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The Dr PT Podcast Live - Monday 1.19.26 In this episode, Dr. Christine Pieton discusses a very common pelvic health topic - painful intercourse related to menopause and estrogen decline - explaining how topical estrogen, hyaluronic acid suppositories, and pelvic floor physical therapy significantly improve dryness, tissue flexibility, and muscle tension. Dr. Pieton also covers footwear recommendations for balance and fall prevention, emphasizing the importance of wide toe boxes and minimal cushioning to improve proprioception alongside strength training.The episode also does a deep dive about about how to know if you have a pelvic floor problem, along with answering audience member questions about how to support pelvic floor health proactively during pregnancy, hemorrhoid management, stress incontinence treatments like Bulkamid injections, and how to find a qualified pelvic floor physical therapist. Throughout the episode, Dr. Pieton emphasizes that the pelvic floor muscles connect with the hip, core, and back muscles, and highlights misconceptions about Kegel exercises, explaining that pelvic floor muscle strengthening needs to include lengthening and contracting for best results. Have a question about that nagging foot, back, hip, or shoulder issue that won't go away? Wondering if what your doctor is recommending is what Dr. PT would do? Dr. Christine Pieton will be answering your questions about how to fix those nagging aches, pains, and pelvic floor issues that are holding you back. Join the Dr. PT Podcast here on YouTube every Monday! ☎️ To participate, call 1-800-375-2872 2-3pm PT / 5-6pm ET or send an email to askme@drptpodcast.com ▶️ Join me LIVE on YouTube each Monday at 2pm PT / 5pm ET, or catch the audio podcast wherever you enjoy listening to podcasts. Episode Chapters: 0:00 – Welcome to The Dr. PT Podcast | Ask a Pelvic Floor Physical Therapist 4:28 – Menopause, Vaginal Dryness & Painful Sex: What’s Really Happening 7:17 – Vaginal Estrogen vs. Hyaluronic Acid: What Works Best? 8:58 – Low Libido After Menopause: Hormones or Pain? 9:05 – Can Vibration Improve Blood Flow & Pelvic Floor Health? 10:58 – Why Kegels Can Make Pain With Sex Worse 12:49 – How to Talk to Your Partner About Painful Intimacy 14:40 – Best Shoes for Balance & Fall Prevention (What to Avoid) 19:09 – The 30-Second Balance Test That Reduces Fall Risk 5x 20:32 – Is Vaginal Estrogen Safe After Hysterectomy or Cancer Risk? 21:44 – Vaginal Estrogen & UTI Prevention: What the Research Says 26:03 – Most Common Pelvic Floor Symptoms (Bowel, Bladder & Sex) 30:24 – How Often Should You Pee? What’s Normal vs. Not 33:08 – How Often Should You Have a Bowel Movement? 37:33 – Painful Sex Is NOT Normal: Signs of Pelvic Floor Dysfunction 39:34 – Low Back Pain, SI Joint & Hip Pain: Could It Be Your Pelvic Floor? 46:17 – Pregnancy & Pelvic Floor Health: What to Do at 18 Weeks --- Check out my self-paced, online programs for: 🤰 Pregnancy - Pelvic Floor Birth Prep https://courses.pietonpt.com/courses/... 💪 Postpartum - Return to Exercise https://courses.pietonpt.com/courses/... 💦 Incontinence - Stop Leaks & Build Strength https://courses.pietonpt.com/courses/... ____________________ 🔻 Subscribe for more like this: https://youtube.com/c/DrChristinePiet... Connect with me on social! Dr. Christine Pieton, PT, DPT 🔹 IG @pietonpt 🔹 Website: https://pelvicsavvy.com/ Medical Disclaimer The content on this channel is for informational purposes only and should not be considered medical advice. It is not a substitute for professional diagnosis, treatment, or individualized healthcare. Always consult with a qualified healthcare provider before starting any new exercise program or making changes to your health regimen. Engaging in any exercises or recommendations presented on this channel is done at your own risk. menopause vaginal dryness pain with sex after menopause vaginal estrogen safety is vaginal estrogen safe after hysterectomy vaginal estrogen cancer risk hyaluronic acid vaginal suppositories low libido menopause pelvic floor physical therapy painful sex treatment why kegels make pain worse UTI prevention menopause vaginal estrogen and UTIs balance exercises for seniors best shoes for balance elderly wide toe box shoes fall prevention exercises how often should you pee how often should you poop pelvic floor dysfunction symptoms hemorrhoids pelvic floor SI joint pain pelvic floor pregnancy pelvic floor exercises strength training during pregnancy