Under the Hood

Many couples find it easier to have sex than to talk about it. In this episode, Dr. Rebecca Eudy and Dr. Alex DiGrado explore why conversations about pleasure and “what’s working” (or not) can feel so awkward—even in trusting, long-term relationships. Drawing on clinical experience and real-world examples, they focus on the “supreme courage” of saying what you actually want, hearing your partner without shutting down, and co-creating a shared language around sex. You’ll learn practical, non-cheesy ways you and your partner can move from just guessing and performing to intimacy that’s way more connected, playful, and mutually satisfying.What you’ll learn:Why the clitoris—not the vagina—is the true anatomical counterpart to the penis, and how that relates to the “orgasm gap” in heterosexual couples.How spontaneous vs. responsive desire works—and why fantasy, warm‑up, and the rest of your day can make or break sex.What LGBTQ+ and kink communities can teach all couples about talking openly about consent, roles, and desire (even if you think you’re pretty ‘vanilla’). Gentle, positive ways to give sexual feedback (and stop faking orgasms) without crushing your partner’s ego or killing the mood.Tune in if you’ve ever thought:“I don’t want to hurt my partner’s feelings, but what we’re doing just isn’t working for me.”“We flirt and crack jokes about sex, but we never actually talk about it in a real, honest way.”“What if I want to try this kinky thing, and they think I’m totally weird?”“If I need lube and a lot of time to get turned on… does that mean I’m not actually attracted to my partner?”Helpful resources:Come As You Are by Emily Nagoski, PhDCome Together by Emily Nagoski, PhDBecoming Cliterate by Laurie MintzShe Comes First by Ian KernerParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudySex After Baby Mini-CourseFind a pelvic floor PT near you at pelvicrehab.com or Pelvic Global DirectoryConnect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

In this episode, Dr. Rebecca and Dr. Alex dive into the “Oldest Daughter” archetype. Drawing on personal reflections, therapy insights, and Brené Brown’s work, they explore the fine line between being helpful and chronically over-functioning. From running point on family vacations to navigating communication clashes with their Southern husbands (we’re not rude - we’re direct!), this honest and funny conversation looks at why so many oldest daughters are the way they are, what it costs them, and how they’re learning to step back (a bit) and let go (a little).Key takeaways:How oldest daughters are shaped into “hyper-responsible” leaders early in lifeThe over-functioning / under-functioning dynamic that shows up in families, workplaces, and relationshipsHow being “the one who handles everything” can ultimately lead to exhaustion, resentment, and disconnection from othersA funny look at "Northern Directness" versus "Southern Politeness" and the struggle to balance efficiency with gentler communication Tune in if:You think you’re an amazing delegator… and you’re confused why not everyone seems to appreciate this talent  🙃You’re curious how birth order follows us into adulthood and professional life.You want to hear two business owners + moms laugh about their shared need to be—and stay—in charge.Helpful resourcesThe Power of Vulnerability TED Talk - Brene Brown Project 333 - The Minimalist Fashion Challenge to simplify your life and clear out your closet (as mentioned in Under the Hood Episode 23 with Ali Schmidt) Bowen/Family Systems Theory: The psychological framework that sees the family as an emotional system where everyone’s behavior affects everyone else, often in repeating generational patterns. Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Prostate cancer has a remarkably good prognosis…but what happens after treatment? In this episode, Dr. Rebecca Eudy and Dr. Alex DiGrado discuss the common challenges that often follow prostate cancer surgery, including urinary leakage, erectile dysfunction, and the heavy emotional toll these symptoms can have on self-confidence and relationships. They explain why these symptoms happen, how pelvic floor function changes after surgery, and why many people suffer in silence without realizing that help is available. Whether you're considering a prostatectomy, already in recovery, or supporting someone who is, this episode offers education, reassurance, and hope for getting back to the quality of life you want.What you'll learn:Why your bladder behaves differently post-op and which common habits are accidentally making your leaking worse.How pelvic floor PT and bladder retraining can significantly shorten your recovery timeline.Practical ways to maintain connection and confidence with your partner, even when the "mechanics" have changed.Tune in if you’ve ever thought:"I should just be grateful the cancer is gone" (while grieving what your sex life and body used to feel like).“I'm too embarrassed to tell my doctor I'm still leaking. I don't even know if there's anything I can do about it.”"My partner and I haven’t been intimate since the surgery because it feels too stressful. I want that connection back."ResourcesFind a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryTreatments mentioned in this episode are educational and may not be appropriate for everyone. Talk with your medical provider about what makes sense for your recovery.Connect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Many people wait to seek help—whether it’s pelvic floor PT or couples therapy—until things feel so “catastrophically bad” they can’t ignore them anymore. But by then, you’re not just dealing with a symptom or a disagreement,you’re dealing with months (or years) of built-up stress and a life that’s been reshaped around the problem instead of addressing it. In this episode, Dr. Rebecca and Dr. Alex share what they wish their clients knew sooner, and what could have saved them time, money, and a lot of unnecessary stress. They also get personal, from Dr. Rebecca being told “there’s nothing we can do” about her postpartum diastasis recti; to navigating “inner child” moments; to what it realistically looks like to “stay regulated” when you’re just really %$^&ing angry.This discussion is about what's possible when you finally have the right information, and the right support.What you'll learn:“Holistic” care isn't "crunchy" or "woo" - your symptoms often make more sense when you look at the whole body.“Staying regulated" isn’t the same thing as suppressing your feelings.The difference between “weather vs. climate” in relationships (and why it matters more than the fight itself)Tune in if you’ve ever thought:"I've seen multiple doctors and they all say I'm 'fine,' so what am I supposed to do now?”“We’re not in a crisis, but I’m tired of the constant bickering and snarky comments at home."“Is this something I just have to live with now?”Helpful resources:Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Secure Love: Create a Relationship That Lasts a Lifetime by Julie Menanno - attachment-based approach to relationshipsThe Fair Play Deck: A Couple's Conversation Deck for Prioritizing What's Important – a tool to help couples divide responsibilities and reduce mental loadConnect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Most of us know we’re tired (…that’s not breaking news). What we don’t realize is that the kind of rest we’re getting might not actually reach the parts of us that need it most.In this episode, Dr. Alex and Dr. Rebecca sit down with Ali Schmidt, social worker, therapist, yoga teacher, and certified Daring to Rest coach, to talk about yoga nidra: what it is, how it differs from meditation, and why committing to it for 40 days changed the way Ali shows up in her life. Ali also shares how radical rest helped her reconnect with the inner voice she didn't realize she'd lost after becoming a mother.Ali’s teachings have had a profound impact on so many women already (including Dr. Alex!) and we think you’ll understand why after listening to this conversation. What You’ll Learn:What yoga nidra is and how to start, including a free 5-minute practice Ali recommends for beginners.How taking time to rest can give you more time and capacity.What it really means to simplify, not as a pretty aesthetic, but as a life-changing practice. How Ali and a group of fellow concerned parents helped save her school's kindergarten ESPs (and what rest had to do with it).Tune in if you’ve ever thought:"I've tried meditation before, but my brain just won't stop. I don't think it works for me.”“I would love a simpler life, but I don't know where to start, and the idea of decluttering makes me want to cry.”“I don't just want to cope better in the moment…I want to not get so dysregulated in the first place."Helpful ResourcesRest with Ali Website: www.restwithali.com (and she’s currently accepting new clients!)Upcoming Rest Events www.restwithali.com/yoganidraofferingsAli’s IG: @restwithali Ali on Insight Timer: insighttimer.com/RestWithAliRest with Ali Substack: restwithali.substack.com Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy If this conversation meant something to you, we'd be so grateful if you took a moment to leave a rating, share it with a friend who needs to hear it, and follow us for future episodes. It's the best way to make sure we reach more people who could benefit from conversations like this one.Connect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

