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Intimacy doesn't have to end when chronic pain begins - it simply requires thoughtful adaptation, clear communication, and a willingness to explore new pathways to pleasure.

• Understanding the crucial difference between pain (stop immediately) and discomfort (slow down and get curious)
• Expanding your definition of intimacy beyond penetrative sex to explore the "whole playground" of possibilities
• Approaching new relationships with honesty about endometriosis without feeling obligated to become an educator
• Recognizing that most female orgasms occur through clitoral stimulation rather than penetration
• Learning that pleasure and pain signals use the same brain pathways, which is why pain can inhibit pleasure
• Embracing acceptance without judgment as a pathway to moving forward
• Considering therapeutic approaches like EMDR to address medical trauma and negative beliefs
• Using communication as your most powerful tool for maintaining intimacy despite chronic illness

If you're struggling with intimacy issues related to endometriosis or chronic pain, visit The Brooke Center for Counseling and Wellness at thebrookecenter.com or follow @thebrookecenter and @malloryoxendine on Instagram.

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