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Tuesday 4pm - 7pm Wednesday 9:30am - 7pm Thursday 9am - 7pm Friday 9am - 6pm Saturday 8am - 12pm

https://liberatephysiotherapy.com.au/

Liberate Physiotherapy, Shop 1/98 Starkey Street, Killarney Heights (2026)

28/03/2026

😳 Painful s*x isn't something to push through…

If you're experiencing these signs regularly, please don't ignore them 🙄

Your pelvic floor controls so much more than you realise, and pain during intimacy is one of the biggest red flags that something needs attention 🫣

Here are 7 signs your body is trying to tell you something:

1️⃣ Burning or stinging during pe*******on
2️⃣ Deep aching pain during or after s*x
3️⃣ Feeling like everything is "too tight" no matter what you try
4️⃣ Dryness that l**e alone can't fix
5️⃣ Avoiding intimacy altogether because you're dreading the pain
6️⃣ Cramping or throbbing that lasts hours after s*x
7️⃣ Feeling like you need to urinate during in*******se

These are not signs that something is wrong with YOU. There are signs that your pelvic floor muscles, hormones, or tissues need proper assessment and care.

Pain during s*x is common, but it is NEVER normal. And it's rarely "just in your head."

What to do? How to heal?

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27/03/2026

🚨 The healthcare system has a language problem when it comes to women's pelvic health.

Here are things women are told, and what they actually mean:

🌱"Just do your Kegels." → We don't have time to assess what's actually happening, so here's a generic answer.

🌱"Leaking is normal after having children" → it's common. We've normalised it. But normal and common are not the same thing.

🌱"It's just part of getting older" → we don't have a solution we're willing to offer, so we're reframing inaction as inevitability.

🌱"You might want to think about surgery." → We skipped over the conservative options that work for most women.

🌱"There's not much that can be done" → not by us, in this appointment, at this level of training. But there is a lot that can be done.

🌱"Your results look normal." → We tested what we know how to test. The pelvic floor doesn't show up on standard imaging.

🌱"Some discomfort with s*x is normal at your age." → We're uncomfortable with this topic, so we're ending the conversation.

As a PhD-trained pelvic floor physiotherapist, I've heard these phrases repeated back to me by almost every woman I work with.

Your symptoms are not inevitable. And the fact that you were told otherwise is not the end of the story.

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26/03/2026

I asked the question, and the responses broke my heart.

So many of you came back with:

"She said it's normal after kids."

"He told me just to do Kegels."

"She said there's not much that can be done at my age."

"He changed the subject."

"She handed me a pamphlet about bladder pads."

"He said if it gets worse, we can look at surgery."

Not one of these women was told what was actually happening in her body.

Not one was told that pelvic floor dysfunction is treatable with the right approach.

Not one was told that leaking, urgency, heaviness, and pain are symptoms, not just facts of life.

I've spent over a decade as a PhD-trained pelvic floor physiotherapist watching women accept suffering because someone in a white coat told them it was normal.

It is not normal. It is common. And there is a difference.

If you were dismissed, minimised, or handed a generic answer, I'm sorry. You deserved better than that.

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25/03/2026

🚨 Most women are told their pelvic floor is weak. But for many, the real problem is the opposite.

Here are 5 things that happen when your pelvic floor is too tight:

You leak even though you feel like you're squeezing → a muscle locked in tension can't generate more force on demand. The squeeze you feel isn't control; it's chronic bracing.

S*x becomes painful or uncomfortable → an overactive pelvic floor doesn't relax and open the way it needs to. You're told to "just relax", as if that helps.

You feel pressure, heaviness, or a dragging sensation → this isn't always prolapse. often it's a tight floor pulling on surrounding structures, creating a constant sense of something wrong.

You can't fully empty your bladder or bowel → a pelvic floor that won't release blocks the relaxation needed for complete emptying. The result is urgency, incomplete voiding, and chronic constipation.

Your symptoms get worse when you do Kegels → this is the clearest sign. If strengthening exercises are making things worse, your body is telling you the problem isn't weakness.

As a PhD-trained pelvic floor physiotherapist, I find that releasing tension is often the single most important first step for women who have been doing all the "right" things and still not improving.

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24/03/2026

💡 Your pelvic floor can fail in two opposite directions, and the treatment for each is completely different.

