_edited.jpg)
This episode is the pelvic floor conversation I wish we’d all had sooner.
​
I’m joined by Dr. Luly Diez-Arguelles and Dr. Amanda Cereijo–both doctors of Physical Therapy and co-founders of Freya Wellness Co.–for a real, no-shame conversation about pelvic floor dysfunction. We cover what it actually is, why symptoms like leaking, prolapse, and painful ex are common but not normal, and why the kegels you’ve been doing are probably wrong.
​
Plus we talk about the story behind Freya, what it takes to build a business with family, and the one thing every woman should do for her health that most aren’t doing.
​
Spoiler: you don’t have to. And it’s never too late.
Follow us
​
Medical Providers Join my Clinician Education Platform
​
​
Freya Wellness Co.
​
References
​
Quaghebeur J, Petros P, Wyndaele JJ, De Wachter S. Pelvic-floor function, dysfunction, and treatment. Eur J Obstet Gynecol Reprod Biol. 2021;265:143-149. doi:10.1016/j.ejogrb.2021.08.026
https://doi.org/10.1016/j.ejogrb.2021.08.026
​
Tim S, Mazur-Biały A. The most common functional disorders and factors affecting the female pelvic floor. Life (Basel). 2021;11(12):1397. doi:10.3390/life11121397
https://doi.org/10.3390/life11121397
​
Chen W, Gong J, Liu M, Cai Y. Long-term health outcomes and quality of life in women with untreated pelvic floor dysfunction: a single-center cohort study. Front Public Health. 2024;12:1495679. doi:10.3389/fpubh.2024.1495679
https://doi.org/10.3389/fpubh.2024.1495679
​
Molina R, Hernández-Martínez A, Martínez-Vázquez S, Martínez-Galiano JM. Influence of pelvic floor disorders on quality of life in women. Front Public Health. 2023;11:1180907. doi:10.3389/fpubh.2023.1180907
https://doi.org/10.3389/fpubh.2023.1180907
​
Peinado-Molina RA, Hernández-Martínez A, Martínez-Vázquez S, Rodríguez-Almagro J, Martínez-Galiano JM. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health. 2023;23:16901. doi:10.1186/s12889-023-16901-3
https://doi.org/10.1186/s12889-023-16901-3
​
Rodríguez-Almagro J, Hernández-Martínez A, Martínez-Vázquez S, Molina R, Bermejo-Cantarero A, Martínez-Galiano JM. A qualitative exploration of the perceptions of women living with pelvic floor disorders and factors related to quality of life. J Clin Med. 2024;13(7):1896. doi:10.3390/jcm13071896
https://doi.org/10.3390/jcm13071896
​
Molina-Barea R, Slim M, Calandre EP. Health-related quality of life and psychosocial variables in women with colorectal pelvic floor dysfunction: a cross-sectional study. Healthcare (Basel). 2024;12(6):668. doi:10.3390/healthcare12060668
https://doi.org/10.3390/healthcare12060668
​
González-Timoneda A, Vallés-Murcia N, Esteban P, et al. Prevalence and impact of pelvic floor dysfunctions on quality of life in women 5–10 years after their first vaginal or cesarean delivery. Heliyon. 2025;11:e42018. doi:10.1016/j.heliyon.2025.e42018
https://doi.org/10.1016/j.heliyon.2025.e42018
​
Firthous J, Elayaperumal S, Thilagam RS, et al. Prevalence of pelvic floor dysfunction and its impact on quality of life among postpartum women. J Neonatal Surg. 2025;14:2817. doi:10.52783/jns.v14.2817
https://doi.org/10.52783/jns.v14.2817
​
Verbeek M, Hayward L. Pelvic floor dysfunction and its effect on quality of sexual life. Sex Med Rev. 2019;7(4):559-564. doi:10.1016/j.sxmr.2019.05.007
https://doi.org/10.1016/j.sxmr.2019.05.007
​
Cosgriff L, Ramanathan A, Iglesia CB. Pelvic floor disorders and sexual function: a review. Obstet Gynecol Clin North Am. 2024;51(2):241-257. doi:10.1016/j.ogc.2024.02.001
https://doi.org/10.1016/j.ogc.2024.02.001
​
Carvalho C, Rocha A, Santos G, et al. Pelvic floor dysfunction and associated factors in women with systemic autoimmune rheumatic diseases: a cross-sectional study. Int Urogynecol J. 2025;36:821-828. doi:10.1007/s00192-025-06071-8
