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Are you still having testicular pain, urinary urgency, frequent nighttime urination, or other symptoms months—or even years—after a vasectomy? Post-vasectomy pain syndrome (PVPS) is a real problem, and pelvic floor physical therapy may be one piece of the puzzle that’s being overlooked. In this episode of Down There, I revisit a conversation with Stacy, a former patient who developed persistent left testicular pain after his 2020 vasectomy. Over time, he also began experiencing urinary urgency, nighttime frequency, and a weak urinary stream. Stacy saw multiple healthcare providers and underwent antibiotics, an ultrasound, a CT scan for suspected kidney stones, and a cystoscopy. Yet his symptoms continued. Then his urologist recommended pelvic floor physical therapy for men. Stacy shares what happened next—and what he learned about the connection between his pelvic floor, pain, urinary symptoms, and the nervous system. We talk about: • What post-vasectomy pain syndrome can look like • The connection between pelvic floor tension and testicular or pelvic pain • What a male pelvic floor physical therapy evaluation may involve • The role of stretching, breathing, mindfulness, walking, and reducing muscle tension • Breaking the anxiety–tension–pain cycle • What Stacy continues to do today to manage his symptoms • How to find a qualified pelvic floor physical therapist who works with men If you've been dealing with chronic testicular pain after a vasectomy, pelvic pain, urinary urgency, or other symptoms that haven't responded to the usual approaches, Stacy's story may give you some new things to consider. This episode is not about promising a quick fix. It's about understanding your symptoms, knowing there may be more than one piece to the puzzle, and knowing where to look for help. You don't have to just live with it. ⏱️ Timestamps: [01:03] – Stacy’s Vasectomy Story [05:50] – Symptoms and Medical Workups [07:47] – Reddit Rabbit Hole [08:21] – Starting Pelvic PT [16:56] – Tools to Break the Pain Cycle [19:26] – Mindfulness At Home [20:54] – Is There Hope [23:12] – Daily Self Care Routine [25:29] – Stretching And Breathing Basics [29:04] – Finding The Right Therapist [32:22] – Building A Men’s Health Network [34:12] – Spreading Awareness Through Referrals [36:17] – Closing And Resources 👉 Join the “What’s Up Down There” email list: https://www.pelvicconnection.com/contact 👉 Subscribe to the podcast so you don’t miss new monthly episodes 👉 Subscribe to the YouTube channel: https://www.youtube.com/@pelvicconnection2025 👉 Send topic requests — listener questions directly shape future content Here’s to practical education, sustainable impact, and better pelvic health in 2026. 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

What happens when cancer treatment saves your life, but no one gives you a plan for getting your life back? Pelvic Floor Physical Therapist Laura McKaig PT shares an archived conversation with Jesse, a former patient diagnosed with stage III rectal cancer at just 39 years old. After major surgery, he wanted to return to running, keeping up with his four kids, and living an active life but rehabilitation wasn't initially part of his cancer care. Jesse shares how pelvic floor physical therapy helped him rebuild strength, address scar tissue, improve his breathing and confidence, and return to the activities that mattered to him. Laura also shares an encouraging update on where Jesse is today and why post-cancer rehabilitation deserves to be part of the recovery conversation. ⏱️ Timestamps: [00:00] – A Different Kind of Cancer Recovery Story [01:55] – Stage III Rectal Cancer at 39 [04:38] – Meet Jesse: Life After Cancer [05:54] – Why Pelvic Floor PT? [06:05] – The Cancer Rehab Gap Nobody Talks About [08:13] – What If He Never Found Physical Therapy? [08:54] – The Unexpected Benefits of Rehab [09:31] – Scar Tissue, Mobility & Confidence [11:50] – Why Men Overlook Pelvic Floor Therapy [14:49] – Where Is Jesse Now? [16:30] – Why Cancer Survivors Need to Advocate for Rehab 👉 Join the “What’s Up Down There” email list: https://www.pelvicconnection.com/contact 👉 Subscribe to the podcast so you don’t miss new monthly episodes 👉 Subscribe to the YouTube channel: https://www.youtube.com/@pelvicconnection2025 👉 Send topic requests — listener questions directly shape future content Here’s to practical education, sustainable impact, and better pelvic health in 2026. 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

