Ep 23 | Sneezed and Peed? Let's Talk Pelvic Floor Therapy
OvaryActive28 Elo 2025

Ep 23 | Sneezed and Peed? Let's Talk Pelvic Floor Therapy

Perimenopause: when sneezing, laughing, or even thinking too hard about a trampoline suddenly becomes a bladder hazard. And guess what!? Kegels aren't the cure-all we were promised.

In this episode of OvaryActive, Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch take us below the belt to talk pelvic floor health—the underappreciated muscle group that keeps your insides from falling out and your basement from springing a leak.

Joining the Docs is Tanya Goodrich, founder of Healthy Pelvis Physical Therapy and proud owner of the best blueberry analogy you'll ever hear. Tanya is here to prove that pelvic floor therapy isn't scary—it's empowering, practical, and sometimes even hilarious.

In this conversation, you'll learn why incontinence isn't inevitable, what "panic bladder" really means, and why your pelvic floor might be too tight (not just too loose).

Tanya also shares her signature "poo poo ritual," tips for pain-free sex, and a crash course in blueberry lifting—yes, it's exactly what it sounds like. By the end, you'll walk away with real strategies for bladder, bowel, and bedroom health… and a few jokes you'll never un-hear.

What you'll hear in this episode:

[0:56] Meet Tanya Goodrich

[3:18] What the heck is the pelvic floor?

[5:17] Pelvic floor PT

[6:37] Perimenopause and incontinence

[8:56] Kegels are cancelled

[11:01] Stop peeing "just-in-case"

[20:01] Let's talk about poop

[27:44] Chronic pelvic pain

[33:18] Sex, menopause, & pain

[42:34] Self-care is NOT scary

Links:

healthypelvis.com

@thehealthypelvis on Instagram

Follow the show @OvaryActive Instagram | YouTube

Meet the Docs:

More information about Dr. Rebecca Dunsmoor-Su:

Gennev: www.gennev.com/clinician/dr-rebecca-dunsmoor-su

LinkedIn @rebecca-dunsmoor-su

More information about Dr. Amy Voedisch:

Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html

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Ep 41 | Brain Docs, Part 2: Migraines, Hormones, & Perimenopause

Ep 41 | Brain Docs, Part 2: Migraines, Hormones, & Perimenopause

Perimenopause is apparently the perfect time to start worrying about dementia, cholesterol, hearing aids, and whether your brain is quietly packing its bags.  This episode of OvaryActive is part 2 of ...

28 Touko 38min

Ep 40 | Brain Docs, Part 1: Brain Fog, Dementia Fears, & Perimenopause

Ep 40 | Brain Docs, Part 1: Brain Fog, Dementia Fears, & Perimenopause

Perimenopause can make your brain feel like it left the room — not that it remembers why it went there in the first place. In this first part of a two-part series with the Brain Docs, OvaryActive is t...

14 Touko 27min

Ep 39 | Weird Symptoms of Perimenopause

Ep 39 | Weird Symptoms of Perimenopause

Perimenopause: where your body starts doing weird things and then gaslights you about it.  In this episode of OvaryActive, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su dive into the "wait…what?" sympt...

23 Huhti 34min

Ep 38 | When Hormones Are Not the Only Answer

Ep 38 | When Hormones Are Not the Only Answer

Perimenopause: the phase where your body does whatever it wants, whenever it wants, and your brain has thoughts about it. So what happens when hot flashes hit, anxiety creeps in, and suddenly you're q...

9 Huhti 36min

Ep 37 | When Its NOT Peri: Functional Hypothalamic Amenorrhea (FHA) with Chrisandra Shufelt, MD

Ep 37 | When Its NOT Peri: Functional Hypothalamic Amenorrhea (FHA) with Chrisandra Shufelt, MD

Perimenopause is still taking the blame… but in this unexpected third installment (because Amy just got too excited), we're talking about functional hypothalamic amenorrhea (FHA).  Dr. Chrisandra Shuf...

26 Maalis 38min

Ep 36 | When It's NOT Peri: Polycystic Ovarian Syndrome (PCOS)

Ep 36 | When It's NOT Peri: Polycystic Ovarian Syndrome (PCOS)

Perimenopause gets blamed for a lot of things – mood swings, weird cycles, rogue chin hairs – but sometimes the culprit isn't peri at all. In Part 2 of When It's NOT Peri, the Docs are talking about p...

12 Maalis 42min

Ep 35 | When It's NOT Peri: Premature Ovarian Insufficiency (POI)

Ep 35 | When It's NOT Peri: Premature Ovarian Insufficiency (POI)

Perimenopause gets blamed for a lot… but sometimes it's innocent. In this first episode of our two-part series When It's NOT Peri, the Docs talk about what happens when symptoms that look like perimen...

26 Helmi 40min

Ep 34 | Heart Disease and Perimenopause: The Risk Factors We're Missing

Ep 34 | Heart Disease and Perimenopause: The Risk Factors We're Missing

When we talk about perimenopause, we talk a lot about symptoms, but not nearly enough about what's happening to your heart. Since February is Heart Health Month, it's the perfect time to take a "beat"...

12 Helmi 45min

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