Painful Sex, Dryness and Menopause with the Vagina Whisperer

About this episode

In this episode of unPAUSED, Dr. Mary Claire Haver continues her conversation with board certified pelvic floor physical therapist Dr. Sara Reardon, known on social media as The Vagina Whisperer — and this time it’s the toolkit: what you can actually do, starting today, to protect and rebuild your pelvic floor. They begin with pessaries, the internal support devices so few women are offered, why getting one fitted properly is harder than it should be, and the over-the-counter silicone supports that let women run, lift, and travel leak-free while they strengthen. From there they get into the everyday habits that quietly weaken the pelvic floor: pushing when you pee, straining on the toilet, scrolling past the five-minute mark, and holding your breath while lifting — plus hemorrhoids, what healthy stool should look like, and why a simple toilet stool changes everything. They then take a deeper dive into genitourinary syndrome of menopause (GSM), why nearly three quarters of women with symptoms never mention them to a clinician, and why hormones alone aren’t enough — you lose urinary sphincter strength every year after age 35, so the muscle training has to happen too. Dr. Reardon cov