For many, the road to an endometriosis diagnosis is a decade-long maze of debilitating fatigue, "rice cake weeks," and being told that agonizing period pain is "normal." But the conversation is finally starting to shift. This week, pelvic floor PT Dr. Alyssa Demeule joins Dr. Rebecca and Dr. Alex to share her journey from medical gaslighting to recovery. We dive into the new ACOG diagnostic guidelines that prioritize the patient’s voice, the importance of finding the right excision specialist, and why lasting relief requires a strategic, multimodal path. This isn’t just a clinical deep dive into a chronically misunderstood disease - it’s a conversation about reclaiming your body and getting your life back.What You’ll Learn:Why a “clear” MRI or ultrasound doesn’t mean the pain is in your head, and why many specialists are now moving away from surgery as the only diagnostic tool.Why your general OBGYN might not be the right person for excision surgery, and how to find a vetted specialist who truly understands the disease.How the body creates a “pain memory” that persists even after the tissue is healed, and how to retrain those pathways.Tune in if you’ve ever thought:“Am I crazy, or is this level of pain more than just a bad period? “Why does my doctor keep telling me my tests are negative…when I can’t get out of bed?”“How am I supposed to advocate for myself when I’m exhausted from just trying to get through the day?”ResourcesNancy’s Nook (an advocacy and education resource used to find vetted endometriosis excision specialists): www.nancysnookendo.com Beating Endo: How to Reclaim Your Life from Endometriosis by Dr. Iris Orbuch and Dr. Amy Stein.Endometriosis Association: www.endometriosisassn.orgEndometriosis Foundation of America: www.endofound.orgThe Endometriosis Summit educational videos: www.youtube.com/@theendometriosissummit5427Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryConnect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

If you’ve ever wondered how your pelvic health may be affecting your fertility, this episode offers a helpful perspective. In this conversation, our own Dr. Alex joins Nora DeBora, a Functional Fertility Coach, Holistic Nutritionist and Fertility Awareness Practitioner, on The Ultimate Pregnancy Prep Podcast. They discuss the role pelvic floor physical therapy can play in fertility, pelvic pain, and overall function.Dr. Alex explains why “tight” doesn’t always mean strong, how simple daily practices can help reduce tension and improve mobility, and why addressing pelvic health before pregnancy can make a meaningful difference in your fertility journey.This conversation goes beyond the basics—it’s about better understanding your body and creating the conditions that support getting (and staying) pregnant.Dr. Alex’s Book Recommendations:Beating Endo: How to Reclaim Your Life from Endometriosis by Iris Kerin Orbuch, MD and Amy Stein, DPT Heal Pelvic Pain by Amy Stein, DPT Pelvic Pain Explained: What You Need to Know by Elizabeth H. Akincilar and Stephanie A. Prendergast Learn more about Nora and the Ultimately Pregnancy Podcast atwww.naturallynora.ca/blog

