Episode #3
S2E3 The Muscle Group Nobody Talks About — Until It Stops Working
Episode Description Pelvic floor health affects everyone — but it's rarely discussed until something goes wrong. In this episode, Dr. Adama Diarra sits down with Dr. Isabel Hoyven Cisneros to break down what the pelvic floor actually does, why it matters for men and women alike, and why so many common symptoms go unaddressed simply because patients don't know to ask about them. Dr. Cisneros walks through the "five S's" of pelvic floor function, what a healthy pelvic floor looks like versus a dysfunctional one, and the surprisingly wide range of conditions tied back to this single muscle group — from incontinence and prolapse to pelvic tension, diastasis recti, and sexual dysfunction. She also shares the screening questions every clinician should be asking, the tools reshaping pelvic floor therapy today, and real patient outcomes that show just how transformative this often-overlooked area of care can be. This episode is a practical primer for physicians who want to recognize pelvic floor dysfunction in their patients — and a reminder that whole-person care means asking the questions patients don't always know to bring up themselves. Key Topics Why pelvic floor dysfunction goes unrecognized in everyday clinical visits The five S's: what the pelvic floor actually does What a healthy pelvic floor looks like vs. common signs of dysfunction Pelvic floor issues in men — an overlooked and undertreated area Pelvic floor tension: the lesser-known counterpart to weakness Diastasis recti, prolapse, and pressure management Sexual dysfunction and pain as pelvic floor symptoms, not standalone issues Screening questions physicians can start using today Innovative tools shaping the future of pelvic floor therapy
