Hiking, Hormones & Pelvic Health: Real Talk from the Trail — SOLO EPISODE with Dr. CARRIE PAGLIANO

Send us Fan MailIn this episode, I’m taking you with me down into the Grand Canyon—21 miles, 13 hours, eight of us ages 44–53 (seven women, one very patient man), and every bit of trail talk you can imagine. What started as “Can we actually do this?” turned into the most honest, hilarious, and wide-open conversation about pelvic health, perimenopause, and how physical therapy for women has completely evolved since we were first told to “just do your Kegels.”Spoiler: the canyon will make you talk about everything.Is it sweat or is it pee?  Might be both.Bladder habits on switchbacks? Yep.Hormones while you’re sweating through a sunset climb back to the rim? Absolutely.The stuff we wish someone told us 20 years ago? All of it.We get into:How women’s health PT grew from basic kegels to running, lifting, sport, pregnancy → postpartum → peri/menopause careWhy it always comes back to the bladder (and why that’s not a bad thing)The real story on preventative peeing + hovering on trail bathroomsWhat you should actually know about menopause hormone therapy (without the online panic spiral)Navigating peri/menopause with confidence, support, and a sense of humorIf you’ve ever wondered what happens when seven midlife women (& one very patient younger brother) take on the Grand Canyon… it’s this. And it’s so, so good.Time Stamps1:00 Introduction3:57 getting informed early5:20 taking a nature break on trail14:28 urine frequency and output19:39 unexpected leakage22:52 what we don’t know about perimenopause28:40 weighted vests, walking, and yoga33:46 supplements38:00 exercise in pregnancy and postpartumCONNECT WITH CARRIEIG: https://www.instagram.com/carriepagliano/Website: https://carriepagliano.comThe Active Mom Podcast — a real mom's guide to pregnancy, postpartum, perimenopause & beyond, for active moms and the professionals who help them get there.Quick-hit conversations with moms, providers, and researchers... because you don't have a lot of free time (you're probably listening at 1.5x right now).Follow so you don't miss an episode. Rate & review ⭐⭐⭐⭐⭐ — it's how the next mom searching for these answers actually finds them. Share it with the friend who needs it.Questions or topic requests? DM me 💌