Most of us think consent is pretty straightforward: someone asks, you say yes or no. But in real life—especially in relationships—it’s much more layered and nuanced than we’ve been taught to think about it.In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado (pelvic floor physical therapist) unpack the Wheel of Consent, a framework developed by Dr. Betty Martin that reframes how we think about giving, receiving, and asking.From oral sex to gift-giving to everyday relationship dynamics (because consent shows up everywhere), this conversation highlights how unclear consent can lead to pressure, resentment, and disconnection - and how getting more honest and specific can actually deepen trust and intimacy.If you’ve ever said yes when you weren’t sure, struggled to ask for what you want, or felt responsible for someone else’s experience, this episode will help you understand why, and what to do differently.What You’ll Learn:The difference between giving, receiving, and allowing, and why most of us have a comfort zone (and blind spots) within thatHow unclear or unspoken expectations can lead to pressure, resentment, and performative responses (like faking enjoyment), even when both people have good intentionsWhy it can be surprisingly hard to know what you want (and how conditioning and past experiences shape that)How getting more honest and specific about consent can build trust and make things feel easier and more connectedTune in if you’ve ever thought:“Why is it so hard to just ask for what I want?”“Am I doing this because I want to—or because I feel like I should?”“How do I trust that my partner’s ‘yes’ is actually a yes?”“How did we get into this pattern—and how do we change it without making things weird?”Helpful ResourcesThe Wheel of Consent Website by Dr. Betty MartinThe Art of Giving & Receiving: The Wheel of Consent by Dr. Betty Martin Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

We’ve all been there: the familiar sting, the constant urge to go, or pain during intimacy that sends us straight for the cranberry juice. But what happens when tests come back negative and antibiotics don't work?In this episode, Dr. Rebecca Howard Eudy and Dr. Alex DiGrado are joined by Heather Florio, CEO of Desert Harvest, to talk about why so many people are dismissed when their bladder symptoms do not fit the standard mold. Heather shares how a family member’s experience with interstitial cystitis led to the creation of Desert Harvest, and we break down three major drivers of bladder pain, how aloe-based treatments are being used for vulvar irritation and painful sex, and emerging research on lactoferrin for menopause, iron balance, gut health, and endometriosis.If you've felt confused by pelvic or bladder symptoms that don't have simple answers, this conversation offers language, context, and specific questions you can bring to your care team.What You’ll LearnWhy bladder problems and tight pelvic floor muscles can cause many of the same symptoms, but require different treatments.How aloe-based treatments are being used for bladder pain, vulvar irritation, painful sex, and radiation burns.Why a protein found in early breast milk is being studied for menopause, gut health, and endometriosis.Tune in if you’ve ever thought:“Why does it feel like I have a UTI even though my tests are all normal?“Sex hurts, and I’m tired of being told to just relax or use more lube.”“My bladder symptoms keep coming back, and no one can tell me why.”ResourcesDesert Harvest Website (Use for Relievium, SSAB Capsules, and UTI Defense)Contact [email protected] or call toll-free (800)-222-3901 to request a free sample of their Desert Harvest Super-Strength Aloe Vera Capsules. Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryConnect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Your pelvic floor can stretch up to 250 times its normal length during birth. Your brain undergoes a literal metamorphosis. Your hormones shift for as long as you’re lactating. So why are we expected to be “back to normal” by twelve weeks?? This week, Dr. Alex and Dr. Rebecca (both moms themselves) dive into “bounce-back” culture. We talk about the pressure to have a “good baby,” the quiet strain relationships feel in the “do no harm” phase, and how to protect your mental health in a society that profits from your insecurity. Because none of us ever really go back to who we were before baby — we learn to move forward differently.What you'll learn:How long it actually takes to feel “normal” again after birth (hint: it’s nowhere near 6 weeks).Why unrealistic expectations (about sleep, breastfeeding, your body, and your relationship) often cause more suffering than the changes themselves.What really determines whether your baby sleeps (it’s not just your parenting skills).Why strong couples don’t “bounce back” — they relearn the dance.Tune in if you’ve ever thought:“Everyone else seems to be handling this better than I am.”“Why does her baby sleep and mine doesn’t? I’m following the plan.”“If this is supposed to be natural, why do I need so much help?”“Will I ever feel like myself again?”ResourcesParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy The Postpartum Essentials Virtual courseSex After Baby Mini-Course Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryConnect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com**What topic should we cover next? Who should we have on as a special guest? We'd love to hear your ideas! Reach out at https://www.underthehoodpod.com/contact. **

