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. 2D AGO

    Episode 26: Oldest Daughter Energy - “Leadership Potential” and Letting Go

    In this episode, Dr. Rebecca and Dr. Alex dive into the “Oldest Daughter” archetype. Drawing on personal reflections, therapy insights, and Brené Brown’s work, they explore the fine line between being helpful and chronically over-functioning. From running point on family vacations to navigating communication clashes with their Southern husbands (we’re not rude - we’re direct!), this honest and funny conversation looks at why so many oldest daughters are the way they are, what it costs them, and how they’re learning to step back (a bit) and let go (a little). Key takeaways: How oldest daughters are shaped into “hyper-responsible” leaders early in lifeThe over-functioning / under-functioning dynamic that shows up in families, workplaces, and relationshipsHow being “the one who handles everything” can ultimately lead to exhaustion, resentment, and disconnection from othersA funny look at "Northern Directness" versus "Southern Politeness" and the struggle to balance efficiency with gentler communication Tune in if: You think you’re an amazing delegator… and you’re confused why not everyone seems to appreciate this talent  🙃You’re curious how birth order follows us into adulthood and professional life.You want to hear two business owners + moms laugh about their shared need to be—and stay—in charge.Helpful resources The Power of Vulnerability TED Talk - Brene Brown Project 333 - The Minimalist Fashion Challenge to simplify your life and clear out your closet (as mentioned in Under the Hood Episode 23 with Ali Schmidt) Bowen/Family Systems Theory: The psychological framework that sees the family as an emotional system where everyone’s behavior affects everyone else, often in repeating generational patterns. 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

    23 min
  2. APR 28

    Episode 25 - Hope After Prostatectomy: ED, Incontinence, & Reclaiming Your Quality of Life

    Prostate cancer has a remarkably good prognosis…but what happens after treatment? In this episode, Dr. Rebecca Eudy and Dr. Alex DiGrado discuss the common challenges that often follow prostate cancer surgery, including urinary leakage, erectile dysfunction, and the heavy emotional toll these symptoms can have on self-confidence and relationships. They explain why these symptoms happen, how pelvic floor function changes after surgery, and why many people suffer in silence without realizing that help is available. Whether you're considering a prostatectomy, already in recovery, or supporting someone who is, this episode offers education, reassurance, and hope for getting back to the quality of life you want. What you'll learn: Why your bladder behaves differently post-op and which common habits are accidentally making your leaking worse.How pelvic floor PT and bladder retraining can significantly shorten your recovery timeline.Practical ways to maintain connection and confidence with your partner, even when the "mechanics" have changed.Tune in if you’ve ever thought: "I should just be grateful the cancer is gone" (while grieving what your sex life and body used to feel like).“I'm too embarrassed to tell my doctor I'm still leaking. I don't even know if there's anything I can do about it.”"My partner and I haven’t been intimate since the surgery because it feels too stressful. I want that connection back."Resources Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryTreatments mentioned in this episode are educational and may not be appropriate for everyone. Talk with your medical provider about what makes sense for your recovery.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

    22 min
  3. APR 21

    Episode 24: 8 Things That Would Have Saved Our Clients SO Much Stress

    Many people wait to seek help—whether it’s pelvic floor PT or couples therapy—until things feel so “catastrophically bad” they can’t ignore them anymore. But by then, you’re not just dealing with a symptom or a disagreement,you’re dealing with months (or years) of built-up stress and a life that’s been reshaped around the problem instead of addressing it.  In this episode, Dr. Rebecca and Dr. Alex share what they wish their clients knew sooner, and what could have saved them time, money, and a lot of unnecessary stress. They also get personal, from Dr. Rebecca being told “there’s nothing we can do” about her postpartum diastasis recti; to navigating “inner child” moments; to what it realistically looks like to “stay regulated” when you’re just really %$^&ing angry. This discussion is about what's possible when you finally have the right information, and the right support. What you'll learn: “Holistic” care isn't "crunchy" or "woo" - your symptoms often make more sense when you look at the whole body.“Staying regulated" isn’t the same thing as suppressing your feelings.The difference between “weather vs. climate” in relationships (and why it matters more than the fight itself)Tune in if you’ve ever thought: "I've seen multiple doctors and they all say I'm 'fine,' so what am I supposed to do now?”“We’re not in a crisis, but I’m tired of the constant bickering and snarky comments at home."“Is this something I just have to live with now?”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 Secure Love: Create a Relationship That Lasts a Lifetime by Julie Menanno - attachment-based approach to relationshipsThe Fair Play Deck: A Couple's Conversation Deck for Prioritizing What's Important – a tool to help couples divide responsibilities and reduce mental loadConnect 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

