Yeah, We're Going There with Dr. Natalie

Natalie Padveen
  • 5.0 (4)
  • Self-Improvement

Welcome to Yeah, We're Going There with Dr. Natalie, the podcast that tackles pelvic health topics openly, honestly, and without shame. From menopause, incontinence, and pelvic organ prolapse to post-prostate recovery, sexual wellness, and everything in between, Dr. Natalie breaks down the conversations most people avoid and turns them into clear, practical guidance you can actually use. Dr. Natalie Padveen, PT, DPT, PRPC, is a pelvic health specialist, author, and fitness creator who has spent over three decades helping women (and men) take back control of their bodies. She's the founder of Pelacore, a NASM-accredited pelvic core fitness program, and the author of Leak No More. If it involves your pelvic floor, she's not afraid to talk about it. Dr. Natalie combines both solo shows and interviews of other top industry experts, physicians, and authors, who share their knowledge and insights to ensure you get the most comprehensive informative Each episode answers real questions, cuts through misinformation, and empowers women and men to better understand their bodies and their health. Yeah, we're going there, because knowledge drives better health!

  1. 3d ago

    Life After Hysterectomy: Recovery, Sex, Menopause & the Questions Nobody Asks

    Dr. Natalie continues the hysterectomy conversation by focusing on what recovery actually looks like after surgery. She covers healing timelines, activity restrictions, sex, menopause, cervical cancer screening, emotional recovery, and the warning signs that should prompt a call to your healthcare team. This episode matters because the hardest part of a hysterectomy often starts after the hospital discharge. What you can do, when you can do it, and what symptoms are expected versus concerning can vary a lot based on the type of surgery and what was removed. Key topics Common early recovery symptoms.When people may return to work, noting that timing depends on the procedure and job demands.Driving safety after surgery.Sex after hysterectomy.The big menopause myth, explaining that hysterectomy does not automatically cause menopause unless both ovaries are removed.When is cervical cancer screening still needed after hysterectomy.Gynecologic care may still be needed after hysterectomy.The major urgent warning signs after surgery. Timestamps 1:22–2:23: Why recovery timelines vary and what to expect after surgery2:23–3:31: Early recovery symptoms and why gentle walking matters3:31–4:31: Bleeding, discharge, and warning signs4:31–5:29: Returning to work, driving, and exercise5:29–6:58: Sex after hysterectomy and sexual function changes7:56–9:48: Menopause, surgical menopause, and hormone therapy11:47–14:05: Pap tests, screening, and ongoing gynecologic care15:04–16:19: Pregnancy, emotional recovery, and final warning signs  Resources: Kindra Vulvovaginal Products https://www.ourkindra.com. Use discount Code: DRNATALIE to receive 20% off your order. Music: Stone by Stone licensed through Soundstripe. Code: LHLQDLR1QKAB6OMG