‘Boundaries’ gets thrown around a lot these days, but actually setting them is another story. For many of us, enforcing boundaries feels so awkward and exhausting that it’s easier to just do the very thing we were trying to set a boundary around in the first place.In this episode, couples and sex therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alex DiGrado unpack what boundaries actually are—and why they’re about much more than saying no. They explore the two types of boundaries we all use (what we allow in and what we share out), how both oversharing and shutting down can interfere with real connection, and why burnout, trauma, and gender expectations make boundaries especially hard for parents and caregivers.If you’re trying to show up for your work, your kids, and yourself without burning out, this episode offers a clear, realistic way to think about boundaries so you can protect your energy and still stay close to the people you care about.What You’ll Learn:Boundaries aren’t just about saying “no” (and what oranges have to do with it)How to use “the pause” instead of an automatic yes (and why “checking your schedule” is about more than just your calendar)Why oversharing and people-pleasing can make connection harder, not easierHow gender and social conditioning shape the way we learn (or don’t learn) boundariesTune in if you’ve ever thought:“How do I set a boundary without it being this big, awkward thing?”“Why am I good at setting boundaries in some parts of my life, but not others?”“I want to be open and connect with people, but I’m never sure how much of myself to share.”“Why does setting boundaries seem to be so easy for some people, but not for me?”ResourcesBoundary Boss by Terri Cole, MSW, LCSWEssentialism: The Disciplined Pursuit of Less by Greg McKeownFind a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Let’s be real: most people get squeamish talking about poop. But if your gut isn’t happy, you aren’t happy...which is why we’re breaking the taboo in this episode. Whether you’re dealing with "vacation constipation," incontinence, hemorrhoids, or just feel like your gut runs your life, this is a judgment-free conversation about getting things working again.From the science behind Dr. Alex’s favorite Yankee swap gift (the Squatty Potty) to mastering a morning routine that supports regularity, this episode is packed with encouraging, practical tips to help you ditch the shame, fix your mechanics, and find lasting relief. What You’ll Learn:How small shifts in your bathroom routine can make pooping easier (step one: put your phone away!)The cool science behind why your gut is called the “second brain” (and how the vagus nerve connects the two)Why just adding fiber won’t help if the issue is muscle coordination (not slow movement)Tune in if you’ve ever thought:“Why do I get blocked up every time I travel?”“Why am I constipated even though I eat healthy?”“Why do all my tests say everything’s ‘normal’ when I feel so miserable?”“Why am I going to the bathroom so often, but still don’t feel ‘done’?”Helpful Resources:Femeeze: A small handheld tool that supports the vaginal wall during a bowel movement, helping people with a rectocele empty more comfortably and completely.Squatty Potty: A small footstool that raises your feet on the toilet to mimic a natural squat and make bowel movements easier.Mind Your Gut: The Science-based, Whole-body Guide to Living Well with IBS by digestive health specialist + registered dietitian Kate Scarlata and GI psychologist Megan Riehl.Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryConnect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Many parents assume that if they aren't "in the mood," something is wrong with them or their relationship. Usually, though, it’s because it’s just really hard to find your libido under piles of laundry and sleep deprivation. In this bonus episode of Under the Hood, we’re sharing a conversation that Dr. Rebecca had as a guest on Slate’s Care and Feeding podcast about the messy reality of sex and intimacy after kids. This is an honest (and sometimes hysterical) look at why desire can disappear in those early parenting years, and how to start finding your way back to your partner - and yourself - again.What You’ll Learn:Why not being in the mood is often about nervous system overload, not a broken relationshipThe difference between spontaneous and responsive desire (and the importance of a longer runway)How a well-timed whisper can totally change the tone in your relationshipTune in if you’ve ever thought:I love my kids, but if one more person touches me today, I’m gonna lose it.Why is my partner ready to go the second the kids leave the house…but I’m just here thinking about the bills?How do I stop feeling like sex is one more thing on the to-do list.Does scheduling sex means the spark is gone for good?ResourcesParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy The Postpartum Essentials Virtual courseSex After Baby Mini-Course Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryConnect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder the Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

In Part 2 of our orgasm series, Dr. Rebecca and Dr. Alex move beyond pelvic floor mechanics to explore the psychology of orgasm. You'll learn why your brain matters as much as physical technique, how “shame loops” hijack arousal, and why fantasy is a tool (not cheating). We tackle intrusive thoughts that kill the mood (like "my stomach looks weird in this position") and give you practical tools to communicate your desires without the awkwardness. This episode is your guide to getting out of your head and back into your body, so you can stop "should-ing" all over your sex life and start enjoying it again. What You’ll Learn:Why saying "I can’t stop thinking about the laundry" out loud actually helps your brain switch back to sex mode.How to use fantasy to get out of your head and into your body and why that’s ok. How to tell your partner exactly what you need.Why solo play is the first step to amazing partnered sex!Tune in if you’ve ever thought:"Why can I orgasm alone, but not with my partner?""Why does my mind wander during sex?""Am I cheating if I fantasize about someone else?""How do I tell them what I want without making it awkward?"ResourcesThe Postpartum Essentials Virtual courseSex After Baby Mini-Course Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGradoWebsite: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the Hood PodcastInstagram: https://www.instagram.com/underthehooddocs/Website: http://www.underthehoodpod.com

Most people (including medical providers) aren’t taught how orgasms actually “work.” In this first half of a two-part series, Dr. Alex DiGrado (pelvic floor PT) and Dr. Rebecca Howard Eudy (sex therapist) unpack common misconceptions about orgasms and explore what’s going on in the body and brain. From breath and muscle coordination to nervous system regulation, they cover the physical and emotional patterns that can shape pleasure - and why these issues are often overlooked in medical care. Whether you’re confused, curious, or just want to understand your body better, this episode is a great place to start.What you'll learn:Orgasm is a full-body reflex, involving your pelvic floor, breath, diaphragm, and nervous system (aka it’s not a simple on/off switch). Orgasms require both relaxation and excitation at the right times (and how PFPT can help with that).You can orgasm without ejaculation.Most pelvic floor PTs aren't trained in orgasm function in school. Tune in if you’ve ever thought:“I’m not sure if I’ve ever had an orgasm.”“Why does it take me forever to finish (or not at all)?”“How can I feel more relaxed in my body during sex?”“How can pelvic floor PT help with orgasm issues?”Helpful resources:Come As You Are: Revised and Updated: The Surprising New Science That Will Transform Your Sex Life by Emily Nagoski Ph.D.Come Together: The Science (and Art!) of Creating Lasting Sexual Connections by Emily Nagoski Ph.D.Becoming Cliterate: Why Orgasm Equality Matters - And How to Get It by Laurie Mintz Parents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudySex After Baby Mini-CourseFind a pelvic floor PT near you: Pelvic Rehab Directory or Pelvic Global DirectoryConnect with Us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodPodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Resentment doesn’t come out of nowhere - it’s usually a sign that something important hasn’t been said or repaired. In this episode, Dr. Rebecca (sex & couples therapist) and Dr. Alex (pelvic floor PT) talk about how resentment shows up in everyday relationships, even between people who are trying their best but are operating from completely different playbooks. They unpack why many of us take on too much, assume our partner should “just know” what we’re thinking, and then feel hurt when that doesn’t happen. This conversation is about noticing what's going on under the surface (because it's never just about the dishes), taking responsibility for what you can control, and asking for what you need in a way that actually brings you closer. What You’ll Learn:When “letting things go” is actually avoidance, and when to speak up instead.Why over-functioning is often a choice that feels easier in the moment but backfires later on.How to ask for what you want without nagging or accusing.How to stop “shitting on the gift” when you try to do something nice for your partnerTune in if you’ve ever thought:“Why am I the only one who takes care of things around here?”“I know deep down my partner cares… so why doesn’t it feel like it?”“If I have to ask him to do it, it doesn't count.”"I should be happy my partner is taking care of himself, but I’m just annoyed instead.”Resources:Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGradoWebsite: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the Hood PodcastWebsite: http://www.underthehoodpod.comInstagram: https://www.instagram.com/underthehooddocs/