Recovery after prostate cancer treatment doesn't end when the surgery or radiation is over and many men are left with questions they never had the chance to ask. In this special episode, pelvic floor physical therapists Laura McKaig and Tricia McCulloch invite you inside a real prostate cancer support group meeting where they answer honest questions from men about urinary leakage, pelvic floor rehabilitation, sexual health, exercise, and life after treatment. It's an open conversation filled with practical advice, encouragement, and the reassurance that you don't have to navigate recovery alone. ⏱️ Timestamps: [00:54] – Support Group Preview [02:35] – Why Rehab Gets Missed [05:43] – What Pelvic PT Really Is [08:25] – Audience Questions & Experiences [11:42] – Kegels & Biofeedback Myths [14:15] – Prehab: When Should You Start? [17:15] – Recovery Timeline & Taking Action [23:05] – Pelvic Anatomy Explained [33:32] – Radiation Side Effects [34:47] – Bladder & Bowel Connection [36:01] – Pelvic Floor After Surgery [37:17] – Radiation & Proton Therapy [40:10] – Artificial Sphincter Questions [42:07] – Strength, Fitness & Sexual Health [47:32] – Healing, Recovery & Next Steps Trisha McCulloch, PT, DPT, PRPC, CSCS Info-Bio: Trisha is a Certified Pelvic Rehabilitation Practitioner and a Certified Strength and Conditioning Specialist. Since graduating with her doctorate, she has participated in multiple public and hospital presentations providing education on a variety of pelvic health topics. She joined The University of Kansas Health System in 2017 to develop the Pelvic Health Therapy Program at The University of Kansas Health System.. Trisha is also a U.S. Army combat veteran and has served two tours in Iraq as a CH-47D Chinook mechanic and crewchief. She is also a lifetime member of and former Junior Vice Commander for the Lenexa VFW Post #7397. Dr McCulloch has joined Laura McKaig as a special guest speaker for The Prostate Network, a prostate cancer support group based in the Kansas City metro area. Both Trisha and Laura enjoy sharing their skills and information as well as advocating for better access to pelvic floor therapy for prostate cancer survivors. 👉 Join the “What’s Up Down There” email list: https://www.pelvicconnection.com/contact 👉 Subscribe to the podcast so you don’t miss new monthly episodes 👉 Subscribe to the YouTube channel: https://www.youtube.com/@pelvicconnection2025 👉 Send topic requests — listener questions directly shape future content Here’s to practical education, sustainable impact, and better pelvic health in 2026. 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

This episode is an honest conversation about what recovery after prostate surgery really feels like. Pelvic floor physical therapist Laura McKaig interviews fellow pelvic PT Charles Dudley, MPT, COMT, owner of Davenport Pelvic Therapy, who shares his personal journey as both a provider and a prostate surgery patient. Charles opens up about urinary retention, catheters, incontinence, pelvic floor rehab, complications after surgery, and the emotional reality many men quietly struggle with during recovery. ⏱️ Timestamps: [00:57] – Meet Charles Dudley [03:14] – Why Men Need Pelvic PT [03:55] – His Symptoms and Diagnosis [07:31] – Becoming a Pelvic Specialist [10:04] – Clinic Access and Travel [12:18] – Aquablation Surgery Story [17:27] – Complications and Second TURP [29:35] – Incontinence Products Reality [32:46] – Coordination Over Strength [35:35] – ShockWave And Fascial Effects [36:36] – Prostate Recovery Mythbusting Game [42:58] – Pads, YouTube, and taking YouTube advice [46:13] – Emsella Chair Reality Check [50:50] – Recovery Takeaways And Resources Charles Dudley, MPT, COMT Info-Bio: Charles is founder of Davenport Pelvic Therapy in Davenport FL. He first discovered about the importance of pelvic health after being diagnosed with a bladder dysfunction. Currently he is the only male physical