  2. Aug 16

    Hysterectomy: What It Is, Why You Might Need One & What Actually Happens

    This episode breaks down hysterectomy in plain English, explaining what the surgery removes, when it’s used, and how different surgical approaches affect recovery and hormone changes. Dr. Natalie Padveen, DPT, walks through the most common terminology so listeners can better understand what they’re being told and ask more specific questions before surgery. Key topics What a hysterectomy is and why it permanently ends the ability to get pregnantRemoving the uterus doesn't automatically mean removing the ovariesCommon reasons for hysterectomy: fibroids, endometriosis, pelvic organ prolapse, abnormal uterine bleeding, certain gynecological cancersThe main types: total, supracervical/subtotal, and radical hysterectomyTerminology around tube and ovary removal: salpingectomy, oophorectomy, salpingo-oophorectomy, bilateral salpingo-oophorectomyHow removing both ovaries before natural menopause can trigger surgical menopauseOpportunistic salpingectomy as a risk-reduction strategySurgical approaches compared: vaginal, abdominal, laparoscopic, robotic-assistedCommon surgical risks (bleeding, infection, blood clots, anesthesia complications, wound issues, organ injury)Practical questions to ask a surgeon beforehand: alternatives, what's being removed, recovery expectations, warning signs after surgeryTimestamps 00:00 - Why this episode is covering hysterectomy now 00:33 - What a hysterectomy is and what it removes 01:31 - The organs involved and why not all are removed together 02:00 - Common medical reasons for hysterectomy 02:54 - Fibroids, endometriosis, prolapse, and abnormal bleeding explained 04:19 - Total, supracervical, and radical hysterectomy 05:17 - Why the ovaries and tubes may or may not be removed 05:45 - Salpingectomy, oophorectomy, and salpingo-oophorectomy explained 06:15 - Surgical menopause and why ovarian hormones matter 06:45 - Opportunistic salpingectomy and ovarian cancer risk reduction 08:12 - Vaginal, abdominal, laparoscopic, and robotic approaches 09:12 - How surgeons choose the best surgical approach 09:39 - Recovery advantages of minimally invasive surgery 10:09 - Common hysterectomy risks and complications 10:39 - Questions to ask before surgery 11:37 - The biggest takeaway about understanding your exact procedure 12:37 - What the next episode will cover after surgery 13:07 - General medical disclaimer and individualized care reminder   Music: Stone by Stone licensed through Soundstripe. Code: LHLQDLR1QKAB6OMG

  3. Aug 10

    Men's Sexual Health Through the Lifespan with Dr. Joshua Gonzalez

    Men's Sexual Health with Dr. Joshua Gonzalez This episode explores men's sexual health from the teens and twenties through older age. What's common, what's not normal to ignore, and when to seek help. Dr. Joshua Gonzalez, a urologist fellowship-trained in sexual medicine, explains how erections, libido, hormones, pelvic floor issues, medications, and cardiovascular health intersect. The conversation also covers misconceptions shaped by pornography and social media, plus practical steps men can take to protect sexual function over time. Key topics Men's sexual health covers more than erections and testosterone . It includes libido, orgasm, ejaculation, pain, pelvic pain, penile curvature, and medication side effects.Erectile dysfunction and low testosterone can occur in men in their 20s and 30s. Age alone should never dismiss symptoms.Causes in younger men can include low testosterone, vascular problems, medication effects, and pelvic floor tension or pain.Stress, poor sleep, alcohol, smoking, and vaping matter most in the 30s and 40s, when career and family pressures rise.Sexual dysfunction after 50 is common but not inevitable; common isn't the same as normal.Cardiovascular and sexual health are closely linked. ED can be an early warning sign of vascular disease.Testosterone therapy myths (heart attack, stroke, prostate cancer) are addressed, distinguishing monitored replacement from steroid abuse.Key lifestyle priorities: sleep, heart-healthy diet, resistance training plus cardio, reduced alcohol and nicotine. Timestamps (00:00) Introduction and background (01:57) What men's sexual health covers (03:16) Young men's biggest misconceptions (05:08) Physiologic causes in younger men (06:56) Porn, social media, and expectations (08:09) Habits for long-term sexual health (10:33) Why men need to self-advocate (11:01) Stress, sleep, and function in 30s–40s (13:54) When testosterone tends to decline (15:34) Is testosterone the answer to fatigue? (17:10) When ED is no longer "just stress" (19:15) SSRI side effects on sexual function (21:14) Treating antidepressant-related dysfunction (22:49) Common vs. "normal" changes after 50 (25:44) Cardiovascular and sexual health links (28:17) Workup: Doppler testing, pelvic floor PT (29:25) Testosterone myths on cancer and heart risk (31:16) Therapeutic testosterone vs. steroid abuse (32:30) Who benefits from testosterone therapy (34:04) Lifestyle changes that help most (36:22) Peptides, GLP-1s, and Vyleesi (41:05) Supplements: what helps, what's unproven (42:39) Warning signs to never ignore (44:11) Why annual visits should screen sexual health (46:22) No cutoff date for sexual health (47:49) Where to find reliable information Links & Resources: Joshua Gonzalez MD ISSWSH SMSNA Connect: Instagram/TikTok @joshuagonzalezmd Music licensed through Soundstripe. Code: MCQ5MUER5LUTLRQ0

