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Under the Hood
Under the Hood
Author: Rebecca & Alex
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© 2026 Under the Hood
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Pelvic floor physical therapist Dr. Alexandra DiGrado and sex & couples therapist Dr. Rebecca Howard Eudy get real about sexual health, intimacy, and the stuff we didn't learn about our body in school. From the clitoral hood to parenthood, no topic is off-limits. Each episode blends a combined 30 years of clinical experience with compassionate advice and humor, giving you trusted knowledge, practical tools, and the confidence to take charge of your health and relationships.
17 Episodes
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Let’s be real: most people get squeamish talking about poop. But if your gut isn’t happy, you aren’t happy...which is why we’re breaking the taboo in this episode. Whether you’re dealing with "vacation constipation," incontinence, hemorrhoids, or just feel like your gut runs your life, this is a judgment-free conversation about getting things working again. From the science behind Dr. Alex’s favorite Yankee swap gift (the Squatty Potty) to mastering a morning routine that supports regularity,...
Many parents assume that if they aren't "in the mood," something is wrong with them or their relationship. Usually, though, it’s because it’s just really hard to find your libido under piles of laundry and sleep deprivation. In this bonus episode of Under the Hood, we’re sharing a conversation that Dr. Rebecca had as a guest on Slate’s Care and Feeding podcast about the messy reality of sex and intimacy after kids. This is an honest (and sometimes hysterical) look at why desire can disap...
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 y...
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. ...
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 ...
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 t...
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...
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 ...
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 s...
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 happen...
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 e...
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–...
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 c...
“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 ...
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 an...
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 r...
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 dysfun...