therapist in his state specializing in men’s pelvic floor therapy. Charles seeks to improve his knowledge and passes it along to others through continued study, assisting and teaching men's pelvic health courses, as well as writing articles for several medical publications. He provides physical therapy services in his Florida-based locations as well as offering phone or virtual consultations nation-wide. You can contact Charles at [email protected] Website: https://davenportpelvic.com/ 👉 Join the “What’s Up Down There” email list: https://www.pelvicconnection.com/contact 👉 Subscribe to the podcast so you don’t miss new monthly episodes 👉 Subscribe to the YouTube channel: https://www.youtube.com/@pelvicconnection2025 👉 Send topic requests — listener questions directly shape future content Here’s to practical education, sustainable impact, and better pelvic health in 2026. 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

This episode is for any man facing prostate surgery or recovering and wondering if things will ever feel normal again. When Wayne was diagnosed with prostate cancer at 73, he felt what many men feel: fear, confusion, and uncertainty about what to do next. Surgery or radiation? What would recovery look like? Would life ever feel “normal” again? In this episode, Men's pelvic health expert Laura McKaig interviews her past patient Wayne, who shares his real, unfiltered journey from diagnosis to recovery, including something most men are never told about: 👉 Pelvic floor “prehab” before surgery Wait… you can actually prepare your body before prostate surgery? Have a listen and find out. ⏱️ Timestamps: [00:57] – Meet Wayne [02:46] – Cancer Diagnosis Path [04:00] – Prehab Before Prostatectomy [07:48] – Finding the Prostate Network [09:43] – Post Surgery Challenges [12:03] – Incontinence Expectations [14:54] – Starting Pelvic PT [17:00] – Aha Moments in Recovery [18:39] – Hemorrhoids Roadblock [21:38] – Beyond Just Kegels [23:12] – Whole Body Wellness [26:58] – I’m Continent Now [27:50] – Life After Therapy [30:12] – Advice For New People Diagnosed 👉 Join the “What’s Up Down There” email list: https://www.pelvicconnection.com/contact 👉 Subscribe to the podcast so you don’t miss new monthly episodes 👉 Subscribe to the YouTube channel: https://www.youtube.com/@pelvicconnection2025 👉 Send topic requests — listener questions directly shape future content Here’s to practical education, sustainable impact, and better pelvic health in 2026. 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

This episode is for everyone with a pelvis! The go-to fix for many pelvic floor issues is often “Do Kegels”. But is that really the answer? Men's pelvic health expert Laura McKaig teams up with her local colleague, Kesley Beach DPT, pregnancy/postpartum expert. Wait a minute…what does post-prostate surgery have to do with postpartum? Have a listen and find out! We’ve been wanting to do this episode together for quite some time, and it finally happened. Laura and Kelsey are coming in hot on the topic of Kegels: the truths, myths, and even the controversy surrounding this exercise. You may agree, you may disagree with our take on Kegels, or you may end up with more questions. In any case, we welcome your comments and questions! It’s time to have more open and informed conversations about this topic. We also invite you to help us spread the word, and to share this episode with someone else, maybe even your doctor! It’s for people of any gender and any age. ⏱️ Timestamps: [01:08] – Kegel or Not [01:18] – Meet Kelsey Beach [02:28] – Why Pelvic PT [06:40] – What Is a Kegel [10:17] – Kegel Myths Online [19:42] – Better Kegel Cues [22:11] – Mens Kegel Cues [24:12] – Urine Stop Debate [27:50] – Sculpt Chair Scam [31:29] – Kegel Trainers Weights [34:53] – Final Takeaways Kelsey’s Info-Bio: Our special guest is Kelsey Beach, DPT. Kelsey is founder of enCORE Therapy & Performance, specializing in pelvic floor physical therapy, pregnancy, postpartum care, and birth preparation. Since earning her Doctorate of Physical Therapy from Southwest Baptist University in 2011, she has been deeply immersed in this niche. It was during her first pregnancy in 2020 that she realized the significant lack of education