When Sex Hurts – Dr. Krapf  Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Tampa, FL  Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition.  Love Dr. Krapf? Check out my other episodes #131 – National Lichen Sclerosis Day and #172 – Vulvar Itch Why write a 2nd edition of the book “When Sex Hurts”? How common is pain with sex for women? Often times with pain with sex there is a physical cause, but you can’t always see it. Pelvic pain and pain with sex is very isolating and people feel very alone.  People don’t know how to talk about it.  What happens after the pain is fixed. What does “all in your head” mean and why people don’t like that. “Those who perceive their partners as kind and understanding report more intense pain than women whose partners have responses that promote adaptive coping.” – what!  What is adaptive coping? How to communicate your pain to your partner and your doctor. What if you are a partner of someone with dyspareunia - - “best partner response is having a partner who engages in what researches call facilitative responses – affection and encouragement to cope with the pain in an adaptive way, such as by focusing on pleasure, deep breathing or positive thoughts while experiencing the pain.” We talk about stress, sex and the gut – things like irritable bowel syndrome related to pain with sex? The role of birth control pills and pelvic pain and health. In her book, “When Sex Hurts” they talk about Yaz (drospirenone) and pelvic pain – a prospective study of women’s genitals and sexual function prior to starting Yasmin – and then after three months- decreased clitoris, decreased blood flow, decreased labia minora, decreased libido, fewer orgasms and more dyspareunia. The role of testosterone in pelvic pain – one study showing women with higher androgen levels have less work related neck and shoulder pain then women with low androgen and differing levels of Testosterone may explain some of the gender related differences in pain perception The difficulty in giving testosterone to women and the problem with pellets. Recurrent Yeast Infections – Dr. Krapf helps us Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken The new 2nd edition of “When Sex Hurts ”https://amzn.to/460TP4V https://jillkrapfmd.com/ https://www.instagram.com/jillkrapfmd/   Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK   Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices