Signs Your Pelvic Floor Is Failing with Dr Sara Reardon

Bob and Brad30mApril 8, 2026

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AI-Generated Summary

In this episode of the Bob and Brad Podcast, host Mike Kienitz welcomes pelvic floor physical therapist Dr. Sara Reardon, known as 'The Vagina Whisperer,' to discuss the often-overlooked but critical role of the pelvic floor in overall health. Dr. Reardon explains that the pelvic floor is a group of muscles supporting pelvic organs, influencing bladder and bowel control, sexual function, and even back pain. She debunks myths—such as pelvic floor issues being exclusive to women or only affecting postpartum individuals—and emphasizes that men, children, and athletes also experience these problems. Common signs of dysfunction include urinary leakage, constipation, pelvic pain, erectile dysfunction, and painful sex. Dr. Reardon stresses that aging, hormonal changes, and lifestyle factors like poor posture and straining during bowel movements significantly impact pelvic health. She advocates for proactive care, including proper pooping posture with a footstool, mindful breathing during exertion, and pelvic floor exercises tailored to individual needs. The conversation underscores the importance of early intervention and education, as many issues are preventable and treatable with the right support. Key takeaways include: (1) Pelvic floor health affects everyone, regardless of gender or age; (2) Straining during bowel movements is more damaging than high-impact exercise; (3) Proper pooping posture with feet elevated reduces strain; (4) Exhaling during lifting prevents pelvic floor weakness; (5) Awareness of symptoms like leaking during exercise or pain during sex is crucial for early care; (6) Pelvic floor therapy is a vital part of preventive health; (7) Simple home habits—like drinking water slowly and avoiding bladder irritants—can make a big difference; and (8) Resources like Dr. Reardon’s app, book, and website offer accessible, science-backed guidance. The overall tone is empowering, informative, and urgent in its call to normalize pelvic health conversations.

Key Takeaways
1

Pelvic floor issues affect all genders and life stages, not just postpartum women.

2

Straining during bowel movements is more damaging to the pelvic floor than running or jumping.

3

Using a footstool during pooping helps achieve a squatting position and reduces strain.

4

Exhale during physical exertion to protect pelvic floor strength.

5

Urinary leakage during exercise is a sign to seek evaluation, not a normal part of aging.

…and 3 more takeaways available in PodZeus

Chapters
0:00
0 min

Sponsor: Aldi Nord Dinner Deals

Promotion for Aldi Nord's affordable meal options, including sushi rolls and ice-up snacks.

0:29
1 min

Introduction to Dr. Sara Reardon and the Pelvic Floor

I remember her coming in after breast cancer treatment and she wasn't able to have intercourse and to help her be able to do that. And a young college student struggling with constipation and living in a dorm... to be able to help them get relief was amazing.

Highlight
1:43
5 min

What Is the Pelvic Floor and Why It Matters

It's like if you have neck pain and you get migraines and headaches and all this stuff, it's the same thing that can happen in your pelvic floor.

Highlight
7:03
7 min

Signs of Pelvic Floor Dysfunction

No amount of pain is normal. Normals, then when something starts changing, they can start thinking, huh, maybe my pelvic floor is a factor here.

Highlight
14:05
6 min

Myths, Misconceptions, and Age-Related Changes

Diapers do not have to be our destiny. We need to kind of start integrating pelvic floor care into women's health care in particular, to prevent these issues.

Highlight
High-Impact Quotes
You could be doing pelvic floor training until the cows come home. But if you're straining on the toilet every day to poop, you're going to weaken your pelvic floor muscles.
Dr. Sara Reardon25:01
Viral: 95.0
Diapers do not have to be our destiny. We need to kind of start integrating pelvic floor care into women's health care in particular, to prevent these issues.
Dr. Sara Reardon15:37
Viral: 92.0
No amount of pain is normal. Normals, then when something starts changing, they can start thinking, huh, maybe my pelvic floor is a factor here.
Dr. Sara Reardon12:07
Viral: 90.0
Speakers

Host

Mike Kienitz

Guest

Dr. Sara Reardon
Topics Discussed
Pelvic Floor Anatomy and Function95%Pelvic Floor Dysfunction Symptoms90%Gender and Age-Related Pelvic Health88%Pelvic Floor Exercises and Home Care85%Constipation and Bowel Health82%Bladder and Urinary Health80%Sexual Health and Pelvic Floor78%Pelvic Floor Education and Advocacy75%
People & Brands

Dr. Sara Reardon

person

28xPositive

The Vagina Whisperer

brand

15xPositive

Bob and Brad Podcast

media

12xNeutral

Pelvic Floor Physical Therapy

other

12xPositive

Mike Kienitz

person

10xNeutral

Pregnancy and Birth

other

7xNeutral

Menopause

other

6xNeutral

Aldi Nord

brand

5xPositive

Estrogen

other

5xNeutral

The V-Hive

product

4xPositive

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