In Your Pants with Dr. Susie G

**Spinal Cord Injuries & Sexuality: Tips from an OT & Sexologist** On today’s show we have Norwegian Occupational Therapist and Sexologist,  Vanja Rizvic. We discuss the unique role of occupational therapy in pelvic and sexual health, the impacts of spinal cord injuries on sexuality, and share several practical strategies to navigate sexual dysfunction or dissatisfaction. From sensory play to reframing sexuality perspectives and fostering communication, Vanja guides us on an empowering journey of embracing our sexuality through curiosity and courage to enhance our sexual pleasure and well-being. Guest Bio: Vanja holds a bachelor's degree in Occupational Therapy, and has since 2017 worked in both outpatient and inpatient settings. He started his career at a hand therapy department, working with rheumatological illnesses and orthopedic injuries. Vanja has also worked in physical medication and rehabilitation, and currently works at one of Norway's biggest hospitals for rehabilitation medicine. He works specifically with spinal cord injuries, and has a special interest in sexual health and pelvic floor therapy. Vanja is a proud alumn of Lindsey vestals OT pioneers and is a sexual health advocate in the Norwegian OT community. Connect with Vanja on IG: @vvnnjjaa https://www.instagram.com/vvnnjjaa/ Video Chapters: - 00:00 Meet our video sponsor, Mainspring Medical featuring Vacurect - 00:40 Podcast Guest Introduction, Occupational Therapist and Sexologist Vanja Rizvic - 02:15 The role of occupational therapists in sexuality and sexual health - 02:30 Domains of occupational therapy for sex: context, potential, and narratives - 07:03 Sexual dysfunction as a trojan horse, the whole-person approach to improving sexual issues - 09:09 Supporting sexual function through relationship - 13:20 What is a spinal cord injury - 14:32 How a spinal cord injury impacts sex - 15:50 Autonomic dysreflexia considerations during sex - 17:40 Primary, secondary, and tertiary impacts to bladder, bowel, and sexual function with as spinal cord injury - 21:25 Orgasm and ejaculation with a spinal cord injury - 23:45 Sexual function versus sexual satisfaction - 29:00 Sex and sexual identity as an occupational narrative - 33:05 3 tips to explore with for sexual dysfunction 📢 Thank you for watching. To stay up-to-date on pelvic and sexual health tip and exercises, subscribe, hit the notification bell, and like this video! RESOURCES: 💡 Looking for solutions for erectile dysfunction? Check out our episode sponsor, MainSpring Medical featuring the Vacurect: [https://www.mainspringmedical.com/pag...](https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbG52a3UyU2Y4RHRVQU41dUpiWjBQb3dyS3BaZ3xBQ3Jtc0tuODhqTk1WQlhfcUlLWkJ4a2dxbjh0ZVhydXZTcVVWWHd3R3BMamVraW45Sk1Ic183Q3lHcTQtNkxCMEEzZlowRlN2anp1ZllYTi1Ca0h4MF8tbXRHcThKempGUlhDM3BzVjJGbVVrWWE2UFJQXzdpSQ&q=https%3A%2F%2Fwww.mainspringmedical.com%2Fpages%2Flp-aff%3Faff%3D9&v=oXMTpRRxneo) Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #occupationaltherapy #pelvicfloor #sexologist #sexology #sexualhealth #spinalcordinjury #neurological #neurology #sexualhealtheducation #sexualdysfunction

On today's show, we’re diving into the complexities surrounding men's experiences in dating, intimacy, and sexuality, shedding light on the challenges often masked by societal expectations. Our exploration involves dismantling myths and internalized narratives that shape the lives of men and their partners, sexually and beyond. We also discuss how thoughts and beliefs can influence our capacity for pleasure and physiological functions like erections and ejaculation. 🎟️Join us at the Men’s Pelvic & Sexual Health Summit, where dating coach Erika Davian will be sharing expert advice on “First-Time Sex: Navigating the Experience with Confidence.” Don’t miss this opportunity to explore healthy intimacy and sexual well-being! Tickets at https://sexualhealthsummits.com 💡 Looking for solutions for erectile dysfunction? Check out our episode sponsor, MainSpring Medical featuring the Vacurect: https://www.mainspringmedical.com/pages/lp-aff?aff=9 📢 To stay up-to-date on pelvic and sexual health tip and exercises, subscribe, hit the notification bell, and like this video! Episode Chapters: 00:00 Meet Vacurect! Our episode sponsor 00:50 Meet mens dating coach, Erika Davian and summary of episode 2:30 Surrogate partner therapy for hands on practice 3:32 What you should expect with a surrogate partner therapist 5:07 Difference between men’s dating coach and surrogate partner therapist 7:07 Providers who work exclusively with men: a personal reflection 11:14 Unhealthy social narratives around men’s dating and intimacy 18:30 Sensate touch focus 20:18 Thoughts and beliefs influence physical sexual function and pleasure 24:40 Why Viagra doesn’t work 26:48 Defensive reactions around women discussing men’s sexual health issues 30:00 Empathy during sex is sexy! 32:30 Connect with Erika CONNECT WITH ERIKA DAVIAN: Website: ErikaDavian.com Surrogate Partner Therapy: Sessionswitherika.com Podcast: Bachelor to Boyfriend https://podcasts.apple.com/us/podcast/bachelor-to-boyfriend/id1681585833 Instagram: https://www.instagram.com/erikadavian?igsh=bnppNXNnOWswYWE5 RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #menshealth #mensdatingtips #intimacy #relationshipadvice #surrogatepartnertherapy #sexualhealth #sexualwellness #dating #datingcoach #expertadvice #erectiledysfunction #performanceanxiety #pelvichealth #sexualperformance #menssexualhealth #datingadvice #sexeducation