The one you've heard about, the weak floor:

This floor can't generate enough force to hold back leaks when pressure spikes. It needs strengthening, coordination work, and learning to activate at the right moments.

The one most women don't know about, the tight floor:

This floor is chronically braced, overactive, and locked in tension. it can't relax, release, or function properly — and squeezing it further makes every symptom worse.

The tight floor leaks, too. It causes urgency, heaviness, painful s*x, incomplete emptying, and constipation. And it's often the exact reason women who do Kegels faithfully see zero improvement.

Here's what makes this even more complicated: many women have both happening at the same time. tightness in some areas, weakness in others. And a generic Kegel prescription addresses neither.

As a PhD-trained pelvic floor physiotherapist, the first thing I do before any treatment is assess which pattern is actually present. because giving the wrong exercise isn't neutral — it causes harm.

You can't treat what you haven't properly assessed. And most women never receive that assessment.

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23/03/2026

👀 I've spent over a decade and a half assessing, treating, and advocating for women's pelvic health. Here's what I'd tell every woman if I weren't worried about being too direct:

➡️Waiting until it becomes unbearable is not a plan. Your symptoms will not resolve on their own. And every year you wait, the dysfunction becomes more established and harder to unwind.

➡️Being told "there's nothing more we can do" doesn't mean nothing more can be done. It means the person saying it has run out of options. A pelvic floor physiotherapist has not.

➡️Kegels are not the universal answer. If you've been doing them for months with no improvement, it may be that they're not being done correctly, or you may not need more squeezing. You need release.

➡️Your symptoms are connected to your whole body. Your breathing patterns, your posture, your stress response, your hormones, all of it talks to your pelvic floor. Treating just one piece rarely works.

➡️Pads are not a solution. They're a management strategy that the continence industry profits from enormously. You deserve to be told that treatment exists, not sold a lifetime supply of products.

The embarrassment you feel about these symptoms is costing you years of your life. Leaking, pain, and urgency are clinical presentations that deserve the same attention as any other aspect of your health.

It is not too late. I have seen women in their 60s and 70s make extraordinary progress. The window has not closed. It never does.

As a PhD-trained pelvic floor physiotherapist, you deserve complete honesty about what's possible, not just comfortable reassurance.

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21/03/2026

Imagine being given the wrong solution for a problem your body has been screaming about for years.

You were told to squeeze. to strengthen. Doing your kegels every day, the leaks would stop.

So you did. faithfully. for months. Maybe years have passed and nothing has changed, or it has gotten worse. And you blamed yourself.

Here's what no one told you: for most women with incontinence, the pelvic floor isn't too weak. It's too tight. And squeezing a muscle that's already in chronic tension doesn't fix the problem; it deepens it.

That's not your failure. That's a failure of the information you were given, as a PhD-trained pelvic floor physiotherapist, I've spent over a decade watching women exhaust themselves doing the wrong thing, because the right thing was never explained to them.

You weren't doing it wrong. You were doing the wrong thing.

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20/03/2026

🚨 Your doctor gave you a diagnosis. What they didn't give you was the full picture.

Here are 5 things that make pelvic floor dysfunction worse, that most women are never told:

Doing kegels on an already tight pelvic floor → squeezing a tense muscle doesn't strengthen it. It overloads it. If you're leaking and Kegels aren't helping, this is likely why.

Holding your breath when you lift or strain → every time you brace without breathing, you're sending a pressure wave straight down into your pelvic floor. Over time, this wears it out.

Ignoring your bladder until you're desperate → training yourself to hold on too long dysregulates your bladder signals and creates urgency patterns that are hard to reverse.

Sitting in chronic tension without releasing → stress, posture, and unresolved trauma all live in your pelvic floor. if you never consciously release, your muscles never fully recover.

Treating symptoms without addressing the root → pads, bladder medications, and "just avoiding jumping" manage the leak. They don't fix what's causing it.

As a PhD-trained pelvic floor physiotherapist, I've seen these patterns in almost every woman who comes to me after years of getting nowhere. The problem was never your body. It was incomplete advice.

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19/03/2026

🚨 It's not because you're not trying hard enough. And it's not because your body is broken.

The real reason your pelvic floor isn't improving is because you're solving the wrong problem.

