Episode Details

Painful sex is far more common than most women realize and far more complex than we’re ever taught.

In this episode, Dr. Leah shares her deeply personal 18-year journey with painful sex, low libido, and feeling dismissed by the medical system, alongside a comprehensive breakdown of the real root causes of pain during sex, from trauma and pelvic floor dysfunction to hormonal changes and lesser-known conditions like provoked vestibulodynia (PVD).

We talk honestly about why painful sex is not something you should “just push through,” why many conventional treatments miss the mark, and how healing often requires addressing multiple layers at once: physical, neurological, hormonal, and emotional.

If sex has ever felt painful, burning, tense, or emotionally complicated, or if you’ve been told everything “looks normal” but something still feels wrong, this conversation is for you.

Painful sex is not a personal failure, a relationship problem, or something you should tolerate. It’s often a signal, and when you understand the signal, healing becomes possible.

Content Note

This episode includes discussion of sexual trauma, medical trauma, and chronic pain. Please take care while listening and pause if needed.

00:00 Trailer + show intro

02:00 Why painful sex is more common than we think (and why women feel so isolated)

04:00 Dr. Leah’s personal story: living with painful sex from the very beginning

08:00 Being dismissed by doctors + why chronic pain is so confusing and isolating

12:30 Why treating symptoms doesn’t work

16:00 Endometriosis and deep pain during sex

25:30 Why pregnancy sometimes improves pain (and why it doesn’t always last)

32:45 Vaginismus explained

40:45 Pain, pleasure, and the nervous system

44:30 Trauma healing during pregnancy and how it changed postpartum pain

47:45 Provoked Vestibulodynia (PVD)

52:45 Birth control, testosterone, and why estrogen isn’t always the issue

56:45 What finally worked

59:45 Other overlooked causes of painful sex

1:04:30 Hypertonic pelvic floors

1:08:30 Final reflections, hope, and next steps

Resources From This Episode:

• Dr. Leah's When Sex Hurts Immersion Course Waitlist
• When Sex Hurts (book)
• Dr. Leah's Womanhood Wellness Membership
• Episode: Birth Preparation for Sexual Trauma Survivors
• Dr. Leah's Decoding Desire Immersion Experience

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Healthy As A Mother Podcast | Merch Store

Find more from Dr. Leah:

Dr. Leah Gordon | Instagram

Dr. Leah Gordon | Website

Womanhood Wellnes