On today’s In Your Pants Podcast, we discuss the intersection of faith and intimacy, bridging the gap between the sacred and the sexy! The discussion on religion and sexuality is often delicate and loaded with tension, especially for those who have grown up in religious communities. Our guests, Julia Postema and Jeremiah Gibson, hosts of the Sexvangelicals Podcast, unpack the emotional and sexual ramifications for couples navigating life in religious communities or after leaving religious communities. The conversation touches upon the challenges couples face due to adverse religious experiences and share practical communication tips to empower couples in fostering more enjoyable and fulfilling sexual experiences. If you like this video, please SUBSCRIBE, click the bell 🔔, like, comment and share. Your support helps us keep the content coming. Thank you for watching! About our guests Julia Postema and Jeremiah Gibson are the co-hosts of the podcast Sexvangelicals: The Sex Education the Church Didn't Want You to Have. They are both Boston-based licensed psychotherapists and certified sex therapists who work with clients in Massachusetts. They currently live in Utrecht, The Netherlands. They specialize in helping couples with negative religious backgrounds discover sexuality that works for their partnership. They enjoy traveling to places that tend to fly under the radar, long-distance hiking, cooking very spicy food, unexpected conversations, and introverted days filled with reading and drinking fancy tea. They're on Instagram, @sexvangelicals, and Substack at sexvangelicals.substack.com Connect with Julia and Jeremiah: Website: www.sexvangelicals.com IG:  @sexvangelicals FB:  @sexvangelicals Substack at sexvangelicals.substack.com Episode Chapters: 00:00 Introduction 02:15 Relational and sexual impacts for couples leaving religious communities 06:09 Challenges people face in religious communities around sexuality 08:18 When spiritual values conflict with sexual values and pleasure 12:45 Religious narratives and purity culture impacts on sex and pleasure 19:20 Purity culture impact on men and women 20:23 Painful sex and healing with pelvic floor physical therapy 27:43 Communication tips for couples around sex and pleasure 36:18 Connect with Julia and Jeremiah RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #Religion #Sexuality #SexandSpirituality #purityculture #sexpositivefaith #Spirituality #SpiritualValues #SacredSexuality #FaithAndRelationships #ReligionAndSex #ReligiousTrauma #PelvicTherapy #PelvicPain #Vaginismus #PelvicFloor

Today, we're diving into the world of Surrogate Partner Therapy with our guest Travis Sigley. We delve into the essence of Surrogate Partner Therapy, uncover what it entails, who can benefit, and how to approach this nuanced subject within relationships. Travis will also share invaluable insights on self-care in the realm of sexuality and navigating alternatives when access to a surrogate partner therapist isn't available. So, join us as we navigate this conversation, learning from Travis's wealth of experience and dedication to fostering healthier, more fulfilling connections in the world of intimacy and sexuality. About Travis Sigley Travis Sigley is a passionate human who cares deeply about education, care, accountability, mental/physical/emotional health, and community. They have been working in the intimacy and sexuality field for 15 years. Their first business was Cuddle Therapy, started in San Francisco as the first known professional cuddling service. Through many years and iterations since, their newest venture is in Surrogate Partner Therapy, where they are currently in the final stages of certification via mentorship. Connect with Travis at travis.sigley [at] gmail.com Video Chapters: 00:00 Introduction 2:08 What is surrogate partner therapy? 03:20 How does surrogate partner therapy work? Here’s what you can expect. 06:03 Difference between surrogate partner therapy and sex work 07:18 Who could benefit from surrogate partner therapy? 09:00 How to find a surrogate partner therapist 09:54 Approaching sexual intimacy challenges as part of self-care 13:05 Communication with a partner around surrogate partner therapy 15:55 Disclosure of surrogate partner therapy to a partner 18:21 Travis’s personal inspiration to become a surrogate partner therapist 22:15 Connect with Travis Sigley RESOURCES: Surrogate Partner Collective: https://www.surrogatepartnercollective.org/ Embrace Surrogate Partner Therapy Resource Group: https://www.embracespt.org/ International Professional Surrogate Association: https://www.surrogatetherapy.org/what-is-surrogate-partner-therapy Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #SurrogatePartnerTherapy #SexualHealing #IntimacyCoaching #IntimacySupport #SurrogateTherapist #SexTherapy #SexualHealth #podcast #inyourpants #spotify #youtube #asheville #NC

🔥🔥 Learn more from men’s sex coach Taylor Johnson at our world-premier online Men’s Sexual and Pelvic Health Summit, November 9-10, 2024. This summit is for men and the people who love them. 🎟️ Get your discounted tickets now. Prices go up in October! In today's In Your Pants Podcast episode, I dive deep into the topic of non ejaculatory orgasms for men, enhancing sexual pleasure, and building sexually satisfying relationships alongside certified sexologist and men's sex coach, Taylor Johnson. Taylor brings a wealth of practical wisdom, offering authentic strategies for men to immediately enhance and prolong their sexual pleasure without ejaculating. We unpack the intricate layers of internal sexual scripts and societal gender expectations that often breed performance anxieties. We dissect the influence of pornography on sexual experiences and expectations and explore how couples who have drifted apart emotionally and sexually can reignite the flames of their intimacy. Tune in and engage your senses because this is one episode you certainly won't want to miss. ABOUT THE GUEST: Taylor Johnson is a certified sexologist and sex coach for men, who is dedicated to helping men thrive in sex, life and relationships. CONNECT WITH TAYLOR JOHNSON: Website: www.taylorjohnson.life Instagram: @taylorclarkjohnson Podcast**:** www.taylorjohnson.life/podcast Orgasmic Mastery Course**:** https://www.taylorjohnson.life/orgasmic-mastery-course/ EPISODE CHAPTERS: 00:32 Introducing men’s sex coach Taylor Johnson 01:50 3 strategies to enhance men’s sexual pleasure without ejaculating 03:00 The most powerful sexual tool to last longer in bed 06:54 How to have a whole body orgasm 09:15 Slowing down sexual intercourse 11:08 Non ejaculatory orgasm versus ejaculatory orgasm 13:53 Solo masturbation and self-pleasure practices to train ejaculation 16:55 Delayed ejaculation and ejaculating for stress relief 20:00 Your partner’s sexual expectations influence sexual pleasure and satisfaction 22:30 Communication is key for a satisfying and pleasurable sexual relationship 25:00 Personal experience of not ejaculating during sex 26:17 How to deal with performance worry and pressure during sex 34:08 How does pornography impacts erections, ejaculation, and sexual relationship dynamics? 39:00 Sexually re-connecting with a partner after being “sexless” for some time 43:56 Connecting with Taylor Johnson RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #prematureejaculation #sexualwellness #sexeducation #ejaculationcontrol #menshealth #pelvichealth #ashevillenc #pelvichealthspecialists #pelvichealthasheville #northcarolina #sexcoach #erectiledysfunction #intimacy #relationshipadvice #orgasm #pleasure

