STRESS INCONTINENCELeaking when you sneeze, laugh, cough, run, jump, or exercise is common- but that doesn't mean you have to accept it as normal or simply live with it, even if your mom, auntie, and grandma all experienced the same thing.We’ll talk through the behavioral, lifestyle, and physical factors that may be contributing to your symptoms. When appropriate, we’ll complete a pelvic assessment to better understand what’s happening and determine the next steps in your care.URGE INCONTINENCEDo you sometimes feel like you need to get to the bathroom right now? Do you get a huge urge to pee as soon as you arrive home? Are you waking up multiple times a night to urinate? Urinary urgency and urge incontinence can become more common with age and hormonal changes, but there are things we can do to improve bladder control and quality of life.We’ll look at your bladder habits, behavioral factors, pelvic floor function, and other possible contributors to your symptoms. A pelvic assessment can also help identify skin, muscular, or other factors that may be playing a role. Because urinary and sexual symptoms often change during perimenopause and menopause, we’ll also talk about hormonal changes and connect you with other healthcare providers when additional support is appropriate.FECAL INCONTINENCE & BOWEL URGENCYSmearing in your underwear. Needing a bathroom RIGHT NOW. Losing small amounts of stool, or having a complete bowel movement before you make it to the bathroom. These symptoms are common, but they are not something you simply have to put up with. Many people can experience meaningful improvement, and sometimes symptoms can be resolved completely.We’ll talk through your medical history, nutrition, bowel habits, bathroom routines, and symptoms, and combine that information with findings from a pelvic assessment. From there, we’ll create a plan based on your goals and what your body needs.You deserve to be able to leave the house, exercise, travel, work, and participate in the activities you value without constantly planning your life around the nearest bathroom.BOOK AN APPOINTMENT >

“Just relax.”“Have a glass of wine first.”“It’s supposed to hurt a little.”“It’s all in your head. You’re fine.”These are just a few of the things some of my patients have been told about painful sex. If you’re experiencing unwanted pain with penetration or sexual activity, you don't have to accept that pain as normal.We’ll start by talking about your symptoms and your history. When you’re ready, we can complete a pelvic health assessment to better understand what may be contributing to your pain.There are no surprise speculums, no bright lights, and no internal assessment unless you’re comfortable with it and it makes sense for your care. You are in control of the process, and we’ll move at a pace that feels manageable for you.I work with people of all genders, body types, and sexual orientations. Together, we’ll work toward your goals—whether that means reducing pain, improving pelvic floor function, understanding what’s happening in your body, or getting back to pleasure-focused intimacy without unwanted pain.BOOK AN APPOINTMENT >

Pregnancy is a wild ride. Your body changes quickly, and sometimes it can be hard to know what’s normal, what deserves attention, and when you should ask for help.I can help with pregnancy-related pain and pelvic floor symptoms, or provide periodic check-ins as an additional point of support alongside your prenatal care. We can work on maintaining strength and fitness throughout pregnancy, address changes in sexual function or intimacy, and prepare for birth and postpartum recovery.As your due date approaches, we can also work together on individualized labor and birth preparation, including positioning, movement, breathing, and strategies for working with your body during delivery.After birth, we’ll assess the changes that occurred during pregnancy, labor, and delivery and address the symptoms or functional changes that are affecting you. Whether you're dealing with pain, leakage, pelvic pressure, abdominal changes, difficulty returning to exercise, or changes in sexual function, postpartum care can help you understand what’s happening and what to do next.BOOK AN APPOINTMENT >

Cancer treatment can change your body in ways that aren't always discussed before treatment begins. Surgery, radiation, chemotherapy, hormonal changes, and other treatments can affect strength, mobility, sensation, bladder and bowel function, sexual function, lymphatic health, and your relationship with your body.The focus during cancer treatment is understandably on treating the cancer. But there is also life after cancer treatment, and you deserve support as you navigate what comes next.Depending on your needs, I can help with shoulder mobility and strength after breast cancer surgery, scar management, lymphedema care, pelvic floor rehabilitation, urinary or fecal incontinence, and sexual health concerns after abdominal or pelvic cancers. For people recovering from prostate surgery or radiation, this may include support for erectile dysfunction and urinary incontinence.We can also talk about changes in your body, sexuality, relationships, and sense of self. You don't have to figure out this new chapter alone.BOOK AN APPOINTMENT >

The years surrounding menopause can bring a lot of changes—vulvar or vaginal dryness, pelvic pain, changes in sexual desire, changes in arousal, urinary symptoms, sleep disruption, body-image changes, and more.It can affect nearly every part of your life, including your relationship with your body and your sexuality.Let's talk about it.When appropriate, we'll complete a pelvic assessment to understand what may be contributing to your symptoms. We can address pelvic floor dysfunction and sexual symptoms using education, behavioral strategies, hands-on techniques, exercise, and other appropriate interventions.When additional care would be helpful, I can also help connect you with other providers, such as menopause-focused medical providers, nutrition professionals, mental health providers, or fitness professionals.The goal isn't to make you become the person you were before menopause. It's to help you understand what's happening and find a way forward that feels good and sustainable for you.BOOK AN APPOINTMENT >