available to pregnant women regarding their physical changes and preparation for birth. This led her to integrate pelvic floor rehab, functional mobility, and pregnancy education, culminating in the “birth” of enCORE Therapy. Website: https://www.encoretherapykc.com/ Instagram: https://www.instagram.com/the.pt.birth.nerd/ 👉 Join the “What’s Up Down There” email list: https://www.pelvicconnection.com/contact 👉 Subscribe to the podcast so you don’t miss new monthly episodes 👉 Subscribe to the YouTube channel: https://www.youtube.com/@pelvicconnection2025 👉 Send topic requests — listener questions directly shape future content Here’s to practical education, sustainable impact, and better pelvic health in 2026. 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

Welcome to the first episode of the new 2026 season. In this episode, pelvic floor physical therapist Laura McKaig shares a clear roadmap for where this podcast and her pelvic health education is headed this year. Instead of trends and hype, this is a practical reset built around impact, sustainability, and better education for people who want their bodies to function well in everyday life. Laura shares her 2026 “ins and outs” — what she’s intentionally leaning into, what she’s leaving behind, and how this will shape future podcast episodes, YouTube education, and pelvic health resources. You’ll hear what’s changing, what’s staying, and how this shift will better support those who are often the most underserved when it comes to pelvic health needs, as well as their caregivers, partners, and healthcare providers. Throughout the year, Laura will be sharing: * Free pelvic health resources * Long-form trainings * Self-guided rehab programs * Practical tools for recovery and symptom control ⏱️ Timestamps: [01:10] – Personal Reflections and Lessons Learned [02:41] – What's In for 2026: Slowing Down and Protecting Energy [06:49] – Focus on Long-Form Education and YouTube [10:40] – Men's Pelvic Health and Aging Well [13:32] – Community Engagement and Collaboration [16:04] – What's Out for 2026: Narrowing Focus and Avoiding Burnout [20:00] – Inclusive Content for All [23:10] – Building an online Community and Support [26:56] – Redefining what Success is 👉 Join the “What’s Up Down There” email list: https://www.pelvicconnection.com/contact 👉 Subscribe to the podcast so you don’t miss new monthly episodes 👉 Subscribe to the YouTube channel: https://www.youtube.com/@pelvicconnection2025 👉 Send topic requests — listener questions directly shape future content Here’s to practical education, sustainable impact, and better pelvic health in 2026. 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

Pelvic health care doesn’t usually make headlines but 2025 quietly changed a lot. In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig breaks down the biggest research findings, guideline updates, and policy changes from 2025 that are already improving pelvic health care for both men and women. We’ll talk about: Why pelvic floor physical therapy is increasingly supported as first-line careWhat new research says about telehealth and digital pelvic health programsMajor updates in care for genitourinary syndrome of menopause (GSM)The FDA’s removal of the black box warning on estrogen products — and why that mattersNew guidelines validating care for chronic pelvic pain in menAdvances in post-prostatectomy pelvic floor rehabilitationAnd why these changes mean earlier care, more options, and less fear for patients Whether you’re dealing with bladder symptoms, pelvic pain, menopause-related changes, or recovering from prostate surgery. This episode is about hope, progress, and better care moving forward. ⏱️ Timestamps: [00:24] – 2025: A Milestone Year for Pelvic Health [00:51] – Celebrating Research and Policy Wins [02:04] – Reflecting on the Year 2025 [03:19] – The Evolution of Pelvic Health [04:52] – Research Wins in Pelvic Health [07:57] – Early Intervention in Pelvic Floor Therapy [09:02] – Telehealth and Digital Care Advancements [11:59] – Men's Pelvic Health: Community-Based Rehab [13:25] – Genital Urinary Syndrome of Menopause (GSM) [15:58] – FDA Removes Black Box Warning on Estrogen Products [18:21] – Updated Guidelines for Chronic