    42 min
  4. APR 14

    Episode 23: You’re Tired, But Are You Actually Resting? (Yoga Nidra & Radical Rest with Ali Schmidt)

    Most of us know we’re tired (…that’s not breaking news). What we don’t realize is that the kind of rest we’re getting might not actually reach the parts of us that need it most. In this episode, Dr. Alex and Dr. Rebecca sit down with Ali Schmidt, social worker, therapist, yoga teacher, and certified Daring to Rest coach, to talk about yoga nidra: what it is, how it differs from meditation, and why committing to it for 40 days changed the way Ali shows up in her life. Ali also shares how radical rest helped her reconnect with the inner voice she didn't realize she'd lost after becoming a mother. Ali’s teachings have had a profound impact on so many women already (including Dr. Alex!) and we think you’ll understand why after listening to this conversation.  What You’ll Learn: What yoga nidra is and how to start, including a free 5-minute practice Ali recommends for beginners.How taking time to rest can give you more time and capacity.What it really means to simplify, not as a pretty aesthetic, but as a life-changing practice. How Ali and a group of fellow concerned parents helped save her school's kindergarten ESPs (and what rest had to do with it).Tune in if you’ve ever thought: "I've tried meditation before, but my brain just won't stop. I don't think it works for me.”“I would love a simpler life, but I don't know where to start, and the idea of decluttering makes me want to cry.”“I don't just want to cope better in the moment…I want to not get so dysregulated in the first place."Helpful Resources Rest with Ali Website: www.restwithali.com (and she’s currently accepting new clients!)Upcoming Rest Events www.restwithali.com/yoganidraofferingsAli’s IG: @restwithali Ali on Insight Timer: insighttimer.com/RestWithAliRest with Ali Substack: restwithali.substack.com 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 If this conversation meant something to you, we'd be so grateful if you took a moment to leave a rating, share it with a friend who needs to hear it, and follow us for future episodes. It's the best way to make sure we reach more people who could benefit from conversations like this one. 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

    45 min
  5. APR 7

    Episode 22: It’s Not Just a Bad Period — A PT’s Personal Endometriosis Journey (with special guest Dr. Alyssa Demeule)

    For many, the road to an endometriosis diagnosis is a decade-long maze of debilitating fatigue, "rice cake weeks," and being told that agonizing period pain is "normal." But the conversation is finally starting to shift. This week, pelvic floor PT Dr. Alyssa Demeule joins Dr. Rebecca and Dr. Alex to share her journey from medical gaslighting to recovery. We dive into the new ACOG diagnostic guidelines that prioritize the patient’s voice, the importance of finding the right excision specialist, and why lasting relief requires a strategic, multimodal path. This isn’t just a clinical deep dive into a chronically misunderstood disease - it’s a conversation about reclaiming your body and getting your life back. What You’ll Learn: Why a “clear” MRI or ultrasound doesn’t mean the pain is in your head, and why many specialists are now moving away from surgery as the only diagnostic tool.Why your general OBGYN might not be the right person for excision surgery, and how to find a vetted specialist who truly understands the disease.How the body creates a “pain memory” that persists even after the tissue is healed, and how to retrain those pathways.Tune in if you’ve ever thought: “Am I crazy, or is this level of pain more than just a bad period? “Why does my doctor keep telling me my tests are negative…when I can’t get out of bed?”“How am I supposed to advocate for myself when I’m exhausted from just trying to get through the day?”Resources Nancy’s Nook (an advocacy and education resource used to find vetted endometriosis excision specialists): www.nancysnookendo.com Beating Endo: How to Reclaim Your Life from Endometriosis by Dr. Iris Orbuch and Dr. Amy Stein.Endometriosis Association: www.endometriosisassn.orgEndometriosis Foundation of America: www.endofound.orgThe Endometriosis Summit educational videos: www.youtube.com/@theendometriosissummit5427Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryConnect 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

