Ep. 88 Pelvic Floor Health Way Beyond Kegels with Dr. Maddy

Episode Summary:

In this episode, Nikki sits down with Dr. Maddy, a pelvic floor physical therapist, for a real talk on what’s really going on down there. From leaking when you sneeze to pain during sex and postpartum complications no one warns you about, this conversation is an unfiltered guide to pelvic floor health that every woman needs to hear.

They cover the myths we’ve been fed (hint: kegels aren’t a cure-all), the surprising signs of prolapse, and why issues like bladder spasms, constipation, or a “too tight” pelvic floor might be holding you back from feeling confident in your body. Whether you’re postpartum, perimenopausal, or just fed up with being dismissed, Dr. Maddy shares what’s fixable—and how to get the right help.

What You’ll Learn:

• What pelvic floor physical therapy actually is (and why most women have never been told about it)

• Why kegels are often the wrong advice—and what to do instead

• The truth about prolapse and what you can do before surgery is necessary

• Why pain with sex is common but never normal—and always treatable

• How to tell if your pelvic floor is too tight (and what to do about it)

• Why postpartum and perimenopausal women need more support than they’re getting

Next Steps:

When your body isn’t working the way it should—leaking, bloating, or just feeling off—it’s easy to think you’re the problem. You’re not. You just need the right tools, strategies, and support to get back in control.

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