  4. Aug 2

    "The Gap Nobody Talks About”

    Diastasis rectus abdominis or DRA ExplainedIn this episode, I explain everything you need to know about diastasis rectus abdominis (DRA), a common condition that affects many people beyond postpartum women. Learn how to identify, understand, and address this issue to improve core stability, prevent future complications, and promote proper healing. Key topicsThe anatomy of the linea alba and how it functions as a connective zipperHow diastasis recti develops in both women and men under sustained abdominal pressureThe difference between diastasis and hernias, and potential long-term risksHormonal impacts postpartum that influence core healing, including estrogen and relaxinSafe exercises to engage deep core muscles and avoid worsen the separationSelf-check techniques to identify diastasis at homeWhen to seek professional help, including pelvic health physical therapyThe importance of patience and avoiding common mistakes like crunches during postpartum recoveryHow untreated diastasis can lead to back pain, pelvic floor dysfunction, and herniasSurgical options as a last resort, not a first step in postpartum recoveryTimestamps:00:00 - Introduction to diastasis recti and who it affects 00:31 - Recognizing the visual signs post-pregnancy or even without pregnancy 01:01 - Understanding the anatomy: the linea alba as a zipper 01:37 - How diastasis happens when this zipper stretches and muscles pull apart 02:05 - Visible signs and what they indicate about core load transfer 02:34 - Long-term effects, including hernias and structural changes 03:04 - The role of pregnancy, hormonal stretch, and mechanical stress 03:33 - Men and non-postpartum individuals at risk due to heavy lifting and genetics 04:30 - Who gets diastasis: conditions that cause sustained outward abdominal pressure 05:00 - How diastasis affects core function and contributes to low back and pelvic issues 05:27 - Components of the core system, including transverse abdominus and pelvic floor 06:26 - How to self-assess for diastasis at home 06:55 - Interpreting your self-check results 07:24 - The postpartum hormonal window and why patience is key 07:53 - Hormonal changes postpartum that delay healing 08:58 - The effects of nursing and hormonal suppression on tissue recovery 09:28 - When core healing typically begins postpartum and the importance of patience 10:25 - What NOT to do: avoid crunches and high-pressure movements 10:54 - Engaging the deep core muscles for safe strengthening 11:22 - How to incorporate arm and leg movements into core training 11:36 - Examples of safe exercises: toe taps, heel slides, bridges/modifications 12:03 - Proper breathing and engaging the core during exercises 12:31 - Daily life habits to support recovery and prevent worsening diastasis 14:26 - Surgical options for diastasis repair and when they are appropriate 14:57 - Risks of ignoring diastasis long-term, including chronic pain and hernias 15:25 - Signs that indicate a need for professional evaluation 16:20 - Final thoughts on understanding and managing diastasis effectively Connect with Dr. Natalie Padveen:LinkedInInstagram

  5. Jul 26

    The Menopause Symptom Nobody Told You About. Genitourinary Syndrome of Menopause (GSM).

