Pelvic organ prolapse is a condition that many women may not hear about until they experience symptoms or receive a diagnosis during a routine pelvic exam–and men during a routine physical exam. While it only affects a small percentage of men and women, it’s important to understand what it is, what causes it, and how it can be treated—especially as we age or after childbirth.

Persistent genital arousal disorder (PGAD) is a very rare condition, affecting about 1% of women and people assigned female at birth (AFAB). People with PGAD experience sudden and uncontrollable physical sensations that feel like sexual arousal. However, these sensations happen without sexual desire and are not relieved by orgasm. Although PGAD has been studied mostly in women and AFAB individuals, it can also occur in men and people assigned male at birth.

Men (and those with male anatomy), have you ever typed into Google: “It feels like there’s a golf ball in my rectum”... “There’s so much pressure in my butt”... “Something feels stuck near my tailbone”...“My tailbone hurts every time I sit”...“I can’t drive for long without pain.” If so, you’re not alone—and what you’re experiencing could be related to one of several possible conditions.

Trauma and chronic stress—whether emotional, physical, or psychological—have long been recognized as key contributors to a variety of health conditions. One area often overlooked, however, is the pelvic floor. Many people are surprised to learn that stress can significantly impact pelvic health, especially when left unresolved over time.‍ Whether you’re dealing with digestive irregularities, urinary urgency, pain with sitting, or unexplained pelvic discomfort, understanding how the nervous system, diaphragm, and pelvic floor work together is essential.

As an orthopedic and pelvic health physical therapist, I often get asked: “Why does my shoulder have anything to do with my pelvic floor?” The short answer is that everything is connected, especially when it comes to postural support, breath mechanics, and core stability. And one often-overlooked muscle that plays a pivotal role in this full-body connection is the serratus anterior.

If you’ve ever worked with a physical therapist for back pain, hip issues, or even stress incontinence, you’ve probably heard us talk about your core. But as someone who works at the intersection of orthopedics and pelvic health, I want to zoom in on two (often-overlooked but absolutely vital) players in your core system: the diaphragm and the pelvic floor. These two structures live at opposite ends of your torso, but they function as a team.

When most people hear "pelvic floor," they often think Kegels. And when they hear “core,” they picture six-pack abs. But as a pelvic health physical therapist, I can tell you it’s way deeper than that, literally and figuratively.‍ One of the most common things I hear from clients is: “I had no idea the pelvic floor was part of my core.” And honestly, I get it. Most of us grew up doing crunches in gym class, not learning how to breathe or engage our pelvic floor. But let’s change that.

Posture can absolutely influence the function of your pelvic floor muscles. When people think about posture, they often focus on their shoulders, neck and back. But one of the most overlooked aspects of posture is how it affects the pelvic floor. Whether you are struggling with incontinence, pelvic pain, core weakness or any other sign of pelvic floor dysfunction, your posture may be playing a bigger role than you realize.

Endometriosis affects 1 out of 10 women. Typically it starts out as painful periods, but can progress to chronic pelvic pain, abdominal pain, painful intercourse, and/or bowel and bladder issues. It can even lead to infertility. ‍It is common for people to have signs and symptoms of endometriosis for years (and sometimes decades) before being formally diagnosed with it. This prolonged process leads to unnecessary suffering, feelings of embarrassment and isolation, and reduced quality of life. That is why awareness is key.

As a pelvic floor physical therapist, many of my clients are female. But I have specialized training to help males too! Equipped with the most advanced tools and techniques in the industry, like Visceral Manipulation, Low Pressure Fitness, and the Redcord suspension system, I can help you overcome pain and pelvic floor dysfunction, regardless of your gender.