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PODCAST

Down There

Down There is the podcast that takes the mystery, confusion, and awkwardness out of pelvic health for both men and women. Hosted by pelvic floor physical therapist and author Laura McKaig, PT, MSPT, each episode brings you practical tips, clear explanations, and empowering conversations about everything “down there” from leaks, pain, and urgency to post-surgery recovery, menopause, and more. Whether you’re fresh out of prostate surgery, navigating post-hysterectomy healing, managing pelvic pain, or

health & fitness alternative health

All Episodes

37:41

2025 Wins for Pelvic Health — Here’s What Changed...

Down There ·

2026/01/01

Pelvic health care doesn’t usually make headlines but 2025 quietly changed a lot.In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig breaks down the biggest research findings, guideline updates, and policy changes from 2025 that are already improving pelvic health care for both men and women.We’ll talk about:Why pelvic floor physical therapy is increasingly supported as first-line careWhat new research says about telehealth and digital pelvic health programsMajor updates in

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23:38

The Struggle is Real: Holiday Message for Your Pelvic...

Down There ·

2025/12/23

The holidays can be overwhelming, especially if you’re managing pelvic pain, urinary urgency, or recovering postpartum. In this episode, I share honest reflections and practical strategies to help you protect your body and nervous system during this demanding time. You'll hear real talk (including my own struggles), small actions that make a big difference, and tools to help you stay grounded without the pressure to be perfect.⏱️ Timestamps:[00:00]— Pelvic Health Challenges[01:24]— Holiday Stress

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42:02

Unboxing the Black Box: What the FDA’s Label Change...

Down There ·

2025/12/12

Unboxing the Black Box: The FDA has removed or revised the boxed warnings on many estrogen-containing menopause therapies, but what does that actually mean? In this episode, I explain what a black boxed warning is, why it was applied decades ago, why newer evidence shows the situation is more nuanced, especially for low-dose vaginal estrogen, and what the label change means for people in perimenopause and menopause. Links to FDA, HHS, and JAMA commentary in the episode notes below. ⏱️

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17:11

Top 7 Tools for Your Pelvic Floor (You’ll Never Guess...

Down There ·

2025/12/04

Do you need a special device to strengthen your pelvic floor? In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig PT, explores 7 tools, some unconventional, some everyday, that actually support pelvic floor strength. Inspired by a viral Instagram reel from urologist Dr. Kelly Casperson, Laura shares three expert-recommended “devices” and four additions based on clinical insight and experience.You’ll learn why orgasms, lifting weights, and even breathing matter more than you

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25:55

The Hardest Year of My Life And Why I’m Thankful for It

Down There ·

2025/11/20

If you had told me a few years ago that I’d be grateful for rejection, pain, and almost losing my career… I wouldn’t have believed you. But today, I can honestly say: I’m thankful for the hard stuff. And I want to share why.In this deeply personal and reflective episode, Laura McKaig shares a tradition she’s carried for over a decade, her annual “Thankful for the Pain” letter. You’ll hear the real story behind how challenges, physical, emotional, and financial, sparked the founding of her pelvic

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32:34

The Psychology of Gratitude (How Your Mindset Impacts...

Down There ·

2025/11/13

What if healing wasn’t just physical but also deeply connected to your mindset?In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig is joined by fellow Physical Therapist James Connelly, PT, Owner of Results Rehab, Roswell, GA (Atlanta area), for a deeply human conversation on the psychology of gratitude and how it supports physical healing, pain recovery, and pelvic health.What started as a casual retreat conversation quickly turned into an inspiring exchange on nervous

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21:48

Exercising After Prostate Surgery (9 Tips to Get Back...

Down There ·

2025/11/06

Ready to return to exercise after prostate surgery, but feeling unsure where to start? In this episode of Down There, Pelvic Floor Physical Therapist Laura McKaig shares 9 clear, supportive tips to help you build strength, improve bladder control, and feel confident getting back to movement. Whether that’s walking, golfing, or hitting the gym again.You'll also hear the inspiring story of “Joe,” one of Laura’s real patients, who went from post-surgery incontinence to climbing mountains again through

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25:01

What Menopause Really Does to Your Pelvic Floor

Down There ·

2025/10/30

They told me menopause meant hot flashes… but no one warned me about this.Laura McKaig breaks down the real (and often unexpected) ways menopause affects your pelvic floor, bladder, and vaginal health.Forget the myth that it’s just hot flashes we’re talking about, leaking, dryness, UTIs, and changes no one warns you about. Laura also explains why it happens, hint: it’s all about estrogen and what you can do about it, from movement and pelvic floor therapy to moisturizers and more.⏱️

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54:23

Does your gut health affect your pelvic floor?

Down There ·

2025/10/23

Ever feel bloated, backed up, or just… off? Your gut could be messing with your pelvic floor.In this episode of Down There, host Laura McKaig explores the powerful connection between gut health, nutrition, and the pelvic floor with special guest Megan Pribyl, PT, CMPT, CMTPT/DN, PCES, a trailblazer in the fields of pelvic rehabilitation and integrative nutrition.We explore how everyday food choices can fuel or wreck your gut, and how that directly impacts pelvic floor dysfunction, including

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30:14

Most Women Don’t Know This About Perimenopause

Down There ·

2025/10/16

No one warned us this could start in our 30s, but we don't have to deal with it alone. In this honest and heartfelt episode of Down There, Laura McKaig brings you a candid conversation with two powerhouse physical therapists and business owners: Lianne Rogers, Owner of Balance By Li in Phoenix, AZ, and Lindsay Rush, Owner of Beyond Physical Therapy in Milwaukee, WI. Recorded live at a retreat, the trio delves into what it truly means to be a woman in business, a mom juggling priorities, and a

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21:29

The App Every Man Needs And Why You Should Know About...