If you cross your legs before sneezing, avoid your once-favorite HIIT class, or laugh so hard you need more than a tissue, you're not alone. And despite what you've been told, stress incontinence isn't "just a part" of motherhood or aging. In this episode, Dr. Rebecca and Dr. Alex debunk the myths keeping people suffering in silence and offer real, evidence-based solutions for leaking. Whether you're postpartum, an athlete, or just tired of planning life around bathrooms, we'll give you the tools to reclaim confidence and ditch the "just in case" pads.What You’ll Learn"Stress" incontinence isn't about life stress (but may involve everyday habits working against you).Why TikTok's "engage your core all day" advice is terrible (& may ruin your sex life).Why addressing a "minor" leak in your 30s could keep you out of a nursing home in your 80s.How to tell if your pelvic floor is stuck in "overdrive".Tune In If You’ve Ever Thought"I just have a weak pelvic floor from having kids.""I've never had kids, so why am I leaking during workouts?""I do Kegels all the time, so why am I still leaking?""It's just a minor annoyance—I can live with it."ResourcesFind a pelvic floor PT: pelvicrehab.com or Pelvic Global DirectoryThe Postpartum Essentials Virtual courseParents in Love: A Guide to Great Sex After Kids Revive Reusable Bladder Support for Women and Impressa Incontinence Bladder SupportsConnect with us:Dr. RebeccaWebsite: https://www.rebeccaeudy.comIG: https://www.instagram.com/rebeccahowardeudy/Newsletter: https://substack.com/@parentsinloveDr. AlexWebsite: https://www.bostonpelvicpt.com IG: https://www.instagram.com/bostonpelvicpt/Under the Hood Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the HoodIG: https://www.instagram.com/underthehooddocs/Website: http://www.underthehoodpod.com

In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado, DPT, PRPC (pelvic floor physical therapist) talk about what sex therapy and couples therapy involve—from how to find a qualified therapist to what a session might look like. They explore how emotional and physical disconnection often show up together, and why getting support earlier (before things feel overwhelming) can make all the difference. This is a thoughtful, down-to-earth conversation for anyone looking to deepen connection, strengthen their relationship, or simply explore how therapy can support growth and intimacy.You’ll learn:How to find a certified sex therapist (and what credentials to look for)What to expect from your first session The ways anxiety, communication, and touch all impact desire and connectionWhat “homework” in sex therapy looks like (it’s probably not what you think)Tune in if you’ve ever wondered:“When should we see a couples therapist? Is it just for people about to split up?”“What if we don’t have sex, but we get along well otherwise?”“Does sex therapy involve…sex?”“What if my partner won’t come with me to sex therapy?”“How do I even bring this up with my partner?”ResourcesFind a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love on SubstackDr. Alexandra DiGradoWebsite: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder The Hood PodcastInstagram: @underthehooddocsWebsite: underthehoodpod.com

Vaginismus is often described as “pain with penetration,” but that definition misses the bigger picture. In this episode, couples and sex therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alexandra DiGrado unpack what vaginismus really is, why it happens, and how it affects far more than just sex.Together, they explore the role of the nervous system, pelvic floor muscles, fear-avoidance patterns, and past experiences—and why advice like “just relax” can actually make things worse. This conversation offers clarity, compassion, and an evidence-based path forward for anyone navigating pelvic pain or supporting someone who is.What You’ll Learn:Why vaginismus is a protective nervous system response—not a psychological failure or conscious choiceHow the fear–tension–pain cycle develops and reinforces ongoing painWhy vaginismus can affect more than penetration, including exams, tampon use, sitting, and bowel functionWhat effective treatment actually looks like, including pelvic floor PT, education, and nervous system regulationHow healing focuses on safety, choice, and gradual progress—not pushing through painTune in if you’ve ever thought:“Everyone keeps telling me to relax, but I literally don’t know how.”“Can this ever get better, or will it always hurt like this?”“How do I explain this to my partner, and what does it mean for our relationship long-term?”“I feel embarrassed talking about this — am I the only one?”“How do I get help without forcing myself through more pain?”Helpful ResourcesIntimate Rose anal/vaginal dilators (use code ALEXANDRA1 for 20% off - affiliate link)The Postpartum Essentials Virtual courseSex After Baby Mini-Course Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGradoWebsite: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood PodcastInstagram: https://www.instagram.com/underthehooddocs/Website: http://www.underthehoodpod.com

