Common Doesn’t Mean Normal: Pelvic Floor Healing in Midlife | Hotness Ep 9

Your pelvic floor may be affecting far more than you realize.

In this episode of Hotness, I sit down with pelvic floor physical therapist Julie Bottarini to talk about one of the most overlooked parts of women’s health in midlife, the pelvic floor.

Many women assume bladder leaks, pelvic pain, prolapse, painful intimacy, constipation, or pressure “down there” are simply part of aging.

They’re common.

But common does not mean normal.

We unpack what’s really happening in the body through pregnancy, postpartum, perimenopause, and menopause… and why the solution is not always more Kegels.

Because pelvic floor health affects so much more than just physical comfort.

It impacts confidence. Desire. Movement. Connection. And how safe and supported you feel inside your own body.

In this episode, we discuss:

✨ Why bladder leaks are common — but not normal
✨ Pelvic pain and painful intimacy in midlife
✨ Prolapse and what women misunderstand about it
✨ Why doing more Kegels can sometimes make symptoms worse
✨ How hormones affect pelvic floor function
✨ The connection between pelvic floor health and confidence
✨ Pregnancy, postpartum recovery, and long-term pelvic changes
✨ Why pelvic floor physical therapy can be life-changing

Midlife is not about tolerating symptoms.

It’s about understanding your body and giving it the support it deserves.

Because you can embrace your hotness at every age.

🎁 Download your FREE Midlife Guide:
DrLizMD.com/hotness

If this episode helped you, please like, subscribe, share, and leave a review. It helps more women find these conversations and the tools they deserve.

#HotnessPodcast #PelvicFloorHealth #MenopauseHealth #MidlifeWomen #WomensHealth #PelvicFloorTherapy #HormoneHealth #MenopauseSupport
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CHAPTERS
00:00 Introduction
00:31 Meet Julie Bottarini
02:10 Why pelvic floor health matters in midlife
05:22 Common pelvic floor symptoms women ignore
09:15 Why bladder leaks are NOT normal
13:40 Why more Kegels isn’t always the answer
18:05 Hormones and pelvic floor changes
22:18 Pelvic pain and intimacy challenges
27:35 Pregnancy, postpartum, and long-term impact
33:10 What pelvic floor physical therapy actually does
38:45 Practical tools women can start using
42:10 Final thoughts
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