Yeah, We're Going There with Dr. Natalie

About Yeah, We're Going There with Dr. Natalie

Welcome to Yeah, We're Going There with Dr. Natalie, the podcast that tackles pelvic health topics openly, honestly, and without shame. From menopause, incontinence, and pelvic organ prolapse to post-prostate recovery, sexual wellness, and everything in between, Dr. Natalie breaks down the conversations most people avoid and turns them into clear, practical guidance you can actually use. Dr. Natalie Padveen, PT, DPT, PRPC, is a pelvic health specialist, author, and fitness creator who has spent over three decades helping women (and men) take back control of their bodies. She's the founder of Pelacore, a NASM-accredited pelvic core fitness program, and the author of Leak No More (a.co/d/6LjmcK5). If it involves your pelvic floor, she's not afraid to talk about it. Dr. Natalie combines both solo shows and interviews of other top industry experts, physicians, and authors, who share their knowledge and insights to ensure you get the most comprehensive informative Each episode answers real questions, cuts through misinformation, and empowers women and men to better understand their bodies and their health. Yeah, we're going there, because knowledge drives better health!

Publisher

Natalie Padveen

Category

education · health & fitness

Language

en

Explicit

Yes

First episode

18 May 2026

Latest episode

13 Sept 2026

Latest episodes

20 episodes in the feed.

1. 

   13 Sept 2026

   Your Gut, Your Brain & Your Pelvic Floor. The Connection Nobody's Talking About: It's All One System

   In this episode, Dr. Natalie Padveen, DPT, explores why gut health matters far beyond digestion and how it connects to the brain, immune system, hormones, fascia, and pelvic floor function. She explains the gut microbiome, leaky gut, and practical ways to support gut health through diet, stress management, exercise, and sleep. On this episode, Dr. Natalie shows how these systems interact as one interconnected network rather than separate parts. She also breaks down common symptoms, likely triggers, and simple lifestyle changes that can support better gut function and overall health. Timestamps: ·       01:20: Digestive tract basics and nutrient absorption ·       01:58: What the gut microbiome is and why it matters ·       02:28: Short-chain fatty acids and whole-body inflammation support ·       03:26: How diet can quickly shift your microbiome ·       04:22: Gut-brain communication and the blood-brain barrier ·       04:52: Serotonin, mood, and the Mediterranean diet ·       05:30: Gut diversity, inflammation, and neurodegenerative disease links ·       06:29: The vagus nerve as the gut-brain highway ·       06:59: Low vagal tone, bloating, and constipation ·       07:57: Ways to support vagal tone naturally ·       08:25: Stress, cortisol, and damage to the gut lining ·       09:27: IBD, anxiety, and two-way gut-mind influence ·       10:21: Sleep, microbiome balance, and appetite hormones ·       11:44: What “leaky gut” means ·       12:36: Gut dysbiosis explained ·       13:57: What can contribute to gut dysbiosis and permeability ·       15:35: Common symptoms associated with dysbiosis ·       16:36: Nutrients that support gut lining repair ·       17:51: Food sources for vitamin A, vitamin D, and polyphenols ·       19:58: Probiotics vs. prebiotics ·       21:22: Synbiotics and probiotic strains often discussed for leaky gut ·       22:18: Stress as a direct pipeline to leaky gut ·       24:15: Exercise as a Goldilocks factor ·       25:03: End of episode segment Resources: Gut Health Resources: Gut Health | Johns Hopkins Medicine (https://www.hopkinsmedicine.org/health/wellness-and-prevention/gut-health) Find a dietician near you: Dietitian Central - Dietitian Webinars, Nutritionist Webinars, Dietitian Jobs,Nutritionists (https://www.dietitiancentral.com/index.cfm) Kindra Vulvovaginal Health & Sexual Wellness: Vaginal Health & Sexual Wellness | Kindra (https://ourkindra.com/). Use coupon code: DRNATALIE and save 20% of your order. Music, Stone By Stone,  licensed through Soundstripe. Code: 4UYLDGGNDG2Y1NKT

2. 

