Dr. Echenberg added, "This disorder is far more common than the public realizes. The female pelvic region takes a great amount of punishment including childbirth, injuries from competitive sports, surgical trauma, and the high rate of physical and sexual abuse endured by countless women in our society. The resultant issues of chronic pelvic pain have been shrouded in shame and secrecy, and those afflicted feel isolated and depressed. Many lose their relationships, jobs, and some, even the will to live."
Interviewee "Jane F." was one such woman, "I became hysterical about the pain and when my husband got home from work one night, I fell down on the floor and just begged him to kill me because I couldn't do my job, I couldn't be a wife, I couldn't take care of my child, and there was no reason for me to go on."
Bilheimer has great empathy for the women and men with whom she spoke because she is a pelvic pain sufferer herself. As a patient as well as an author, she incorporated her own experiences along with those of the many couples she interviewed. In addition, Bilheimer interviewed experts on the subject, including the late Dr. C. Paul Perry, Dr. C. Lowell Parsons, Dr. John Steege, Dr. Daniel Brookoff (who also wrote the foreword), Dr. Karen J. Berkley, and Dr. Judy Kuriansky. Christin Veasley, Associate Executive Director of the National Vulvodynia Association, participated as an expert and patient.
"Secret Suffering" also explores the effect of sexual pain on relationships with family, jobs, sch
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