How We Treat Pelvic Pain, Painful Sex, and Sexual Dysfunction
Ten minutes. That's what insurance gives you for pelvic pain, painful sex, and sexual dysfunction. Conditions that are complex, hormonal, structural, and deeply personal — and you get ten minutes.
This episode is my answer to that.
I'm joined by two members of my own team: Karen Badley, my nurse practitioner, and Grace Prete, our pelvic floor physical therapist. Together we break down what comprehensive sexual health care actually looks like — and why the traditional insurance model makes it almost impossible to deliver.
We get into the specifics. Tight pelvic floor muscles are actually the weakest, not the strongest — and most women have no idea. Genitourinary syndrome of lactation is real, it mirrors GSM in menopause, and it's wildly underdiagnosed. Upper cross syndrome from breastfeeding and screen time creates cervical spine issues that feed directly into pelvic dysfunction. And insurance bundles an entire pregnancy into a single fee with zero separate reimbursement for postpartum care.
After over a decade of taking insurance, I transitioned to a concierge model last year. Not because it was easier — because it's the only way to actually treat the whole person. Patients can see Karen, Grace, and me on the same day. Coordinated. Unhurried. The way it should have always worked.
We discuss:
Why pelvic pain, painful sex, and sexual dysfunction can't be addressed in 10-minute appointments
What is genitourinary syndrome of lactation, and how does it compare to GSM in menopause
How upper cross syndrome from breastfeeding and tech neck creates cervical and pelvic issues
Why are tight pelvic floor muscles the weakest, not the strongest
How insurance's bundled pregnancy fee leaves postpartum care completely unfunded
What same-day coordinated care with a multidisciplinary team actually looks like
Why treating hormonal health alongside aesthetics changes outcomes
How the concierge model makes comprehensive sexual health care possible
Every episode of Gyno Girl Presents is a conversation I wish more women could have with their doctors — without the 10-minute clock running. Subscribe wherever you listen, and if this episode helped you, share it with a woman who needs to hear it.
