yeast infection, inflammatory disorders, sexually transmitted diseases, pelvic surgeries, physical or sexual abuse, etc.  All of these conditions can cause adhesions to form within in the reproductive tract. Adhesions can restrict and blanket the delicate structures of the reproductive system, causing decreased sensation (such as in the bicyclists) or painful intercourse.

So what can a woman do once she experiences sexual dysfunction or painful intercourse? First, she should speak with her doctor to make sure there is not a greater problem at hand, such as endometriosis or a sexually transmitted disease. If the doctor cannot find a probable cause, it is likely that adhesions are at fault.

A study published in the peer-reviewed journal Medscape General Medicine (2004) examined a sexual dysfunction treatment that directly targets adhesions within the reproductive tract. The study showed that 78% of women had increased desire (libido), 74% had increased arousal, 70% had increased lubrication, and 56% experienced increased orgasms after receiving treatment developed at Clear Passage Therapies®. For more information on this treatment, please visit our sexual dysfunction or painful intercourse page.

Few women feel comfortable discussing painful intercourse, much less deep penetration pain. However, many women experience pain that lasts after initial entry. Some women report that, “It feels like my partner is hitting something.” Other women experience a broader ache in their pelvis.

So what can cause this type of pain? Below are three common culprits:

Tailbone: A fall onto the tailbone can cause it to be pushed forward or to the side. If the ligaments and tissues attached to the tailbone are also injured, the tailbone can heal in this position. Women with this condition experience painful intercourse, pain with bowel movements, and difficulty sitting for long periods.

Cervix: The cervix is held in its midline position by ligaments that attach to tall sides. If infection, inflammation, surgery, or trauma occurs in the vagina, adhesions can form and pull the cervix out of alignment. Adhesions can also tighten the cervix, causing significant pain when impacted by deep penetration.

IUD: An IUD is designed to prevent pregnancy by causing inflammation in the uterus. If the uterus is inflamed, a woman may experience pain during intercourse. Inflammation also causes adhesions to form in the uterus and cervix. Even if the IUD has been removed, a woman can still experience pain during intercourse due to these adhesions.

Our therapists, trained to reduce adhesions, have had great success treating intercourse pain. In our latest study, 96% of patients experienced a decrease in intercourse pain. To read more about our treatment for sexual dysfunction and painful intercourse, please visit our site.

More than half of the women in the study also reported concerns of physical or sexual abuse, and over 40% reported sexual coercion at some point in their lives. “Experiences with abuse or coercion may explain why some women are hesitant to talk about their sexual concerns,” says physical therapist Belinda Wurn, an expert in treating the physical components of sexual dysfunction and dyspareunia.

Still, many other women with no history of abuse often conclude that painful intercourse is a normal occurrence for women and do not think to complain to their physician. They simply live with the pain or become disinterested in sex.

“When sex hurts, intercourse can become a time of silent agony instead of pleasure,” Wurn says. “Many women may attempt to avoid sex altogether due to the pain.”

Wurn should know. After a pelvic surgery and radiation for cancer of the cervix left her infertile and in pain, she searched for years to regain a pain-free sexual life. Now the tables are turned and she is conducting and publishing research on the work that got her out of pain.

The pelvic therapy she uses addresses a wholly physical component; it is designed to decrease vaginal and pelvic adhesions that form after trauma, infection, inflammation, or surgery. Untreated, adhesions can remain in the body for a lifetime where they act like glue, tightening tissues and causing pain.

Wurn’s findings have been published in several peer-reviewed medical journals, but “research is only one step in the right direction in helping women resolve their painful intercourse,” she says. “Healthcare professionals need to be stronger advocates and initiate conversations about sexual health with their patients. Sex should not hurt and women don’t have to live with it.”

”Women might want to keep a journal to assess their pain,” Wurn suggests. ”They should note when the pain first started, how often it occurs, if it occurs at certain times during the monthly cycle or in certain coital positions, and if the pain occurs at the entrance or deeper within the vagina. Women should feel encouraged to discuss their journal with their gynecologist. If their doctor doesn’t listen, they should find another who will.”

Wurn and her husband are currently co-authoring a new book, Miracle Moms, Better Sex, Less Pain, to help bring these issues to the forefront of medical care.

Two recent published studies show that a manual physical therapy that feels like a deep massage, the Wurn Technique, reduced or eliminated intercourse pain in up to 96% of the women.

The treatment uses neither drugs nor surgery. Physical therapist Belinda Wurn says, “We believe tiny adhesions form on the vaginal walls, or deep within the urogenital organs. This therapy appears to detach those adhesions strand by strand, decreasing pain and increasing function.”

American Family Physician and Obstetrics and Gynecology indicated that 46% to 60% of sexually active US women suffer, or have suffered, from painful intercourse. However, very few medical approaches address the condition.

“Until now, our medical toolbox has been extremely limited in treating intercourse pain,” said research gynecologist Richard King, MD. “Pain relievers and desensitizing agents offer a poor solution for this common and debilitating condition.”

Citations in Fertility and Sterility and Medscape General Medicine showed significantly decreased or eliminated intercourse pain for women with endometriosis and for those in the general population after they received the new therapy.

Two related studies showed that the therapy increased sexual function in several areas, including desire, arousal, lubrication, and orgasm in most study participants. In other studies, the therapy increased pregnancies in women diagnosed infertile.

Belinda and her husband, massage therapist Larry Wurn, developed the patent-protected therapy, called the Wurn Technique over the last 20 years. Initially developed to address pain Belinda experienced after pelvic cancer and surgery, the therapy can be completed in three to five days at Clear Passage Therapies ® clinics in several US locations.

Media contact: Larry Wurn 352-336-1433 or cptherapy(at)aol.com