OvaryActive28 Aug 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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