DiscoverThe mindbodygreen Podcast602: What you need to know about pelvic floor health | Sara Reardon, PT, DPT
602: What you need to know about pelvic floor health | Sara Reardon, PT, DPT

602: What you need to know about pelvic floor health | Sara Reardon, PT, DPT

Update: 2025-06-15
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This podcast with pelvic floor specialist Dr. Sarah Reardon comprehensively covers women's pelvic floor health. It dispels common misconceptions about pelvic floor muscles and their importance in urinary, bowel, and sexual function. The podcast details how to assess pelvic floor health through symptom identification (bladder leaks, pain, bowel issues) and muscle function tests. It emphasizes the impact of bathroom habits, recommending proper bladder control techniques and the use of a squatty potty. Kegel exercises are explained, but the importance of individualized approaches (strengthening vs. relaxation) is stressed. Breathwork is highlighted as crucial for pelvic floor function, particularly during exercise. The podcast explores how pelvic floor health changes across different life stages (menstruation, pregnancy, postpartum, perimenopause, menopause), advocating for proactive care at each stage. Several "no-no's" are listed, including hovering while urinating and ignoring sexual pain. Alarming statistics on pelvic floor dysfunction are presented, emphasizing the need for better education and healthcare resources. The podcast concludes by discussing preventative measures, early intervention strategies, the role of hormone replacement therapy (HRT), and the need for improved birthing and postpartum care.

Outlines

00:00:00
Understanding and Addressing Pelvic Floor Health Issues

This introductory section establishes the importance of pelvic floor health, introduces Dr. Sarah Reardon, and previews the discussion topics, including common misconceptions, assessment methods, and treatment strategies across different life stages.

00:01:07
Pelvic Floor Assessment, Exercises, and Lifestyle Factors

This section covers assessing pelvic floor health through symptom identification and muscle function evaluation, the role of Kegel exercises and breathwork, and the impact of bathroom habits and lifestyle choices on pelvic floor health.

00:13:20
Pelvic Floor Health Across the Lifespan and Healthcare Gaps

This section explores how pelvic floor health changes across different life stages (menstruation, pregnancy, postpartum, perimenopause, menopause), discusses the role of HRT, highlights alarming statistics on pelvic floor dysfunction, and addresses the need for improved healthcare practices and resources.

Keywords

Pelvic Floor Dysfunction


Conditions affecting pelvic floor muscles, causing symptoms like urinary incontinence, pelvic organ prolapse, and painful intercourse. Often underdiagnosed and undertreated.

Kegel Exercises


Pelvic floor muscle contractions to strengthen the pelvic floor; effectiveness varies depending on individual needs.

Breathwork


Diaphragmatic breathing techniques to improve pelvic floor relaxation and function. Crucial for releasing tension and improving overall pelvic health.

Perimenopause


The transitional phase leading up to menopause, characterized by hormonal fluctuations and potential pelvic floor changes. Proactive care is crucial.

Postpartum Recovery


The period after childbirth when the pelvic floor is weakened and requires focused rehabilitation. Adequate support and pelvic floor therapy are essential.

Menopause


Cessation of menstruation, often associated with decreased estrogen levels and potential pelvic floor issues. HRT and other interventions may be considered.

Topical Estrogen Cream


Localized estrogen treatment for vaginal dryness and other menopausal symptoms; may improve pelvic floor tone and reduce UTIs.

Pelvic Organ Prolapse


Pelvic organs descend into the vagina; can be caused by weakened pelvic floor muscles and may require surgical intervention.

Pelvic Floor Health Assessment


Identifying symptoms (bladder leaks, pain, bowel issues) and evaluating muscle function (contraction and relaxation).

Q&A

  • What are the most common misconceptions about pelvic floor health?

    Many women are unaware of their pelvic floor muscles and their vital role in daily functions. This lack of awareness hinders proactive care and early intervention.

  • How can women assess their pelvic floor health?

    Assessment involves identifying symptoms (bladder leaks, pain, bowel issues) and evaluating muscle function (contraction and relaxation). Self-examination can provide valuable insights.

  • What is the role of kegels and breathwork in pelvic floor health?

    Kegels strengthen the pelvic floor, but aren't a universal solution. Breathwork is crucial for relaxation and coordination with pelvic floor muscles.

  • How does pelvic floor health change across different life stages?

    Pelvic floor health is dynamic, changing across menstruation, pregnancy, postpartum, perimenopause, and menopause. Each stage requires specific attention and proactive care.

  • What are some best practices for urination and defecation?

    Sit to urinate, avoid pushing, and practice double voiding. For defecation, use a squatty potty and exhale while bearing down. Avoid holding your breath.

  • What is the role of HRT in pelvic floor health?

    HRT is individualized. Topical estrogen cream offers localized benefits, improving tone, reducing infections, and enhancing sexual function. Systemic HRT requires careful consideration.

Show Notes

“Look at the symptoms you thought were just 'normal for being a woman'—they’re actually related to your pelvic floor health,” explains Sara Reardon, PT, DPT. 




Reardon, doctor of physical therapy and board-certified pelvic floor specialist, is on a mission to normalize pelvic floor conversations and revolutionize the care we receive—at every age and stage. In this episode we cover everything from how to strengthen and support your pelvic floor to the truth about kegels and so much more:  




- Misconceptions about the pelvic floor (~1:40 )


- Assessing pelvic floor health (~2:22 )


- How to improve pelvic floor health (~4:20 )


- The truth about Kegels (~6:30 )


- Strengthening vs relaxation (~8:10 )


- Breath, resistance training, & the pelvic floor (~10:35 )


- Pelvic floor health by decade (~14:15 )


- Optimal bathroom habits (~17:00 )


- What to avoid for your pelvic floor health (~18:45 )


- Eye-opening statistics (~20:20 )


- Reardon’s story (~24:15 )


- Hormone replacement therapy (~26:15 )


- Data that deserves more attention (~30:30 )


-  Integrating pelvic floor therapy into healthcare (~32:45 )


- Strength training & pelvic floor exercises (~34:30 )




Referenced in the episode: 


- Follow Reardon on Instagram (@the.vagina.whisperer


- Check out her website (https://thevagwhisperer.com/


- Pick up her book Floored 



We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com.

Learn more about your ad choices. Visit megaphone.fm/adchoices

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602: What you need to know about pelvic floor health | Sara Reardon, PT, DPT

602: What you need to know about pelvic floor health | Sara Reardon, PT, DPT

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