The World's Tightest Community - A Podcast About Vulvodynia, Vaginismus & Women's Pelvic Pain

Mathilde Olstad
  • 5.0 (1)
  • Sexuality
  • Updated Semiweekly

Chronic pelvic pain doesn't have great PR. Vulvodynia, vaginismus, painful sex, pelvic floor dysfunction - conditions that affect 1 in 4 women and still get treated like a secret. This podcast is trying to change that. The World's Tightest Community is a weekly podcast hosted by Mathilde - a patient-turned-advocate who built this space out of her own experience with vulvodynia and vaginismus. Each episode goes deep into the conditions that millions of women live with but few feel safe naming: vulvodynia, vaginismus, vestibulodynia, pudendal neuralgia, and the wider landscape of chronic pelvic pain and painful sex. Mathilde speaks with gynecologists, pelvic floor physiotherapists, sex therapists, psychologists, and researchers working at the front edge of women's sexual health - translating clinical knowledge into something actually usable, alongside honest conversations about diagnostic delays, medical gaslighting, and what it really costs to navigate these conditions. You'll leave each episode with more language for your experience, clearer questions to bring to your next appointment, and the specific relief of knowing someone has thought carefully about this. New episodes every week. Follow wherever you listen, and find the community on Instagram. 3

  1. 1d ago ·  Video

    Supporting a Partner With Vaginismus or Painful Sex: What It Feels Like and How You Can Help

    Supporting a Partner With Vaginismus or Painful Sex: What It Feels Like From the Inside and How You Can Help This episode started with an email from a listener: a man in his twenties whose girlfriend has lived with vaginismus and pelvic pain for years. He wanted to know how to be a good partner to someone going through this. So this one is for the partners. I talk about what this can feel like from the inside, why she might pull away when you touch her and why that is not a verdict on you, and how the two of you can become a team around this instead of letting it come between you. I go through Natalie Rosen's research on the three ways partners respond, including the surprising finding about which kind of support is linked to more pain rather than less. And I talk about you, because you are in this too and you are allowed to be struggling. One in four women and people with vulvas experience this. There are real mechanisms behind it, there are treatments, and people do get better. SPONSORS Pelva: the HydroSlix liner, a cushioning insert for more comfort during insertion. pelva.com, code TWTC10 for 10% off your first order. Origin: the largest in-network pelvic floor PT provider in the US, most patients pay under $36 a visit. theoriginway.com/TWTC, code TWTC for your first month of OnTrack free. Connect with Mathilde: IG: @theworldstightestcommunityWebsite: theworldstightestcommunity.comSign up to the newsletter: https://tinyurl.com/4h4snzzdSupport the podcast: https://tinyurl.com/mtxnzhsd CHAPTERS 00:00:00 Introduction 00:00:36 The Email That Started This Episode 00:01:09 The Partner as the Only Witness 00:01:51 Couples and Vulvodynia, Earlier Episode 00:03:33 One in Four, an Overlooked Reality 00:04:06 Real Mechanisms, Real Treatments 00:05:02 Four Parts; a Note Before We Start 00:07:00 The Sexual Script Both of You Inherit 00:07:49 Sex as Penetration, Foreplay as Warm-Up 00:08:33 Losing Him, Not Being Enough 00:09:50 Why She Hears Something Different 00:10:33 Pain and Desire, the Body's Protection 00:11:54 Rejection, and Fear of Any Touch 00:12:31 The Cycle You Both Get Caught In 00:13:12 Sponsor: Pelva 00:15:04 Sponsor: Origin 00:16:39 Naming It Out Loud 00:18:30 Us Against This, Not Each Other 00:19:43 Holding the Hope on Her Behalf 00:20:19 Being Told Nobody Knows Why 00:21:43 What We Actually Do Know 00:22:35 Seven Rejections, Finding the Eighth 00:24:12 Tool: Penetration off the Pedestal 00:25:43 Intimacy With No Required Destination 00:27:02 Natalie Rosen, Three Partner Responses 00:27:56 Solicitous Support and More Pain 00:28:42 Facilitative Support and Lower Pain 00:29:40 Tool: What to Actually Ask Each Other 00:31:04 Tool: Letting Her Initiate 00:31:40 You Are Allowed to Be Struggling 00:32:58 Your Feelings Are Not Hers to Fix 00:33:30 Facing It Together 00:34:16 Closing Thoughts