Today we’re talking about the benefits of seeing a sex therapist. You’ll learn what a sex therapist is, how they can support your sexual wellbeing, and the signs when you should reach out to one. We cover genital and pelvic pain in people with vaginas and penises and how incorporating play into sex can actually reduce pain and enhance pleasure. Lastly, our guest shares her unique therapeutic approach with horses and how she incorporates equine therapy with discussions around sexual topics and intimacy. This episode is truly one of a kind. If you enjoy listening or watching this podcast, be sure to share your favorite episodes and leave a raving review wherever you watch or listen. Your ongoing support is what keeps the content coming! About Nicoletta Heidegger Nicoletta Heidegger is a Licensed Marriage and Family Therapist practicing in Los Angeles. She received her BA in Psychology from Stanford University, her MA in Clinical Psychology from Pepperdine University, and her Masters of Education in Human Sexuality from Widener University. When not working with clients, she teaches seminars and classes to help others learn about sexual and mental health. CONNECT WITH NICOLETTA HEIDEGGER: Website: https://www.nicolettavheidegger.com Instagram: https://www.instagram.com/slutsandscholars https://www.instagram.com/therapywithnicoletta/ Twitter: @slutsscholars https://x.com/slutsscholars?lang=en Podcast Chapters 00:00 Intro 01:53 What is sex therapy? 02:43 Signs and symptoms that you should see a sex therapist 04:57 Shame and stigma around sexuality that we should challenge 07:53 Sexual pain, vulvovaginal pain in women 09:12 Causes of pelvic pain in men and women 10:20 Hormone mediated vestibulodynia and vaginismus 12:39 Strategies and resources to support those with pelvic and sexual pain 15:50 Play is essential for pleasure and sexual satisfaction 18:25 Sex and horses (equine therapy) 22:30 Connect with Nicoletta Heidegger RESOURCES MENTIONED ON TODAY’S SHOW: International Society for the Study of Women’s Sexual Health: https://www.isswsh.org/ Dr. Lisa Valle, MD https://www.oasiswomenssexualfunctioncenter.org/dr-lisa-valle Dr. Joshua Gonzalez, MD: https://joshuagonzalezmd.com/ Tightlipped: https://www.tightlipped.org/ OTHER RESOURCES Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH DR. SUSIE AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. Hashtags #SexTherapy #SexualWellbeing #SexualHealth #Therapy #MentalHealth #Intimacy #PelvicPain #SexualHealing #PainRelief #EquineTherapy #SexualEducation #NicolettaHeidegger #SexTherapist #PlayForPleasure #PelvicPain #Vaginismus #SexualPain #PelvicFloorTherapy #PelvicHealth #Asheville #NorthCarolina

🔥 The Science of Sexual Arousal and Orgasm! 🔥 Join Dr. Susie Gronski, PT, DPT and neuroscientist Dr. Nicole Prause, PhD as they explore the complexities of human sexuality! This video takes you from arousal to climax and beyond. Dr. Prause debunks pornography myths, offers strategies for erectile dysfunction and delayed ejaculation, and discusses her new research on Post Orgasmic Illness Syndrome. For a full breakdown of topics, check out the timestamps below 👇. Meet Dr. Prause: Nicole Prause, PhD, is a neuroscientist and licensed psychologist. She studies human motivation, especially the physiology of orgasm on the brain and the health effects of pornography. Connect with Dr. Prause:  Visit her website: [www.liberoscenter.com](http://www.liberoscenter.com/) Follow her on Facebook: https://www.facebook.com/LiberosCenter  Follow her on Twitter: [@NicoleRPrause](https://twitter.com/NicoleRPrause?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor) Episode Chapters: - 00:00 Intro - 01:55 The science behind arousal and orgasm - 02:59 What is the peri-orgasmic flow state? - 03:19 How is climax triggered? - 03:40 Orgasm differences in men and women - 05:25 Sexual response cycle in men and women - 08:18 What can help you with arousal and orgasm? - 09:43 Strategies to help you get to your climax - 11:40 What happens in your body before you climax? - 12:49 What happens in your brain during orgasm? - 15:35 Mindfulness practices helps have better orgasms - 17:13 Does pornography cause erectile dysfunction or delayed ejaculation? - 20:20 How does pornography affect sexual health? - 24:15 Dispelling pornography myths - 25:19 Pornography problems versus pornography addiction - 30:12 Challenging anti-pornography groups - 32:09 The problem with semen retention, noFAP groups - 35:12 Post Orgasmic Illness Syndrome (POIS) - 40:48 Connect with Dr. Prause RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #SexualHealth #OrgasmExploration #ArousalScience #PornMyths #ErectileDysfunctionHelp #DelayedEjaculationTips #POISAwareness #SexEducation #MythBusting #HealthResearch #SexualWellnessTips #SexualEmpowerment #HealthySexuality #MindfulPornConsumption #ResearchInsights #SexualRevolution #RelationshipAdvice #SelfCareJourney #BodyPositivity #WellnessCommunity #Pelvicfloor #PelvicHealth #PelvicSpecialists

