Well Beyond 40

Pelvic Floor Myths and Real Sexual Health Fixes with Dr. Rena Malik


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How can you tell whether your pelvic floor is tight, weak, or simply not functioning properly?


In this episode, Dr. Rena Malik and I break down the misunderstood world of pelvic floor dysfunction, from tightness and weakness to bladder issues, constipation, sexual pain, and the enormous impact of hormone changes after 40. You’ll hear practical, daily habits that can restore function, improve pleasure, and help you understand how to support this critical part of your health.


Dr. Rena Malik is a board-certified urologist and digital powerhouse known for breaking down taboo topics with humor, clarity, and science-backed truth. With over 500 million views on her YouTube channel, she’s one of the internet’s most trusted voices on pelvic health, sexual wellness, and bladder care.


What you’ll learn:


(00:18) Why pelvic floor dysfunction causes leakage, constipation, and changes in orgasm intensity.

(02:53) How pelvic floor weakness develops from childbirth, heavy lifting, or certain exercise patterns.

(04:14) Why pelvic floor tightness can show up as constipation or painful sex.

(07:43) Why pelvic floor exams are overlooked in women’s healthcare.

(11:48) How some common exercise may worsen pelvic floor tension.

(14:37) Why women with anxiety or a history of pain may need pelvic floor relaxation.

(14:48) How hormone decline and loss of estrogen drive UTIs and pelvic floor symptoms after menopause.

(21:53) Which daily habits, like hovering over toilets, can damage pelvic floor health.


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Full show notes (including all links mentioned): https://jjvirgin.com/rena

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Well Beyond 40By JJ Virgin

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