    Supporting a Partner With Vaginismus or Painful Sex: What It Feels Like and How You Can Help

  2. Aug 17 ·  Video

    Vestibulectomy on Screen: Bonnie Gross on Lady Parts and Her Second Surgery

    If you are googling vestibulectomy recovery at 2am, this one is for you. Bonnie Gross has had the surgery twice, ten years apart, and she is unusually good at describing it - she wrote and executive produced Lady Parts, the award-winning comedy based on the first one. We recorded this four weeks after her second. Most of this conversation is the practical side she could not fit in the film: the pre-surgery shopping list, the recovery timeline week by week, the insurance denial, the graft taken from inside her cheek, and what dilator work is really like afterwards. Sponsors: Pelva - pelva.com, code TWTC10 for 10% off Origin - theoriginway.com/TWTC, code TWTC for a free month of OnTrack Connect with Bonnie: IG: @ladyparts_filmWebsite: ladypartsfilm.com Connect with Mathilde: IG: @theworldstightestcommunityWebsite: theworldstightestcommunity.comSign up to the newsletter: https://tinyurl.com/4h4snzzdSupport the podcast: https://tinyurl.com/mtxnzhsd Chapters: 00:00:00 Cold Open: Lady Parts Trailer 00:01:29 Welcome, Episode Overview 00:02:58 Bonnie Gross, Four Weeks Post Op 00:04:06 Lady Parts, Comedy Drama, True Story 00:06:31 College, Penetration, Clothes, Sitting 00:07:17 Three Years Searching; Gaslighting at 19 00:10:43 Dr. Amy Stein, Referral to Dr. Goldstein 00:11:14 Cost, Q-Tip Test, Being Believed 00:12:05 Ruling Out Hormonal Vestibulodynia 00:13:33 Surgery on the Table; Capsaicin 00:17:06 Vestibule Clock, 12 O'Clock, Urethra 00:17:46 Nerve Endings Left, Buccal Graft 00:18:49 Endometriosis, Hypermobility Overlap 00:20:09 Denied as Cosmetic, $10,000, No Code 00:21:12 Eighty Percent Relief, Ten to Four 00:22:28 Sponsor: Pelva 00:23:54 Sponsor: Origin 00:25:29 Practical Prep; Sitz Baths 00:27:35 Peri Bottle, Pee Pads With Adhesive 00:28:38 Nightgowns, Robes, Going Commando 00:29:12 Ice Packs, Liquid Meds, Soft Foods 00:30:41 Outpatient Surgery, Going Home 00:32:14 Legs Together, No Sitting, No Shower 00:33:13 Six Weeks in Bed, Needing Full Care 00:34:14 Pain by Phase, 24 Hours to Two Weeks 00:36:47 Mouth Pain, Graft Site, Fast Healing 00:38:12 Walking by Day Two, Itchy Stitches 00:38:52 Tool: Take the Pain Meds 00:39:24 Stitches, Donut Pillow, Back to Work 00:41:41 Clitoral Adhesions, Hood Retraction 00:43:17 Physiotherapy, Scar Tissue, Dilators 00:46:54 Tool: A Chair at the Edge of the Bath 00:48:10 Time Off Work, Desk Jobs, Commuting 00:51:03 Mesh Undies, Ice Packs, Baby Food 00:53:52 Periods in Recovery, Free Bleeding 00:55:19 IUD, No Period Through Surgery 00:56:33 Making Lady Parts, Ten Years 01:00:53 Life Savings, Making the Film, On Set 01:02:01 Festivals, Distribution, Screenings 01:04:57 Where to Watch: Prime, Tubi, Kinema 01:06:12 GoFundMe, Where to Find Bonnie 01:07:20 Outro, Reviews, Supporting the Show