Join Dr. Susie Gronski, a Pelvic Health Specialist and AASECT Certified Sexuality Counselor, along with Tom Jeffords, LCS, a Mental Health Clinician, as they explore the distinctive mental health challenges men encounter. In this episode, we tackle the stigma surrounding men's mental health, the barriers preventing men from seeking support, and delve into the neurobiology of mental well-being. Our conversation extends to the vital role of social support, the intersection of mental health with chronic illness and sexual dysfunction, and the transformative potential of therapy. Gain insights into the unique struggles men face, learn the indicators prompting help-seeking, and discover how to select the right mental health provider. Lastly, we address ways partners can play a supportive role in men's mental health journeys. Meet Tom Jeffords, LCSW: Tom Jeffords, a Licensed Clinical Social Worker based in Asheville, NC, holds a Master of Science degree with a focus on the Psychology of Culture, complemented by a graduate certificate in Applied Thanatology: Aging, Death, and Dying. Specializing in men’s health, anxiety, depression, spirituality, grief, and loss, he employs a strengths-based and trauma-informed approach. Tom integrates somatic-based treatments, polyvagal theory, yoga, Reiki, meditation, and reflexology to foster resilience and empower patients to navigate life's complexities. With a commitment to therapeutic trust, he creates a safe environment for transformation, tailoring sessions to individual goals through various modalities, influenced by attachment theory and neurobiology. Episode Chapters 00:34 Intro, Welcome Mental Health Clinician Tom Jeffords, LCSW 01:00 Why is there stigma and embarrassment around mental health in men? 02:09 Why are men challenged to seek mental health support for themselves? 03:50 It’s not “all in your head,” exploring connections with neurobiology and our mental health 06:35 Change is possible! There is plasticity in our biology and psychology 08:45 Social support improves quality of life and reduces pain 09:35 Mental health supports men and their partners living with chronic illness, pelvic pain, and sexual dysfunction 13:49 Talk therapy is like surgery for your nano molecules 16:44 Mental health empowers and supports building resilience, confidence, and inner strength 20:59 Unique mental health challenges men struggle with compared to other genders 25:59 Signs and symptoms of when someone should seek mental health support 28:15 How to choose the right mental health provider? 29:10 Mental health resources and questions to ask your provider 32:20 How can partners support men with their mental health challenges? 32:20 How can partners support men with their mental health? RESOURCES: Free sexual health and pelvic health resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH TOM JEFFORDS, LCSW: Website: https://drsusieg.com/mental-health-therapy-for-men CONNECT WITH DR. SUSIE AND HER TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #MensMentalHealth #BreakTheStigma #TherapyWorks #MentalHealthAwareness #EndTheSilence #SelfCare #SupportForMen #Mindfulness #ChooseTherapy #HealthyMasculinity #NorthCarolinaTherapists #PelvicHealthAsheville #AshevillePelvicCare #AshevillePT #AshevillePelvicHealth #NCPelvicTherapy #MensPelvicHealthNC #AshevilleMensHealth

Can you have a sex life after prostate cancer? Join Pelvic Health Specialist and AASECT Certified Sexuality Counselor Dr. Susie Gronski and AASECT Certified Sex Therapist Dr. Nazanin Moali as they discuss sex after prostate cancer for men and their partners. Meet Our Guest: Dr. Nazanin Moali (she/her) is an internationally-recognized AASECT certified psychologist, educator, and podcaster. Her private practice is located in Los Angeles. She specializes in helping clients with eating disorders and sexual health challenges. She hosts a weekly podcast called Sexology (http://sexologypodcast.com), through which she introduces the most intriguing findings in the psychology of sex and intimacy. Episode Chapters: 00:00 Intro 02:15 Prostate cancer treatment impacts sexual function 03:32 Emotional challenges men face after prostate cancer treatment 05:25 Discussing sex issues before prostate cancer treatment 06:10 What men express as biggest challenge post prostate cancer treatment 08:55 Preparation for pelvic and sexual health prior to prostate cancer treatment 13:40 How partners can support men alongside their prostate cancer journey 16:15 Ways to enhance your sexual pleasure and experience 17:55 Building communication skills around sex with your partner 19:25 Treatments to enhance and optimize sexual function and pleasure 23:06 Penis strap on for penetrative sex 25:40 Connect with Dr. Nazanin Moali, PhD CONNECT WITH DR. NAZANIN MOALI, PHD: Website: [http://sexologypodcast.com](http://sexologypodcast.com/) Instagram: https://www.instagram.com/sexologypodcast/?hl=en CONNECT WITH DR. SUSIE AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ RESOURCES: Penis Strap On  https://www.amazon.com/PerfectFit-Brand-Strap-Harness-Silicone/dp/B01N9KA2HB/ref=sr_1_2?crid=8M00WOJGED87&keywords=zoro+strap+on&qid=1706730483&s=hpc&sprefix=zoro+strap+on%2Chpc%2C105&sr=1-2 Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #ProstateCancerAwareness #ProstateHealth #CancerSupport #ProstateCancerSurvivor #sexaftercancer #prostatecancer #sexafterprostatecancer #sexualhealth #menshealth #sexeducation #erectiledysfunction #pelvichealth #pelvicfloor #pelvichealthspecialists #northcarolina