Most women are handed a single solution, Kegels, for a condition that has multiple possible root causes. And when Kegels don't work, the assumption is that you're not doing them correctly. or consistently enough. Or that you just need to accept this.

None of that is true.

Here's what might actually be going on:

➡️Your floor is too tight, not too weak → more squeezing is compounding the tension, not releasing it.

➡️Your breathing mechanics are driving constant downward pressure → no amount of pelvic exercise will override that pattern.

➡️Your nervous system is stuck in a stress response → and your pelvic floor is holding that tension in its tissues, where no kegel can reach it.

➡️Your oestrogen levels have changed the quality of your tissue → and your exercise approach needs to account for that shift.

The problem isn't your effort. it's the incomplete picture you were given to work from.

As a PhD-trained pelvic floor physiotherapist, the very first thing i do is identify which of these is actually driving your symptoms — because treating the wrong cause is exactly why so many women plateau.

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18/03/2026

Fibre, water, laxatives, and still nothing moves.

If you've been doing everything "right" and still struggling, there's a very good chance no one has checked what your pelvic floor is doing 💩

Here's the reality: when the pelvic floor can't relax, stool can't pass easily. no amount of fibre will fix a muscle that refuses to let go.

Two things i address before anything else:

Timing: go at the same time every day, ideally 20–30 minutes after breakfast, when your gut reflex is strongest. This trains coordination, not force.

Positioning, feet on a stool, knees higher than hips, leaning slightly forward. This position lengthens and relaxes the pelvic floor, thereby naturally clearing the exit pathway.

Constipation isn't always about slow bowels. Sometimes it's about a pelvic floor that doesn't know how to release.

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17/03/2026

🚨 10 things doctors say about pelvic health that are actually dismissive, and what they really mean:

1️⃣ "That's just normal after having kids." → Normalising dysfunction instead of treating it.

2️⃣ "Just do your Kegels." → A blanket prescription without actually assessing what's going on.

3️⃣ "It's just part of getting older." → Dismissing your symptoms as inevitable instead of treatable.

4️⃣ "You just need to lose weight." → Blaming your body instead of addressing the actual problem.

5️⃣ "A little bit of leaking is normal." → Common doesn't mean normal. And you don't have to accept it.

6️⃣ "There's nothing we can do until it gets worse." → Waiting for you to deteriorate instead of intervening early.

7️⃣ "It's probably just stress." → Minimising real physical symptoms because they don't know where to look.

8️⃣ "You should just wear a pad." → Managing the symptom instead of fixing the cause.

9️⃣ "It's not that bad compared to others." → Comparing your pain to dismiss your experience.

🔟 "Surgery is your only option." → Skipping conservative treatment that could change everything without going under the knife.

If reading this gave you that sinking feeling in your stomach, that's not coincidence. That's recognition.

Through years of helping women navigate their pelvic health, I've seen how these phrases shut women down. Words that sounded almost reasonable at the time but left you believing your body was broken and nothing could be done.

These weren't answers. They were dismissals. Your symptoms are real. Your frustration makes sense. And there is so much more that can be done.

📌 Save this if something here landed quietly but deeply.

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16/03/2026

Some of the responses were heartbreaking…

Things no woman should ever be told by a healthcare professional about her pain. Words that became beliefs. Words that are still running in the background years later.

"Just use more l**e." "Have a glass of wine and relax." "That's normal after menopause." "It's all in your head." "Some women just aren't built for it." "You just need to be more in the mood." "There's nothing physically wrong with you."

To everyone who commented, and to those who couldn't bring themselves to, I see you. I'm so sorry you were dismissed like that. You didn't deserve it. And it wasn't true.

So many of us learned to just endure it. We stopped initiating. Stopped enjoying intimacy. Stopped talking about it altogether. We faked being fine because no one gave us a real answer.

We acted like it didn't matter. But it mattered.

Your body kept score. Your confidence is recorded every dismissal. And those words have been shaping how you experience intimacy ever since.

You don't have to keep accepting pain as normal when it's not.

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*xualwellness

Liberate Physiotherapy

28/03/2026

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Tuesday	4pm - 7pm
Wednesday	9:30am - 7pm
Thursday	9am - 7pm
Friday	9am - 6pm
Saturday	8am - 12pm