Avanti Physical Therapy

11/17/2025

Testosterone isn’t only a “male hormone.” Women need it too — especially for **pelvic floor strength + sexual vitality**.
Healthy testosterone supports:
💪 pelvic floor contraction + power
⚡ muscle tone + strength gains
🔥 libido + arousal
✨ energy + confidence
🧠 motivation + mood

Low testosterone can show up as:
⬇️ weak pelvic activation
🍑 glute and core weakness
🥀 decreased desire + arousal
🛏️ fatigue
🧠 low drive / “blah” feeling
⬇️ slower muscle recovery

Testosterone is especially important in **postpartum and menopause** when natural levels can drop. Pelvic floor strength isn’t only about Kegels — **hormones matter.** If you’re working hard but feeling weak, drained, or “disconnected” from your body — hormonal support may be part of the puzzle. Consult your obgyn and ask if you are a candidate for hormone replacement therapy.

11/15/2025

Meet **progesterone** — the calming hormone that helps your nervous system and pelvic floor relax.

Progesterone helps:
🌿 calm pelvic nervous system tone
🫁 support diaphragmatic breathing
🧠 reduce anxiety + fight-or-flight
🩸 regulate pelvic blood flow.

When progesterone dips (late luteal phase, postpartum, perimenopause), you might feel:
😣 pelvic tightness or heaviness
🚽 constipation (progesterone slows digestion)
💨 bloating + pressure
😵‍💫 anxiety + pelvic tension
💭 difficulty relaxing pelvic muscles

Progesterone and the pelvic floor work together. When one struggles, the other can hold more tension. **Nervous system care is pelvic floor care.**

Breathwork, gentle movement, low-stim routines in the evenings. And if constipation or pelvic tension are flaring around your cycle — you’re not alone, and there are tools to support you.

11/13/2025

Let’s talk estrogen — the hormone that keeps your pelvic floor feeling supported, supple, and strong.
When estrogen is steady, pelvic tissues stay:
✨ well-hydrated
✨ elastic + cushioned
✨ supported by blood flow
✨ responsive during intimacy
When estrogen drops (postpartum, breastfeeding, peri/menopause)… you may notice:
💧 vaginal dryness or itching
🔥 burning or irritation
🌬️ urinary urgency or frequency
🚽 constipation from tight pelvic floor
💀 pain with in*******se
⬇️ decreased pelvic muscle tone + support

Estrogen isn’t just for reproduction — it impacts pelvic muscle health, bladder function, and sexual comfort.
If you’re experiencing these changes, it’s not in your head.

Pelvic PT + vaginal moisturizer/lubrication + (when appropriate) topical estrogen can be incredibly helpful.
Your pelvic floor can feel healthy and supported again. 🤍

10/31/2025

Serve the chalice, hug the coffin, channel your inner vampire 🩸😌
Eternal core, undead glutes.

10/30/2025

Huge win and boost for me personally and for my pelvic health community!! 😀😀😀

Starting a cash based practice has had its challenges but there are no regrets. I get to provide my best care for each of my patients. I’m happy to be recognized for it by a physician in the pelvic health world!

10/07/2025

10/03/2025

Open to and members!

Pelvic Health Workshop: Perimenopause & Menopause

Are you navigating perimenopause or menopause and wondering how it affects your pelvic floor, bladder, and core? Join us for an educational and empowering workshop led by a licensed pelvic floor physical therapist!
✨ What you’ll learn:
    •    How hormonal changes impact your pelvic floor and core muscles
    •    Strategies to manage urinary changes, pelvic pressure, and prolapse
    •    Exercise and lifestyle tips tailored for perimenopause and menopause
    •    Techniques to improve strength, flexibility, and overall pelvic health
💡 Who should attend: Anyone experiencing changes in bladder, bowel, or pelvic support during midlife.
📅 Date & Time: Friday, October 24th 12:45PM
📍 Location: Club Pilates Garden City

Spaces are limited! Reserve your spot today and take charge of your pelvic health.

08/27/2025

Workshop alert!
Saturday, September 13th, 2025

This workshop welcomes all women and men who think they may have a pelvic floor dysfunction. You can sign up for a 15 minute screening.
Sign up

Feel free to DM with any questions!

05/29/2025

Let’s talk menopause!
Join us on June 27th for an evening of great discussion on symptoms, struggles and conservative treatment.

05/27/2025

Attention members!
Join us for a workshop dedicated to everything menopause. We will discuss symptoms other than hot flashes and conservative options without side effects.

We hope to see you there!

05/27/2025

Attention .ny members!

Dr. Giusi will be at Lagree NY in Garden City the morning of June 9th. Take your class and stay for valuable tips on how to keep your pelvic health in top shape! Let’s move and learn and continue to spread awareness on pelvic health!