Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts

Moment: Is your Pelvic Floor Healthy? Here's How to Check

Aug 6, 2025
In this engaging conversation, Sara Reardon, a pelvic floor physical therapist and author of 'Floored,' shares her insights on assessing pelvic floor health. She explains practical self-evaluation techniques while addressing common issues like pain during exams. The discussion highlights how diet and hydration affect bladder function, pointing out irritants like caffeine. Reardon also emphasizes the crucial role of pelvic floor muscles in enhancing sexual health and pleasure, providing actionable tips to strengthen these essential muscles.
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ADVICE

Self-Assess Pelvic Floor Muscles

  • Use a mirror to observe the perineum lifting during Kegels and pushing down during bearing down.
  • Internally evaluate by inserting a finger to feel muscle contractions and relaxation.
ADVICE

Pain Indicates Pelvic Floor Issues

  • If inserting a finger for self-assessment hurts, this suggests pelvic floor dysfunction.
  • Pain during pelvic or rectal exams warrants consultation with a pelvic floor therapist.
INSIGHT

Pelvic Floor Tension Causes Exam Pain

  • Pelvic floor tension can affect urethral sphincters causing painful exams.
  • Pelvic floor dysfunction often coexists with other conditions, so comprehensive evaluation is crucial.
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