Science Behind Strength Training for Your Health Strong muscles play a key role in our ability to do the everyday activities we need and love to do (including sexy time). For most, getting the gumption to pick up a weight feels impossible. It doesn't have to be! Groundbreaking research tells us that doing something is better than doing nothing. Simple is sexy folks. If reducing frailty isn’t enough of a motivator, then maybe erectile dysfunction is. Exercise is the number one preventative medicine for erectile dysfunction. So get up and grab those weights, your penis (and your partner) will thank you. Join Brad Currier, a PhD candidate at McMaster University in Ontario, Canada, and Pelvic Health Specialist in Asheville, NC, Dr. Susie Gronski, as they uncover simple, sensible, and science-best ways to strengthen your muscles for your health. Video Chapters: 0:52 82% of people don’t meet resistance training guidelines 2:24 Benefits of strong muscles 3:23 Strength training guidelines for general health 4:15 Why people avoid lifting weights 6:35 You can build strong muscles with lighter weights 7:32 You can build muscle without getting massive and bulky 9:55 The 3 most studied resistance training programs (load, sets, and frequency) 10:25 Doing something is better than nothing. 10:52 Exercise dose to build muscle strength 10:59 Exercise dose to build muscle mass with resistance training 12:33 Minimum number of days to get benefits from resistance training 13:30 How many reps and sets should you do for muscle strengthening 18:30 Resistance training to improve daily activity 20:00 Strengthening pelvic floor muscles 23:30 Testosterone and steroids for muscle strength 27:04 Supplements are a waste of money 29:03 Best advice if you’re new to strength training 32:11 Connect with Brad on Twitter and LinkedIn Meet Our Guest: Brad Currier is a PhD candidate at McMaster University in Ontario, Canada. Brad’s research aims to improve health throughout the lifespan, with a particular focus on muscle, nutrition, and exercise. Brad has been recognized for his work by several organizations, including the American College of Sports Medicine and Natural Sciences and Engineering Research Council of Canada. #weightlifting #musclegrowth #resistancetraining #exercise #strengthtraining #musclebuilding #strength #gettingstronger #health #menshealth #womenshealth #testosterone #pelvichealth #pelvichealthspecialist #ashevillenc RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program Connect With Brad Currier: Check out Brad and his team’s research here: 10.1249/01.mss.0000988184.72637.ef Twitter: https://twitter.com/brad_currier LinkedIn: https://www.linkedin.com/in/brad-currier CONNECT WITH ME DR. SUSIE AND HER TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional.

Is pelvic tilting and misfiring glutes the cause of your hip pain? Tune in to find out! Many factors affect hip pain and care management. Exploring sensible causes, pain management strategies and re-engaging with meaningful activities is key to a successful recovery from hip pain. These are the questions asked and answered in today's In Your Pants episode with The Hip Physio, Mehmet Gem. We cover topics such as: Causes of hip pain Common misconceptions about hip pain The truth about pelvic tilting Hip labral tears, athletic pubalgia, femoroacetabular impingement Dangers of diagnostic scans for hip pain The best evidence-based approaches for hip pain Meet the guest: Mehmet Gem, Physiotherapist, has specialized in musculoskeletal Physiotherapy, specifically developing his specialist interest in Hip & Groin injuries over the last 10 years, specifically specializing in FAI syndrome. Alongside his role as Regional FCP Lead for Pure Physiotherapy, Mehmet has his own private hip consultancy clinic where he sees patients both locally to Devon and also with Zoom consultations for patients who are based all around the world. Episode Chapters: 0:00 Podcast Intro 0:35 Intro to hip pain 2: 55 Misinformation about hip pain causes 4:03 Causes of hip pain are complex 5:11 Exploring hip pathologies 6:31 Does pelvic tilt cause hip, back, and pelvic pain 7:55 What’s useful for hip pain 8:14 Effects of anterior pelvic tilt 10:38 Relevant factors for hip pain 13:17 Causes of hip labral tears 15:53 Fixing what’s broken 16:28 Diagnostic scans for hip pain 20:32 Dangers of wrong treatment management 21:19 Muscles not firing 24:39 Links and risk factors of hip pain 28:00 Embracing the uncertainty of hip pain causes 30:00 Getting back to meaningful activities 35:19 Making improvements and progress 38:44 Sports hernias, athletic pubalgia, pelvic pain, and overlapping symptoms 45:07 Exploring pubic related pain and surgery 48:01 Advice for hip pain 50:27 Connect with hip physio Mehmet Gem 52:15 Outro and CTA RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH MEHMET GEM: Website: thehipphysio.com Instagram: https://www.instagram.com/the.hip.physio/ CONNECT DR. SUSIE & TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ https://www.instagram.com/lainie_ot/ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional.

Unlock a Pain-Free Life with Curable! 🌟 Join thousands on the path to healing with this app's step-by-step recovery program. Get bite-sized lessons, brain exercises, and meditations. Don't miss out on your exclusive 6-week FREE trial through my link: www.getcurable.com/drsusieg  Start your journey to pelvic pain relief today!  Understanding pain is not just a physical sensation, but a complex symphony of biological, psychological, and social cultural factors. Join us in shattering the stigma around pain and how learning about pain can actually reduce pain. Recent research shows that pain education empowerment and resources, like Zoe and Zak’s Pain Hacks https://www.zoeandzakspainhacks.com/, helps transform the way we treat pain in children (and adults!). It’s not just about pain relief, but also fostering meaningful lifestyle and behavior changes so that you can get back to the activities you enjoy (including sexy time!). Meet Dr. Joshua W. Pate, PhD, Pain Scientist: Dr. Joshua W. Pate is a researcher of pain in childhood and related education. He is a Senior Lecturer in Physiotherapy. Dr. Pate is also a children's book author - Zoe and Zak's Pain Hacks has just been published; it's a series of books covering the latest science about pain. Visit https://www.zoeandzakspainhacks.com/ to learn more. We cover topics such as: 00:00 Introduction 00:35 Special thanks to our sponsor Curable Health App 1:15 Episode and guest introduction  2:35 What causes us to feel pain? 4:03 Other people shape our pain experience 4:54 Kids difficulty expressing pain 6:36 Penis pain in boys 8:20 Advice for parents, carers, and clinicians to talk about pain with children 8:40 Using Zoe and Zack’s Pain Hacks for pain education 9:40 Empowering children with pelvic pain 11:01 Key messages and resources to reduce pain 14:43 Understanding pain helps reduce pain 18:30 Applying pain education practically 19:47 Everyone’s journey with pain is unique 21:44 Cultivating life skills 21:09 Changing the world with pain knowledge 22:50 Does early life pain education prevent chronic pain in adults? 25:14 Implementing pain education in school systems 26:38 Interactive online resources for kids in pain, carers, and educators 28:31 The Mysterious Science of Pain video 29:48 Connect with Dr. Joshua W. Pate RESOURCES: Dr. Joshua W. Pate’s website: https://joshuawpate.com/ Zoeandzakspainhacks.com Mysterious Science of Pain (Ted-Ed) https://youtu.be/eakyDiXX6Uc?si=LpXOFgArSw1RMTDF Free sex and pelvic pain resources  https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH Dr. Joshua W. Pate: Website: https://joshuawpate.com/ Instagram: @joshuawpate Twitter: @JoshuaWPate CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram:  https://www.instagram.com/dr.susieg/ https://www.instagram.com/lainie_ot/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #paineducation #chronicpain #painsupport #painrelief #painmanagement #painsupport #simplifyingpain #acutepain #education #pain #curableapp