In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado, DPT, PRPC (pelvic floor physical therapist) discuss how your nervous system, muscular habits, and past experiences (including trauma and chronic stress) are all connected to chronic pelvic pain. Whether you’ve been dismissed by the healthcare system, or are looking to better understand the connection between your body and brain, this conversation will leave you feeling informed, seen, and empowered to seek relief for yourself and your loved ones.What You’ll Learn:The 10-Year Delay: Why conditions like endometriosis take so long to diagnose and how these conditions contribute to chronic muscular pain.The Ab Gripping Habit: How chronic ab-tightening (often thanks to diet culture and fitness trends) can lead to a chronically tight, painful pelvic floor.The Fire Alarm Analogy: Why your body continues to send very real, strong pain signals even after an infection (like a UTI) or injury has been treated.Lifestyle Optimization: The often-overlooked connection between pelvic tension, low back pain, bowel movements, and overall wellness.Tune in if you’ve ever thought:“I feel like I'm going crazy—I know my pain is real, but my doctor keeps telling me everything ‘looks normal’.”“Why does it seem like I constantly have a UTI even though my tests are negative?”“How can pelvic floor PT help my chronic pain when it’s caused by a disease like endometriosis (or PCOS, IBS, and more), rather than a specific injury?"ResourcesExplain Pain by Lorimer MoseleyThe Body Keeps the Score by Bessel van der KolkNancy's Nook (Endometriosis education + resources)Beating Endo by Dr. Iris Kerin Orbuch and Amy SteinFind a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us:Dr. Rebecca Howard EudyWebsite: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGradoWebsite: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the Hood PodcastInstagram: https://www.instagram.com/underthehooddocs/Website: http://www.underthehoodpod.com

Most people hear “pelvic floor PT” and think, “So…Kegels and an awkward exam?” But here’s what most people don’t realize: good pelvic floor physical therapy is full-body, trauma-informed care that connects your bladder, bowel, sexual function, posture, breathing, and stress levels—not just your vagina, penis, or “down there.”In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado (pelvic floor physical therapist) pull back the curtain on what actually happens in a pelvic floor PT visit. From the intake questions to the internal exam (always optional, always consent-based), they walk through how a skilled PT looks at your whole body, your nervous system, and your real life to understand what’s going on.Whether you’re leaking when you sneeze, dealing with constipation, dreading sex because it hurts, or just wondering if your “weird” symptoms are normal, this conversation will leave you informed, de-shamed, and more confident about getting the help you deserve.What You’ll LearnWhat really happens at a pelvic floor PT appointmentWhy training and approach matter so much in the PFPT you choose The truth about Kegels (and why tight muscles are weak muscles)How your whole life shows up in your pelvisSigns that pelvic floor PT could help youTune in if you’ve ever thought:“Isn’t pelvic floor PT just Kegels?”“I had a weird pelvic floor PT experience—do I really want to try again?”“Why am I leaking, in pain, or running to the bathroom all the time?”“Is it normal that sex hurts (or feels numb) after childbirth or surgery?”“What actually happens in an internal exam—and do I have to do one?”Resources Pelvic floor + postpartum support & coursesThe Healthy Pelvis Project – virtual pelvic health and postpartum support: https://thehealthypelvisproject.podia.com/Find a pelvic floor physical therapist near youPelvic Rehab Provider Directory: http://pelvicrehab.com/Pelvic Global PT Directory: https://directory.pelvicglobal.com/Sex & RelationshipsParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with UsDr. Rebecca Howard EudyWebsite: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandria DiGradoWebsite: https://www.bostonpelvicpt.comInstagram: https://www.instagram.com/bostonpelvicpt/Newsletter:  https://bostonpelvicpt.myflodesk.com/underthehood PodcastInstagram: https://www.instagram.com/underthehooddocs/Website: http://www.underthehoodpod.com

This is the second episode in our series exploring Dr. Rebecca Howard Eudy’s new book, Parents in Love: A Guide to Great Sex After Kids.Desire differences are one of the most common struggles couples face—especially after becoming parents. One partner may want sex more often, while the other feels overwhelmed, pressured, or disconnected. Underneath those stuck places, both people are usually reaching for the same thing: closeness, emotional safety, and reassurance that they matter.In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado (pelvic floor physical therapist) dive into the sexual cycle—how pursuit and withdrawal show up in the bedroom, how gender conditioning shapes desire, and the real difference between spontaneous vs. responsive desire.They explore why pressure shuts everything down, how resentment quietly builds, and why willingness—not immediate desire—is often the true starting point for connection. What You’ll LearnHow emotional patterns influence sexual patternsThe difference between spontaneous and responsive desireWhy pressure and resentment shut down intimacyHow gender conditioning affects how people express desireWhat is sensate focus and how can it help couples reconnect Tune in if you’ve ever thought:“Why do we want sex at such different times?”“Is something wrong with me if I only feel desire after things get started?”“Why does my partner take it so personally when I’m not in the mood?”“How can we get out of this cycle of pressure, shutdown, and misunderstanding?”“How do we bring back intimacy after having kids?”ResourcesSex & RelationshipsParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy https://substack.com/@parentsinlovePelvic floor + postpartum support & coursesThe Healthy Pelvis Project – virtual pelvic health and postpartum support: https://thehealthypelvisproject.podia.com/Find a pelvic floor physical therapist near youPelvic Rehab Provider Directory: http://pelvicrehab.com/Pelvic Global PT Directory: https://directory.pelvicglobal.com/Connect with UsDr. Rebecca Howard EudyWebsite: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter: https://substack.com/@parentsinloveDr. Alexandria DiGradoWebsite: https://www.bostonpelvicpt.comInstagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://underthehood.myflodesk.com/o9qfr16q1vPodcastInstagram: https://www.instagram.com/underthehooddocs/Website: http://www.underthehoodpod.com

