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. 3d ago

    Episode 48: {Mindful Mama Podcast Guest} From “Touched Out” to Turned On: Mindful Intimacy with Dr. Rebecca Howard Eudy

    Resharing an episode from the Mindful Mama Podcast, on which Dr. Rebecca was a guest earlier this year: "From “Touched Out” to Turned On: Mindful Intimacy". Parenting can leave intimacy feeling impossible - but it doesn’t have to. In this episode, Hunter Clarke-Fields talks with Dr. Rebecca Howard Eudy, sex therapist and author of Parents in Love, about navigating desire, connection, and pleasure in long-term relationships. **You’ll discover:**  • Why desire differences are normal, and not a sign something is wrong  • How parenting affects intimacy and touch  • Practical ways to nurture responsive desire without pressure  • How attachment patterns influence emotional and physical closeness  • The power of micro moments to keep connection alive If you’ve ever felt “touched out” or disconnected from your partner, this episode gives research-backed, realistic strategies to rediscover desire, cultivate connection, and bring intimacy back into your relationship. Hunter Clarke-Fields is the host of the Mindful Mama Podcast, global speaker, bestselling author of “Raising Good Humans” and “Raising Good Humans Every Day,” Mindfulness Meditation teacher, and creator of the Mindful Parenting Course and Teacher Training. Find more podcasts, Hunter’s books, blog posts, free resources, and more at ⁠⁠⁠⁠⁠⁠⁠⁠MindfulMamaMentor.com⁠⁠⁠⁠⁠⁠⁠⁠.

  2. Sep 29

    Episode 47: Two Heads on the Ultrasound - A Pelvic Floor PT's Twin Pregnancy

    When Dr. Katie Radermacher, pelvic floor physical therapist at Boston Pelvic PT, became pregnant for the second time, she was so sure she knew what to expect that she told her husband (a fellow PT) he could just skip the 12-week ultrasound. He moved his patients around and came anyway. Good thing…because then two heads appeared on the screen ("You guys didn't know that?" the US tech asked). In this episode, Dr. Katie sits down with Dr. Alex to talk about what pregnancy is like when you're a pelvic floor PT who still gets surprised by your own body. She also shares how this pregnancy motivated her to seek out the community she knew she'd need: other twin parents, a care team that supported her goals, and mom friends who offer middle-of-the-night support. Other twin parents’ stories helped Dr. Katie feel less alone as she navigated her own pregnancy, so now she’s sharing her story in hopes of doing the same for someone else. **What you'll learn**: Why it's absolutely okay to switch providers mid-pregnancy if something doesn’t feel right (Dr. Katie and Dr. Alex have both done it).Why pregnancy pain shouldn't be brushed off, including Dr. Alex's story of being sent home from the hospital three days in a row with 10/10 pain that turned out to be a placental abruption.What a pelvic floor PT does when she's the one who's pregnant, from managing nausea to SI joint pain.What makes mono-di twin pregnancies different, plus the best advice from other twin parents (no, you don't need two of everything).**Tune in if you've ever thought**: "These doctors have delivered hundreds of babies, so they probably know what they're doing... but something just feels off.""They just sent me back home again. Is my pain even real or am I going crazy?""I couldn't figure out what kind of exercise was safe, so I just stopped.""Between the ultrasounds and the specialist visits, my pregnancy appointments have basically become a second job.""I'm a planner. So how do I plan for something that's pretty much out of my control?"**Helpful resources**: Real Food for Pregnancy: The science and wisdom of optimal prenatal nutrition by Lily Nichols, RDN, CDE (Dr. Katie found that taking extra B vitamins and eating two Brazil nuts first thing in the morning was very helpful for managing her nausea - consult your PCP first).Serola SI belt for lower back, pelvic and hip painBelly Bandit Upsie Belly Pregnancy Support Band Love Steady supportive bloomers [10% off your first order]Kinesiology tape for sensitive skin [HSA/FSA approved]Vibe Chiropractic, Wakefield, MAMoms of Multiples Facebook groupFind a pelvic floor PT near you: pelvicrehab.com or Pelvic Global Directory**Connect with us**: Dr. Katie Radermacher Instagram: @drkathrynradermacher Dr. Alexandra DiGrado Website: bostonpelvicpt.com Instagram: @bostonpelvicpt Newsletter: Under the Hood Dr. Rebecca Howard Eudy Website: rebeccaeudy.com Instagram: @rebeccahowardeudy Newsletter: Parents in Love Substack Under the Hood Podcast Instagram: @underthehooddocs Website: underthehoodpod.com YouTube: @underthehooddocs  *** If you enjoyed this episode, please follow the show, share it with a friend, and leave a quick rating or review. It takes just 30 seconds, but it's one of the best ways to help Under the Hood grow and reach even more people. Thank you for listening!

