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Under the Hood
Pelvic floor physical therapist Dr. Alexandra DiGrado and sex & couples therapist Dr. Rebecca Howard Eudy get real about sexual health, intimacy, and the stuff we didn't learn about our body in school. From the clitoral hood to parenthood, no topic is off-limits. Each episode blends a combined 30 years of clinical experience with compassionate advice and humor, giving you trusted knowledge, practical tools, and the confidence to take charge of your health and relationships.
Under the Hood
Episode 2: 5 Surprising Ways to Fix Erectile Dysfunction
Erectile dysfunction is very common and it’s rarely only about erections. In this episode, Dr.
Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floor
physical therapist, Melrose, MA) team up to unpack ED from both sides: the psychology and
relationship dynamics that drive performance anxiety, and the physical, pelvic-floor, and lifestyle
factors that affect blood flow, coordination, and climax. From “spectatoring” to cycling, to
diaphragmatic breathing and practical tools like pumps, rings, and meds, this is a
compassionate, evidence-informed roadmap to getting sexual function back on track.
What You’ll Learn
- Why a “bad erection moment” can snowball into anxiety, and how to break the loop
- Physical culprits behind ED: pelvic floor tension, breath-holding with heavy lifting, cycling
- compression, prostatectomy changes, meds, and more
- Coordination: why lengthening/relaxing the pelvic floor is as vital as strengthening.
- Simple, at-home strategies: 360° breathing, posture/mobility tweaks, partner-focused
- pleasure to exit “spectator mode”
- When tools help: pumps, rings, Viagra/Cialis (and why a safety-net pill can reduce pressure)
- How to broaden “what counts as sex” so intimacy thrives while you heal
Tune in if you’ve ever thought:
- “I can get morning/masturbation erections, but lose it with a partner, what gives?”
- “Is cycling/weightlifting messing with my erections?”
- “How do we keep sex fun if penetration isn’t reliable right now?”
Resources
- The Postpartum Essentials Virtual course
- Sex After Baby Mini-Course
- Find a pelvic floor PT: pelvicrehab.com or Pelvic Global Directory
- Under the Hood Newsletter (Boston Pelvic PT)
- Parents in Love Newsletter by Dr. Rebecca Howard Eudy
Connect with Us:
Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudy
Dr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicpt
Join the Conversation
If this episode gave you a new way to think about erections, anxiety, or pleasure, share it with a
friend or tag us on Instagram: https://www.instagram.com/underthehooddocs/
Want more?
Subscribe wherever you listen and visit http://www.underthehoodpod.com for show notes,
transcripts, and resources.