The Pelvic Floor Secret That Could Fix Erectile Dysfunction (It's Not Kegels) | Ep. 165 (Part2)

About this episode

The episode discusses pelvic floor therapy and its impact on erectile dysfunction and sexual health with Dr. Rachel Gelman.

In this episode, I continue my conversation with pelvic floor physical therapist Dr. Rachel Gelman. We cover what actually brings people — of all genders — to see a pelvic floor PT, from pain and constipation to erectile dysfunction and urinary urgency. Rachel breaks down what a prostatectomy really does to sexual function, whether men can get sensation back after prostate removal, and why erectile dysfunction is almost always multifactorial. We also get into how the pelvic floor behaves during orgasm, why some people experience cramping or pain afterward, the fascinating jaw-pelvis connection, and the nerve link between your feet and your pelvic floor (yes, really). And Rachel shares her top tips for maintaining a healthy pelvic floor — including why she prescribes masturbation and vibrators far more often than Kegels. In this episode: 00:00 - Podcast Intro & Show Hook 00:30 - Welcome Back & Part 1 Recap 01:10 - Why Vulva & Penis Owners Visit a Pelvic Floor PT 02:40 - Pain, Constipation & Gender-Neutral Symptoms 03:50 - Erectile Dysfunction, Urinary Urgency & More 05:00 - Diastasis Recti — Not Just a Women's Issue 05:40 - What Is a Prostatectomy & How It…

People in this episode

Host: Karen Bigman

Guest: Dr. Rachel Gelman

Topics covered

• pelvic floor therapy
• erectile dysfunction
• sexual health
• prostatectomy
• orgasm
• pain management

Keywords

• pelvic floor
• erectile dysfunction
• prostatectomy
• sexual function
• orgasm
• pain
• vibrators
• Kegels

More episodes of Taboo to Truth: Life & Sex After 50

• I Tested 3 Clitoral Vibrators Designed for Menopausal Bodies — Here's What I Found | Ep. 180 · June 12, 2026 · 6 min
• The #1 Reason Your Relationship Isn't Working (It's Not What You Think) | EP. 179 · June 9, 2026 · 20 min
• Does Size Matter? What Women Actually Want (And What the Data Says) | Ep. 178 · June 5, 2026 · 12 min
• When Sex Dies in a Long-Term Relationship — And How to Bring It Back | Ep. 176 Part 2 · June 2, 2026 · 29 min
• Why Your Nervous System Is Secretly Ruining Your Sex Life (And What to Do About It) | Ep. 177 · May 29, 2026 · 9 min
• Why Your Partner Keeps Saying No to Sex — And What to Do About It | Ep. 176 (Part 1) · May 26, 2026 · 29 min