    Vestibulectomy on Screen: Bonnie Gross on Lady Parts and Her Second Surgery

  3. Aug 10 ·  Video

    The Only Episode You Need to Understand Pelvic Floor Strength, Tightness and Kegels

    What does it actually mean to have a strong pelvic floor - and is strong even the right thing to chase? Kimberlee Sullivan is a board-certified women's health physical therapist and Head of Clinics at Origin, where she leads nationwide clinical strategy. She has spent over twenty years in pelvic floor PT and founded her own Austin clinic, Sullivan Physical Therapy, in 2005. We cover the difference between strong and healthy, what the 0 to 5 strength score does and does not measure, why tight is not the same as strong, and how a constantly contracted pelvic floor gets weaker over time. Kimberlee also walks through relaxation versus lengthening, reverse kegels and straining, breath work, at-home tools, and why she does not have a five out of five herself. If you are dealing with hypertonicity, postpartum, or have only ever been told to do your kegels - start here. Kimberlee demonstrates much of this on camera, so watch on YouTube or Apple if you can. Sponsors: Pelva: pelva.com, code TWTC10 for 10% off Origin: theoriginway.com/TWTC, code TWTC for a free first month of On-Track Connect with Origin: Origin: theoriginway.com Instagram: @theoriginway Connect with Mathilde: IG: @theworldstightestcommunityWebsite: theworldstightestcommunity.comSign up to the newsletter: https://tinyurl.com/4h4snzzdSupport the podcast: https://tinyurl.com/mtxnzhsd Chapters: 00:00:00 Intro 00:01:58 Kimberlee Sullivan, Origin 00:03:30 Strong vs Healthy 00:05:08 Muscle Tone, Bicep Analogy 00:06:38 Sucking in Your Stomach, Bracing 00:07:52 Relaxation vs Lengthening 00:09:14 The Contraction Spectrum 00:10:10 Postpartum Score, 0 to 5 Scale 00:10:52 Manual Muscle Testing, Grades 00:11:37 Healthy at Three, Dysfunction at Five 00:14:10 Tight vs Strong, Constant Kegels 00:15:51 Tight for Whom, Societal Pressure 00:16:44 Does Tight Mean Weak 00:17:45 Losing Strength Over Time 00:18:45 Internal Exam, Thigh vs Neck 00:19:53 False Positives, Testing Both Sides 00:21:20 Hypertonicity, Learning to Lengthen 00:21:56 Basket and Balloon 00:22:34 Tool: The Soft Spot Check 00:23:49 Reverse Kegels, Down and Out 00:24:32 Straining, Micro Tears 00:27:04 One Long Kegel, Rest as Pushing 00:27:52 Hotel Lobby, Elevator, Garage 00:29:09 Not Knowing Your Baseline 00:29:49 Sponsor: Pelva 00:31:39 Sponsor: Origin 00:33:30 Breath, Diaphragm, Pelvic Floor 00:35:04 Fight or Flight, Chronic Pain 00:35:55 Chest vs Belly Breathing, 360 00:37:02 Reverse Kegel vs Breath 00:38:40 At-Home Devices 00:39:15 Tools, Getting Assessed First 00:40:02 The 100 Kegels a Day Myth 00:40:47 Tool: Finger Biofeedback 00:41:54 Partner Check, Dilators 00:42:40 Movement, Coordination 00:43:39 Perifit, Kegel Devices 00:44:41 Reinforcing a Contracted State 00:46:33 Chasing Healthy, Not Perfect 00:47:50 Incontinence as Transient 00:48:21 Stress, Illness, Life Stages 00:50:00 Being Your Own Advocate

    The Only Episode You Need to Understand Pelvic Floor Strength, Tightness and Kegels