Pelvic Pain in Men [21:20] – Detailed Examination and Multidisciplinary Care [25:25] – Three Important Studies in Pelvic Health [25:55] – Digital Pelvic Therapy for Postmenopausal Women [28:56] – Long-Term Adherence to Pelvic Floor Exercises [30:54] – Pelvic Floor Therapy for Men with Neurological Disorders [33:00] – Implications of Recent Research and Guidelines 🔗 Resources & Next Steps ✔️ Subscribe for evidence-based pelvic health education https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA ✔️ Download free pelvic health resources (links below) ✔️ Learn more about pelvic floor therapy for men & women: https://www.pelvicconnection.com/ 📄 Research Articles Cited in This Episode Concomitant Overactive Bladder Treatment and Adherence to Pelvic Floor Physical Therapy https://pubmed.ncbi.nlm.nih.gov/40694073/ Telehealth Treatment for Stress Urinary Incontinence in Postpartum Women Journal of Women's & Pelvic Health Physical Therapy 49(2):p 72–82, April/June 2025 DOI: 10.1097/JWH.0000000000000329 Community-Based Pelvic Floor Rehab After Prostatectomy https://www.ics.org/2025/abstract/345 Guidelines for Genitourinary Syndrome of Menopause American Urological Association, ©2025 FDA Announcement on Black Box Warning Removal https://www.fda.gov/news-events/press-announcements/hhs-advances-womens-health-removes-misleading-fda-warnings-hormone-replacement-therapy Guidelines for Male Chronic Pelvic Pain American Urological Association, ©2025 Digital Care for Pelvic Floor Dysfunction in Postmenopausal Women JMIR Mhealth Uhealth 2025;13:e68242 https://mhealth.jmir.org/2025/1/e68242 Pelvic Floor Muscle Training in Male Neurological Patients: Systematic Review (Abstract) Journal of Women's & Pelvic Health Physical Therapy 49(1S):p S3–S48, Jan 2025 DOI: 10.1097/JWH.0000000000000330 Adherence 8 Years After Pelvic PT in Older Women with UI https://www.ics.org/2025/abstract/449 🎧 Connect & Share Have questions or want to connect? 👉 Follow on Facebook: https://www.facebook.com/lauramckaigpt/ 👉 Follow on Instagram: https://www.instagram.com/lauramckaigpt/ 👩‍⚕️ Find a pelvic floor therapist near you: https://pelvicglobal.com/directory/ 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

The holidays can be overwhelming, especially if you’re managing pelvic pain, urinary urgency, or recovering postpartum. In this episode, I share honest reflections and practical strategies to help you protect your body and nervous system during this demanding time. You'll hear real talk (including my own struggles), small actions that make a big difference, and tools to help you stay grounded without the pressure to be perfect. ⏱️ Timestamps: [00:00] — Pelvic Health Challenges [01:24] — Holiday Stress and Pelvic Health [04:00] — Real-Life Struggles and Vulnerability [05:25] — You Are Not Behind [07:02] — Supporting Your Body, Not Fixing It [09:19] — Protecting Body Boundaries [12:16] — Breathing and Clench Checks [13:33] — Lowering the Bar on Perfection [17:48] — Symptom Flare Ups During Holidays [20:17] — Reset Practice for Stress Relief [21:26] — Affirmations and Positive Mindset [21:48] — Recap on Holiday Stress [22:26] — Additional Support and Resources [22:47] — Closing Remarks and Contact Information Resources: Core and Pelvic Floor Challenge: https://youtu.be/-KXVWA1SImE 🎧 Connect & Share: Have questions or want to connect? 👉 Subscribe on YouTube: The Pelvic Connection with Laura McKaig PT https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA 👉 Follow on Facebook: https://www.facebook.com/lauramckaigpt/ 👉 Follow on Instagram: https://www.instagram.com/lauramckaigpt/ 👉 Visit for programs, resources, or in-person support: https://www.pelvicconnection.com/ 👩‍⚕️ Find a pelvic floor therapist near you: https://pelvicglobal.com/directory/ 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

