Under the Hood

Episode 7: The Truth About Kegels (what really happens in pelvic floor PT)

• Season 1 • Episode 7

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Most people hear “pelvic floor PT” and think, “So…Kegels and an awkward exam?” But here’s what most people don’t realize: good pelvic floor physical therapy is full-body, trauma-informed care that connects your bladder, bowel, sexual function, posture, breathing, and stress levels—not just your vagina, penis, or “down there.”

In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado (pelvic floor physical therapist) pull back the curtain on what actually happens in a pelvic floor PT visit. From the intake questions to the internal exam (always optional, always consent-based), they walk through how a skilled PT looks at your whole body, your nervous system, and your real life to understand what’s going on.

Whether you’re leaking when you sneeze, dealing with constipation, dreading sex because it hurts, or just wondering if your “weird” symptoms are normal, this conversation will leave you informed, de-shamed, and more confident about getting the help you deserve.

What You’ll Learn

  • What really happens at a pelvic floor PT appointment
  • Why training and approach matter so much in the PFPT you choose 
  • The truth about Kegels (and why tight muscles are weak muscles)
  • How your whole life shows up in your pelvis
  • Signs that pelvic floor PT could help you

Tune in if you’ve ever thought:

  • “Isn’t pelvic floor PT just Kegels?”
  • “I had a weird pelvic floor PT experience—do I really want to try again?”
  • “Why am I leaking, in pain, or running to the bathroom all the time?”
  • “Is it normal that sex hurts (or feels numb) after childbirth or surgery?”
  • “What actually happens in an internal exam—and do I have to do one?”

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