    43 min
  6. MAR 17

    Episode 20: The Wheel of Consent - How to Get Clear on What You Want

    Most of us think consent is pretty straightforward: someone asks, you say yes or no. But in real life—especially in relationships—it’s much more layered and nuanced than we’ve been taught to think about it. In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado (pelvic floor physical therapist) unpack the Wheel of Consent, a framework developed by Dr. Betty Martin that reframes how we think about giving, receiving, and asking. From oral sex to gift-giving to everyday relationship dynamics (because consent shows up everywhere), this conversation highlights how unclear consent can lead to pressure, resentment, and disconnection - and how getting more honest and specific can actually deepen trust and intimacy. If you’ve ever said yes when you weren’t sure, struggled to ask for what you want, or felt responsible for someone else’s experience, this episode will help you understand why, and what to do differently. What You’ll Learn: The difference between giving, receiving, and allowing, and why most of us have a comfort zone (and blind spots) within thatHow unclear or unspoken expectations can lead to pressure, resentment, and performative responses (like faking enjoyment), even when both people have good intentionsWhy it can be surprisingly hard to know what you want (and how conditioning and past experiences shape that)How getting more honest and specific about consent can build trust and make things feel easier and more connectedTune in if you’ve ever thought: “Why is it so hard to just ask for what I want?”“Am I doing this because I want to—or because I feel like I should?”“How do I trust that my partner’s ‘yes’ is actually a yes?”“How did we get into this pattern—and how do we change it without making things weird?”Helpful Resources The Wheel of Consent Website by Dr. Betty MartinThe Art of Giving & Receiving: The Wheel of Consent by Dr. Betty Martin 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

    30 min
  7. MAR 10

    Episode 19: The UTI That Isn’t - Bladder Pain, Pelvic Floor & Menopause (with special guest Heather Florio, CEO of Desert Harvest)

    We’ve all been there: the familiar sting, the constant urge to go, or pain during intimacy that sends us straight for the cranberry juice. But what happens when tests come back negative and antibiotics don't work? In this episode, Dr. Rebecca Howard Eudy and Dr. Alex DiGrado are joined by Heather Florio, CEO of Desert Harvest, to talk about why so many people are dismissed when their bladder symptoms do not fit the standard mold. Heather shares how a family member’s experience with interstitial cystitis led to the creation of Desert Harvest, and we break down three major drivers of bladder pain, how aloe-based treatments are being used for vulvar irritation and painful sex, and emerging research on lactoferrin for menopause, iron balance, gut health, and endometriosis. If you've felt confused by pelvic or bladder symptoms that don't have simple answers, this conversation offers language, context, and specific questions you can bring to your care team. What You’ll Learn Why bladder problems and tight pelvic floor muscles can cause many of the same symptoms, but require different treatments.How aloe-based treatments are being used for bladder pain, vulvar irritation, painful sex, and radiation burns.Why a protein found in early breast milk is being studied for menopause, gut health, and endometriosis.Tune in if you’ve ever thought: “Why does it feel like I have a UTI even though my tests are all normal?“Sex hurts, and I’m tired of being told to just relax or use more lube.”“My bladder symptoms keep coming back, and no one can tell me why.”Resources Desert Harvest Website (Use for Relievium, SSAB Capsules, and UTI Defense)Contact info@desertharvest.com or call toll-free (800)-222-3901 to request a free sample of their Desert Harvest Super-Strength Aloe Vera Capsules. Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global DirectoryConnect 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

    25 min
5
out of 5
10 Ratings

About

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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