Unboxing the Black Box: The FDA has removed or revised the boxed warnings on many estrogen-containing menopause therapies, but what does that actually mean? In this episode, I explain what a black boxed warning is, why it was applied decades ago, why newer evidence shows the situation is more nuanced, especially for low-dose vaginal estrogen, and what the label change means for people in perimenopause and menopause. Links to FDA, HHS, and JAMA commentary in the episode notes below. ⏱️ Timestamps: [00:00] — Major Change in Women's Health [01:27] — FDA's Black Box Warning Removal [02:04] — Understanding the Black Box Warning [03:04] — Personal Prescription Example [04:00] — What is a Black Box Warning? [05:49] — Detailed Breakdown of the Black Box Warning [11:43] — The Women's Health Initiative Study [13:34] — Media's Role in Spreading Misinformation [15:33] — Scientific and Advocacy Groups' Response [16:36] — Key Factors in Reversing the Black Box Warning [23:22] — The Unboxing Menopause Campaign [24:45] — FDA's Official Announcement [25:52] — Impact on Perimenopausal and Postmenopausal Women [26:21] — Challenges in Accessing Hormone Therapy [27:18] — Dr. Rachel Rubin's Personal Story [30:00] — The Importance of Advocacy [31:57] — Steps to Advocate for Yourself [32:56] — Resources for Hormone Replacement Therapy [36:47] — Client's Story: Empowerment Through Advocacy [40:15] — Encouraging Conversations and Education [41:15] — Conclusion Resources and Readings: FDA announcement and fact sheet on the label changes: https://www.fda.gov/news-events/press-announcements/hhs-advances-womens-health-removes-misleading-fda-warnings-hormone-replacement-therapy HHA press announcement and fact sheet on the removal of black box warnings: https://www.hhs.gov/press-room/fact-sheet-fda-initiates-removal-of-black-box-warnings-from-menopausal-hormone-replacement-therapy-products.html  JAMA article Nov 10 2025, Updated Labeling for Menopausal Hormone Therapy https://jamanetwork.com/journals/jama/fullarticle/2841321 Book The New Menopause by Dr Mary Claire Haver MD Dr Rachel Rubin’s Education Resources for Clinicians and Patients:  https://www.rachelrubinmd.com/education The Menopause Society website, includes Practitioner Directory https://menopause.org/ 🎧 Connect & Share: Have questions or want to connect? 👉 Subscribe on YouTube: The Pelvic Connection with Laura McKaig PT https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA 👉 Follow on Facebook: https://www.facebook.com/lauramckaigpt/ 👉 Follow on Instagram: https://www.instagram.com/lauramckaigpt/ 👉 Visit for programs, resources, or in-person support: https://www.pelvicconnection.com/ 👩‍⚕️ Find a pelvic floor therapist near you: https://pelvicglobal.com/directory/ 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

Do you need a special device to strengthen your pelvic floor? In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig PT, explores 7 tools, some unconventional, some everyday, that actually support pelvic floor strength. Inspired by a viral Instagram reel from urologist Dr. Kelly Casperson, Laura shares three expert-recommended “devices” and four additions based on clinical insight and experience. You’ll learn why orgasms, lifting weights, and even breathing matter more than you think and how consistency, intention, and movement are more powerful than any “quick fix.” ⏱️ Timestamps: [00:00] – Top 7 Pelvic Floor Devices [01:33] – Dr. Kelly Casperson's Surprising Recommendations [03:27] – Why Use Devices? [03:48] – Biofeedback and E-Stim Devices [05:02] – Considerations Before Buying a Device [06:46] – Dr. Kelly Casperson's Top 3 Recommendations [07:00] – Recommendation 1: Orgasms [07:21] – Recommendation 2: Lifting Weights [08:19] – Recommendation 3: Pelvic Floor Physical Therapy [08:58] – Laura's Additional Recommendations [09:05] – Laura's Recommendation 1: Pilates [09:43] – Laura's Recommendation 2: Yoga [10:13] – Laura's Recommendation 3: Mindful Movement [12:34] – Laura's Recommendation 4: Breathing [13:47] – Summary of Top 7 Recommendations [14:52] – Final Thoughts 🎧 Connect & Share: Have questions or want to connect? 👉 Subscribe on YouTube: The Pelvic Connection with Laura McKaig PT https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA 👉 Follow on Facebook: https://www.facebook.com/lauramckaigpt/ 👉 Follow on Instagram: https://www.instagram.com/lauramckaigpt/ 👉 Visit for programs, resources, or in-person support: https://www.pelvicconnection.com/ 👩‍⚕️ Find a pelvic floor therapist near you: https://pelvicglobal.com/directory/ 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