Erectile dysfunction is a complex issue with various factors at play, including vascular, hormonal, and psychological elements that all intersect. Did you know that it can also be a strong predictor of future cardiovascular disease? Yes, ED is often a symptom of some underlying health issue, making it crucial to address holistically.  When trying to optimize erectile health, one aspect that often gets overlooked is nutrition. Your diet can impact all three of these factors - vascular, hormonal, and psychological. In this episode, we'll explore how factors like cardiovascular disease, metabolic syndrome, and diabetes can have a detrimental effect on your ability to achieve and maintain healthy erections. Meet Dr. Jason Stevens, RDN, DCN: Dr. Jason is a Doctor of Clinical Nutrition and Registered Dietitian Nutritionist who completed his advanced practice residency with Dr. Gronski, working primarily with men with chronic pelvic pain. He was awarded a medal for outstanding clinical performance for his residency work. In his twelve years as a dietitian, he has worked as a clinical oncology dietitian, taught clinical nutrition in an accredited educational program for dietetics students, and is currently a full-time college educator. His research interests include advanced-level practice in the field of nutrition and dietetics, and the role of nutrition in pelvic health. We cover topics such as: 00:35 Intro 02:10 Top causes for erectile dysfunction 03:11 Testosterone and erectile dysfunction 04:07 Erectile dysfunction strong predictor for cardiovascular disease 05:10 What is Metabolic Syndrome 06:00 How does Metabolic Syndrome affect erectile function 07:08 Diagnostic tests and lab markers for erectile dysfunction 08:12 Effects of diet on sexual function 09:14 Best diet for healthy erections 15:27 Supplements for erectile dysfunction (the hard truths 😫) 23:40 Other threats to sexual function 25:50 Managing expectations 30:32 Connect with Dr. Jason Stevens, RDN, DCN Join us as we embark on this informative journey to demystify erectile dysfunction and empower you with the knowledge to take control of your sexual health. Don't forget to subscribe, like, and share this episode with anyone who may benefit from this essential discussion RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH DR JASON STEVENS, RDN, DCN: Website: https://drsusieg.com/ Instagram: @JSTEVENSRD CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #ErectileHealth #ExpertInsights #NutritionAndED

Today, we delve into a topic that may have raised a few eyebrows 🤨: the prescription of vibrators for pelvic floor and sexual health for men and women. Yes, you read that correctly! In this podcast episode, I had the privilege of hosting Dr. Alexandra Dubinskaya, MD, who shared her  research findings on this intriguing (and taboo) subject. **Meet Dr. Alexandra Dubinskaya, MD** Dr. Alexandra Dubinskaya is a board-certified gynecologist specializing in female pelvic medicine, reconstructive surgery, menopause, and women's sexual health. She is not only a dedicated clinician but also a passionate advocate for her patients. As the Chair of the Communication Committee for the International Society of Sexual Medicine, she has actively contributed to advancing medical care for women through research. We cover topics such as: - 00:00 Introduction - 02:40 Dr. Dubinskaya’s motivation to research vibrators for pelvic floor health - 04:11 A tool that women (and men) use to support their pelvic floor muscles - 05:10 How vibrators work on the body - 05:45 Vibrator use benefits on sexual function, incontinence, and pelvic floor muscles - 07:10 External or internal vibrator stimulation; is one better than the other? - 09:30 Benefits using vibrators for men’s pelvic floor and sexual health - 11:15 Women who use vibrators partner’s improve their sexual function - 12:23 Aging, sex, pelvic floor health - 15:14 Considerations for vibrator use in older population - 16:00 Will long term vibrator use make it harder to orgasm? - 18:55 Can manual stimulation offer similar effects to a vibrator? - 19:45 How do we define and measure orgasm? - 22:47 Orgasms change with age - 24:03 Barriers for vibrator use - 27:29 Adverse reactions with vibrator use - 29:50 How clinicians can talk about sexual health with their patients RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH DR. ALEXANDRA DUBINSKAYA, MD: Website: http://drurogyn.com/ Instagram: @a.dubinsky Twitter: @dubinsky_a Facebook: https://www.facebook.com/alexandra.dubinskaya.7 CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #pelvicfloor #sextoys #pelvicfloorexercises #vibrators #pelvicfloorhealth 