What happens to love, sex, and connection when kids enter the picture? In this episode, Dr. Alex DiGrado (pelvic floor PT, Melrose, MA) interviews Dr. Rebecca Howard Eudy (sex & couples therapist, Boston) about her new book Parents in Love: A Guide to Great Sex After Kids. They unpack why couples feel like roommates in early parenthood, how to navigate late-night fights, and what it really means to “Do No Harm” when no one’s sleeping or thriving. You’ll also learn how the Notice–Own–Connect framework helps couples move from blame to repair, and how small gestures can rebuild intimacy long before you’re back in the bedroom.What You’ll LearnWhat the “Do No Harm Agreement” is and when to use itHow stress, exhaustion, and unmet expectations create conflict cycles—and how to pause before they spiralAbout rupture and repair in relationships (and why repair never happens by accident)A crash course in attachment theory and why every couple gets stuck in predictable cycles of disconnectionHow to “blame the cycle, not each other” to turn fights into opportunities for closenessTune in if you’ve ever thought:“We love each other, so why do we keep fighting about stupid stuff like the dishwasher?”“Are we broken, or just exhausted?”“How do we reconnect when there’s no time, no sleep, and no spark?”“Is it possible to repair after the baby years… and actually feel in love again?”ResourcesParents in Love: A Guide to Great Sex After Kids. by Rebecca Howard EudySecure Love by Julie MenannoThe Postpartum Essentials Virtual courseSex After Baby Mini-Course Find a pelvic floor PT: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter by Boston Pelvic PTParents in Love Newsletter by Dr. Rebecca Howard EudyConnect with Us: Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudy Dr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicptJoin the Conversation If this episode helped you rethink love and connection after kids, share it with a friend or tag us:  @underthehooddocsWant more?Subscribe wherever you listen (please rate & review the show!) and visit underthehoodpod.com for show notes, transcripts, and resources.

It’s time to talk about the most misunderstood organ in the human body: the clitoris. In this eye-opening episode, Dr. Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floor PT, Melrose, MA) pull back the hood to bust myths about female pleasure, anatomy, and the “orgasm gap.” From the hidden structure of the clitoris to why most women don’t orgasm from penetration alone, this candid conversation explores what real sex education missed, how partners can communicate better, and why knowing your body is the foundation for better pleasure and connection.What You’ll LearnThe true anatomy of the clitoris—far beyond “the button”Why 95% of women need clitoral stimulation (not just penetration) to orgasmHow cultural scripts around sex create confusion, pressure, and fake orgasmsThe difference between clitoral and “G-spot” orgasms—and why they’re connectedWhy “tight” isn’t better: how pelvic-floor coordination (not just Kegels) supports pleasureHow arousal, blood flow, and relaxation affect orgasm potentialPractical ways to explore your body, communicate with partners, and close the orgasm gapTune in if you’ve ever thought:“Why can’t I orgasm from sex like in the movies?”“What’s the deal with the G-spot—is it real?”“Am I broken if I need clitoral stimulation?”“How do I tell my partner what actually feels good?”ResourcesCome As You Are — Emily Nagoski, PhDBecoming Cliterate — Laurie Mintz, PhDDipsy app — erotic audio stories for womenThe Postpartum Essentials Virtual courseSex After Baby Mini-Course Find a pelvic floor PT: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyConnect with Us: Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudy Dr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicptJoin the Conversation If this episode helped you understand your body or rethink pleasure, share it with a friend or tag us: @underthehooddocsWant more? Subscribe wherever you listen and visit underthehoodpod.com for show notes, transcripts, and resources.

“Six weeks and you’re good to go” is not the whole story. In this candid conversation, Dr.Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floor PT,Melrose, MA) break down why postpartum sexual health is complex. From scar care, pelvic-floorcoordination, breastfeeding-related dryness, and smart lube choices to identity shifts,“touchedout” fatigue, and how to ease back in (think: first base, then second), you’ll get a realistic,compassionate roadmap for reconnecting with your body and your partner.What You’ll LearnWhy the 6-week “all clear” ≠ fully healed, and what realistic timelines look likePelvic floor changes after birth: tension + weakness + trigger points, and howcoordination beats “just Kegels”Hormones and how they affect sexual and pelvic health and desireHow to re-start intimacy gently: kissing-only nights, pressure-free progression, andbroadening what “counts as sex”When to see a pelvic floor PT and why early help prevents pain/tension cyclesThe “touched out” paradox, and how communication and scheduling actually boost desireTune in if you’ve ever thought:“We got the 6-week clearance, so… why doesn’t sex feel okay yet?”“Is this pain normal, or should I see a pelvic floor PT?”“Why is my orgasm MIA after birth?”“How do we feel close again when we’re exhausted and ‘touched out’?”ResourcesThe Postpartum Essentials Virtual courseSex After Baby Mini-CourseFind a pelvic floor PT: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyConnect with Us:Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudyDr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicptJoin the ConversationIf this episode helped you rethink postpartum sex, share it with a friend or tag us:https://www.instagram.com/underthehooddocs/Want more?Subscribe wherever you listen and visit http://www.underthehoodpod.com for show notes,transcripts, and resources.Mixed & Edited by Next Day [email protected]

