You Are Not Broken

219. When Sex Hurts - With Dr. Krapf


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When Sex Hurts – Dr. Krapf

 Dr. Jill Krapf is a gynecologist specializing in

vulvovaginal disorders in Tampa, FL

 Dr. Krapf is active in

research 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 Edition. 

Love Dr. Krapf? Check out my other

episodes #131 – National Lichen Sclerosis Day and #172 – Vulvar Itch

Why write a 2nd edition of

the book “When Sex Hurts”?

How common is pain with sex for women?

Often times with pain with sex there is

a physical cause, but you can’t always see it.

Pelvic pain and pain with sex is very

isolating and people feel very alone. 
People don’t know how to talk about it. 

What happens after the pain is fixed.

What does “all in your head” mean and

why people don’t like that.

“Those who perceive their partners as

kind and understanding report more intense pain than women whose partners have responses that promote adaptive coping.” – what!  What is adaptive coping?

How to communicate your pain to your partner

and your doctor.

What if you are a partner of someone

with dyspareunia - - “best partner response is having a partner who engages in
what researches call facilitative responses – 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.”

We talk about stress, sex and the gut –

things like irritable bowel syndrome related to pain with sex?

The role of birth control pills and

pelvic pain and health. In her book, “When Sex Hurts” they talk about Yaz
(drospirenone) and pelvic pain – a prospective study of women’s genitals and sexual function prior to starting Yasmin – and then after three months-
decreased clitoris, decreased blood flow, decreased labia minora, decreased libido, fewer orgasms and more dyspareunia.

The role of testosterone in pelvic pain

– 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
perception

The difficulty in giving testosterone to women and the problem with pellets.

Recurrent Yeast Infections – Dr. Krapf helps

us


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The new 2nd edition of “When

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You Are Not BrokenBy Kelly Casperson, MD

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