Menopause: The Inside Info
COME AGAIN: Post Menopause Sexuality and Orgasm
Episode 24: A Personal Trainer for your Pelvic Floor
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Episode 24: A Personal Trainer for your Pelvic Floor

Meet the Vagicians
COME AGAIN is an audio series that addresses the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based series will help get libido to kick in and clitoral nerve endings to wake up.

COME AGAIN is available on DrStreicher.com

COME AGAIN for ALL-All 30 episodes (available on demand) including supplementary articles and guides

COME AGAIN for HEALTH CARE PROFESSIONALS-All 30 episodes (available on demand) also include supplementary videos, screening tools, articles, and more- all geared to give clinicians the tools to incorporate sexual medicine into their practice.

To hear PREVIEWS of all episodes


The idea that a physical therapist can help you have pain-free sex, an orgasm, or a better orgasm, is not as strange as it sounds.

A healthy orgasm, among other things, requires pelvic floor muscles that contract and relax, joints that assume positions that you don’t necessarily use in your everyday life, and soft tissue that is flexible. And of course, this functionality of your muscles, joints, and soft tissue has to occur without pain.

Who better than a physical therapist to accomplish those goals?


In this episode:

Why post menopause women are at greater risk for pelvic floor problems
Conditions treated by a pelvic floor physical therapist
The 3 reasons pelvic floor physical therapy helps with arousal and the ability to orgasm
What to expect when you go to a pelvic floor physical therapist
Why Kegels are ineffective
The purpose of vaginal dilator therapy
How to find a PT
Telehealth for PT?
Home devices to strengthen the pelvic floor

Additional Resources

To find a pelvic floor physical therapist:

  • Most major medical centers with a large PT department have pelvic floor physical therapists.

  • www.pelvicrehab.com is a national website dedicated exclusively to pelvic floor therapists who have completed a specialized course of training.

  • American Physical Therapy Association’s www.womenshealthapta.org.

Vaginal Dilators (AKA Vaginal Trainers)

My Guide to Using Vaginal Dilators

Soulsource.com (I have no financial affiliation with Soul Source- I just like them)


  • COME AGAIN is science-based information to get your libido to kick in and your clitoral nerve endings to wake up while also being wildly entertaining

EPISODES*
The WHAT, the WHY and the WHO of COME AGAIN
Are YOU Having Good Sex? A visit with Dr. Ruth
Sex: A Word With Many Meanings The Definition of Sex is Not Straightforward
What Could Go Wrong? A sexual problem and a sexual dysfunction is not the same thing
Is it Menopause or Midlife? It’s Not Just Your Hormones Sabotaging Your Sex Life
I’d like to buy an O-A historical prospective
A View from My Side of the Stirrups Making Your Privates Less Private
Requirements to Get the Job Done Estrogen is not on the list
Why Orgasm Tanks in Menopause And why estrogen helps
Whose Vulva is This and How Did It Get on My Body? Genitourinary Syndrome of Menopause
Over-the-Counter Options to Makes Things More Slippery Lubes and moisturizers are not the same thing
Prescription Rings, Creams and Other Things Estrogen is not the only option
I’m Using Vaginal Estrogen but Sex Still Hurts Like Hell When and Why Treatment Fails
How “Hygiene” Can Harm -A Walk down the Fem Hygiene Aisle
When Non-Hormonal Pain is an Obstacle to Orgasm- Dryness is not the only thing that makes sex hurt
Medical Conditions That Make Your Clitoris Malfunction Diabetes, Heart Disease- the list is long.
How I Treat Orgasm Issues Everybody Come!
How HORMONES Help -Estrogen, DHEA Hey, Hey!
Say YES to TESTOSTERONE? -But pellets are a problem
Non-Hormonal AROUSAL Options What works, and what might work
Can CANNABIS Make You Come?
Why VIBRATORS Work So Well The scientific explanation
Is the Only Thing that Vibrates Your Cell Phone? It’s time to go shopping
A Personal Trainer for Your PELVIC FLOOR Meet the vagicians
Vaginal Orgasms are a Thing But not for everyone
Here COMES the PAIN! When orgasm is excruciating
Has your Hysterectomy Hijacked Your Orgasm? Here’s why, and here’s help
Did Your SSRI or Other MEDICATION Make Your O Go? You have options
Cancer and Sex Yes, they do go together
Sex and the Brain These prescription options may be your answer
WEIRD Things That Might Happen When You O Laughing when nothing is funny

*Subject to change

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