  4. Aug 3

    Pelvic Venous Disorders and May-Thurner Syndrome: One Woman's Pelvic Pain Diagnosis

    Olivia lived with chronic pelvic pain for years - a constant dull, dragging ache on her left side that worsened when she sat or bent down - while doctors dismissed her fatigue and brain fog as just being a tired mother. What finally explained it wasn't the vascular surgeon who wanted to remove a vein in her leg. It was an interventional radiologist who suspected pelvic congestion syndrome, sent her for the right imaging, and found she also had May-Thurner syndrome. That diagnosis led her to dedicate her Instagram and a new symptom-checker platform to helping other women connect the dots. We go through her full story and what treating pelvic venous disorders actually involves. Thank you to our sponsors for making sure these conversations stay free for everyone: Pelva: https://lddy.no/1pmrf?afmc=TWTC10 Use code TWTC10 at checkout to receive 10% off your first order. Origin: http://theoriginway.com/twtc Use promo code TWTC to get your first month of Origin's On-Track membership free: Connect with Olivia: Instagram: https://www.instagram.com/kinuum_flow/ Symptom checker: https://kinuum.com/  Connect with Mathilde: IG: @theworldstightestcommunityWebsite: theworldstightestcommunity.comSign up to the newsletter: https://tinyurl.com/4h4snzzdSupport the podcast: https://tinyurl.com/mtxnzhsd 00:00:00 Intro 00:04:21 Pain Onset, Suspected Muscle Strain 00:05:26 Constant Pain, Sitting & Bending 00:06:23 Dull Dragging Ache, Left Pelvic Floor 00:07:00 Postpartum Fatigue, Brain Fog, Dismissal 00:08:12 Varicose & Spider Veins Explained 00:09:50 Non-Healing Wound, Circulation Clue 00:10:22 Diagnostic Delay, Grief 00:11:39 PCOS Misdiagnosis, MRI Denied 00:13:15 Interventional Radiologist vs Vascular Surgeon 00:14:00 Nearly Unnecessary Surgery, Second Opinion 00:14:50 Being Believed, MRI Referral 00:16:33 Duplex Ultrasound, MRI with Contrast 00:17:15 Venogram, Real-Time Blood Flow 00:18:56 Sponsor: Pelva 00:20:45 Sponsor: Origin 00:22:20 Pelvic Venous Disorders, Umbrella Term 00:23:38 Congested vs Compressed Veins 00:24:18 May-Thurner, Left Iliac Vein, Stents 00:25:55 Pregnancy, Vein Stretching; Men 00:27:16 Hypermobility, EDS Correlation 00:28:06 ISSWSH, Siloed Medicine, Comorbidities 00:29:38 Everything Is Connected 00:30:35 Procedure 1: Coil Embolization 00:31:05 Procedure 2: Laser Ablation, Recovery 00:32:20 Procedure 3: Sclerotherapy 00:33:21 Pain-Free, Stress-Related Flare-Ups 00:34:09 Life After Treatment, Brain Fog Gone 00:35:00 Grief for Lost Years, Validation 00:36:40 Why Closing a Vein Works 00:37:51 Realistic Expectations 00:38:33 Tools: Walking, Hydration, Inflammation 00:39:50 When to Seek Answers, Getting a Referral 00:41:14 Finding Trusted Specialists 00:43:14 Where to Find Olivia 00:44:28 Support the Podcast

    Pelvic Venous Disorders and May-Thurner Syndrome: One Woman's Pelvic Pain Diagnosis

  5. Jul 13

    Self-Hypnosis For Vulvodynia: The "Silly Fad" That Actually Ended Sheren's 10-Year Pain