Sex after prostate cancer treatment can be a goal for some men and not a priority for others, but recovery is all connected. Taking time to address sexual health concerns will simultaneously improve urinary incontinence. It’s time to revitalize your pleasure. In this special 4-part series featuring Dr. William Mills, PT, DPT and Dr. Susie Gronski, PT, DPT we delve into insights and solutions centered on the treatment and rehabilitation of men's pelvic and sexual health following prostate cancer. Dr. William Mills, PT, DPT is a physical therapist who specializes in male pelvic rehabilitation, particularly post-prostatectomy and chronic pelvic pain. With a forte in manual therapy and corrective exercises, he enhances outcomes, enabling men to regain urinary control, bowel function, erectile function, and overcome pain. Together with his colleagues at Alinea Performance, he is committed to assisting men of all ages in enhancing their quality of life. 00:00 Introduction 03:30 How erections are good for your health 05:22 Using a penis pump after prostate cancer treatment 07:50 Focusing on pleasure over performance 09:31 Becoming comfortable with new sexual experiences 13:00 It’s all connected! 16:20 Shock wave therapy and vibration stimulation 18:20 Holistic approach to recovery **Reframing Sex Post-Prostatectomy** I’m not going to sugar coat it: things are different than they were, but your capacity for pleasure is limitless! Connect with your pleasure rather than the performance. While using something new to help you get erect may seem unfamiliar, getting comfortable with it is only a temporary hurdle. Once you’re comfortable, you’re free to keep swinging. **Strategies For Getting Hard** At this phase, you want to focus on blood flow. Tools like the penis pump, medications like Cialis or Viagra, and techniques like physical touch can help you get and maintain an erection. But remember: it’s not just starting in body, you also need to get your brain involved and retrain your neural pathways with mental arousal. **Your Concerns Are Interconnected** Recovery is a package deal. There’s research that supports using a penis pump can improve urinary incontinence. Focusing on all things that have changed will bring your recovery faster and farther. **How Pelvic Floor Physical Therapy Can Help** Pelvic floor physical therapists think outside the box, considering your personal experiences, physical health, a hands-on exam, and what matters to you most. We look to see what treatments are on the table for you and which to try first. Everyone is unique and some particular modalities or treatments may be more or less beneficial for some. RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH DR. WILLIAM MILLS: Website: www.alineaperformance.com Instagram and Facebook: docmills.dpt Twitch: docmillsdpt CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #prostatehealth #prostatecancer #prostatectomy

Many men experience urinary incontinence after prostate cancer. It’s common to delay treatment, thinking that it’ll go away on its own, but there are many strategies you can start using right away to stop peeing and start living again. In this special 4-part series featuring Dr. William Mills, PT, DPT and Dr. Susie Gronski, PT, DPT we delve into insights and solutions centered on the treatment and rehabilitation of men's pelvic and sexual health following prostate cancer. Dr. William Mills, PT, DPT is a physical therapist who specializes in male pelvic rehabilitation, particularly post-prostatectomy and chronic pelvic pain. With a forte in manual therapy and corrective exercises, he enhances outcomes, enabling men to regain urinary control, bowel function, erectile function, and overcome pain. Together with his colleagues at Alinea Performance, he is committed to assisting men of all ages in enhancing their quality of life. Our episode covers topics including: 00:00 Introduction 01:00 Bladder retraining for post prostatectomy 01:26 Pelvic floor contractions in treating urinary incontinence 02:23 Cueing pelvic floor contractions with Star Wars 03:42 Applying pelvic floor contractions to improve daily activities **Intake and Output** Start by taking note of how much water you currently drink a day: the goal you should aim for is ~half your body weight in ounces of water. Also note how often you go to the bathroom: the goal you should aim for is creating a bladder schedule where you pee every 2-3 hours. If you’re nowhere close to that 2-3 hours, don’t panic and don’t force yourself to hold it. A pelvic floor physical therapist can plan out a treatment path to get you where you’re at to where you want to be. **Pelvic Floor Contractions** Pelvic floor contractions are a coordinated effort with key three areas: simultaneously pulling in and lifting back of the pelvic floor, lifting the testicles upwards, and lifting the rectum towards your belly button. If you’re struggling with these movements, you’re not alone. Many men feel more confident with contraction exercises after working with a physical therapist. RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH DR. WILLIAM MILLS: Website: www.alineaperformance.com Instagram and Facebook: docmills.dpt Twitch: docmillsdpt CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #prostatehealth #prostatecancer #prostatectomy

After prostate cancer, men often grapple with urinary incontinence, sexual dysfunction, and other pelvic floor challenges. The significance of pelvic floor rehabilitation is that it can mitigate symptoms after prostate cancer and help you quickly get back to enjoying the activities you love. Whether it's regaining intimacy or achieving better bladder control, getting an early start can set you years ahead on your recovery path.  While it's expected to face new and persistent symptoms, it’s empowering to know that with tailored rehabilitation methods, these challenges can be temporary. In this special 4-part series featuring Dr. William Mills, PT, DPT and Dr. Susie Gronski, PT, DPT we delve into insights and solutions centered on the treatment and rehabilitation of men's pelvic and sexual health following prostate cancer. Dr. William Mills, PT, DPT is a physical therapist who specializes in male pelvic rehabilitation, particularly post-prostatectomy and chronic pelvic pain. With a forte in manual therapy and corrective exercises, he enhances outcomes, enabling men to regain urinary control, bowel function, erectile function, and overcome pain. Together with his colleagues at Alinea Performance, he is committed to assisting men of all ages in enhancing their quality of life. Our episode covers topics including: 00:00 Introduction 00:35 Deciding on radiation or prostatectomy for prostate cancer 02:01 Urinary incontinence post-prostatectomy 04:26 Sexual function challenges post-prostatectomy 06:04 Viagra and Cialis post-prostatectomy 07:03 Treatment approaches for post-prostatectomy 11:44 Should I go to the doctor for post-prostatectomy symptoms? **Delaying Treatment:** You’re not alone. Many men experience sexual difficulties and urinary incontinence post prostatectomy. When concerns are not addressed early on, they may become more difficult to treat as time goes on, leading to unnecessary long-term suffering and reduced quality of life. There’s help and there’s hope.  **Prostate Cancer Rehabilitation Options:** A comprehensive understanding of post-treatment rehabilitation for prostate cancer is key. While the key decision may feel like deciding between radiation and prostatectomy, there are many decisions for after-cancer care. **Intimacy After Prostate Treatment:** Some men experience reduced sensation in their penis and erectile dysfunction, feeling less connected to physical stimuli and their sexual selves. Nerve injury and diminished blood circulation, which can be a result of prostate cancer treatment like prostatectomy, can lead to reduced penis sensation and erectile dysfunction. Penile vibratory therapy, a penis pump, and medications are just a few treatment options that can help in improving blood circulation and erectile function. An individualized approach is best.  **Urinary Incontinence After Prostate Treatment:** By addressing bladder habits, such as hydration and reducing potential bladder irritants, and with functional pelvic floor exercises, recovery can be expedited and post-treatment symptoms like incontinence can be mitigated. Proactively seeking knowledge and tailored rehabilitation strategies enables you to regain urinary control, greatly enhancing your quality of life outside the bathroom. RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH DR. WILLIAM MILLS: Website: www.alineaperformance.com Instagram and Facebook: docmills.dpt Twitch: docmillsdpt CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #prostatehealth #prostatecancer #prostatectomy