Erectile dysfunction is very common and it’s rarely only about erections. In this episode, Dr.Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floorphysical therapist, Melrose, MA) team up to unpack ED from both sides: the psychology andrelationship dynamics that drive performance anxiety, and the physical, pelvic-floor, and lifestylefactors that affect blood flow, coordination, and climax. From “spectatoring” to cycling, todiaphragmatic breathing and practical tools like pumps, rings, and meds, this is acompassionate, evidence-informed roadmap to getting sexual function back on track.What You’ll LearnWhy a “bad erection moment” can snowball into anxiety, and how to break the loopPhysical culprits behind ED: pelvic floor tension, breath-holding with heavy lifting, cyclingcompression, prostatectomy changes, meds, and moreCoordination: why lengthening/relaxing the pelvic floor is as vital as strengthening.Simple, at-home strategies: 360° breathing, posture/mobility tweaks, partner-focusedpleasure to exit “spectator mode”When tools help: pumps, rings, Viagra/Cialis (and why a safety-net pill can reduce pressure)How to broaden “what counts as sex” so intimacy thrives while you healTune in if you’ve ever thought:“I can get morning/masturbation erections, but lose it with a partner, what gives?”“Is cycling/weightlifting messing with my erections?”“How do we keep sex fun if penetration isn’t reliable right now?”ResourcesThe Postpartum Essentials Virtual courseSex After Baby Mini-CourseFind a pelvic floor PT: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyConnect with Us:Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudyDr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicptJoin the ConversationIf this episode gave you a new way to think about erections, anxiety, or pleasure, share it with afriend or tag us on Instagram: https://www.instagram.com/underthehooddocs/Want more?Subscribe wherever you listen and visit http://www.underthehoodpod.com for show notes,transcripts, and resources.Mixed & Edited by Next Day [email protected]

Everyone talks about sex, but few talk about what really happens beneath the surface — inyour body, your nervous system, and your relationships. In this debut episode, Dr. RebeccaHoward Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floorphysical therapist in Melrose, MA) open up about their paths into two of the most misunderstoodfields in healthcare.From navigating shame and cultural taboos to redefining what sex actually means, Rebeccaand Alex unpack the real conversations they have every day with clients — and why curiosity,safety, and humor matter as much as anatomy. Whether you’re a therapist, a new parent, or justpelvic-floor-curious, this episode gets you under the hood of intimacy, connection, and bodyawareness.What You’ll Learn:Why most therapists and doctors aren’t trained to talk about sex — and why that mattersThe biggest misconceptions about sex therapy and pelvic floor PTHow to expand your definition of sex beyond “intercourse”Why “just do your Kegels” can actually make things worseThe surprising overlap between emotional and physical safety — and what it means fordesireTune in if you’ve ever thought:“I want to feel more connected to my body or partner, but I don’t know where to start.“What actually happens in pelvic floor PT or sex therapy?”“Why does sex feel different after kids, stress, or trauma?”ResourcesThe Postpartum Essentials Virtual courseSex After Baby Mini-CourseFind a pelvic floor PT: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyConnect with Us:Dr. Rebecca Howard Eudy → rebeccaeudy.com | Instagram @rebeccahowardeudyDr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicptJoin the Conversation:If this episode helped you see your body or relationship in a new light, share it with a friend ortag us on Instagram @underthehooddocs.Want more?Subscribe wherever you get your podcasts and visit underthehoodpod.com for show notes,transcripts, and future episodes.Mixed & Edited by Next Day [email protected]

Welcome to Under the Hood — where real talk meets real bodies. Hosted by Dr. RebeccaHoward Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floorphysical therapist in Melrose, MA), this podcast dives into the often-overlooked intersectionbetween emotional intimacy, sexual health, and physical well-being.Each episode pulls back the curtain on what’s really going on beneath the surface — from pelvicpain and postpartum changes to desire differences, erectile dysfunction, and how stress and thenervous system shape your sex life. Through open, evidence-based conversations, Rebeccaand Alex explore how the body and brain work together in pleasure, healing, and connection.If you’ve ever wondered why sex feels different after kids, how your pelvic floor affects desire, orwhat to do when you feel disconnected from your body or partner, you’re in the right place.What You’ll LearnHow emotional safety and pelvic floor health work hand in handThe biggest myths about sex therapy, intimacy, and pelvic healthWhy both the body and the relationship deserve equal attention when it comes to desire and pleasureHow to talk about sex, stress, and physical symptoms without shame or awkwardnessPractical, compassionate ways to reconnect with your body and your partnerTune in if you’ve ever thought:“I didn’t realize pelvic floor tension could affect my sex life.“We love each other, but our desire feels out of sync.“Why does my body shut down when I try to be intimate?”“Where can I get real answers about sex and health without the awkward small talk?”Connect with UsDr. Rebecca Howard Eudy (Sex & Couples Therapist, Boston) → rebeccaeudy.com |Instagram @rebeccahowardeudyDr. Alex DiGrado (Pelvic Floor Physical Therapist, Melrose, MA) → bostonpelvicpt.com| Instagram @bostonpelvicptResourcesThe Postpartum Essentials Virtual course: https://thehealthypelvisproject.podia.com/Find a pelvic floor PT: pelvicrehab.com or Pelvic Global DirectoryUnder the Hood Newsletter (Boston Pelvic PT)Parents in Love Newsletter by Dr. Rebecca Howard EudyJoin the ConversationIf this podcast helps you think differently about your body, your relationship, or your health,share it with a friend or tag us on Instagram @underthehooddocs.Want more?Subscribe wherever you get your podcasts and visit underthehoodpod.com for show notes, transcripts, and future episodes.Mixed & Edited by Next Day [email protected]