03/04/2026
If you’ve ever thought discomfort during intimacy was just something you had to push through… I’m really glad you’re here.
Because pain is not something you’re supposed to tolerate.
I’m Dr. Riva, pelvic floor physical therapist, and we talk about all of it here! 💛
�You’re not “too sensitive.”�It’s not just in your head.
On this page, we talk about the things no one taught you:�✨ what’s actually normal (and what’s not)�✨ how your pelvic floor really works�✨ why pain happens�✨ how to advocate for yourself�✨ and what real, evidence-based solutions look like
Pelvic health isn’t just about Kegels. It’s about feeling safe, strong, and at home in your body.
And if you’re feeling like you need more personalized support, I offer free phone consults! The link is in my bio. Sometimes a real conversation is the first step toward real answers.
Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.