    Are you experiencing discomfort, urinary issues, or emotional distress related to menopause? In this episode, I explain GSM. What it is, why it happens, and the treatment options available to improve your quality of life. Key topics:What is Genitourinary Syndrome of Menopause (GSM) and its impact on vaginal, vulvar, and urinary healthHow estrogen decline affects tissue health and symptomsDifferences between natural menopause, perimenopause, and surgical menopausePrevalence and risk factors, including age, surgeries, cancer treatments, smoking, and lack of childbirthCommon symptoms: vaginal dryness, burning, urinary issues, and emotional effectsThe serious risks of untreated GSM, especially recurrent UTIs and sepsisTreatment options: non-hormonal, hormonal treatments including vaginal estrogen, DHEA, and their safety profilesImportance of ongoing management and timing for treatment effectivenessQuestions to ask your healthcare provider about your symptoms and treatment planTimestamps:00:00 - Introduction to GSM and why it’s often overlooked 00:31 - The role of estrogen in maintaining tissue health 01:29 - Effects of estrogen decline during menopause and perimenopause 02:09 - Differences between natural menopause and surgical menopause 02:47 - Prevalence of GSM and affected symptoms 03:47 - Risk factors increasing susceptibility and severity 04:46 - How GSM affects emotional well-being and intimacy 06:42 - Connection between GSM, recurrent UTIs, and serious infections 07:40 - Treatment options: non-hormonal and hormonal therapies 08:39 - Benefits and safety of vaginal estrogen and DHEA 09:36 - Long-term use and management tips 10:44 - Essential questions to discuss with your healthcare provider 11:35 - Importance of patience and consistency in treatment 12:33 - Final encouragement and how to advocate for your health Resources & Links:Vaginal Estrogen Prescription is Associated with Reduced Risk of Serious Adverse Outcomes in Women of All Age Groups with Recurrent Urinary Tract Infection: An Epic Cosmos Database Analysis - ScienceDirect   Vaginal DHEA linked with decreased UTI prevalence in patients with genitourinary syndrome of menopause | Urology Times Connect with Dr. Natalie Padveen:Instagramhttps://www.linkedin.com/in/nataliepadveen/

  6. Jul 19

    The Missing Link Between Stress and Pelvic Health: Fight, Flight, or Clench

    This episode explores the connection between the nervous system and pelvic health, with practical insight into polyvagal theory, regulation, trauma, sleep, social connection, and everyday grounding strategies. Dr. Anne Duch shares how nervous system states can influence pelvic pain, bladder urgency, constipation, and overall well-being, while offering accessible tools listeners can try right away. In this episode: Dr. Anne Duch shares how she specialized in pelvic healthA simple explanation of polyvagal theory and nervous system statesHow co-regulation and safety cues help calm the nervous systemThe connection between nervous system dysregulation and pelvic painHow bladder urgency, constipation, and IBS can be influenced by stressThe role of trauma, life experiences, and protective body patternsPractical regulation tools: breathing, touch points, and movementWhy sleep, nutrition, hormones, and social connection matterSimple grounding practices listeners can use in under five minutes  Timestamps: 00:00 Introduction to the episode and guest 00:11 Sponsor message and guest introduction 01:25 Guest background and specialization in pelvic health 03:43 Introduction to polyvagal theory 07:53 Understanding nervous system responses and regulation 12:26 Role of the vagus nerve in health 14:35 How the nervous system perceives safety and threat 17:57 Connection between nervous system and pelvic pain 20:33 Pelvic health symptoms linked to nervous system dysregulation 23:47 Trauma and life experiences' impact on body and pelvis 29:56 Supporting nervous system health through simple practices 34:36 Breathing, touch points, and movement for regulation 38:14 Hormonal changes, sleep, and nervous system health 39:41 The importance of social connection 41:13 Grounding practices in under five minutes 44:21 Key takeaway: meet your nervous system where it is 45:04 Connecting with Dr. Anne Duch and her work Resources & Links: Dr. Anne Duch’s website: https://anneduch.comVagus Nerve Course: https://anneduch.com/vagus-courseInstagram: https://www.instagram.com/pt_for_women Ad: Kindra vulvovaginal products can be found at https://www.ourkindra.com. Use coupon code DRNATALIE for a 25% discount.

