Your Pelvic Floor Is More Than Kegels: Sex, Bladder Leaks & Menopause | Dr. Tanya Goodrich | Golden Hour, Episode 65
Golden Hour
What if leaking when you laugh isn't simply a sign of getting older? What if painful sex isn't something you have to endure? And what if the answer to better pelvic health involves much more than doing Kegels?
In this episode of the Golden Hour, I'm joined by Dr. Tanya Goodrich, a doctor of physical therapy, founder of Healthy Pelvis Physical Therapy, and pelvic-health specialist with more than 15 years of experience helping women navigate bladder dysfunction, pelvic pain, sexual health, and the transitions of perimenopause and menopause.
Together, we unpack the pelvic-floor symptoms women are often told to accept as normal—and the surprisingly practical ways to address them.
We explore why urinary leakage isn't always simply a matter of muscle weakness, how your core and pelvic floor work together, what “just-in-case peeing” can teach us about bladder habits, and why painful intercourse deserves more than advice to relax.
We also discuss vaginal estrogen, the connection between pelvic tension and sexual pleasure, constipation's unexpected role in pelvic health, and why menopause care should involve more than managing hot flashes.
Tanya brings humor and memorable analogies to a part of women's health that has been treated as mysterious for far too long. And even after more than a decade practicing as an OB/GYN, I walked away with new ways to explain these concepts to my own patients.
Because pelvic health isn't just about avoiding symptoms. It's about preserving comfort, movement, intimacy, and quality of life across decades.
In this conversation:
- Bladder leakage, pelvic-floor coordination, and why Kegels aren't the whole answerHow perimenopause and menopause affect vaginal and urinary healthPainful sex, pelvic-floor tension, and the role of physical therapyThe connection between bladder habits, constipation, and sexual functionWhy it's never too late to seek pelvic-floor care
Connect with Dr. Tanya Goodrich:
Healthy Pelvis Physical Therapy: https://healthypelvis.com
This conversation is for educational purposes and is not a substitute for individualized medical advice.
#TheGoldenHourWithDrO #PelvicFloorHealth #Perimenopause #Menopause #PelvicPhysicalTherapy #WomensHealth #SexualHealth
Thank you for listening ❤
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