EP468 - Guiding Intimacy Through Pain: A Sexual Journey

Welcome to Episode 468 of the Sexology Podcast! Today I am excited to be joined by Dr. Alyssa Yee, who speaks to me about the realities of vulvar and vaginal pain, the challenges of diagnosis, and how partners can offer meaningful support.

In this conversation, we discuss the wide range of painful symptoms many vulva owners experience, from burning and sharp stinging at the vestibule to deeper pelvic discomfort that can appear during or after sexual activity. Dr. Yee helps clarify how conditions such as vestibulodynia, hormonal disruptions, pelvic venous disorders, and endometriosis often go unrecognized or are dismissed in medical settings, leaving patients feeling isolated and unsure where to turn for help.

Dr. Alyssa Yee is a Sexual Medicine Physician and Reconstructive Urologist who completed her clinical fellowship at San Diego Sexual Medicine in 2021-2022 under the mentorship of Dr. Irwin Goldstein. In her fellowship, she was awarded the SMSNA Foundation Research grant to investigate the pathophysiology of neuroproliferative vestibulodynia–a painful sexual condition of the vulva. Drawing from her research, Dr. Yee innovated the first sub-epithelial complete vestibulectomy surgery, allowing for decreased blood loss and post-operative pain with excellent response.

In this episode, you will hear:

· Understanding Vulvar And Vaginal Pain

· Why Pain During Sex Is Often Normalized

· Common Symptoms Of Vestibulodynia

· How Hormones Influence Genital Pain

· Inflammation And Nerve Related Causes

· Endometriosis Symptoms And Misdiagnosis

· Why Patients Feel Gaslighted In Medical Settings

· How Partners Can Offer Support And Validation

· Effective Treatment Options And Hormonal Therapies

· Resources For Finding Knowledgeable Providers

Thank you to our sponsor Filthy Milfs! Your podcast lineup is about to get filthy. Get ready for a completely uncensored, outspoken, dirty-minded, and eye-opening look from the most adventurous milfs on the block, Ellen Ancui and Sophie Levine. They're filthy. They're milfy. And they’re waiting for you on Apple, Spotify, or wherever you catch your favorite podcasts.

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