Under the Hood

Rebecca & Alex

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. 

  1. vor 5 Tagen

    Episode 36: The Blame Game - Moving from Finger-Pointing to Connection

    Humans are wired to make meaning out of what happens to us, so when something feels bad, we go looking for a reason (in an effort to avoid it next time). In relationships, that search often turns into blame…which devolves into criticism instead of the actual result we're hoping for. In this episode, Dr. Rebecca Howard Eudy (relationship & sex therapist) and Dr. Alex DiGrado (pelvic floor physical therapist) explain why blame and anger are usually secondary emotions covering something else underneath, and how naming that feeling gets you closer to real accountability and change than pointing fingers ever will. Dr. Rebecca also shares how this all shows up with her own kids, plus a personal update on 40 days of yoga nidra that's changed how she handles the heated moments. What you'll learn: Humans being “meaning makers” is a survival instinct that sometimes goes awry.The difference between truly taking responsibility…and just taking the blame to keep the peace.Vulnerability will always get you further than blame.Kids learn to stop blaming each other by watching us take accountabilityTune in if you've ever thought: "Why do I get so defensive the second something comes up? Am I just being too sensitive?”"My kid blames everyone else for their behavior. Is that normal?""Why is it so hard to talk about how I feel instead of what they did wrong?" Helpful resources: Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Learn more about Ali Schmidt's yoga nidra practice; check her out on Insight Timer; and listen to our UTH podcast episode with Ali here! Connect with us: Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com *** If you enjoyed this episode, please follow Under the Hood, share with a friend, and leave a quick rating. It takes 30 seconds, but it is the best way to help our show grow and reach more people. Thank you for listening!

  2. 7. Juli

    Episode 35: The Real Causes of Hemorrhoids (And Why Preparation H Isn’t Enough To Fix Them)

    Many people think hemorrhoids are just a fiber and Preparation H problem, but there's a lot more going on. Dr. Alex DiGrado (pelvic floor physical therapist) and Dr. Rebecca Howard Eudy (sex and relationship therapist) talk through the different causes, from chronic stress and jaw tension to how you're sitting and pushing on the toilet. Alex explains why your hemorrhoids keep coming back, and how you can fix the underlying mechanics instead of just managing the symptoms. If you've felt too embarrassed to bring this up with your doctor, and you're stuck in a cycle of Metamucil and creams that never really work, this one's for you. What you'll learn: The proper way to push during a bowel movement (most people are doing it backwards)How chronic stress and jaw tension can lead to hemorrhoidsWhat your stool consistency can tell you about your pelvic floor mechanicsTune in if you’ve ever thought: “Do hemorrhoids go away on their own?”“Can I treat hemorrhoids at home?”“How do I know if I have hemorrhoids or something else?”"Is surgery my only option?” Helpful resources: Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryDesert Harvest Relievium (check out our podcast interview with Desert Harvest CEO Heather Florio here) Anything Butt: 100% natural butt balm with CBD - helps with chafing, itching, dryness, rash, hemorrhoids, and more. Use code WELCOME15 for 15% on next order. Squatty Potty Bristol stool chart Connect with us: Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com

  3. 30. Juni

    Episode 34: The Vulnerability Flinch - Why We Pull Away From the Good Stuff

    You know that feeling when something is so good - your career, your relationship, a perfect spring afternoon - that almost immediately your brain starts bracing for when it ends?? In this episode, sex & relationship therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alex DiGrado explore this concept (coined by research professor and author Brené Brown) and unpack why so many of us reflexively push away joy, connection, and positive emotion, often without even realizing it. You'll learn how staying with joy can lead to deeper connection, greater ease, and a life that feels fuller instead of scarier. What you'll learn: Why rehearsing grief doesn't make loss easier, and what one patient's early pregnancy experience reveals about embracing joy instead of preparing for heartbreakHow the vulnerability flinch plays out in couples and what it costs the relationshipThe difference between oversharing and true vulnerabilityHow to distinguish healthy self-protection (like curating your media intake) from emotional disconnectionTune in if you've ever thought: "I literally cannot just enjoy something good without immediately thinking about how it's going to fall apart."“I've been hurt before and I'm not sure I can let my guard down again.”"I love my kids so much it scares me sometimes."Helpful resources: The Power of Vulnerability - TED Talk by Brene BrownFind a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudyConnect with us: Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com *** Enjoyed this episode? Please follow our show, share it with a friend, or leave a review to help more people discover these important conversations - thank you!

