1:1 treatment

Eight weeks of 1:1 treatment for pain during sex

Your 8-week individualised care plan comes from your history, not just from pelvic floors in general. I work out and prioritise which parts apply to you and in what order and each week I adapt it based on what actually helped and your experience. By the end you can do that yourself, which is the difference between managing a flare up of symptoms in the future and starting again from scratch. One to one, by video, across the UK.

Every woman starts with the initial consultation.

Eight weeks | 1:1 | with a registered nurse.

1:1 / £700

Eight weeks of one to one work built on the Body Literacy Framework, which shows you what your pelvic floor is, how it works and how breath, posture and tension patterns change what it does.

The reason that matters is that symptoms do not stay still. A woman who can read her own body notices a new trigger and responds to it herself, instead of starting the two year search again.

The programme starts with a live call where we set your plan and from there most of it is delivered through video and audio resources made for your situation, with a weekly review form where you report what you practised, what changed and what did not. Live calls are booked when something needs a real conversation rather than sitting on a fixed weekly schedule. Treatment that fits into your week is treatment you finish.

Two review sessions are banked as part of the programme and can be used any time up to twelve months after it starts, because symptoms shift with surgery, pregnancy and lifestyle changes.

What happens week by week

Weeks 1 and 2

Mapping and breath

What changes: you can tell when your pelvic floor grips, for example, reading emails, or in traffic and you have something to do about it in the moment.

Weeks 3 to 5

Downtraining

What changes: penetration stops being something your body braces against before it starts, tampons become possible again for some women, and you have a plan for the weeks when everything feels worse.

Weeks 6 and 7

Graded exposure

What changes: intimacy stops being all or nothing, because there is always a next step small enough to take without setting yourself back.

Week 8 and onward

Reading your own body

What changes: you stop needing someone else to interpret your symptoms, which is the entire point of the programme.

"I have my self esteem back and life is restored."
ANONYMOUS

This only works if you do the work

The programme runs on what you practise between sessions and the sessions exist to direct that practice rather than to replace it. Ten years of pain will not shift from one consultation and no practice and it will not shift from listening to the downtraining audio once and meaning to get to it properly next week.

The practice itself is small, a few minutes at a time, several times a week, fitted around a normal life. Most women can find that. Some cannot, not right now and there is no judgement in that at all, because a hard few months is a hard few months.

If this is not your moment, wait until it is. The work will still be here.

Start with the consultation and decide about the programme afterwards.

Everyone begins with the initial consultation. Sixty minutes, £95, by video. You leave knowing what I think is causing your pain during sex and where to start. It is worth doing whether or not you go any further.

The 1:1 treatment is where we work on the pain itself and it is not a condition of being seen.