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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?"Resources The 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 Eudy Website: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGrado Website: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the Hood Podcast Instagram: 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 Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Podcast Instagram: @underthehooddocs Website: 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 Eudy Website: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGrado Website: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the Hood Podcast Website: 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."Resources Find 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. Rebecca Website: https://www.rebeccaeudy.comIG: https://www.instagram.com/rebeccahowardeudy/Newsletter: https://substack.com/@parentsinloveDr. Alex Website: https://www.bostonpelvicpt.com IG: https://www.instagram.com/bostonpelvicpt/Under the Hood Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the Hood IG: 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?”Resources 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 Eudy Website: rebeccaeudy.comInstagram: @rebeccahowardeudyNewsletter: Parents in Love on SubstackDr. Alexandra DiGrado Website: bostonpelvicpt.comInstagram: @bostonpelvicptNewsletter: Under the HoodUnder The Hood Podcast Instagram: @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 Resources Intimate 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 Eudy Website: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGrado Website: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Podcast Instagram: 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?"Resources Explain 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 Eudy Website: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter:  https://substack.com/@parentsinloveDr. Alexandra DiGrado Website: https://www.bostonpelvicpt.com Instagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://bostonpelvicpt.myflodesk.com/underthehood Under the Hood Podcast Instagram: 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 Learn What 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 Us Dr. 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 Learn How 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?”Resources Sex & Relationships Parents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy  https://substack.com/@parentsinlovePelvic floor + postpartum support & courses The Healthy Pelvis Project – virtual pelvic health and postpartum support:  https://thehealthypelvisproject.podia.com/Find a pelvic floor physical therapist near you Pelvic Rehab Provider Directory:  http://pelvicrehab.com/Pelvic Global PT Directory:  https://directory.pelvicglobal.com/Connect with Us Dr. Rebecca Howard Eudy Website: https://www.rebeccaeudy.comInstagram: https://www.instagram.com/rebeccahowardeudy/Newsletter: https://substack.com/@parentsinloveDr. Alexandria DiGrado Website: https://www.bostonpelvicpt.comInstagram: https://www.instagram.com/bostonpelvicpt/Newsletter: https://underthehood.myflodesk.com/o9qfr16q1vPodcast Instagram: 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 Learn What 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?”Resources Parents 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 @bostonpelvicpt Join the Conversation  If this episode helped you rethink love and connection after kids, share it with a friend or tag us:  @underthehooddocs Want 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 Learn The 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?”Resources Come 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 @bostonpelvicpt Join the Conversation  If this episode helped you understand your body or rethink pleasure, share it with a friend or tag us: @underthehooddocs Want 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-floor coordination, breastfeeding-related dryness, and smart lube choices to identity shifts, “touched out” 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 Learn Why 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’?”Resources The 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 @rebeccahowardeudy Dr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicpt Join the Conversation If 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 Podcast [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 floor physical therapist, Melrose, MA) team up to unpack ED from both sides: the psychology and relationship dynamics that drive performance anxiety, and the physical, pelvic-floor, and lifestyle factors that affect blood flow, coordination, and climax. From “spectatoring” to cycling, to diaphragmatic breathing and practical tools like pumps, rings, and meds, this is a compassionate, evidence-informed roadmap to getting sexual function back on track. What You’ll Learn Why 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?”Resources The 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 @rebeccahowardeudy Dr. Alex DiGrado → bostonpelvicpt.com | Instagram @bostonpelvicpt Join the Conversation If this episode gave you a new way to think about erections, anxiety, or pleasure, share it with a friend 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 Podcast [email protected]

Everyone talks about sex, but few talk about what really happens beneath the surface — in your body, your nervous system, and your relationships. In this debut episode, Dr. Rebecca Howard Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floor physical therapist in Melrose, MA) open up about their paths into two of the most misunderstood fields in healthcare. From navigating shame and cultural taboos to redefining what sex actually means, Rebecca and 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 just pelvic-floor-curious, this episode gets you under the hood of intimacy, connection, and body awareness. 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?”Resources The 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 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 Podcast [email protected]

Welcome to Under the Hood — where real talk meets real bodies. Hosted by Dr. Rebecca Howard Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floor physical therapist in Melrose, MA), this podcast dives into the often-overlooked intersection between emotional intimacy, sexual health, and physical well-being. Each episode pulls back the curtain on what’s really going on beneath the surface — from pelvic pain and postpartum changes to desire differences, erectile dysfunction, and how stress and the nervous system shape your sex life. Through open, evidence-based conversations, Rebecca and 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, or what to do when you feel disconnected from your body or partner, you’re in the right place. What You’ll Learn How 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 Us Dr. Rebecca Howard Eudy (Sex & Couples Therapist, Boston) → rebeccaeudy.com |Instagram @rebeccahowardeudyDr. Alex DiGrado (Pelvic Floor Physical Therapist, Melrose, MA) → bostonpelvicpt.com| Instagram @bostonpelvicptResources The 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 Eudy Join the Conversation If 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 Podcast [email protected]