Pelvic pain is something many men experience, but very few talk about.

In today’s episode, we’re continuing the conversation around Men’s Health Month by exploring male pelvic pain. If you’ve ever been told that your tests are “normal”, but you're still experiencing symptoms, this one is for you!

Pelvic pain can show up in a variety of ways, but normal imaging and medical testing don’t always tell the whole story. 

One of the biggest misconceptions we see? The belief that pelvic floor problems automatically mean weakness. In reality, many men with pelvic pain have pelvic floor muscles that are too tense and unable to relax properly! 

Pelvic floor therapy can help identify these patterns, assess movement and muscle function, and provide tools that support long-term healing, rather than temporary symptom management.

Most importantly, we want men to know that pelvic pain is real, common, and often VERY treatable. You don't have to keep suffering in silence, and you don't have to navigate it alone!

Episode Recap:

• What male pelvic pain is + common symptoms men may experience
• Why "normal" testing doesn't always mean nothing is wrong
• The role of overactive pelvic floor muscles in persistent pelvic pain
• How the nervous system, stress & pain can create a frustrating cycle of symptoms
• Why issues in the hips, low back, abdomen & surrounding muscles can contribute to pelvic pain
• What pelvic floor therapy treatment may include
• Signs it's time to seek help

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Ep. 44 | Men Have Pelvic Floors, Too: Common Issues, Misconceptions, and Finding a Path to Relief
• Ep. 70 | Let’s Talk Men’s Sexual Health: What Is Hard Flaccid Syndrome?
• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

When we think about pelvic health, the conversation often centers around women: pregnancy, postpartum recovery, periods, or pelvic pain.

But...men’s pelvic and sexual health matters too! In honor of Men’s Health Month, we’re opening up about an important (and often overlooked) conversation around men’s sexual wellness.

In today’s conversation, we’re diving into a condition called hard flaccid syndrome, and why symptoms involving erections, pelvic discomfort, and sexual dysfunction deserve attention rather than silence. 

Sexual health isn’t separate from overall health - it’s deeply connected to how safe, regulated, and supported the body feels. Pelvic floor therapy can greatly help men if there are issues in this area.

If this sounds familiar for you or someone you love, please know that you’re NOT alone, and you don’t have to navigate it without support!

Episode Recap:

• Why men’s pelvic + sexual health deserves more conversation & support
• What hard flaccid syndrome is + common symptoms to watch for
• How stress, nervous system dysregulation & mental health can impact sexual function
• Why men are often told “nothing is wrong” + where pelvic floor therapy fits in
• Taking a multimodal treatment approach
• Navigating intimacy during recovery + why there’s no one-size-fits-all answer
• Why men should know they’re NOT alone on this journey 

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

Perimenopause is something more women are finally talking about, and we are SO happy about that!

But…if we’re honest, many of us still feel wildly undereducated about what it actually looks like.

In today’s conversation, we’re diving into perimenopause + pelvic health, and what every woman needs to know during this time. The transition to perimenopause can begin in your late 30s or 40s, and it often shows up in ways you may not immediately connect to hormones. 

We also dive into something that doesn’t get talked about enough: how perimenopause impacts pelvic health. Hormonal shifts can influence a LOT, but also, these symptoms are very nuanced. 

Ultimately, perimenopause is not “the beginning of the end” - it’s a transition. If you’ve been feeling off, overwhelmed, or wondering why things suddenly feel different, please know you’re NOT alone, and support is available for you!

Episode Recap:

• What perimenopause actually is + when it can begin
• Common symptoms that women often overlook
• How hormone changes can affect the nervous system, stress tolerance + recovery
• Pelvic floor changes during perimenopause
• Key pieces that really impact your health & wellness during this time
• The importance of pelvic floor support, informed providers + hormone conversations
• Why perimenopause is a transition (not “the beginning of the end”)

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

If you’ve ever brushed off leaking, painful intimacy, constipation, or back pain as “just part of being a woman”, today’s episode is for YOU!

We’re sharing some of the most common things we hear from patients every single week as pelvic floor therapists. Just because something is common does not mean it’s normal!

Whether it’s peeing when you sneeze after having kids, feeling pressure “down there,” or struggling with painful intimacy, you’re definitely not alone. While these things can be embarrassing to talk about, there are REAL answers (and support) available!

The biggest reminder from this conversation? You are NOT broken, and these are not issues you just have to “live with”. Don’t be afraid to advocate for yourself and seek professional support, because your symptoms ARE valid. You deserve to feel your best!! 

