Breaking the Silence: The Unseen Crisis of Pelvic Health

The Vagina Doctor Podcast: Consult With Me with Duncan Turner MD & Karen Spaulding

Pelvic Floor Health After Birth: Therapy, Kegels, and Non-Surgical Options

In this episode, the host Dr. Turner & Karen Spaulding discuss common pelvic floor issues inspired by a new patient with four vaginal births who is also doing pelvic floor therapy. Dr. Turner explains the pelvic floor’s role in supporting abdominal organs and how factors like vaginal delivery, chronic coughing, gravity, and even excessive weightlifting can stretch it, leading to problems such as stress urinary incontinence and prolapse. They cover prevention and treatment options, emphasizing pelvic floor physical therapy to teach patients how to properly engage these muscles, along with supportive treatments like vaginal estrogen, electrical muscle stimulation (including VTone), and energy-based therapies. They note that surgery can help but has complications and is best avoided when possible, and highlight postpartum as an important time to address pelvic floor health.

00:00 Breaking the Silence: The Unseen Crisis of Pelvic Health

00:00 Patient Story & Intro

01:31 Pelvic Floor Anatomy & Causes

04:40 Treatment Options

08:06 Postpartum Focus & Wrap-Up

https://www.turnermedicalarts.com

https://youtube.com/@thevaginadoctor