Down There ·

2025/10/09

Cancer care doesn't end after treatment, and for men, the silence around recovery is deafening. This changes that.In this powerful episode of Down There, host Laura welcomes back Steve Hentzen one last time a 15-year prostate cancer survivor, co-founder of Prostate Network, and now co-creator of a groundbreaking new app designed specifically for men recovering from prostate cancer.Together, they unpack the origin story of the app, born from a shared frustration: doctors telling men to "diet and

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31:59

How Two Prostate Cancer Survivors Built a Lifeline...

Down There ·

2025/10/02

From diagnosis to advocate! His story could save your life.In this inspiring episode, Laura welcomes back Steve Hentzen a 15-year prostate cancer survivor and the co-founder of Prostate Network. Together, they dive into how a terrifying diagnosis led two strangers to create a powerful support group that’s now helping men across the country face prostate cancer with knowledge, humor, and community.From their first library meeting to nationwide reach, Steve shares the raw beginnings of Prostate

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18:26

He Skipped the Doctor… Until Cancer Changed Everything

Down There ·

2025/09/25

He was 46. No symptoms. A casual physical saved his life.In this powerful episode of Down There, Laura sits down with Steve Hentzen, a 15-year prostate cancer survivor and co-founder of Prostate Network, to uncover the truth about men’s health, early detection, and the myths that keep too many men from getting the care they need.Steve shares his raw and often humorous journey from brushing off his own health to becoming a national advocate for cancer survivors. Together, he and Laura tackle

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13:23

Wait… She Does WHAT Outside the Clinic?!

Down There ·

2025/09/18

What does a pelvic floor therapist really do when she's not in the clinic? In this lighthearted solo episode, host Laura McKaig answers your most-asked personal and professional questions from how she got into pelvic health to her favorite (and least favorite!) foods.Laura shares the story of discovering her own pelvic floor conditions, how she healed, and why that fuels her passion for helping others. Plus, you’ll learn about her surprising hobbies, her famous Christmas caramels, and the quirky

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42:03

I Had a Hysterectomy at 42... Here’s What No One Told Me

Down There ·

2025/09/11

What really happens after a hysterectomy, and why isn’t anyone talking about it?Laura McKaig welcomes Jen back for another candid and emotional episode. Jen is a former patient who shares her deeply personal journey through surgical menopause, pelvic pain, and post-hysterectomy recovery. From the fear of being dismissed by doctors to the quiet suffering she endured for years, Jen speaks openly about the reality of living without a uterus and what it took to truly heal.Together, Jen and Laura unpack

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11:56

Life After Hysterectomy: The Recovery No One Talks About

Down There ·

2025/09/05

What if your biggest surgery left you with more questions than answers? In this raw and honest episode, host Laura McKaig sits down with her client Jen, who shares her emotional and physical journey after an early hysterectomy. From being dismissed by doctors to struggling with hormone loss and finding pelvic floor therapy on her own terms, Jen’s story shines a light on the overlooked reality many women face. If you’ve ever felt lost, unseen, or unsupported in your healing, this conversation is for

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14:21

I Couldn’t Find Help… So I Created It

Down There ·

2025/09/05

What happens when the care you need doesn’t exist near you or at all? In this empowering solo episode, host Laura McKaig gets real about the lack of access to pelvic floor therapy, especially for men and post-prostate surgery patients. From talking with urology residents on Capitol Hill to building online programs herself, Laura shares how she’s tackling the growing pelvic health crisis with practical, virtual solutions. Whether you've been dismissed, can’t find a specialist, or want clarity, this

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12:36

Why I Wrote Piss Off, Literally

Down There ·

2025/09/05

From passion to purpose: how a writing hobby turned into a powerful resource for men’s pelvic health recovery.What happens when a pelvic floor therapist sets out to help men regain control after prostate surgery? In this solo episode, Laura McKaig shares the personal and emotional story behind her book Piss Off, Literally: Controlling Your Incontinence After Prostate Surgery. From the moment a group of men encouraged her to write it, to the deep inspiration that came from a patient-turned-friend in

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18:05

Why Seniors and Men Need Pelvic Floor Therapy Too

Down There ·

2025/09/04

When most people hear "pelvic floor therapy," they think pregnancy or postpartum recovery, but host Laura McKaig reveals a much wider world. From working with older adults to supporting men after prostate surgery, Laura shares how her journey led her to serve two often-overlooked groups. With candid stories, powerful patient outcomes, and her unique “out-of-the-box” training, this episode highlights why pelvic health matters at every stage of life.⏱️ Timestamps:[00:00] – Surprising Trainings [01:06]

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17:27

How I Found My Calling in Pelvic Floor Therapy

Down There ·

2025/09/04

What happens when an old spark reignites and reshapes your entire career?Welcome to Down There, a podcast dedicated to pelvic health and wellness for men and women. In this episode, Laura McKaig, PT, MSPT, shares her deeply personal journey from leaving her physical therapy career to rediscovering her passion, overcoming setbacks, and ultimately finding her calling as a pelvic floor therapist. If you’ve ever wondered how someone finds their true path or if you’re facing your own crossroads, this

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21 results

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