Ep 2: It’s Not Just Kegels: Pelvic Floor Therapy, Sex, and Pain

In this episode of The Sexual Health Hub, Sheena and Juline are joined by pelvic floor experts Dr. Laura Ross, a pelvic health physical therapist and AASECT-certified sexuality counselor, and Sarah Highland, a pelvic floor occupational therapist and AASECT-certified sex counselor. Together, they break down what the pelvic floor actually is, why it matters for all bodies, and how pelvic floor therapy goes far beyond “just doing Kegels.” The conversation explores the differences between pelvic floor physical therapy and occupational therapy, what symptoms might signal pelvic floor dysfunction, and what to expect from a first appointment— whether in person or virtually. The group also dives into the often-overlooked connections between pelvic health, pain with sex, trauma, stress, hormones, erectile concerns, and overall sexual wellness across the lifespan. With an affirming, whole-person approach, this episode tackles common misconceptions, access barriers (especially in rural areas), and how to advocate for comprehensive, shame-free care. If you’ve ever wondered whether pelvic floor therapy could help you—or felt dismissed by traditional medical pathways —this episode offers clarity, validation, and practical guidance. Resources discussed in this episode: General Pelvic Floor directory: https://directory.pelvicglobal.com/  BIPOC (Black, Indigenous, and People of Color) provided directory: https:// www.vaginarehabdoctor.com/woc-pfpt-directory2/ Penis friendly directory (must purchase to access: no affiliation): https://www.patreon.com/posts/penis-friendly-137341675?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=postshare_creator&utm_content=join_link Herman and Wallace Institute (where Dr. Laura did some of her training): www.pelvicrehab.com Academy of Pelvic Health Physical Therapy Locator: https://www.aptapelvichealth.org/ptlocator Both Dr. Laura and Sarah provide virtual care, so you could link our websites for folks who can't find someone local to them: Sarah Highland: www.pelvicfloorandmore.com Dr. Laura Ross: www.groovephwellness.com The Sexual Health Hub and its hosts are not affiliated with the links provided and does not receive any financial compensation from visits to or purchases made through them. Follow us on Instagram: @thesexualhealthhub This is another Hurrdat Media Production. Hurrdat Media is a podcast network and digital media production company based in Omaha, NE. Find more podcasts on the Hurrdat Media Network by going to HurrdatMedia.com or the Hurrdat Media YouTube channel!