https://drdarshanapelvicpt.com/

Dr.Darshana Pelvic Physical Therapy, 2611 NE 125th Street #90, Seattle, WA (2026)

01/28/2026

Walking isn’t a single moment of pressure.
It’s hundreds of small ones.

Every step asks your breath, hips, core, and pelvic floor to stay in sync... again and again.

When leaks show up here, it’s usually not because things are “weak.”
It’s because the system is tired, overworking, or missing support from somewhere else.

A pelvic floor that’s gripping all day
or a breath that stays shallow
can struggle more with repetition than with one big cough.

That’s why “just do more Kegels” often doesn’t help.

Leaks during walking are information.
They’re your body saying, I’m managing load without enough help.

This is fixable... but only when we stop blaming the pelvic floor
and start looking at how the whole system is working together.

You don’t need a new body.
You need better support for the one you’re already in.

Hole health is whole you.

01/25/2026

Religion doesn’t cause painful s*x.

But messages about shame, guilt, and “being good” can teach the body how to respond to intimacy.

Those lessons don’t stay in the mind.
They settle into the nervous system.

About 1 in 5 women experience it, yet many learn to live with it quietly.

Here’s what often goes unspoken:
S*x doesn’t start between the legs.
It starts in how safe the body feels...emotionally, culturally, and physically.

When pleasure is framed as risky or wrong, the body often chooses protection over openness. Over time, that protection can show up as tension, guarding, or pain.

This isn’t about questioning faith or rewriting values.

It’s about curiosity...and compassion for a body that learned to protect.

👉 Read the blog.
Link in the comments

Pain isn’t a moral test.
Hole health is whole health.

*x

01/24/2026

Unwanted pain does not belong in pleasure.

And learning discomfort is different from protective pain.

Discomfort fades as the body learns.
Protective pain teaches the body to guard.

And the body is very good at learning that lesson.

If the brain predicts pain, muscles tighten before anything happens.
That’s not anxiety. That’s conditioning.

Every “just get through it” teaches the body: “This isn’t safe. Brace.”

Many endure pain not because they want to... but because they don’t want to disappoint, complicate things, or seem “difficult.”

That silence has a cost.

If pain is desired and consensual, that’s a different conversation.
But if pain is not desired, enduring it isn’t strength.

It’s miscommunication between the body and the brain.

Pleasure isn’t something you’re meant to survive.
It’s meant to feel safe enough for your body to stay present.

And when pain shows up uninvited, that’s not failure. That’s information.

Hole health is whole you.

👉 Download the FREE Vaginismus Resource Kit. Link in the comments.

01/24/2026

All of our past experiences are safely stored in the brain.

They don’t disappear.
They quietly influence how we move, react, decide, and protect ourselves.

Most of what shapes our behavior isn’t happening consciously.
It’s happening in the background...
through patterns built by repetition, stress, and survival.

Your brain is always asking,
“Have we been here before...and did it hurt?”

That question drives more than we realize.

👉Why certain situations feel harder than they “should”
👉Why your body braces before your mind catches up
👉Why some habits persist even after you’ve outgrown the situation that created them

The brain’s job is to keep you safe, not comfortable or logical.

Growth doesn’t come from erasing the past.
It comes from noticing when old patterns are still pulling the strings...
and gently updating the system.

Awareness is powerful not because it changes everything overnight,
but because it gives you choice where there used to be autopilot.

And that’s where real change begins.

You don’t need a new body this year.
You need a safer relationship with the one you already have.

Hole health is whole you.

01/23/2026

I talk about the things we’re not supposed to talk about.

P**p.
Awkward s*x conversations.
Menopause. Or***ms.

Pain we normalize.
Symptoms we ignore.
Bodies we’re told to be quiet about.

Not for shock value.
Not for clicks.

But because information saves lives.

These conversations don’t stay behind closed doors.
They show up in our energy.
Our work.
Our relationships.
Our confidence.

Silence has never protected women.
Education does.

So I’ll keep talking.
Even when it’s uncomfortable.
Especially when it’s uncomfortable.

Because hole health is whole you.

01/21/2026

It’s just bloating” sounds harmless.
But the body doesn’t treat it that way.

When bloating shows up again and again, your body often starts to guard.
Your belly stays tight.
Your breathing gets shallow.
Your pelvic floor braces.

Pelvic physical therapy isn’t about “fixing” bloating.
It’s about what happens around it.

Over time, constant bracing can turn into pelvic tension, pressure issues, pain, or bladder and bowel symptoms ...even if bloating feels like the main issue.

Pelvic PT helps the body calm that guarding.
It improves breathing, movement, and pressure management
so discomfort doesn’t quietly turn into dysfunction.

It’s not about chasing symptom-free perfection.
It’s about helping your body feel safe enough to stop overreacting.

That’s why pelvic PT belongs in the conversation...
even when bloating isn’t the thing we’re treating.

Early support prevents bigger problems later.
And that’s honest care.

Hole health is whole health.

01/20/2026

GLP-1 medications like Ozempic® don’t just affect appetite.
They alter gut motility and gastric emptying.

When stool moves more slowly through the GI tract, it becomes harder and drier.

That increases the need to strain.

And every time you strain, intra-abdominal pressure rises.