    Sheren Gaulbert lived with severe vulvar pain for ten years — bedridden, on high doses of amitriptyline, and told by a leading specialist to consider giving up work. What changed things wasn't a new medication or a new specialist. It was a self-hypnosis script she recorded herself off the back of a book she picked up in a bookshop, something a friend had dismissed as just the latest fad. That breakthrough led her to train as a cognitive hypnotherapist, and she's now a Trustee of the UK's Vulval Pain Society. We go through her full story and what cognitive hypnotherapy actually involves. Thank you to our sponsors for making sure these conversations stay free for everyone: Pelva: https://lddy.no/1pmrf?afmc=TWTC10 Use code TWTC10 at checkout to receive 10% off your first order. Origin: http://theoriginway.com/twtc Use promo code TWTC to get your first month of Origin's On-Track membership free:   Connect with Sheren:  Website: the-ultimate-you.comYoutube: https://www.youtube.com/@VulvalPainSocietyUk   Connect with Mathilde: IG: @theworldstightestcommunity Website: theworldstightestcommunity.com Sign up to the newsletter: https://tinyurl.com/4h4snzzd Support the podcast: https://tinyurl.com/mtxnzhsd  Timestamps: (00:00:00) Cold open (00:00:15) Intro (00:01:07) Sheren's story begins — law school & early symptoms (00:03:27) Onset of pain in her early 20s (00:04:14) Starting amitriptyline & dropping out of law school (00:05:41) "You've already seen the best person" (00:06:34) Told to consider bed rest & quitting work (00:08:24) Amitriptyline climbing to 95mg over 10 years (00:09:01) The nocebo effect (00:10:03) Ten years of excruciating pain (00:11:30) Isolation & finding the Vulval Pain Society (00:12:57) Physio & trialing therapies methodically (00:14:08) Restrictive diets & early self-hypnosis that didn't work (00:16:09) A friend mentions "the latest fad" (00:17:32) Recording her own hypnosis script (00:18:34) The values-based turning point (00:20:54) Deciding to help others (00:22:11) Sponsor: Origin (00:23:54) Sponsor: Pelva (00:25:13) Man's Search for Meaning (00:26:17) Training to become a cognitive hypnotherapist (00:27:39) What is cognitive hypnotherapy? (00:29:02) Predictive processing & pain (00:33:39) The trance state, explained (00:36:32) Debunking stage hypnosis (00:37:32) Undoing old beliefs, EMDR & her recovery "trio" (00:43:20) Who she works with (00:46:18) The pain science debate (00:49:51) What makes her hopeful (00:52:01) "There is no shame" (00:52:48) Where to find Sheren (00:53:53) Outro & two-week break

    Self-Hypnosis For Vulvodynia: The "Silly Fad" That Actually Ended Sheren's 10-Year Pain