If you had told me a few years ago that I’d be grateful for rejection, pain, and almost losing my career… I wouldn’t have believed you. But today, I can honestly say: I’m thankful for the hard stuff. And I want to share why. In this deeply personal and reflective episode, Laura McKaig shares a tradition she’s carried for over a decade, her annual “Thankful for the Pain” letter. You’ll hear the real story behind how challenges, physical, emotional, and financial, sparked the founding of her pelvic health practice, reshaped her mindset, and deepened her empathy for others. This isn’t about toxic positivity... it’s about learning to face discomfort and still choose gratitude. Whether you’re in a season of struggle, rebuilding after a setback, or just need encouragement, this episode offers raw honesty, hope, and practical reflection. ⏱️ Timestamps: [00:00]  – People just need to be heard [01:50] – Personal Vulnerability and Tradition [02:14] – The Start of a Gratitude Journey [03:14] – Reading from Past Emails [04:27] – Thankful for the Pain Series [05:15] – Physical Pain and Career Change [06:15] – Financial Struggles and Career Change [06:57] – Facing Rejection and Building Resilience [09:42] – Support and Gratitude for Others [10:24] – Unexpected Challenges in 2020-2021 and Opportunities [11:10] – Writing the Book 'Piss Off' [12:07] – Unexpected Health Challenges [13:08] – Physical Injuries and Business Adaptation [15:31] – Developing Online Education Programs [18:59] – Embracing Pain and Offering Support 🎧 Connect & Share: Have questions or want to connect? 👉 Subscribe on YouTube: The Pelvic Connection with Laura McKaig PT https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA 👉 Follow on Facebook: https://www.facebook.com/lauramckaigpt/ 👉 Follow on Instagram: https://www.instagram.com/lauramckaigpt/ 👉 Visit for programs, resources, or in-person support: https://www.pelvicconnection.com/ 👩‍⚕️ Find a pelvic floor therapist near you: https://pelvicglobal.com/directory/ 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

What if healing wasn’t just physical but also deeply connected to your mindset? In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig is joined by fellow Physical Therapist James Connelly, PT, Owner of Results Rehab, Roswell, GA (Atlanta area), for a deeply human conversation on the psychology of gratitude and how it supports physical healing, pain recovery, and pelvic health. What started as a casual retreat conversation quickly turned into an inspiring exchange on nervous system regulation, pain neuroscience, and how reframing your inner dialogue can truly change how your body feels and functions. ⏱️ Timestamps: [00:00] – Reframing Pain [01:22] – Meet James Connelly [02:01] – Understanding the Psychology of Gratitude [03:19] – The Body's Response to Stress and Pain [05:44] – Chronic Stress and Its Effects [06:11] – Pelvic Health and Chronic Stress [07:42] – Practical Tips for Managing Stress [09:01] – Real-Life Patient Examples [13:58] – Incorporating Gratitude and Exercise into Daily Life [16:19] – Introduction to Habit Stacking [16:55] – Using Pelvic Floor Muscles Properly [17:29] – Consistency and Grace [18:24] – Impact of Negative Self-Talk [19:15] – The Nocebo Effect in Healthcare [21:01] – Mindful Communication in Medicine [23:23] – Gratitude in Daily Life [25:08] – Reframing Pain and Gratitude [29:30] – Personal Stories of Resilience [31:09] – Final Thoughts and Gratitude 🎧 Connect & Share: Have questions or want to connect? 👉 Subscribe on YouTube: The Pelvic Connection with Laura McKaig PT https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA 👉 Follow on Facebook: https://www.facebook.com/lauramckaigpt/ 👉 Follow on Instagram: https://www.instagram.com/lauramckaigpt/ 👉 Visit for programs, resources, or in-person support: https://www.pelvicconnection.com/ 👉 Guest Info: Learn more about James Connelly, PT: https://www.resultsrehab.org 👩‍⚕️ Find a pelvic floor therapist near you: https://pelvicglobal.com/directory/ 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

