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No lie...one of my favorite episodes of all time.  Sit back and be prepared to learn A LOT  (no matter if you're a mom or pelvic floor professional!)

This week I’m joined by Dr. Hedwig Neels, pelvic floor physiotherapist at Antwerp University Hospital, professor at the University of Antwerp, and author of The Pelvic Floor Book. 

Hedwig specializes in pelvic floor and cyclists and real time ultrasound imaging integration into pelvic health.

A mom herself, Hedwig brings clarity, humor, and evidence-based insight to some of the most misunderstood topics in pelvic health.

We dive into the real stuff—leaks, prolapse fears, her papers on queefing (yep, vaginal wind), and how we can educate without shame. Whether you're a clinician, cyclist, or just someone trying to figure out what’s happening with your own pelvic floor, this one’s for you.

In this episode, we talk about:

• Saddle health & preventing saddle soreness
• Cystocele, urinary incontinence & prolapse expectations
• Cycling-specific pelvic floor considerations
• Real-time ultrasound in treatment
• Pelvic floor myths that still need busting
• And how to talk about queefing without cringing

Grab your headphones and let’s normalize these conversations. Because pelvic health is health—and it shouldn’t feel taboo.

🎧 Subscribe, rate, and share if this one hit home.

Time Stamps

1:00 Introduction

4:00 benefits of real-time ultrasound

11:52 fear surrounding prolapse

20:40 setting expectations

23:24 discussing the research

35:26 vaginal wind (queefing)

45:08 cycling and bike seats

52:40 the importance of bike fit

54:35 rapid fire questions

CONNECT WITH CARRIE

IG: https://www.instagram.com/carriepagliano/

Website: https://carriepagliano.com

CONNECT WITH HEDWIG:

Website: www.hedwigneels.com

instagram: https://www.instagram.com/hedwigneels/

Instagram: https://www.instagram.com/thepelvicfloor/

The Active Mom Podcast is A Real Moms' Guide to pregnancy, postpartum, perimenopause & beyond for active moms & the professionals who help them in their journey.

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