Painful Sex and Vaginismus: What Every Woman Should Know | Dr. Janelle Frederick

Pelvic pain and vaginismus are more common than you think. In this episode, Dr. Janelle Frederick breaks down the myths, stigma, and real solutions for painful sex.

Timestamps

00:00 – Welcome and FAMM Certification announcement
03:20 – Dr. Janelle’s journey to becoming a pelvic health PT
08:40 – What is vaginismus and why is it so misunderstood?
16:00 – Why painful sex is more common than we think
22:15 – The emotional toll and silent suffering of vaginismus
28:00 – The “splash method” and conception without penetration
35:10 – Partner dynamics and cultural stigma around pelvic pain
42:00 – Tools, dilators, and remote healing protocols explained
50:45 – The role of pleasure, education, and nervous system support
56:00 – Success stories and hope for healing
60:00 – Practical steps to begin healing from painful sex

Key Takeaways

Painful sex and vaginismus affect far more women than we realize, often in silence.
Vaginismus is not “in your head”—it’s a real pelvic floor condition rooted in muscle tightness, pain, and often fear.
Healing is possible through targeted pelvic floor therapy, education, and nervous system support—often in just 2–3 months.
Practitioners must ask the right questions—especially when fertility challenges are present—to avoid missing critical information about sexual pain or dysfunction.
Supportive partners and trauma-informed care are essential to a successful healing journey.

Resources and Mentions

Vagina Rehab Doctor — Dr. Janelle Frederick’s official site
Instagram: @vaginarehabdoctor
FAMM Certification Program
Download the free Egg Quality Guide

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Disclaimer

This podcast episode is provided for educational purposes only and is not intended as medical advice. Always consult a qualified healthcare professional with questions regarding your health or treatment.