Peeing when you sneeze. Pain with sxx. Constant tension you can't stretch away. You've been told it's normal — or worse, to "just do your Kegels." In this episode, I sit down with Dr. Karah Charette, DPT, founder of Bodyful Physical Therapy, a somatic, trauma-sensitive pelvic floor physical therapist who's on a mission to change how women understand this ignored part of their body.
We get into why Kegels are often the wrong answer, how chronic stress and years of dieting and over-training show up as a clenched pelvic floor, the nervous system's role in chronic pelvic pain, and what your body might be trying to tell you through symptoms you've learned to live with.
In this episode, we cover:
- The sneaky signs of pelvic floor dysfunction most women dismiss
- Why a "tight" pelvic floor is often the real problem (not a weak one)
- How fight-or-flight mode, under-eating, and over-exercising affect your pelvic floor and hormones
- What's really behind painful s3x — and why healing is possible
- How your pelvic floor changes across your cycle, postpartum, and into perimenopause
- Simple somatic and breathwork tools you can start today
- What actually happens at a pelvic floor PT appointment (and how to find a good one)
If you've ever felt dismissed, embarrassed, or confused about what's going on "down there" — this conversation is the permission slip you didn't know you needed.
Connect with DR Karah:
PT website: https://www.bodyfulphysicaltherapy.com/
dance/somatics/yoga/authentic movement/poetry website: https://www.karahcharette.com/
somatic yoga retreat in Portugal next year: https://yogaadventuresworldwide.com/retreat/yoga-retreat-portugal/
*my dates are May 9-16th!
Instagram PT: @bodyfulphysicaltherapy
Artist instagram: @wise.movement