That pressure has to go somewhere.
It is transferred downward...onto the pelvic floor.

What often gets missed in the Ozempic® conversation is that bowel function and pelvic floor function are inseparable.

You cannot fully address constipation without addressing how the pelvic floor muscles relax, lengthen, and coordinate during defecation.

This is why “just take a laxative” often falls short...and in some cases, worsens symptoms.

If you’re using GLP-1 therapy, pelvic health isn’t optional.

It’s part of protecting continence, comfort, and long-term function.

Managing weight should not come at the cost of your pelvic floor.

Your body isn’t malfunctioning.
It’s responding exactly as anatomy and physiology predict.

Hole health is whole YOU.

01/18/2026

Most menopause advice gets this wrong.

It tells women to add more.
More supplements. More routines. More effort.

But the fix is usually removing one thing.

Here’s the pattern I see constantly:

Menopause hits
→ symptoms show up
→ high-achieving women push harder
→ symptoms get louder

Not because you’re failing...
but because menopause lowers your margin for error.

So this isn’t about another “try this.”

It’s a shift:
Stop muscling through discomfort.
Start reducing load.

That might mean:
→ fewer intense workouts, more recovery
→ earlier bedtime instead of better hacks
→ less core gripping, more pelvic relaxation
→ addressing bladder or vaginal symptoms early

Menopause doesn’t punish weakness.
It exposes overcompensation.

You don’t need a new body.
You need a safer relationship with the one you already have.

Hole health is whole health.

01/17/2026

🚨 Read this before your next bathroom trip. 🚨

One of the fastest ways to overload your pelvic floor during pregnancy?
Straining to p**p or empty your bladder.

Your pelvic floor is already carrying the growing weight of your baby
every. single. day.

Add repeated straining, pregnancy hormones, constipation...

= pressure your pelvic floor was never meant to absorb

That pressure can show up as:
🚩 Hemorrhoids
🚩 Pelvic pain or heaviness
🚩 Pressure or prolapse symptoms
🚩 A harder postpartum recovery

Pregnancy is not the season to push, bear down, or ignore warning signs from your body

👇I put together a FREE guide: 9 Effective Pelvic PT Tips to Decrease Vaginal Tearing During Birth
Link in the comments.

Protecting your pelvic floor now helps with:
✔️ A more comfortable pregnancy
✔️ Better birth prep
✔️ Stronger, more confident postpartum recovery

Your body isn’t failing you...it’s adapting.
And your pelvic floor deserves protection, not punishment.

💾 Save this if you’re pregnant
📤 Share with someone who needs to hear it.

Hole health is whole YOU.

01/17/2026

Painful intimacy is often misunderstood....
especially in cultures where modesty, privacy, and “being respectful” are deeply valued.

Conditions like vaginismus aren’t about fear of intimacy, lack of desire, or doing something wrong.

They’re about a protective body response...
where the pelvic floor muscles tighten automatically,
often in response to stress, expectations, past experiences,
or years of being taught not to notice or name sensations.

When a body doesn’t have language or safety, it protects itself.

Learning how your body works doesn’t mean crossing a line or abandoning your values.
It means understanding why intimacy hurts...and what your body is asking for instead.

Painful intimacy is not a moral issue.
It’s a nervous system and muscle coordination issue...
and it’s treatable with the right support.

You’re allowed to be modest and informed.
You’re allowed to ask questions.
You’re allowed to feel safe in your body again.

Hole health is whole YOU.

*x

01/16/2026

Hormonal changes don’t just affect moisture.

They change how tissue feels, how nerves respond, and how the pelvic floor shows up to protect an area that suddenly feels different.

When the body senses that change, it often tightens and guards.

That guarding alone can create burning, urgency, and pain...
Hormonal changes don’t just affect moisture.

They change how tissue feels, how nerves respond, and how the pelvic floor shows up to protect an area that suddenly feels different.

When the body senses that change, it often tightens and guards.

That guarding alone can create burning, urgency, and pain...
sometimes even before dryness becomes obvious.

So no, the answer usually isn’t “just do Kegels” or “wait it out.”

As pelvic PTs, we look at:
👉how your bladder is signaling
👉how your pelvic floor is coordinating (or bracing)
👉and how your daily habits are either calming or irritating the system

When tissue is supported and the nervous system feels safer,
symptoms often soften faster than people expect.

This isn’t about fixing a broken body.
It’s about helping your body adapt to a new hormonal landscape...with the right support.

Hole health is whole health.

01/14/2026

January doesn’t motivate PCOS.
It pressurizes it.

Nothing suddenly “got worse.”
Your body is reacting to:

❌ Skipped meals
❌ Overtraining
❌ Poor sleep
❌ The constant push to “fix” yourself

PCOS doesn’t respond to control.
It responds to safety.

So if symptoms feel louder right now...
that’s not a discipline problem.
That’s a stress response.

Maybe this month isn’t about doing more.
Maybe it’s about listening better.

You don’t need a new body this year.
You need a safer relationship with the one you already have.

Hole health is whole you.

Dr.Darshana Pelvic Physical Therapy

01/28/2026

01/25/2026

01/24/2026

01/24/2026

01/23/2026

01/21/2026

01/20/2026

01/18/2026

01/17/2026

01/17/2026

01/16/2026

01/14/2026

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