  3. Sep 22

    Episode 46: The Importance of Friendship in Romantic Relationships

    What does it take to be true friends with your romantic partner…and not just partners in bills, parenting, schedules, and the rest of daily life? Relationship & sex therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alex DiGrado explore the kind of friendship that helps a relationship feel safe, supportive, and connected over time. This conversation is a reminder that closeness and independence can co-exist - and that treating your partner with the same respect, generosity, and curiosity you offer a close friend can deepen romantic love.  What you'll learn: How to stay connected to your partner without taking on every feeling or problem as your own.What Twilight gets wrong about all-consuming love - and what a healthier kind of closeness can look like.How entitlement and self-sacrifice are often two sides of the same coin.How to root for your partner’s choices - without correcting or micromanaging them - even when they are not the choices you would make for yourself.Tune in if you've ever thought: “We used to actually hang out and do things, but now it feels like we’re just two roommates running a house.”“I feel completely drained whenever they’re in a bad mood, like I’m not allowed to be happy if they’re upset.”“I know it’s great that my partner has their own interests, so why do I still feel left out when they go out without me?”Helpful resources: Under the Hood Episode 20: The Wheel of Consent - How to Get Clear on What You WantUnder the Hood Episode 12: Resentment in Relationships (& why “letting it go” doesn’t work)Parents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard EudyFind 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 YouTube: @underthehooddocs  *** If you enjoyed this episode, please follow the show, share it with a friend, and leave a quick rating or review. It takes just 30 seconds, but it's one of the best ways to help Under the Hood grow and reach even more people. Thank you for listening!

  4. Sep 15

    Episode 45: Get It Out of Your Head - Time Management for Real Life with Kelly Nolan

    Yes, time management and the mental load are everywhere right now, and so it’s easy to tune out yet another conversation about how to do more with less. But we promise you, this episode isn’t a list of productivity hacks or a scorecard for who’s doing more. Our special guest today is Kelly Nolan, an attorney-turned-time-management strategist. Kelly left her career as a patent litigator to build the Bright Method, a time-management system for working women that started as something she needed herself after burning out. Now, as a mom of two young kids and married to someone with an unpredictable work schedule, she uses the same flexible system to manage the everyday demands of work, kids, home, hobbies, and everything else life brings. Sex and relationship therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alex DiGrado talk with Kelly about getting all the invisible work out of your head and onto the calendar so there’s more room for rest, connection, and the things you actually want to do with your life. Note: Dr. Alex DiGrado purchased and completed Kelly Nolan’s course independently. This is not a paid partnership or sponsored episode. What you'll learn: Why each partner in a couple often thinks they're doing more than halfWhy household roles fall into place early on in parenthood, and why a "one-year shakeup" can help see if they still make sense as your kids get olderA concept from Brene Brown that reframed how Kelly saw her frustration with her husband's free timeHow to divide tasks so they're fully off your plate, not just delegated to someone else while you still track it all in your head.Tune in if you've ever thought: "I was running around all day, so why does it feel like I got absolutely nothing done?”"Why did I just tell my boss I'd have this project done by tomorrow? He didn't even ask for it that soon."“Seriously? You need me to figure that out for you, too?" when your partner asks what they can do to help.“I need more time for myself, but I honestly don’t see where it would fit.”Helpful resources Kelly Nolan's websiteThe Bright Method PodcastInstagram: @_kellynolan_Fair Play by Eve Rodsky-Study Dr. Rebecca referenced: A.V. Whillans, E.W. Dunn, P. Smeets, R. Bekkers, & M.I. Norton, Buying time promotes happiness, Proc. Natl. Acad. Sci. U.S.A. 114 (32) 8523-8527, https://doi.org/10.1073/pnas.1706541114 (2017).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 YouTube: @underthehooddocs  *** If you enjoyed this episode, please follow the show, share it with a friend, and leave a quick rating or review. It takes just 30 seconds, but it's one of the best ways to help Under the Hood grow and reach even more people. Thank you for listening!

  5. Sep 8

    Episode 44: The Power of Novelty in Long-Term Relationships

    Long-term relationships can offer trust, security, inside jokes, and the comfort of a partner you can count on...but the routines and daily logistics that come along with them can often bury the spark that first brought you together. In this episode, sex & relationship therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alex DiGrado explore why feeling bored in your relationship doesn’t necessarily mean there’s anything wrong with you or your partner, but rather that it may be an opportunity for change. They discuss how *novelty* - whether it’s a new restaurant, a local adventure, a weekend away, or just trying something different together (even if it doesn’t go as planned!) can help couples feel more curious, playful, connected, and alive, in and out of the bedroom. What you'll learn: Why the differences that first attract us to a partner can feel more frustrating once daily life and logistics enter the picture.How to introduce more novelty without creating pressure or making it feel like a performance.How seeing your partner in a different setting, whether they’re charming the waiter or meeting your coworkers, can renew curiosity and attraction.Why a terrible interpretive-dance show or another imperfect adventure can still become a relationship-building shared memory.Tune in if you've ever thought: "We used to have so much chemistry...now we're just roomates.""I want more excitement in our relationship, but my partner seems fine with how things are.""Every time I try to plan a fun date night, I put so much pressure on it that it kind of ruins the fun.""I'm not going to have an affair, but I get why people do."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 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 YouTube: @underthehooddocs  *** If you enjoyed this episode, please follow the show, share it with a friend, and leave a quick rating or review. It takes just 30 seconds, but it's one of the best ways to help Under the Hood grow and reach even more people. Thank you for listening!

