Under the Hood

Erectile dysfunction is very common and it’s rarely only about erections. In this episode, Dr.

Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floor

physical therapist, Melrose, MA) team up to unpack ED from both sides: the psychology and

relationship dynamics that drive performance anxiety, and the physical, pelvic-floor, and lifestyle

factors that affect blood flow, coordination, and climax. From “spectatoring” to cycling, to

diaphragmatic breathing and practical tools like pumps, rings, and meds, this is a

compassionate, evidence-informed roadmap to getting sexual function back on track.

What You’ll Learn

• Why a “bad erection moment” can snowball into anxiety, and how to break the loop
• Physical culprits behind ED: pelvic floor tension, breath-holding with heavy lifting, cycling
• compression, prostatectomy changes, meds, and more
• Coordination: why lengthening/relaxing the pelvic floor is as vital as strengthening.
• Simple, at-home strategies: 360° breathing, posture/mobility tweaks, partner-focused
• pleasure to exit “spectator mode”
• When tools help: pumps, rings, Viagra/Cialis (and why a safety-net pill can reduce pressure)
• How to broaden “what counts as sex” so intimacy thrives while you heal

Tune in if you’ve ever thought:

• “I can get morning/masturbation erections, but lose it with a partner, what gives?”
• “Is cycling/weightlifting messing with my erections?”
• “How do we keep sex fun if penetration isn’t reliable right now?”

Resources

• The Postpartum Essentials Virtual course
• Sex After Baby Mini-Course
• Find a pelvic floor PT: pelvicrehab.com or Pelvic Global Directory
• Under the Hood Newsletter (Boston Pelvic PT)
• Parents in Love Newsletter by Dr. Rebecca Howard Eudy

Connect with Us:

Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudy

Dr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicpt

Join the Conversation

If this episode gave you a new way to think about erections, anxiety, or pleasure, share it with a

friend or tag us on Instagram: https://www.instagram.com/underthehooddocs/

Want more?

Subscribe wherever you listen and visit http://www.underthehoodpod.com for show notes,

transcripts, and resources.

Mixed & Edited by Next Day Podcast

[email protected]

Everyone talks about sex, but few talk about what really happens beneath the surface — in

your body, your nervous system, and your relationships. In this debut episode, Dr. Rebecca

Howard Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floor

physical therapist in Melrose, MA) open up about their paths into two of the most misunderstood

fields in healthcare.

From navigating shame and cultural taboos to redefining what sex actually means, Rebecca

and Alex unpack the real conversations they have every day with clients — and why curiosity,

safety, and humor matter as much as anatomy. Whether you’re a therapist, a new parent, or just

pelvic-floor-curious, this episode gets you under the hood of intimacy, connection, and body

awareness.

What You’ll Learn:

• Why most therapists and doctors aren’t trained to talk about sex — and why that matters
• The biggest misconceptions about sex therapy and pelvic floor PT
• How to expand your definition of sex beyond “intercourse”
• Why “just do your Kegels” can actually make things worse
• The surprising overlap between emotional and physical safety — and what it means for
• desire

Tune in if you’ve ever thought:

• “I want to feel more connected to my body or partner, but I don’t know where to start.
• “What actually happens in pelvic floor PT or sex therapy?”
• “Why does sex feel different after kids, stress, or trauma?”

Resources

• The Postpartum Essentials Virtual course
• Sex After Baby Mini-Course
• Find a pelvic floor PT: pelvicrehab.com or Pelvic Global Directory
• Under the Hood Newsletter (Boston Pelvic PT)
• Parents in Love Newsletter by Dr. Rebecca Howard Eudy

Connect with Us:

• Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudy
• Dr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicpt

Join the Conversation:

If this episode helped you see your body or relationship in a new light, share it with a friend or

tag us on Instagram @underthehooddocs.

Want more?

Subscribe wherever you get your podcasts and visit underthehoodpod.com for show notes,

transcripts, and future episodes.

Mixed & Edited by Next Day Podcast

[email protected]

Welcome to Under the Hood — where real talk meets real bodies. Hosted by Dr. Rebecca

Howard Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floor

physical therapist in Melrose, MA), this podcast dives into the often-overlooked intersection

between emotional intimacy, sexual health, and physical well-being.

Each episode pulls back the curtain on what’s really going on beneath the surface — from pelvic

pain and postpartum changes to desire differences, erectile dysfunction, and how stress and the

nervous system shape your sex life. Through open, evidence-based conversations, Rebecca

and Alex explore how the body and brain work together in pleasure, healing, and connection.

If you’ve ever wondered why sex feels different after kids, how your pelvic floor affects desire, or

what to do when you feel disconnected from your body or partner, you’re in the right place.

What You’ll Learn

• How emotional safety and pelvic floor health work hand in hand
• The biggest myths about sex therapy, intimacy, and pelvic health
• Why both the body and the relationship deserve equal attention when it comes to desire and pleasure
• How to talk about sex, stress, and physical symptoms without shame or awkwardness
• Practical, compassionate ways to reconnect with your body and your partner

Tune in if you’ve ever thought:

• “I didn’t realize pelvic floor tension could affect my sex life.
• “We love each other, but our desire feels out of sync.
• “Why does my body shut down when I try to be intimate?”
• “Where can I get real answers about sex and health without the awkward small talk?”

Connect with Us

• Dr. Rebecca Howard Eudy (Sex & Couples Therapist, Boston) → rebeccaeudy.com |
• Instagram @rebeccahowardeudy
• Dr. Alex DiGrado (Pelvic Floor Physical Therapist, Melrose, MA) → bostonpelvicpt.com
• | Instagram @bostonpelvicpt

Resources

• The Postpartum Essentials Virtual course: https://thehealthypelvisproject.podia.com/
• Find a pelvic floor PT: pelvicrehab.com or Pelvic Global Directory
• Under the Hood Newsletter (Boston Pelvic PT)

Parents in Love Newsletter by Dr. Rebecca Howard Eudy

Join the Conversation

If this podcast helps you think differently about your body, your relationship, or your health,

share it with a friend or tag us on Instagram @underthehooddocs.

Want more?

Subscribe wherever you get your podcasts and visit underthehoodpod.com for show notes, transcripts, and future episodes.

Mixed & Edited by Next Day Podcast

[email protected]