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When Sex Hurts \u2013 Dr. Krapf\n\n\xa0Dr. Jill Krapf is a gynecologist specializing in\nvulvovaginal disorders in Tampa, FL \n\n\xa0Dr. Krapf is active in\nresearch and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd\xa0Edition.\xa0\n\nLove Dr. Krapf? Check out my other\nepisodes #131 \u2013 National Lichen Sclerosis Day and #172 \u2013 Vulvar Itch\n\nWhy write a 2nd edition of\nthe book \u201cWhen Sex Hurts\u201d?\n\nHow common is pain with sex for women? \n\nOften times with pain with sex there is\na physical cause, but you can\u2019t always see it.\n\nPelvic pain and pain with sex is very\nisolating and people feel very alone.\xa0\nPeople don\u2019t know how to talk about it.\xa0\n\n\nWhat happens after the pain is fixed. \n\nWhat does \u201call in your head\u201d mean and\nwhy people don\u2019t like that. \n\n\u201cThose who perceive their partners as\nkind and understanding report more intense pain than women whose partners have responses that promote adaptive coping.\u201d \u2013 what!\xa0 What is adaptive coping?\n\nHow to communicate your pain to your partner\nand your doctor.\n\nWhat if you are a partner of someone\nwith dyspareunia - - \u201cbest partner response is having a partner who engages in\nwhat researches call facilitative responses \u2013 affection and encouragement to cope with the pain in an adaptive way, such as by focusing on pleasure, deep breathing or positive thoughts while experiencing the pain.\u201d\n\nWe talk about stress, sex and the gut \u2013\nthings like irritable bowel syndrome related to pain with sex? \n\nThe role of birth control pills and\npelvic pain and health. In her book, \u201cWhen Sex Hurts\u201d they talk about Yaz\n(drospirenone) and pelvic pain \u2013 a prospective study of women\u2019s genitals and sexual function prior to starting Yasmin \u2013 and then after three months-\ndecreased clitoris, decreased blood flow, decreased labia minora, decreased libido, fewer orgasms and more dyspareunia. \n\nThe role of testosterone in pelvic pain\n\u2013 one study showing women with higher androgen levels have less work related neck and shoulder pain then women with low androgen and differing levels of Testosterone may explain some of the gender related differences in pain\nperception\n\nThe difficulty in giving testosterone to women and the problem with pellets. \n\nRecurrent Yeast Infections \u2013 Dr. Krapf helps\nus\n\n\n\nOur podcast sponsor today is AG1. Use AG1 to build a foundation for better health.\n\nFREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS\n\ndrinkag1.com/youarenotbroken\n\nThe new 2nd edition of \u201cWhen\nSex Hurts \u201dhttps://amzn.to/460TP4V\n\nhttps://jillkrapfmd.com/\n\nhttps://www.instagram.com/jillkrapfmd/\n\n\xa0\n\nDid you get the You Are Not Broken Book\nYet? https://amzn.to/3p18DfK\n\n\xa0\n\nJoin my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed\n\n\xa0\n\nJoin my\nmembership to get these episodes ASAP when they are created and without\nadvertisement and even listen live to the interviews and episodes. \n\nwww.kellycaspersonmd.com/membership\n\n\n--- \n\nSend in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message\nLearn more about your ad choices. Visit megaphone.fm/adchoices