Episode Recap:

• Why leaking urine after kids may be common (but isn’t actually normal)
• Why painful intimacy isn’t something you just have to “deal with”
• Why having a “weak core” usually isn’t the full story
• Chronic constipation + the pelvic floor connection
• How motherhood & repetitive movement patterns can contribute to back pain
• What prolapse can feel like + why it’s often very treatable
• The truth about gas leakage and bowel control issues
• Avoiding running, jumping, or exercise because of leakage
• Orgasm, libido, and changes in sexual health postpartum + during menopause
• The myth that everyone should automatically do kegels
• Why pelvic floor therapy is often the first step before considering surgery
• How addressing symptoms early can improve long-term outcomes

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

Have you ever felt like you’re doing everything *right* for your health, but…somehow things still feel off? 

In today’s conversation, we’re unpacking something we see all the time in our clinics (and have experienced ourselves): when healing efforts quietly turn into hypervigilance. 

Instead of helping the body feel safe and supported, constant monitoring, overthinking, and trying to do it all “perfectly”, can actually keep symptoms lingering longer than they need to. Even using helpful strategies can quickly become unhelpful (which leads to even more frustration and overwhelm).

If you’ve been feeling stuck, discouraged, or like your day revolves around managing symptoms, this episode is your reminder: your body isn’t fragile - it’s incredibly capable. 

Sometimes, the most POWERFUL shift isn’t adding more. It’s loosening your grip, creating space, and learning to trust your body again!

Episode Recap:

• What hypervigilance in health really means
• Why helpful strategies can become unhelpful when they turn obsessive or fear-driven
• The crucial role your nervous system plays
• Realizing that more effort ≠ faster healing
• Why this pattern is often driven by subconscious fears
• Key signs to watch for
• Shifting your body from control → trust
• Small shifts that can truly help to break this cycle
• Why healing your body isn’t about perfection

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Ep. 42 | The Brain-Body Connection: Understanding Neuroplasticity & Pain Reprocessing Therapy for Pelvic Health (Part 1 with Paige Genova)
• Ep. 43 | Pelvicology 101: The 6-Stage Framework for Rewiring Pain and Restoring Trust in the Body (Part 2 with Paige Genova)
• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

We’ve got a fun Q&A episode today, answering some of the MOST common pelvic health questions we hear!

From struggling with leaking after having kids, to painful sex, kegels, and more, these are the kinds of questions that sooo many people have, but don’t always feel comfortable asking. 

Whether you’re currently dealing with symptoms, or just thinking ahead (especially if you’re planning for pregnancy - super smart btw!), being proactive with your pelvic health can make a HUGE difference. 

Don’t wait until something feels “bad enough” to get support - you deserve to feel confident and empowered when it comes to your health and well-being!

Episode Recap:

• Why leaking after kids may be common (but not “normal”)
• Why pain with sex is never something you should just “live with”
• Doing pelvic floor therapy vs. only doing kegels on your own
• Why paying attention to your symptoms & getting support is important, even if everything looks “normal”
• Preparing your pelvic floor before pregnancy so you have a smoother experience before, during & into postpartum

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

Constipation in kids is SO common.

But…if you’re a parent, you know just how quickly things can go off track. Sometimes, all it takes is one painful bowel movement to create fear around pooping. From there, a frustrating cycle can begin.

In today’s conversation, we’re diving into constipation in kids. There are plenty of signs to look for, causes for why this is happening, and what real solutions can look like for parents and families.

While many people are told this is “normal” or something kids will grow out of, the truth is, there’s a LOT we can do to support healthy bowel habits early on!

If constipation is ongoing, painful, or impacting your child’s daily life, it may be time to bring in support. Pelvic floor therapy can help kids learn how to properly relax + coordinate their muscles, improve toileting posture, AND build confidence in their bodies again.

Yes, constipation is very common, and thankfully, very treatable with the right support and plan!

Episode Recap:

• Signs of chronic constipation in kids
• Why pooping requires coordination (especially from the pelvic floor)
• How painful BMs can happen over time
• Why many kids actively withhold stool + subtle signs to watch for
• Why withholding can worsen the cycle + lead to accidents and encopresis
• Simple strategies that can actually help your child/ren
• The power of staying neutral, supportive & seeking professional help when needed

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Ep. 6 | Unlocking Relief: How Pelvic Floor Therapy Can Improve Constipation
• Ep 39 | Pooping Shouldn’t be a Struggle: Addressing Bowel Health and Constipation with Pelvic Floor Therapy
• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

March is Endometriosis Awareness Month, and this is a topic that’s incredibly important to us as pelvic health therapists!

Endometriosis affects 1 in 10 women worldwide, yet the average time to diagnosis is still 7–10 years. That delay often leaves women feeling dismissed, confused, and questioning their own experiences when painful symptoms are brushed off as “normal.” 

In reality, endometriosis is far more complex than many people realize, and it deserves MUCH more awareness and support!

Endometriosis care works best when it’s multidisciplinary and whole-body focused. A supportive care team (including pelvic health therapists like ourselves), can help address underlying inflammation and chronic pain patterns. 

If you’ve ever wondered whether painful periods are normal, what endometriosis symptoms look like, or how endometriosis is diagnosed and treated, we hope this episode brought you value and insight as you advocate for your health!