  4. 23. Juni

    Episode 33: Diastasis Recti - What's Really Going On With Your Abs After Baby

    Dr. Rebecca had two nine-pound babies 18 months apart, and was told by a pelvic floor PT a few years back that her diastasis recti was pretty much just going to be that way. Dr. Alex respectfully disagrees (yes, even though the “babies” are now 10 and 11). In this episode, Dr. Alex and Dr. Rebecca dig into what diastasis recti is (and isn’t), why so much of the advice floating around online makes people afraid to move altogether, and what pelvic floor PT can do for the symptoms you've been managing on your own since your last kid was born…even if that was many years ago. If you feel your core doesn't work or look the way it used to, or worry you missed the window to do anything about it, this one's for you. What you'll learn: The link between diastasis recti, posture, and lower back pain (Dr. Rebecca originally came to PT for the latter)The size of your ab separation doesn’t tell the whole storySucking in your stomach is not the same thing as activating your coreYour core functions differently standing than lying down, and what that means for how you train itTune in if you've ever thought: "Every fitness influencer says something different and I don't know who to listen to.""My belly still looks like I'm pregnant and I don't understand why.""I was told not to do crunches or planks and now I'm afraid to do anything.""I can work out, but I don't feel “connected” to my core.""My kids are older now - is it even worth trying to fix things at this point?"Helpful resources Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryThe Postpartum Essentials Virtual Course: Heal from Your Pelvic Floor to Your CoreParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudyConnect with us: Dr. Rebecca Howard Eudy  Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado  Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast  Instagram: @underthehooddocs Website: underthehoodpod.com ***If this episode was useful, please take a moment to leave a rating, share it with someone who needs to hear it, and follow us for future episodes. It's the best way to help us reach more people who could benefit from conversations like this one. Thank you!

  5. 15. Juni

    Episode 32: The Big Sister Chat — What We Wish We Knew Back Then About Sex, Bodies & Relationships

    A listener asked Dr. Rebecca and Dr. Alex to do a "big sister chat" — the kind of honest, no-filter conversation that most of us never got growing up. They cover a lot of ground: tampon embarrassment, the myth of mutual orgasm, see-through yoga pants etiquette, and what not to do when you’ve been ghosted. Plenty of it is funny. All of it would have saved them a lot of confusion and heartache if they'd heard it earlier. This conversation is for your younger self…or for the younger people in your life who could use it now. What you'll learn: What mainstream porn consistently gets wrong about bodies, orgasms, and what sex is supposed to look likeWhy so many people think their genitals look “weird” (even though there’s such a wide range of normal and healthy)Why it's harder to receive than to give, and what that has to do with asking for what you want in bedThe difference between really liking someone and liking that they like you (...this lesson took us longer to learn than we'd care to admit)Tune in if you've ever thought: "I genuinely thought something was wrong with my body.""I've always just gone along with things, even when I didn't really want to.""I learned more about sex from TV than from any actual conversation."Helpful resources Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudyIf this episode hit home, we'd appreciate it if you left us a rating, shared it with someone who also needs to hear it, and followed us for future episodes. Thank you! Connect with us: Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com

  6. 9. Juni

    Episode 31: Tailbone Pain After Childbirth - A Personal Story with Our Podcast Editor, Kathy Seim

