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mmHelen Leff, LCSW

Hi Amanda,
Congratulations on working with a pelvic floor PT, using dilators, and making progress – you have come a long way since your gyn visit. When it comes to transitioning to intercourse here are a few tips: It’s important that you are dilating with a dilator that is a tiny bit larger then your partner’s penis, it’s important that you dilate immediately before intercourse as those muscles will be ready, it’s important to use a generous amount of lube. Also, communicate with your partner if you need him to go slower etc. Sometimes a partner is worried that he will hurt you and he may have a hard time maintaining an erection; if that’s the case he can get a prescription for viagra short term. It can be helpful for a partner to participate in dilation (using one of your smaller dilators) so that he can be familiar with the angle of penetration and for you to have some experience with giving up some control.
Amanda, I know this is difficult and try and have a sense of humor about it. It may be awkward at first, it may feel mechanical – it will get better. I know that having intercourse is your goal and don’t lose sight of having fun non intercourse sex.
Wishing you all the best.
Keep us posted,