Episode Recap:

• Key endometriosis stats + how long the typical diagnosis takes
• Why endometriosis is more than a reproductive condition + can affect many areas of the body
• Why symptoms go far beyond painful periods
• Understanding that pain that disrupts your life is NOT normal
• Why disease stage doesn’t equal symptom severity.
• Reasons why endometriosis diagnosis is often delayed
• Why specialized surgery is the gold standard
• How pelvic health PT and OT can help manage symptoms
• Why endometriosis care NEEDS to be multidisciplinary
• Continuing to advocate for your health & seek providers who will support you

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Ep. 42 | The Brain-Body Connection: Understanding Neuroplasticity & Pain Reprocessing Therapy for Pelvic Health (Part 1 with Paige Genova)
• Ep. 43 | Pelvicology 101: The 6-Stage Framework for Rewiring Pain and Restoring Trust in the Body (Part 2 with Paige Genova)
• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

In today’s episode, we’re diving into a tool we both use in our clinics that more nursing moms deserve to know about: therapeutic ultrasound for clogged ducts and mastitis. 

According to the Academy of Breastfeeding Medicine’s Clinical Protocol #36 (revised in 2022), therapeutic ultrasound may be an effective treatment for conditions within the mastitis spectrum. When used early (and really at the first sign of a clogged duct) this modality can make a HUGE difference!

During mastitis, ultrasound helps shift the environment in the tissue by decreasing inflammatory processes and supporting the body’s natural healing response. The earlier we intervene, the better the outcome tends to be.

We also talk through practical do’s and don’ts if you’re dealing with a clogged duct (some may surprise you). As always, we want you to know that there are supportive, evidence-informed tools available. You don’t have to just “power through” this alone!

Whether you’re a mom navigating your breastfeeding journey, or a provider wanting to better support your patients, we hope this episode feels both enlightening AND empowering!

Episode Recap:

• What therapeutic ultrasound is + how it differs from diagnostic imaging
• Why the Academy of Breastfeeding Medicine recognizes therapeutic ultrasound as an effective treatment option
• How early treatment of clogged ducts can prevent progression to mastitis
• What’s physiologically happening during a clogged duct + how inflammation can quickly escalate if not addressed
• How therapeutic ultrasound supports the body’s natural healing response + helps restore proper milk flow
• The importance of a whole-body, team-based approach during this time
• Practical do’s & don’ts for managing clogged ducts at home

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website

We’re honored to welcome Sara Skiles to the podcast today!

Sara Skiles, CD, CPSC is the owner and Family Care Coordinator at Wichita Doula, and also a certified doula, pediatric sleep consultant, and childbirth educator. Sara is the mother of two teen sons and has extensive training, skills and personal experience in breastfeeding, birth options, comfort techniques, and all facets of infant care and sleep. She holds current certifications in doula work, pediatric sleep, advanced newborn care, childbirth education, and other related skills.

Sara is proud of her past work in overcoming perinatal anxiety/OCD and depression. One of her biggest passions is helping other new parents get the education, practical help, & the resources they need to have positive postpartum experiences.

In today’s conversation, Sara shares how her own supported birth experience with a doula and midwife changed the trajectory of her life. This ultimately led her into doula work, and eventually, postpartum and sleep support. As she honestly shares “there’s no epidural for the six weeks after birth!” 

We also dive into what a doula actually does, what postpartum care looks like, the sleep support Sara provides her clients as a pediatric sleep consultant, how babies can learn to put themselves to sleep in a respectful & holistic way, and more.

If you’re preparing for birth, navigating postpartum, or simply wondering if better sleep is possible, this episode with Sara will leave you feeling informed, supported, AND encouraged!

In today’s episode, we’re covering:

• Sara’s journey into doula work + why her own birth experience changed everything
• The real role of a doula + how they support labor at every stage
• Why having a consistent advocate in the delivery room matters
• What personalized postpartum care actually looks like
• How doulas collaborate with medical teams to keep communication clear & mom’s voice heard
• Why early postpartum support can drastically impact a mom’s mental health & overall family wellbeing
• Sara’s holistic, customized approach to pediatric sleep support
• What’s really happening during the 4-month sleep regression
• Practical sleep foundations you can implement from day one
• Realistic timelines for sleep progress + why improving baby sleep benefits the entire family

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. These conversations are for educational purposes only. Please seek the advice of your physician or healthcare provider regarding any medical condition or treatment.

Links/Resources:

• Follow Sara on Instagram @wichitadoula and @thebabyisasleep 
• Check out Sara's website for doula support 
• Check out Sara's website for sleep support
• Connect with Sara on Facebook
• Follow on Instagram @the.pelvis.project
• Follow Megan on Instagram @kansaspelvichealth
• Follow Roxi on Instagram @goodlifepelvichealth
• Check out Megan's website
• Check out Roxi's website