   7 Sept 2026

   Beyond the Pelvis: Rethinking Endometriosis

   What it is, why it’s missed, and what’s changing Dr. Natalie Padveen, DPT, breaks down endometriosis in plain language, from what the condition actually is to why it can take 4 to 11 years to diagnose. She also covers symptoms, risk factors, testing, treatment options, fertility concerns, and the latest research that could change how the disease is identified and treated. This episode is built to help listeners recognize patterns, ask better questions, and understand why endometriosis is more than “bad period pain.” Timestamps 01:17 - What endometriosis is and why most people misunderstand it 02:24 - Why diagnosis often takes 4 to 11 years 02:55 - Leading theories behind the cause 06:18 - The most common symptoms and what they look like 07:43 - Why stage does not always match pain 08:41 - Risk factors and what they do and do not mean 10:10 - Laparoscopy, biopsy, and the old diagnostic standard 11:36 - ACOG’s 2026 shift toward presumptive diagnosis 12:35 - New non-invasive tests in development 14:02 - There is no cure, only management strategies 14:31 - Pain relief and hormonal therapy options 15:51 - Surgery options: laparoscopy, laparotomy, hysterectomy, and oophorectomy 19:10 - Endometriosis as a whole-body condition, not just a gynecological one 21:32 - Fertility concerns and what the research says 23:19 - Nutrition, supplements, stress, movement, and community support 25:38 - Three myths that cause real harm Resources: The Endometriosis Association of America:  https://www.endofound.org/ (https://www.endofound.org/) Vulvovaginal Care by Kindra: https://ourkindra.com/ (https://ourkindra.com/) Use coupon code DRNATALIE at checkout to receive 20% OFF your order Music: Stone by Stone, licensed through Soundstripe. Code: XYMJLSMSAASFUZXH

3. 

   30 Aug 2026

   Tight-Lipped: Breaking the Silence on Vaginismus

   Vaginismus: What It Is, Why It Happens, and How It’s Treated Dr. Natalie Padveen, DPT explains vaginismus in clear, practical terms and makes the case that this condition is common, misunderstood, and treatable. The episode covers what vaginismus feels like, how it’s diagnosed, and the treatment approaches that help break the fear-pain cycle. In this episode, Dr. Natalie shares: What vaginismus is. Why it can show up during sex, tampon use, or pelvic exams. The emotional side of the condition, including anxiety, fear, and anticipatory tension. How common it is in sexual health settings. The difference between primary vaginismus and secondary vaginismus. How perimenopause and menopause can contribute. Why Kegels are not the answer when the pelvic floor is already overactive. How pelvic floor physical therapy, dilators, breath work, biofeedback, and graduated exposure can help. Why treatment often needs both physical and emotional support to break the cycle of fear, tension, and pain. Timestamps 1:30 — Vaginismus introduction and why it’s commonly misunderstood 1:48 — Why diagnosis is often delayed and what listeners will learn 2:24 — Definition of vaginismus and what causes the muscle spasm 2:54 — What it can interfere with: intercourse, tampons, speculum exams 3:22 — What it feels like physically and the pelvic floor dysfunction context 3:52 — “Hitting a brick wall” and the emotional layer of anxiety 4:18 — How common it is and the long diagnosis delay 4:47 — Pain, confusion, and avoidance of healthcare 5:16 — Primary vaginismus explained 5:46 — Contributing factors and the role of upbringing 6:15 — Why the cause is often unclear and still treatable 6:44 — Lamont severity grading system 7:14 — Pasik’s fifth degree and intense nervous system responses 7:44 — Secondary vaginismus and later-onset causes 8:13 — Menopause/perimenopause, estrogen decline, and tissue changes 8:43 — How the body learns to associate penetration with pain 9:12 — How diagnosis works and the need for distress + symptoms 9:43 — Ruling out other causes and the importance of desire for penetration 10:11 — Why Kegels are not the answer 10:39 — Why lengthening and releasing the pelvic floor helps 11:06 — Pelvic floor PT assessment and trigger points 11:26 — Treatment tools: manual therapy, breath work, biofeedback, dilators 11:46 — How dilators help retrain the protective reflex 12:20 — Lubrication myth and the role of arousal 12:49 — Slowing down and graduated exposure therapy 13:19 — Breaking the fear-tension-pain cycle 13:46 — Emerging options like Botox and lidocaine 14:19 — Medication may help in some cases, especially when anxiety is a factor 14:48 — Emotional research and childhood sexual interference 15:12 — History of vaginismus in medicine and why physical + emotional therapy matter Resources: https://vwell.com (https://vwell.com). Use coupon code: DRNATALIE to get 15% OFF your next order. Music: Stone by Stone, licensed through Soundstripe. Code: JE4YTJRLDZWA6XJS

Reach and audience

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Apple Podcasts (US)

5.0 / 5

5 ratings

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Books guests

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