https://doi.org/10.1007/s00192-025-06071-8
​
VanWiel L, Unke M, Samuelson R, Whitaker K. Associations of pelvic floor dysfunction and postnatal mental health: a systematic review. J Reprod Infant Psychol. 2024;43:958-979. doi:10.1080/02646838.2024.2314720
https://doi.org/10.1080/02646838.2024.2314720
​
Yalazı R, Demirci N. Determining the levels of pelvic floor disorders in women diagnosed with urinary incontinence: a mixed-method study. Front Med (Lausanne). 2024;11:1509973. doi:10.3389/fmed.2024.1509973
https://doi.org/10.3389/fmed.2024.1509973
​
Milsom I, Gyhagen M. Breaking news in the prediction of pelvic floor disorders. Best Pract Res Clin Obstet Gynaecol. 2019;54:41-48. doi:10.1016/j.bpobgyn.2018.05.004
https://doi.org/10.1016/j.bpobgyn.2018.05.004
​
Fedorchenko Y, Usen A. Pelvic floor dysfunction and rehabilitation in women: age-specific considerations across the lifespan. Anti-Aging East Eur. 2025;4(3). doi:10.56543/aaeeu.2025.4.3.03
https://doi.org/10.56543/aaeeu.2025.4.3.03
​
Augustina S, Suganthirababu P, Rajagopal V, et al. Pelvic floor dysfunction and its impact on quality of life among female healthcare employees. Work. 2023;74:1055-1059. doi:10.3233/WOR-211125
https://doi.org/10.3233/WOR-211125
​
Wallace SL, Miller LD, Mishra K. Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women. Curr Opin Obstet Gynecol. 2019;31(6):485-493. doi:10.1097/GCO.0000000000000588
https://doi.org/10.1097/GCO.0000000000000588
​
Bascur-Castillo C, Carrasco-Portiño M, Valenzuela-Peters R, et al. Effect of conservative treatment of pelvic floor dysfunctions in women: an umbrella review. Int J Gynaecol Obstet. 2022;158(2):213-224. doi:10.1002/ijgo.14178
https://doi.org/10.1002/ijgo.14178
​
Tunn R, Baessler K, Knüpfer S, Hampel C. Urinary incontinence and pelvic organ prolapse in women. Dtsch Arztebl Int. 2023;120:713-720. doi:10.3238/arztebl.m2023.0194
https://doi.org/10.3238/arztebl.m2023.0194
​
Jundt K, Peschers U, Kentenich H. The investigation and treatment of female pelvic floor dysfunction. Dtsch Arztebl Int. 2015;112:564-574. doi:10.3238/arztebl.2015.0564
https://doi.org/10.3238/arztebl.2015.0564
​
Lamvu G, Carrillo J, Ouyang C, Rapkin A. Chronic pelvic pain in women: a review. JAMA. 2021;325(23):2381-2391. doi:10.1001/jama.2021.6705
https://doi.org/10.1001/jama.2021.6705
​
Meisenheimer ES, Carnevale AM. Chronic pelvic pain in women: evaluation and treatment. Am Fam Physician. 2025;111(2):143-150.
​
American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Gynecology. Female sexual dysfunction: ACOG Practice Bulletin No. 213. Obstet Gynecol. 2019;134(1):e1-e18. doi:10.1097/AOG.0000000000003319
https://doi.org/10.1097/AOG.0000000000003319
​
American College of Obstetricians and Gynecologists. Chronic pelvic pain: ACOG Practice Bulletin No. 218. Obstet Gynecol. 2020;135(3):e98-e109. doi:10.1097/AOG.0000000000003716
https://doi.org/10.1097/AOG.0000000000003716
​
Wu JM. Stress incontinence in women. N Engl J Med. 2021;384(25):2428-2436. doi:10.1056/NEJMcp2025037
https://doi.org/10.1056/NEJMcp2025037
Chapters
00:00 Intro
00:54 Meet the Guests: Luly and Amanda
01:43 Personal Experiences and Family Support
02:50 Understanding Pelvic Floor Dysfunction
04:50 What is the Pelvic Floor?
06:47 Breathing Techniques for Pelvic Health
11:45 Pelvic Floor Therapy: Is it Ever Too Late?
12:41 Understanding Prolapse and Its Causes
16:42 Immediate Steps for Pelvic Floor Concerns
17:36 The Story Behind Freya Wellness
22:31 Maintaining Wellness with Entrepreneurship and Family
24:05 Working with Family: Challenges and Successes
28:47 Surprises in Starting a Business
30:44 Pelvic Floor Health and Overall Well-being
33:09 The Importance of Internal Exams
40:33 Pelvic Floor and Sexual Health
42:29 Final Takeaways and Contact Information
44:39 Outro