  6. Sep 1

    Episode 43: Hope for Lichen Sclerosus Relief

    If you’ve been told a genital rash or intense itching is “just a yeast infection,” but the typical treatment hasn’t worked, this episode is for you. Pelvic floor physical therapist Dr. Alexandra DiGrado and relationship & sex therapist Dr. Rebecca Howard Eudy sit down to talk about lichen sclerosus, a chronic inflammatory skin condition that causes patches of skin to become thin, white, crinkled, or scarred. It most commonly affects the genital and anal areas, but can also appear on other parts of the body. Lichen sclerosus is often misdiagnosed and mistreated because its symptoms can look and feel a lot like a yeast infection. This is a shorter episode, but an important PSA if you’ve been dealing with symptoms that won’t clear up, especially if they’re affecting your body image, sex life, and day-to-day comfort. What you'll learn: The autoimmune connection: Lichen sclerosus frequently overlaps with conditions like Hashimoto's, Graves' disease, and vitiligo.Who it impacts most: The average age of diagnosis is 51, most often in people with vulvas, although it can affect people of all ages and sexes.Impact on intimacy: How muscle guarding and scarring can affect sexual health, and tips to get relief.Finding the right care: Where to locate knowledgeable providers and support networks if your primary doctor lacks experience with the condition.Tune in if you've ever thought: "This itching and burning feels like a yeast infection, but Monistat isn't doing anything.”"Am I going crazy, or is my skin down there actually changing?”"I’m so self-conscious about how I look there - I can’t even imagine having sex right now.”Helpful resources The Lost Labia Chronicles: Your one-stop shop for all things lichen sclerosus - Education and support resources for all your needs.Lichen Sclerosus Support NetworkDr. Jill Krapf and Dr. Andrew Goldstein’s free lichen sclerosus webinar, via The Center for Vulvovaginal DisordersFind 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 YouTube: @underthehooddocs  *** If you enjoyed this episode, please follow the show, share it with a friend, and leave a quick rating or review. It takes just 30 seconds, but it's one of the best ways to help our show grow and reach even more people. Thank you for listening!

  7. Aug 25

    Episode 42: Should You Break Up? A Couples Therapist's Honest Take

    When a relationship is struggling, the real question might be less "How do we fix this?" and more "What's the best next step?"  Inspired by an essay from a writer who felt couples therapy prolonged a failing marriage instead of helping her see it was over, Dr. Rebecca and Dr. Alex take a hard look at the expectations around relationship counseling. Is “success” defined by staying together or by reaching clarity…even if that clarity leads to parting ways? Whether you're navigating a crossroads in your own relationship or supporting someone else through theirs, this nuanced and compassionate conversation will help you approach either reconciliation or separation with greater care, honesty, and respect. What you'll learn:  What Dr. Rebecca always asks a couple before therapy even begins.Why some couples therapists avoid bringing up divorce directly, even when it's clearly on a client's mind.How many people end up communicating better during their divorce than they ever did as a married couple. Tune in if you've ever thought: "Is our relationship even worth saving?”"We've stopped fighting. Is that a good sign or a bad one?" "It feels like my therapist and partner are ganging up on me.”"If we do end up splitting up, how do we not ruin our kids in the process?" 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 YouTube: @underthehooddocs

  8. Aug 18

    Episode 41: Hernias: Bulges, Belly Buttons & Pelvic Floor PT

    You cough and your belly button doesn't go back in after it pops out. Or you’re lifting heavy at the gym and suddenly feel a weird bulge in your groin. Both can be signs of a hernia, when fat or part of an organ pushes through a weak spot or opening in the muscles or connective tissue of the abdominal wall (it may look or feel like a soft lump under the skin). When a hernia needs repair, surgery is the only way to fix the opening itself (some small hernias that don’t cause symptoms may just be carefully monitored instead). However, pelvic floor PT can still play an important role in preparing for surgery and supporting recovery afterward. In this listener-requested episode, pelvic floor physical therapist Dr. Alex DiGrado and sex & relationship therapist Dr. Rebecca Howard Eudy discuss how pelvic floor physical therapy fits into hernia care - from retraining how your diaphragm and core work together to addressing toilet straining and improving breathing mechanics. As Dr. Alex points out, nobody gets knee surgery and skips PT afterward - a hernia repair deserves the same care and follow-through. What you’ll learn: Why hernias aren't just a “weightlifter problem”The difference between an ordinary postpartum “outie” belly button and a possible umbilical herniaThe connection between hernias, prolapse, constipation, and bloatingHow hernias affect two opposite ends of the movement spectrum: “Grippers" and "Deconditioned"Tune in if you've ever thought: "My hernia pain comes and goes. Does that mean it's not a big deal, or should I still see someone about it?”"I've had chronic constipation for years. Could that be connected to this weird bulge I'm noticing?""I've heard the term 'strangulated hernia. ' What does that mean? How do I know if I have one?”Helpful resources: 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 YouTube: @underthehooddocs

5
out of 5
11 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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