TMI Talk with Dr. Mary
Welcome to TMI talk with Dr. Mary where we dive into non-traditional forms of health that were once labeled as taboo or dismissed as Woo. Dr. Mary Grimberg is an orthopedic and pelvic floor physical therapist who helps people navigate perimenopause by addressing the fascia, lymphatic system, musculoskeletal system, viscera , and the nervous system.
Her whole body approach goes beyond hormone replacement therapy, showing how movement and rehab professionals can play a much bigger role in this process.
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"TMI Talk with Dr. Mary" was previously known as "Sex and Wellness with Dr. Mary"
You can learn more about Dr. Mary at drmarygrimberg.com
TMI Talk with Dr. Mary
Episode 7 - Why Do I Have Pain With Sex?
This week we will be talking about pain with penetrative sex. We had a 32-year-old female named Jen. She is from Omaha, Nebraska and she said that she has been having pain with penetrative sex so she asked for some recommendations on what she can do about it.
We aren’t just going to talk about what you can do about this type of pain. We will be looking into the many reasons why there is pain with penetrative sex occurs, pain with initial penetration, pain with deep penetration, what I do to guide patients with this problem, and so much more!
Know that you are not alone and penetrative sex is not the end all, be all!
Let’s get to it:
3:16 - Introduction to the topic
4:44 - Getting the right healthcare practitioner for you
5:16 – The different types of pain when having sex
6:38 – Pain with initial penetration
7:11 – Pain with initial penetration can be due to scarring
8:20 – Pain with initial penetration can be due to estrogen deficiency
11:40 – Pain with initial penetration can be due to the hymen
13:30 – Pain with initial penetration can be due to change in vaginal PH
16:48 – Stress and tension in the pelvic floor affecting our sex experience when going into deep penetration
18:47 – Pain with deep penetration can be due to chronic hip pain, low back pain, SI joint pain
22:00 - Pain with deep penetration can be due to prolapse
25:19 – Pain with sex can be due to not enough clitoral stimulation prior to intercourse
28:15 – Pain with sex can be due to being tense and not feeling comfortable in your own body
30:15 – Pain with sex can be due to sexual trauma and what would be the best step forward to address the issue
31:20 – Pain with sex can be due to vaginismus, what is it, and why it happens
35:07 – Conclusion
Want support for perimenopause that goes beyond hormones?
Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.
I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.
If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.
Subscribe to my email list here
I’ll see you in 2 weeks!
PS:
If you are interested in being a guest on the show, please fill out the form here.