  6. Jul 6

    Vulvodynia's $18,000 a Year Cost + a Mini Interview With Origin CEO Carine Carmy

    What does it actually cost to get taken seriously when you're in pain? For the average woman with vulvovaginal or pelvic pain in the US, it's about $18,000 a year - paid entirely out of pocket. Today I'm speaking with Carmen Rising, a Brooklyn-based writer whose reporting on vulvovaginal pain has recently run in The New York Times and The Guardian. She came to this as a patient herself, and in this episode we get into the real economics of chronic pelvic pain, why the insurance system fails these conditions almost by design, and how an unregulated wellness industry has rushed in to fill the gap medicine left wide open. — Thank you to our sponsors for making sure these conversations stay free for everyone: Pelva: https://lddy.no/1pmrf?afmc=TWTC10 Use code TWTC10 at checkout to receive 10% off your first order. Origin: http://theoriginway.com/twtc Use promo code TWTC to get your first month of Origin's On-Track membership free. — *Links:* https://www.nytimes.com/2026/05/19/well/vaginal-health-wellness-products.html? https://www.theguardian.com/wellness/2026/jun/12/pelvic-pain-costly-expense *Connect with Mathilde:* * IG: @theworldstightestcommunity * Website: theworldstightestcommunity.com * Newsletter: https://tinyurl.com/4h4snzzd * Support the podcast: https://tinyurl.com/mtxnzhsd — Timestamps: (00:01:22) How Carmen got into this world — her own decade-long diagnosis journey (00:03:15) Overview of her NYT and Guardian pieces (00:03:38) The Guardian piece: unpacking the $18,000-a-year figure (00:04:16) Where the $31–72 billion economic burden actually comes from (00:06:00) Diagnostic delay as the biggest cost driver (00:06:55) Paying cash — Stephanie Berman's $40,000 story (00:07:50) Diagnostic trial-and-error, and the burden beyond dollars (00:08:51) "A dumpster fire of brokenness" — how insurance fails these conditions (00:11:42) Hysterectomy reimbursement vs. a knee replacement (00:12:27) Mathilde's own insurance dispute in the UK (00:13:46) Grassroots efforts: Tightlipped and the Aziza Project (00:14:47) What it would take to close the gap (00:17:36) The US healthcare system and the policy-level problem (00:18:11) "A wealthy white woman's problem" (00:20:03) Why "pain during sex" undersells the whole picture (00:23:35) Sponsor: Origin, with founder Carine Carmy (00:31:18) Sponsor: Pelva (00:33:04) The Vaginal Wellness Boom (00:33:32) Noticing targeted ads (00:37:01) "OBGYN backed" and "evidence based" (00:37:51) The core critique: wellness fills the gap medicine leaves open (00:41:15) Wellness companies' profit motives vs. big pharma (00:42:23) The counterargument: could market demand drive real research? (00:45:11) Vaginal microbiome test kits (00:45:41) Unregulated microbiome testing and diagnostic claims (00:48:10) Yeast infections, vulvar pain, and at-home test sensitivity (00:48:59) PCR swabs, Microgen DX, and the repackaging critique (00:51:07) The real issue — interpreting results without guidance (00:53:16) Outro

    Vulvodynia's $18,000 a Year Cost + a Mini Interview With Origin CEO Carine Carmy

  7. Jun 29

    Clitoral Nerve Mapping, Botox Update, and the Question Dr. Rachel Rubin Made Me Ask Myself

    What does a groundbreaking study on clitoral nerves, a Norwegian novel about a man who moves into the forest, and one question from Dr. Rachel Rubin have in common? This week's solo episode. This episode is kindly sponsored by Pelva. Use code TWTC10 at checkout to receive 10% off your first order. (I earn a commission if you purchase through my link.) In this episode, I cover four things that have been living in my head: a new piece of research out of Amsterdam that is rewriting what we thought we knew about clitoral anatomy, a book recommendation that hit unexpectedly close to home, a personal update on two new treatments I’m trying, and something I’ve been quietly building in the background - and that I have finally decided to say out loud. The Amsterdam study used 3D imaging technology to map the main sensory nerve of the clitoris down to a thousandth of a millimeter - and what they found contradicts what we thought we knew. I break down what the research actually shows, why it matters for pleasure, and why it has direct implications for surgery. Study referenced: Lee, J.Y., de Bakker, B.S., et al. (2026). Neuroanatomy of the clitoris. bioRxiv. https://doi.org/10.64898/2026.03.18.712572 I also talk about finally accessing pelvic floor Botox and topical estrogen after years of trying, what it felt like to be offered something that would physically do something rather than just be redirected to home exercises, and what a strange little Norwegian novel taught her about the particular exhaustion of always being the capable one. And then there's the thing I’ve been afraid to build - but that just makes sense. In this episode: The history of how the clitoris has been found, lost, denied and erased over 2000 yearsWhat the new Amsterdam study found and why the old nerve maps were wrongWhy this matters for surgery, FGM reconstruction, and our basic understanding of pleasureThe Norwegian concept of being flink - and why it resonated so deeplyPelvic floor Botox: what it is, why Mathilde tried it, and what the appointment was likeTopical estrogen and the hormonal element of vulvovaginal painThe question Dr. Rachel Rubin asked that Mathilde hasn't been able to stop thinking aboutWhat Mathilde is building and how you can get involved at this early stage Connect with Mathilde: IG: @theworldstightestcommunity Website: theworldstightestcommunity.com Sign up to the newsletter • • Support the podcast