Ready to return to exercise after prostate surgery, but feeling unsure where to start? In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig shares 9 clear, supportive tips to help you build strength, improve bladder control, and feel confident getting back to movement. Whether that’s walking, golfing, or hitting the gym again. You'll also hear the inspiring story of “Joe,” one of Laura’s real patients, who went from post-surgery incontinence to climbing mountains again through smart rehab strategies and consistency. ⏱️ Timestamps: [00:00] – Overcoming Post-Surgery Exercise Fears [01:27] – Guidelines for Post-Surgery Exercise [02:22] – Joe's Story: A Journey Back to Fitness [03:58] – Common Concerns About Post-Surgery Exercise [04:24] – The Importance of Movement-Based Therapy [05:29] – General Exercise Guidelines [06:05] – Guideline 1: Start Slow and Steady [08:43] – Guideline 2: The Importance of Breathing [09:46] – Guideline 3: Quality Over Quantity during exercise [11:05] – Guideline 4: No Pain, No Gain Myth [11:42] – Guideline 5: Listen to Your Body [13:02] – Guideline 6: Managing Pelvic Floor Fatigue [13:54] – Guideline 7: Modify Activities, Don't Quit [14:45] – Guideline 8: Lighten Up on the Squeeze [15:34] – Guideline 9: Be Prepared for Leakage [16:36] – Strength Training Post-Surgery [19:31] – Joe's Success Story and Achieving Your Exercise Goals 🎧 Connect & Share: Have questions or want to connect? 👉 Subscribe on YouTube: The Pelvic Connection with Laura McKaig PT https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA 👉 Follow on Facebook: https://www.facebook.com/lauramckaigpt/ 👉 Follow on Instagram: https://www.instagram.com/lauramckaigpt/ 👉 Visit for programs, resources, or in-person support: https://www.pelvicconnection.com/ 👩‍⚕️ Find a pelvic floor therapist near you: https://pelvicglobal.com/directory/ 🎵 Music Credits: Original composition “Down There” by Forest Stewart ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.

They told me menopause meant hot flashes… but no one warned me about this. Laura McKaig breaks down the real (and often unexpected) ways menopause affects your pelvic floor, bladder, and vaginal health. Forget the myth that it’s just hot flashes we’re talking about, leaking, dryness, UTIs, and changes no one warns you about. Laura also explains why it happens, hint: it’s all about estrogen and what you can do about it, from movement and pelvic floor therapy to moisturizers and more. ⏱️ Timestamps: [00:46] – Menopause and Pelvic Health [01:41] – Menopause: What No One Told You [02:03] – What Changes Down There After Menopause? [03:28] – Postmenopausal Changes in the Pelvic Floor [04:27] – Menopause and Urinary Symptoms [08:30] – Common Symptoms and Solutions [08:45] – Changes in Bladder Function After Menopause [10:48] – Understanding UTIs and the Pelvic Floor [12:16] – Decreased Lubrication and Vaginal Dryness [13:20] – Intercourse Discomfort and What You Can Do [13:41] – Positive Steps to Manage Symptoms [14:38] – The Importance of Movement and Exercise [16:05] – Good Bladder Habits [17:56] – Bladder Irritants to Avoid [18:46] – Using Vaginal Lubricants and Moisturizers [20:22] – Topical Vaginal Estrogen Cream [22:00] – Recap of Menopausal Changes [23:03] – Resources and Recommendations [23:37] – Conclusion and Next Steps Connect & Share: Have questions or want to connect? Subscribe to our YouTube channel: The Pelvic Connection with Laura McKaig PT (https://www.youtube.com/channel/UCE7zyN28inZxCovuMqInzSA) Follow on Facebook: https://www.facebook.com/lauramckaigpt/ Follow on Instagram: https://www.instagram.com/lauramckaigpt/ Visit: https://www.pelvicconnection.com/ for online programs, resources, or to work with Laura in person. Music Credits: Musician: Forest Stewart Original composition “Down There” ***DISCLAIMER***The content of this video, description, links, and comments, is intended for educational and informational purposes. It is not intended as medical advice or a personalized treatment plan. Pelvic Connection Physical Therapy & Wellness LLC is not liable for any injuries or damages related to the practice of any exercise or activity shown on this video. Injury risk is possible if you do not follow due diligence and seek qualified professional advice about your medical condition or injury. Please consult your healthcare professional for specific concerns. No guarantees of specific results are expressly made or implied from this content.