  7. Jul 12

    The Walnut, the Apricot, the Lemon: The Prostate Problem Nobody Talks About

    Discover how benign prostatic hyperplasia (BPH) impacts millions of men worldwide, why it remains underdiscussed, and what effective treatment options are available. Dr. Natalie Padveen breaks down complex symptoms and solutions with clear analogies and practical advice to address this common yet overlooked issue. Key Topics The natural growth of the prostate across different ages and how it influences urinationThe analogy of walnut, apricot, and lemon to explain prostate size progressionCommon symptoms of BPH, including frequency, urgency, and incomplete emptyingThe prevalence of BPH: 80% of men develop it, and its impact on quality of lifeDifferentiating BPH from prostate cancer: systemic symptoms vs urination-focused issuesTreatment options: pelvic floor physical therapy, medications, and surgeryHow pelvic floor therapy relaxes muscles and improves bladder emptyingMedications: alpha blockers and prostate shrinking drugsSurgical intervention: TURP procedure and associated risksEncouragement for men to discuss BPH openly with healthcare providers  Timestamps: 00:00 - Introduction to men's health issue: BPH and why it remains overlooked 00:30 - Prostate growth stages represented by the walnut, apricot, and lemon 01:00 - How BPH enlarges the prostate and squeezes the urethra 01:29 - Symptoms and how bladder walls thicken over time 02:24 - Common signs like frequent urination and feeling unemptied 03:04 - Prevalence of BPH by age, affecting up to 90% of men 03:33 - The societal silence surrounding men's prostate health 04:31 - Clarifying that BPH is not cancer and addressing common fears 04:59 - Difference between BPH and prostate cancer symptoms 05:28 - Identifying red flag symptoms warranting medical attention 06:26 - Treatment strategies, starting with pelvic floor physical therapy 06:54 - How pelvic PT relaxes muscles and improves bladder emptying 07:24 - Behavioral modifications and toileting tips 07:44 - Medication options: relaxing muscles vs shrinking prostate 08:10 - Overview of TURP surgery and its effectiveness 08:39 - The success of conservative and medical treatments 09:08 - The importance of open discussion and seeking treatment 09:36 - Closing encouragement for men to prioritize their prostate health.

  8. Jul 6

    Testicular Cancer & The Self-Exam Nobody's Teaching

    Discover the crucial details about testicular cancer, its risk factors, symptoms, and why early detection saves lives. Dr. Natalie Padveen emphasizes the importance of normalizing testicular self-exams and provides practical guidance on how to perform them. Main Topics: Prevalence and demographics of testicular cancerRisk factors, including genetics and occupational exposuresRecognizable symptoms and signs to watch forHow to perform a testicular self-exam correctlyThe importance of early detection and medical intervention Timestamps: 00:00 - Introduction to testicular health and importance of awareness 00:13 - Testicular cancer stats and affected age groups 01:07 - Types of testicular cancer and origin from germ cells 01:55 - Risk factors: family history, development, race, and occupational hazards 03:17 - Recognizing symptoms and when to see a doctor 03:44 - Diagnostic procedures and treatment options 04:41 - The importance of early detection and survival rates 05:09 - How to perform a testicular self-exam step-by-step 06:33 - Normal variations and what warning signs to look for 07:01 - Frequency of self-exams and a call to action for sharing information 07:27 - Closing remarks and encouragement to break the

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About

Welcome to Yeah, We're Going There with Dr. Natalie, the podcast that tackles pelvic health topics openly, honestly, and without shame. From menopause, incontinence, and pelvic organ prolapse to post-prostate recovery, sexual wellness, and everything in between, Dr. Natalie breaks down the conversations most people avoid and turns them into clear, practical guidance you can actually use. Dr. Natalie Padveen, PT, DPT, PRPC, is a pelvic health specialist, author, and fitness creator who has spent over three decades helping women (and men) take back control of their bodies. She's the founder of Pelacore, a NASM-accredited pelvic core fitness program, and the author of Leak No More. If it involves your pelvic floor, she's not afraid to talk about it. Dr. Natalie combines both solo shows and interviews of other top industry experts, physicians, and authors, who share their knowledge and insights to ensure you get the most comprehensive informative Each episode answers real questions, cuts through misinformation, and empowers women and men to better understand their bodies and their health. Yeah, we're going there, because knowledge drives better health!

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