    (Prefer to watch our talk? We’re now on YouTube!) At least one in ten people experiences tailbone pain after childbirth, and many don't know that pelvic floor PT is an incredibly effective treatment for it - we hope this episode changes that. Our guest today is Kathy Seim, BPPT Practice Manager and Under the Hood podcast editor. She joins Dr. Alex DiGrado and Dr. Rebecca Eudy to talk about her own experience of injuring her tailbone during the birth of her second son, what she wished she'd known to ask for at first, and how she eventually got the right treatment after a few wrong turns (and several loving nudges from Dr. Alex). Kathy’s experience reminds us that, even when you have a great care team, you still have to be your own biggest advocate.  What You'll Learn: Why postpartum tailbone injuries are often missed or under-treated (and what to keep in mind if you're sent for imaging).What to look for when choosing a pelvic floor PT, including asking if they work “in the front and the back.”What a trauma-informed approach looks like in a clinical setting, and why it's relevant for any pelvic treatment, regardless of your history.Your options for managing tailbone pain if you're in a rural area or don't have easy access to specialized pelvic floor PT.Tune in if you've thought: “I know some amount of discomfort is normal postpartum, but I can’t even sit for a short time without my tailbone feeling like it’s on fire.” "My X-rays came back clear - so does that mean there's nothing more that can be done?""I didn't realize pelvic floor PT could help with tailbone pain - what does that treatment look like?""I live in a rural area and don't have easy access to specialized pelvic care. What can I do on my own in the meantime to get relief?"Helpful resources: Seat cushions for tailbone pain that Dr. Alex recommends to her patients (can be purchased with HSA/FSA funds)Purple (what Kathy used)KabootiTush CushYoga therapy balls Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global Directory (NOTE: internal work in PFPT is always completely optional, requires your explicit informed consent, and can be stopped or declined at any time)Parents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudyConnect with us: Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com

  7. 2. Juni

    Episode 30: “Wait, I Have a Pelvic Floor?” — Male Pelvic Health, Explained

    Most men have never thought about their pelvic floor (or knew they had one). But those muscles are doing critical work every single day for bladder control, bowel function, sexual health, and athletic performance. In this episode, Dr. Alex DiGrado and Dr. Rebecca Howard Eudy talk through what the male pelvic floor is, what happens when it stops working as it should, and why so many men are suffering through symptoms they didn't know were treatable. From younger cyclists dealing with pelvic pain to older men recovering from prostate surgery, this conversation sheds light on a topic that deserves far more attention and offers hope for men who may have been suffering in silence. What you'll learn: How a tight pelvic floor can lead to erectile dysfunction, post-pee dribble, urgency, and painWhy Viagra only addresses part of the picture, and what the pelvic floor has to do with the restWhat "pudendal neuralgia" is and why bike seats are a surprisingly common culpritWhy weightlifters and high-impact athletes often have pelvic floor issues and how addressing them can improve performanceHow anxiety and shame around these issues can make symptoms worseTune in if you've ever thought: "I didn't even realize men had a pelvic floor. I thought pelvic floor PT was only for pregnant people.""I get up to pee multiple times a night, but I just assumed that was a normal part of getting older.""I’m careful about my form when I work out at the gym, so why do I still feel pain ‘down there’?”"I've been dealing with this thing for a while, but I haven't told anyone."Helpful resources The Fuzz Speech by Gil Hedley — a short YouTube video explaining what fascia is, why it gets stiff over time, and why movement (in more than just one direction) is one of the best things you can do for your body.Friedman, Danielle. "Why Men Shouldn’t Ignore Their Pelvic Floors." The New York Times, 1 July 2025, https://www.nytimes.com/2025/07/01/well/live/male-pelvic-floor-health.html.Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudyConnect with us: Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com

  8. 26. Mai

    Episode 29: How to Fight Fair (What No One Taught Us About Conflict)

    Most of us were never taught how to fight fair. We absorbed habits, patterns, and a fair amount of defensiveness from our own families and brought it all into our relationships. In this episode, sex therapist + couples counselor Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alexandra DiGrado get into the mechanics of conflict. Dr. Alex gets personal about her own tendencies as a pursuer, including the moment she was ready to pack up the kids over her husband's tone of voice. And together, they get into what genuine repair requires, which turns out to be a lot more than just saying sorry. What you’ll learn: What it means that conflict is co-created and why blaming your partner for the cycle misses the pointWhy defensiveness is usually about shame, not the argument itselfWhy pursuing and withdrawing are both flooded nervous system states, just opposite expressions of the same thingWhy a sincere apology requires tolerating your own guilt (most of us skip that part entirely)Tune in if you’ve ever thought: "It doesn't matter what we're fighting about…we keep falling into the same bad habits.”"I feel like I'm always the one who has to bring things up.""By the time we actually talk about it, I'm already too angry to have a fair conversation.""I don't want to start something right before bed, but I also can't just let it go."Helpful resources: Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryParents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy Connect with us: Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com

Info

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. 

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