Dr. Natalie

Dr. Natalie Honest conversations about pelvic health, sex, and the topics no one talks about.

04/09/2026

It starts with education: understanding how your pelvic floor muscles work and how they’re contributing to the condition. From there, treatment often includes manual therapy (hands-on techniques to release tight muscles), biofeedback (which monitors muscle activity so you can learn to control and relax those muscles), and dilator therapy layered in gradually.
It’s not one tool. It’s a combination, personalized to what your body needs. And for many women, real improvement happens within a few months of consistent therapy.
If you’ve been struggling in silence, this is treatable. Full breakdown in this episode of Yeah, We’re Going There with Dr. Natalie. See link in bio 🎧 (Apple Podcasts, Spotify & YouTube)

03/09/2026

Vaginal dilators are smooth, tube-shaped tools used to gradually stretch and desensitize va**nal tissue and pelvic floor muscles. They come in progressively larger sizes, and you only move up once your body is genuinely comfortable. There’s no rushing the process.
The goal isn’t forcing pe*******on. It’s retraining your nervous system and pelvic floor to relax instead of spasm. And dilators work best as part of a bigger plan, paired with pelvic floor physical therapy and relaxation techniques, not used in isolation.
If you’re navigating vaginismus, this is a conversation worth having with a pelvic floor PT. Full breakdown in this episode of Yeah, We’re Going There with Dr. Natalie. See link in bio 🎧 (Apple Podcasts, Spotify & YouTube)

02/09/2026

When people hear “pelvic floor problem,” they jump straight to Kegels. But vaginismus involves muscles that are already too tight, and Kegels work by contracting the pelvic floor, which can add tension instead of relieving it.
The actual goal is relaxation, not strengthening. That usually means diaphragmatic breathing, gentle stretching, reverse Kegels, and guidance from a pelvic floor physical therapist who can assess what your body specifically needs.
If you’ve been doing Kegels for pelvic pain and it’s not helping, this might be why. Full breakdown in this episode of Yeah, We’re Going There with Dr. Natalie. See link in bio 🎧 (Apple Podcasts, Spotify & YouTube)

01/09/2026

Studies estimate vaginismus affects somewhere between 5% and 17% of women in the United States. And that’s likely an undercount. Stigma around s*xual health and low social awareness mean a lot of cases go unreported and undiagnosed.
It’s still not a term that gets casually mentioned the way erectile dysfunction does, even though it’s just as real and just as common. If this is you: you’re not rare; you’re just underinformed by a system that hasn’t talked about it enough.

Full breakdown in this episode of Yeah, We’re Going There with Dr. Natalie. See link in bio 🎧 (Apple Podcasts, Spotify & YouTube)

31/08/2026

Vaginismus happens when the muscles around your va**na tense or contract uncontrollably when something attempts to enter, like during in*******se, tampon insertion, or even a pelvic exam. You’re not choosing it or imagining it; it’s an involuntary muscle response.
It can be primary (present from the start) or secondary (developing after painless pe*******on was previously possible). And the good news: it’s treatable, often with pelvic floor physical therapy, talk therapy, and gradual va**nal dilation.
If this sounds familiar, you’re not broken; you’re dealing with a real, known condition. Full breakdown in this episode of Yeah, We’re Going There with Dr. Natalie. See link in bio 🎧 (Apple Podcasts, Spotify & YouTube)

29/08/2026

If you had a total hysterectomy (uterus + cervix removed) for a non-cancer reason, you generally don’t need Pap screening anymore. But if your cervix wasn’t removed, like with a partial or supracervical hysterectomy, screening continues. And if your surgery was related to cervical cancer or precancerous changes, screening can continue for up to 20 years afterward.
Also worth knowing: you should keep seeing your OB-GYN after a hysterectomy either way because there’s more to check than just the cervix.

Don’t assume. Ask your provider what applies to your specific situation.

Check out the full podcast episode of “Yeah, We’re Going There on 🎧 Apple Podcasts, Spotify & YouTube. Link in bio.

28/08/2026

We talk about the physical recovery, incisions, discharge, timelines, but almost nobody prepares you for what happens emotionally.
Relief is common, especially after years of pain or heavy bleeding. That relief is real. But grief can show up too, over fertility, over a part of your body, over a version of yourself that’s shifting. Both can exist in the same body, on the same day. Neither one cancels the other out.
None of that means something’s wrong with you. It means you’re processing a major surgery, and that deserves space and support, not silence.

Check out the full podcast episode of “Yeah, We’re Going There on 🎧 Apple Podcasts, Spotify & YouTube. Link in bio.

26/08/2026

According to ACOG, you should avoid putting anything in the va**na, including a p***s, fingers, s*x toys, and tampons, for about 6 weeks post-op. That window protects the va**nal cuff while it heals, since going too soon raises the risk of bleeding, infection, or reopening the incision.
But 6 weeks is an average, not a rule. Your timeline depends on your surgery type and how you heal. Please wait for your doctor’s clearance at your follow-up before resuming. And when you do, go slow: full arousal first, lubricant if needed, and know that early discomfort doesn’t mean something’s wrong.

Check out the full podcast episode of “Yeah, We’re Going There on 🎧 Apple Podcasts, Spotify & YouTube. Link in bio.

25/08/2026

If you had a complete hysterectomy (uterus + cervix removed), you now have a va**nal cuff, and some discharge is part of normal healing there. Expect possible pink, red, or brown spotting, or white/clear watery discharge, as long as it’s odorless.
What’s NOT normal: heavy bleeding, fever, worsening pain, or foul-smelling discharge. Most healing wraps up around week 6. If bleeding or discharge hasn’t tapered off by then, or you notice any warning signs, call your doctor.

Check out the full podcast episode of “Yeah, We’re Going There on 🎧 Apple Podcasts, Spotify & YouTube. Link in bio.

24/08/2026

Recovery isn’t one-size-fits-all. It depends on the type of hysterectomy performed. Abdominal approaches typically mean a longer recovery window due to the larger incision. Vaginal, laparoscopic, and robotic-assisted approaches often allow a faster return to normal activity.
It also comes down to the type of surgery performed, your overall health, and your body’s own healing pace. Your timeline isn’t wrong just because it looks different from someone else’s.
Check out the full podcast episode of “Yeah, We’re Going There on 🎧 Apple Podcasts, Spotify & YouTube. Link in bio.

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