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Pelvic Health Over 40: What Women NEED to Know with Dr. Sarah Tally

Boss Bitch Radio w/IFBB Pro, Diane Flores

Release Date: 12/08/2025

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If you’ve ever wondered whether your pelvic floor issues are “normal”… this episode is for you. Today I’m sitting down with pelvic health expert Dr. Sarah Tally to talk about the things women whisper about, ignore, or think they just have to “deal with” as they get older - leaking, urgency, pain with sex, constipation, postpartum changes, perimenopause shifts, AND the stuff nobody warned us about.

Sarah shares how she found her way into pelvic floor physical therapy, why women over 40 dismiss symptoms that actually aren’t normal, and the surprising signs your pelvic floor needs support (even if you’ve never had kids). We dig into bladder habits, urgency triggers, constipation, painful intercourse, vaginal dryness, hormone changes, and why so many women are stuck thinking a “tiny bladder” is just their personality trait.

You’ll also learn simple strategies to calm urgency, retrain your bladder, and understand what’s really going on with your pelvic floor - all in a down-to-earth, totally shame-free way!

If you’ve ever peed a little when you laugh, felt like you need the bathroom every 10 minutes, or wondered whether dryness or pain is just part of getting older… this is your episode.

Pull up a seat, get comfy, and let’s talk about the stuff women deserve to understand.

You’ve been running on empty long enough. Start the From Burnout to Boss Bitch masterclass today and learn how to finally breathe again → https://www.bossbitchradio.com/burn-out-to-boss-bitch

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#pelvichealth #pelvicfloor #womenshealth

 

Key Takeaways:

00:00 – Kicking things off + a quick welcome

00:57 – Introducing Dr. Sarah Tilly

01:37 – How Dr. Tilly ended up in pelvic floor therapy

04:51 – The most common pelvic floor issues women deal with

06:31 – What this looks like for women over 40

08:34 – Why you feel like you always have to pee

12:13 – Simple tricks to calm bladder urgency

14:21 – Wrapping it up + final thoughts

 

Links Mentioned: 

Stay connected with Dr. Sarah Tilly! Want more pelvic floor tips, education, and real-talk support?

→ Follow her on Instagram: @flooredpelvichealth

→ Visit her website: https://flooredpelvichealth.com/

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Connect with Diane:

Website: https://www.bossbitchradio.com/ 

Instagram: https://www.instagram.com/dianeflores_ifbb_pro 

YouTube: https://www.youtube.com/@dianeflores_ifbb_pro 

Join the Boss Bitch Besties Fitness Community: https://www.facebook.com/groups/dianefloresifbbpro 

 

Freebies:

Lower Body Blueprint: https://www.bossbitchradio.com/lower-body-blueprint 

Protein Snack List: https://www.bossbitchradio.com/protein-snack-guide 

Full Body Training Program: https://www.bossbitchradio.com/full-body-gym-program 

Fit Girl Gift Guide: https://www.bossbitchradio.com/fit-girl-gift-guide 

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