Prostate cancer patients face a multitude of challenges post-treatment. From incontinence to erectile dysfunction, the journey to recovery can be daunting, and finding the right prostate cancer pelvic floor therapist for you becomes paramount. In a special 4-part series featuring Dr. William Mills PT, DPT and Dr. Susie Gronski, PT, DPT we delve into insights and solutions centered on the treatment and rehabilitation of men's pelvic and sexual health following prostate cancer. Dr. William Mills, PT, DPT is a physical therapist who specializes in male pelvic rehabilitation, particularly post-prostatectomy and chronic pelvic pain. With a forte in manual therapy and corrective exercises, he enhances outcomes, enabling men to regain urinary control, bowel function, erectile function, and overcome pain. Together with his colleagues at Alinea Performance, he is committed to assisting men of all ages in enhancing their quality of life. Our episode covers topics including: 00:00 Introduction 00:35 Prostate cancer journey 01:04 How to find a male pelvic health physical therapist 02:04 Post prostate cancer treatment in Baton-Rouge Louisiana 03:34 Pioneers in the male pelvic health space 04:00 Treatment plans post-prostatectomy 04:58 Early warning signs and rehabilitation for prostate cancer 05:56 The Prosfit app for post-prostate cancer treatment 07:52 How prostate cancer symptoms affect daily life **Need for More Expert Male Pelvic Health Therapists:** Everyone has a pelvic floor, including you, and it plays a pivotal role in concerns such as erectile dysfunction and urinary incontinence. Unfortunately, due to societal stigmas and narrowly focused marketing, there's a disconnect in the availability of pelvic health therapists specializing in men's care. Addressing this educational and accessibility gap is crucial for providing comprehensive healthcare to those who need it most. **Leading Voices in Care for Male Pelvic Health:** Dr. Susie G and Dr. Jo Milios are at the forefront of efforts to educate both patients like you and physicians about male pelvic health while improving access to necessary care. Dr. Susie is the founder of a pelvic and sexual health clinic exclusively for men, serving patients in-person in Asheville, North Carolina and globally online. Her clinic brings together the expertise of pelvic floor physical therapy, pelvic floor occupational therapy, nutrition, sex therapy and mental health. Meanwhile, Dr. Milios's research promotes sexual recovery and continence control through tailored pelvic rehabilitation using pelvic specific exercises for men and therapeutic ultrasound for Peyronie’s Disease that can be adopted to improve therapeutic outcomes post prostatectomy. **Confronting Chronic Challenges in Post-Prostate Cancer Care:** Issues accompanying prostate cancer, such as erectile dysfunction and urinary incontinence, can severely hinder your quality of life. These conditions extend beyond physical repercussions, also taxing mental and emotional health. It's essential to understand that for many who have accepted these issues as the new norm, there are avenues to alleviate or even completely overcome these concerns. RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program CONNECT WITH DR. WILLIAM MILLS: Website: www.alineaperformance.com Instagram and Facebook: docmills.dpt Twitch: docmillsdpt CONNECT WITH ME (DR. SUSIE) AND TEAM: Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #prostatehealth #prostatecancer #prostatectomy

It’s human nature to get excited by the latest and greatest treatments, from outer space to muscle tone pelvic pain, we’re captivated by scientific advancements. But this enthusiasm has a dark side, causing many clinics and patients to exchange simple and effective strategies for flashy new treatments that come with a hashtag. Dr. Rachel Worman is a licensed physical therapist (PT) who has experience in acute care physical therapy and extensive dual training, clinical and teaching experience in musculoskeletal and pelvic health physical therapy. After 13 years of clinical practice, Dr. Rachel earned her PhD with a focus on pelvic health outcome measures and male pelvic health. We cover topics such as: 1:15 What to call it? Hypertonic pelvic floor, overactive pelvic floor, tight or non-relaxing pelvic floor muscles? 8:55 How and who treats pelvic floor dysfunction 10:30 Educating patients with pelvic pain and choice of language 16:37 Uncertainty and the biopsychosocial model 17:40 Pain and hypertonicity 20:00 ICS and reasoning scale 36:00 EMG biofeedback for pelvic floor physical therapists 45:00 Internal and manual therapy for male pelvic pain 51:30 Psychosexual measures and sleep, hormonal, or musculoskeletal factors 55:00 Bridging research with clinicians on social media Pelvic floor physical therapists and patients have to be mindful of the influence that media (including social media and speakers at conferences) has on trending treatment ideas and how common it is for a 10-second video on social media to hijack a patient’s treatment plan, simply because it wasn’t a good fit. There’s no one-size-fits-all treatment strategy for pelvic pain, which is why there many treatment strategies. Through critical evaluation, clinicians must determine the most appropriate and effective treatment strategy, or combination of strategies, for that single patient. Dr. Rachel shares how important it is for clinicians to be flexible, individualized, and science-based, and to avoid getting caught up in clinical habits of using one hallmark treatment for all patients. In such a difficult field, where all the measures we have for tone are problematic, these  generalizations and trending treatment ideas, while good for marketing, ultimately delays effective treatment and harms patients. It’s necessary to prioritize the knowledge of evidence-based practices and personalized care to ensure optimal outcomes for patients. RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources-for-pelvic-pain-in-men Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program Research paper on resting pelvic floor muscle activity https://academic.oup.com/ptj/article-abstract/102/7/pzac059/6585840?redirectedFrom=fulltext&login=false#no-access-message CONNECT WITH RACHEL WORMAN: Website: https://www.researchgate.net/profile/Rachel_Worman Instagram: @pelvic.fiiit.facts Twitter: @rachel_worman CONNECT WITH ME (DR. SUSIE): Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ ___________________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #tightmuscles #pelvicpain #pelvicfloorphysicalthearpy