Under the Hood

For many, the road to an endometriosis diagnosis is a decade-long maze of debilitating fatigue, "rice cake weeks," and being told that agonizing period pain is "normal." But the conversation is finally starting to shift. This week, pelvic floor PT Dr. Alyssa Demeule joins Dr. Rebecca and Dr. Alex to share her journey from medical gaslighting to recovery. We dive into the new AC...

If you’ve ever wondered how your pelvic health may be affecting your fertility, this episode offers a helpful perspective. In this conversation, our own Dr. Alex joins Nora DeBora , a Functional Fertility Coach, Holistic Nutritionist and Fertility Awareness Practitioner, on The Ultimate Pregnancy Prep Podcast . They discuss the role pelvic floor physical therapy can play in fertility, pelvic pain,...

Most of us think consent is pretty straightforward: someone asks, you say yes or no. But in real life—especially in relationships—it’s much more layered and nuanced than we’ve been taught to think about it. In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado (pelvic floor physical therapist) unpack the Wheel of Consent , a framework developed by Dr. Betty Mart...

We’ve all been there: the familiar sting, the constant urge to go, or pain during intimacy that sends us straight for the cranberry juice. But what happens when tests come back negative and antibiotics don't work? In this episode, Dr. Rebecca Howard Eudy and Dr. Alex DiGrado are joined by Heather Florio , CEO of Desert Harvest, to talk about why so many people are dismissed when their bladder...

Your pelvic floor can stretch up to 250 times its normal length during birth. Your brain undergoes a literal metamorphosis. Your hormones shift for as long as you’re lactating. So why are we expected to be “back to normal” by twelve weeks?? This week, Dr. Alex and Dr. Rebecca (both moms themselves) dive into “bounce-back” culture. We talk about the pressure to have a “good baby,” the quiet strain...

‘Boundaries’ gets thrown around a lot these days, but actually setting them is another story. For many of us, enforcing boundaries feels so awkward and exhausting that it’s easier to just do the very thing we were trying to set a boundary around in the first place. In this episode, couples and sex therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alex DiGrado unpack what bo...

Let’s be real: most people get squeamish talking about poop. But if your gut isn’t happy, you aren’t happy...which is why we’re breaking the taboo in this episode. Whether you’re dealing with "vacation constipation," incontinence, hemorrhoids, or just feel like your gut runs your life, this is a judgment-free conversation about getting things working again. From the science behind Dr. Al...

Many parents assume that if they aren't "in the mood," something is wrong with them or their relationship. Usually, though, it’s because it’s just really hard to find your libido under piles of laundry and sleep deprivation. In this bonus episode of Under the Hood, we’re sharing a conversation that Dr. Rebecca had as a guest on Slate’s Care and Feeding  podcast about the messy reali...

In Part 2 of our orgasm series, Dr. Rebecca and Dr. Alex move beyond pelvic floor mechanics to explore the psychology of orgasm. You'll learn why your brain matters as much as physical technique, how “shame loops” hijack arousal, and why fantasy is a tool (not cheating). We tackle intrusive thoughts that kill the mood (like "my stomach looks weird in this position") and give you pra...

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 emotion...

Resentment doesn’t come out of nowhere - it’s usually a sign that something important hasn’t been said or repaired. In this episode, Dr. Rebecca (sex & couples therapist) and Dr. Alex (pelvic floor PT) talk about how resentment shows up in everyday relationships, even between people who are trying their best but are operating from completely different playbooks. They unpack why many of us take...

If you cross your legs before sneezing, avoid your once-favorite HIIT class, or laugh so hard you need more than a tissue, you're not alone. And despite what you've been told, stress incontinence isn't "just a part" of motherhood or aging. In this episode, Dr. Rebecca and Dr. Alex debunk the myths keeping people suffering in silence and offer real, evidence-based solutions...

In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado, DPT, PRPC (pelvic floor physical therapist) talk about what sex therapy and couples therapy involve—from how to find a qualified therapist to what a session might look like. They explore how emotional and physical disconnection often show up together, and why getting support earlier ( before things feel over...

Vaginismus is often described as “pain with penetration,” but that definition misses the bigger picture. In this episode, couples and sex therapist Dr. Rebecca Howard Eudy and pelvic floor physical therapist Dr. Alexandra DiGrado unpack what vaginismus really is, why it happens, and how it affects far more than just sex. Together, they explore the role of the nervous system, pelvic floor muscles,...

In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and Dr. Alex DiGrado, DPT, PRPC (pelvic floor physical therapist) discuss how your nervous system, muscular habits, and past experiences (including trauma and chronic stress) are all connected to chronic pelvic pain. Whether you’ve been dismissed by the healthcare system, or are looking to better understand the connection between...

Most people hear “pelvic floor PT” and think, “So…Kegels and an awkward exam?” But here’s what most people don’t realize: good pelvic floor physical therapy is full-body, trauma-informed care that connects your bladder, bowel, sexual function, posture, breathing, and stress levels—not just your vagina, penis, or “down there.” In this episode, Dr. Rebecca Howard Eudy (couples and sex therapist) and...

This is the second episode in our series exploring Dr. Rebecca Howard Eudy’s new book, Parents in Love: A Guide to Great Sex After Kids . Desire differences are one of the most common struggles couples face—especially after becoming parents. One partner may want sex more often, while the other feels overwhelmed, pressured, or disconnected. Underneath those stuck places, both people are usually rea...

What happens to love, sex, and connection when kids enter the picture? In this episode, Dr. Alex DiGrado (pelvic floor PT, Melrose, MA) interviews Dr. Rebecca Howard Eudy (sex & couples therapist, Boston) about her new book Parents in Love: A Guide to Great Sex After Kids.   They unpack why couples feel like roommates in early parenthood, how to navigate late-night fights, and what it really m...

It’s time to talk about the most misunderstood organ in the human body: the clitoris. In this eye-opening episode, Dr. Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floor PT, Melrose, MA) pull back the hood to bust myths about female pleasure, anatomy, and the “orgasm gap.” From the hidden structure of the clitoris to why most women don’t orgasm from penetr...

Erectile dysfunction is very common and it’s rarely only about erections. In this episode, Dr. Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floor physical therapist, Melrose, MA) team up to unpack ED from both sides: the psychology and relationship dynamics that drive performance anxiety, and the physical, pelvic-floor, and lifestyle factors that affect bl...

“Six weeks and you’re good to go” is not the whole story. In this candid conversation, Dr. Rebecca Howard Eudy (sex & couples therapist, Boston) and Dr. Alex DiGrado (pelvic floor PT, Melrose, MA) break down why postpartum sexual health is complex. From scar care, pelvic-floor coordination, breastfeeding-related dryness, and smart lube choices to identity shifts, “touched out” fatigue, and how...

Everyone talks about sex, but few talk about what really happens beneath the surface — in your body, your nervous system, and your relationships. In this debut episode, Dr. Rebecca Howard Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floor physical therapist in Melrose, MA) open up about their paths into two of the most misunderstood fields in healthcare. From navigati...

Welcome to Under the Hood — where real talk meets real bodies. Hosted by Dr. Rebecca Howard Eudy (Boston-based sex and couples therapist) and Dr. Alex DiGrado (pelvic floor physical therapist in Melrose, MA), this podcast dives into the often-overlooked intersection between emotional intimacy, sexual health, and physical well-being. Each episode pulls back the curtain on what’s really going on ben...