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Under the Hood
Pelvic floor physical therapist Dr. Alexandra DiGrado and sex & couples therapist Dr. Rebecca Howard Eudy get real about sexual health, intimacy, and the stuff we didn't learn about our body in school. From the clitoral hood to parenthood, no topic is off-limits. Each episode blends a combined 30 years of clinical experience with compassionate advice and humor, giving you trusted knowledge, practical tools, and the confidence to take charge of your health and relationships.
Under the Hood
Episode 13: (Part 1) Orgasms and the Pelvic Floor (what even PTs don’t learn)
Most people (including medical providers) aren’t taught how orgasms actually “work.” In this first half of a two-part series, Dr. Alex DiGrado (pelvic floor PT) and Dr. Rebecca Howard Eudy (sex therapist) unpack common misconceptions about orgasms and explore what’s going on in the body and brain. From breath and muscle coordination to nervous system regulation, they cover the physical and emotional patterns that can shape pleasure - and why these issues are often overlooked in medical care. Whether you’re confused, curious, or just want to understand your body better, this episode is a great place to start.
What you'll learn:
- Orgasm is a full-body reflex, involving your pelvic floor, breath, diaphragm, and nervous system (aka it’s not a simple on/off switch).
- Orgasms require both relaxation and excitation at the right times (and how PFPT can help with that).
- You can orgasm without ejaculation.
- Most pelvic floor PTs aren't trained in orgasm function in school.
Tune in if you’ve ever thought:
- “I’m not sure if I’ve ever had an orgasm.”
- “Why does it take me forever to finish (or not at all)?”
- “How can I feel more relaxed in my body during sex?”
- “How can pelvic floor PT help with orgasm issues?”
Helpful resources:
- Come As You Are: Revised and Updated: The Surprising New Science That Will Transform Your Sex Life by Emily Nagoski Ph.D.
- Come Together: The Science (and Art!) of Creating Lasting Sexual Connections by Emily Nagoski Ph.D.
- Becoming Cliterate: Why Orgasm Equality Matters - And How to Get It by Laurie Mintz
- Parents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy
- Sex After Baby Mini-Course
- Find a pelvic floor PT near you: Pelvic Rehab Directory or Pelvic Global Directory
Connect with Us:
Dr. Rebecca Howard Eudy
Website: rebeccaeudy.com
Instagram: @rebeccahowardeudy
Newsletter: Parents in Love Substack
Dr. Alexandra DiGrado
Website: bostonpelvicpt.com
Instagram: @bostonpelvicpt
Newsletter: Under the Hood
Podcast
Instagram: @underthehooddocs
Website: underthehoodpod.com