    Clitoral Nerve Mapping, Botox Update, and the Question Dr. Rachel Rubin Made Me Ask Myself

  8. Jun 22

    Low Desire in Women: How It Works, Why Pain Affects It, and What Can Be Done, With Dr. Corey Babb

    Why does desire so often disappear after sex has become painful - and is there actually anything you can do about it? In this episode, I sit down with Dr. Corey Babb, a board-certified gynecologist and one of my favorite voices in sexual medicine, whose Substack writing on desire and arousal is some of the clearest thinking on these topics out there. He returns to the podcast to set the record straight on two things we constantly confuse: desire and arousal. We get into why these are two completely separate processes, and why - using Dr. Babb's "waterfall" model - desire is almost always the last thing you treat, after pain, arousal, and orgasm. We talk about the neuroscience underneath all of it: how the brain learns to associate sex with discomfort, what neuroplasticity has to do with desire returning, and why it can take time even after the pain itself is resolved. Dr. Babb also explains the two FDA-approved drugs for low desire in women, Addyi and Vyleesi, where they fit in, and why it's striking that these are the only two we have - more than thirty years after Viagra. We close on the most validating idea in the whole conversation: if you've had pain for a sustained period, low desire isn't a personal failing. It's expected, it's explainable, and there are people who know how to treat it. Whether you're navigating pain and a desire that's changed, a partner trying to understand, or a clinician - I think you'll take a lot away from this one. This episode is kindly sponsored by Pelva. Use code TWTC10 at checkout to receive 10% off your first order. (I earn a commission if you purchase through my link.) In this episode: The difference between desire and arousal, and why it mattersDr. Babb's "waterfall" model: pain, arousal, orgasm, and why desire comes lastSpontaneous vs reactive desire, and where the idea of "spontaneous" desire came fromHow the brain learns to associate sex with discomfort - and how it can relearnWhat neuroplasticity has to do with desire returning after painThe two FDA-approved drugs for low desire in women, and where they fit inWhy low desire after sustained pain is expected, not a personal flaw Connect with Dr. Corey Babb: https://www.instagram.com/dr.coreybabb/?hl=en /https://www.tiktok.com/@dr.coreybabbhttps://www.facebook.com/DrCoreyBabb/?_rdr https://substack.com/@drcoreybabb  Connect with Mathilde: IG: @theworldstightestcommunity Website: theworldstightestcommunity.com Sign up to the newsletter • • Support the podcast

    Low Desire in Women: How It Works, Why Pain Affects It, and What Can Be Done, With Dr. Corey Babb
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Ratings & Reviews

About

Chronic pelvic pain doesn't have great PR. Vulvodynia, vaginismus, painful sex, pelvic floor dysfunction - conditions that affect 1 in 4 women and still get treated like a secret. This podcast is trying to change that. The World's Tightest Community is a weekly podcast hosted by Mathilde - a patient-turned-advocate who built this space out of her own experience with vulvodynia and vaginismus. Each episode goes deep into the conditions that millions of women live with but few feel safe naming: vulvodynia, vaginismus, vestibulodynia, pudendal neuralgia, and the wider landscape of chronic pelvic pain and painful sex. Mathilde speaks with gynecologists, pelvic floor physiotherapists, sex therapists, psychologists, and researchers working at the front edge of women's sexual health - translating clinical knowledge into something actually usable, alongside honest conversations about diagnostic delays, medical gaslighting, and what it really costs to navigate these conditions. You'll leave each episode with more language for your experience, clearer questions to bring to your next appointment, and the specific relief of knowing someone has thought carefully about this. New episodes every week. Follow wherever you listen, and find the community on Instagram. 3

Information

  • Creator
    Mathilde Olstad
  • Years Active
    2025 - 2026
  • Episodes
    42
  • Rating
    Explicit
  • Copyright
    © 2025 Mathilde Olstad

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