S6 Ep.31: Female Performance, Injury, and the Missing Link in Women’s Health

In this episode of the Hormone Genius Podcast, we sit down with Jillian Stecklein, Director of Physical Therapy at My Catholic Doctor, to explore the often-overlooked connection between female physiology, athletic performance, and long-term health. Jillian shares how many athletes—especially women—have been shaped by outdated cultural messaging around food and body image. Patterns of disordered eating, under-fueling, and overtraining are not uncommon, and they create a dangerous cycle where the body becomes increasingly vulnerable to injury and burnout. These patterns are often reinforced by an identity rooted in performance, where self-worth becomes tied to output rather than overall well-being. Through both clinical experience and personal insight, this episode reframes what it means to train well. A supportive, holistic routine is not optional—it is essential. For women over 35 especially, this includes consistent strength training to support bone density and stabilize key muscle groups like the core, hips, and shoulders. It also includes daily “maintenance” work—simple, physical therapy-style exercises that improve posture, breathing, and coordination. Equally important are the foundational lifestyle habits that support recovery and resilience: quality sleep, proper hydration, and adequate nutrition. Restricting calories or eliminating entire food groups without guidance can have significant downstream effects on performance, healing, and hormone health. A critical piece of this conversation is the role of the menstrual cycle as a vital sign. Loss of a cycle, or amenorrhea, is not a normal adaptation to training—it is a warning sign. It reflects a low-estrogen state that can compromise bone density, increase injury risk, and impact long-term fertility. As Jillian emphasizes, the cycle should be viewed as a powerful health marker, offering insight into whether the body is truly supported. The episode also dives into the root causes behind some of the most common injuries seen in active women. Stress fractures often trace back to micronutrient deficiencies and poor force absorption due to weak support muscles. IT band syndrome is frequently linked to core and pelvic instability, while plantar fasciitis can stem from misalignment and limited foot mobility. Even systemic pain—such as lingering post-viral symptoms—can reveal an underlying baseline of inflammation and reduced recovery capacity. Ultimately, this conversation is about shifting perspective. It invites women to move away from a performance-at-all-costs mindset and toward a more sustainable, integrated approach to health and fitness—one that honors the body, supports its needs, and builds strength from the inside out. Jillian Stecklein is a pelvic floor physical therapist and the Director of Physical Therapy at My Catholic Doctor. She specializes in helping women restore strength, stability, and function through a holistic, root-cause approach to movement and healing. Instagram: @thecatholicpelvicpt Website & Programs: pregnancyprepared.com Sponsors 💛 We Heart Nutrition Thoughtfully formulated supplements designed to support women’s health at every stage of life. 🎁 20% off with code: GENIUS 🐄 Wonder Cow Colostrum Supports gut health, immune function, inflammation balance, and tissue repair — especially valuable during postpartum recovery. 🎁 30% off your subscription with code: HORMONEGENIUS 🔗 www.wondercow.com/hormonegenius The information presented in The Hormone Genius Podcast is for informational purposes only and is not intended to be a substitute for actual medical or mental health advice from a doctor, psychologist, or any other medical or mental health professional.