For many people, pain during deep penetration is an invisible and often misunderstood challenge. Known as collision dyspareunia, this type of pain can affect intimacy, relationships, and overall quality of life—but it doesn't have to define your sexual experiences. In this episode of Dr. Jeff Talks About Sex & Intimacy, guest host Dr. Susan Kellogg-Spadt, internationally recognized sexual medicine expert, is joined by Emily Sauer, Founder and CEO of OhNut and Kiwi, to explore the causes, impact, and innovative solutions for collision dyspareunia. Together, they discuss what collision dyspareunia is, the many medical conditions that can contribute to it—including endometriosis, pelvic floor dysfunction, adenomyosis, ovarian cysts, and post-treatment changes after cancer—as well as why pain during sex should never simply be accepted as "normal." Emily shares the inspiration behind creating OhNut, an intimacy device designed to help couples customize penetration depth without sacrificing pleasure or connection, and discusses how thoughtful innovation can empower people to stay intimate while managing pain. The conversation also highlights the importance of open communication, reducing shame, and working with healthcare professionals who take sexual pain seriously.
Whether you're experiencing painful intercourse yourself, supporting a partner, or are a healthcare provider looking to better understand this common but often overlooked condition, this episode offers practical insights, compassionate guidance, and hope that pleasurable, satisfying intimacy is possible.
*The expert's opinions in this communication are personal and not representative of any organization. They are for informational purposes only, not official guidance. Viewers are advised to use their judgment, seek additional advice, and take responsibility for any actions based on these opinions.