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If you’ve ever been told "it's all in your head" when describing pelvic pain, bladder leaks, or discomfort during intimacy—you're not alone.
In fact, you may have experienced a dangerous phenomenon that millions of women are now speaking out about: medical gaslighting.
A powerful recent article from NBC News revealed something women have known for decades: when it comes to pelvic pain and bladder dysfunction, women’s symptoms are routinely ignored, dismissed, or misdiagnosed by the medical system (NBC News, 2024).
This is not a fluke—it’s a systemic failure.
For decades, the default patient in research was a 165-pound white male. Women were excluded from most clinical trials until the 1990s.
As a result, doctors are still taught diagnostic frameworks that simply don’t reflect the female body—especially when it comes to the pelvic floor.
It’s no wonder that women presenting with pelvic symptoms are told they’re stressed, anxious, or exaggerating.
A 2014 study found 91% of women with chronic pain felt dismissed by their doctors.
And that dismissal has real consequences. In emergency rooms, men wait an average of 49 minutes for pain relief. Women?
Over 65 minutes—or they don’t receive it at all.
Even today, women are more likely to be sedated than given pain meds, and are often prescribed antidepressants for pain that is muscular, structural, or hormonal in nature.
Pelvic floor dysfunction affects 1 in 3 women over 40. Common symptoms include:
• Bladder leaks when you sneeze or laugh
• A constant urge to pee (even at night)
• Discomfort or pressure in your pelvis
• Pain with intercourse
• Feeling like your organs are "falling down"
Yet women who report these issues are often told it’s a normal part of aging.
Or worse—they’re told to "do Kegels" without any assessment, education, or guidance.
One woman in the NBC News article saw 10+ specialists before finally learning that her pain stemmed from a misdiagnosed prolapse. Others were offered hysterectomies or antidepressants—never a pelvic exam.
I’ll never forget one of my first patients—let’s call her Maria.
She had been leaking for years, terrified to sneeze in public or laugh too hard.
Her OB/GYN told her it was “normal,” handed her a prescription for estrogen cream, and sent her home.
No exam.
No questions.
Maria cried during our first visit—not just from relief, but because it was the first time someone believed her.
Within weeks of authentic self-care and simple at-home exercises, her symptoms improved.
No hormones.
No shame.
The medical system still clings to outdated assumptions about women:
• That we’re "too emotional"
• That pain is subjective and unreliable
• That pelvic pain and bladder issues must be psychological
These biases create a culture where women are more likely to be disbelieved, misdiagnosed, or treated with interventions that don’t address the root cause.
But here's the truth: you don’t necessarily need hormones, surgery, or shame to heal.
The pelvic floor is made up of muscles, fascia, and connective tissue.
Like any other part of the body, it can weaken, tighten, or become imbalanced.
Most pelvic floor dysfunctions are mechanical and neuromuscular problems—not hormonal or mental.
You've probably heard myths like:
– “Just do more Kegels.”
– “It's menopause—get used to it.”
– “Surgery is the only answer.”
These are outdated, one-size-fits-all approaches that ignore the uniqueness of your body.
The truth?
With the right guidance, your pelvic floor can respond beautifully to natural, targeted therapies—no matter your age or stage of life.
In my 20+ years as a pelvic floor physical therapist, I’ve seen over 20,000 women heal with gentle, science-backed techniques that:
• Restore pelvic alignment
• Strengthen the core from the inside out
• Reduce inflammation
• Rebalance pressure in the pelvis and abdominal wall
If you’re tired of being dismissed… if you’re done living with leaks, pain, or pelvic pressure… then I invite you to join me:
Pelvic Floor CPR Workshop: 3 Steps to a Strong, Leak-Free Core.
Live June 11–13, 2025
Free & Online
Giveaways + Coaching + Healing Practices
In this powerful workshop, you’ll learn:
• The one movement that works better than traditional Kegels
• How to sleep through the night without rushing to the bathroom
• What your doctor never told you about pelvic alignment and pain
• How to finally feel confident in your body again—without pads, pills, or surgery
Click here to save your free seat
After attending, women tell me they feel hopeful for the first time in years. They leave knowing the exact next step to take, understanding their bodies in a whole new way. And most importantly, they realize—they were never the problem. The system was.
You are not crazy. You are not broken. And you are definitely not alone.
Pelvic floor issues are treatable—but first, we have to stop waiting for permission and start trusting our bodies.
This is more than pelvic healing—it’s a movement of women reclaiming their bodies, their voices, and their worth. We are rewriting the rules. No more silence. No more shame. The healing begins when you decide it’s your time.
You deserve to be seen. You deserve to be heard. You deserve to heal.
Join the Pelvic Floor CPR Workshop now
With love and truth,
Isa Herrera, MSPT, CSCS
Author. Pelvic Floor Physical Therapist. Women's Health Advocate.
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Isa Herrera, MSPT, CSCS is a New York City-based holistic women's pelvic floor specialist, author of 5 books on pelvic health, including the international best seller Female Pelvic Alchemy, and the ground-breaking self-help book, Ending Female Pain, A Woman's Manual. She has dedicated her career to advancing awareness of pelvic floor conditions so that more people can find relief from this silent epidemic that affects over 30 million people in the US alone. Ms. Herrera holds a BA in Psychology and Biology from Fordham University and also a Masters in Physical Therapy from Hunter College.
