In Good Health: Chronic Pelvic Pain In Women
1A
NPR
4.3 • 4.5K Ratings
🗓️ 27 May 2026
⏱️ 43 minutes
🧾️ Download transcript
Summary
So, why is it so difficult to receive diagnosis and treatment for these conditions? And why don’t we talk about our pain ‘down there’ in general?
In this installment in our series, “In Good Health,” we sit down with a panel of experts to talk about it.
Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.
See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.
NPR Privacy Policy
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Imagine you go to the gynecologist for your annual pap smear, and you feel excruciating pain when the doctor inserts the specula. |
| 0:15.6 | Or imagine that other parts of your life many people take for granted, like penetrative sex with a partner, |
| 0:27.2 | become impossible because of the extreme pain that comes with it. Now imagine seeing several doctors trying to figure out what's wrong. They all tell you, everything looks fine. Years go by |
| 0:33.5 | without answers, but the pain doesn't go away. Some of you don't have to imagine it because |
| 0:39.1 | you've lived it. I started experiencing severe tailbone pain following a back surgery. It was in |
| 0:47.8 | physical therapy, and this tailbone pain kept getting worse and worse. Fortunately, my physical therapist was familiar with pelvic floor disorders and referred me to someone. |
| 0:58.2 | I had enough stuff done and I have a hypotonic floor or an overactive pelvic floor. |
| 1:03.3 | They liken it to people who have tend shoulders or clinch their jaw. |
| 1:08.1 | I've been dealing with this for about a year. |
| 1:10.5 | It does cause full intercourse, |
| 1:13.4 | pain, using the restroom, as well as just generally it's uncomfortable to sit for long periods |
| 1:18.7 | time. It's uncomfortable to stay in for long periods of time. I work in health care, and when I thought |
| 1:23.1 | of pelvic for dysfunction, I thought of women who'd had multiple children or older women who struggled |
| 1:28.4 | with incontinence. Claire, thanks for that message. One in three women will experience a pelvic |
| 1:33.8 | floor disorder at some point in their life, and one in four people with vulvas will develop a |
| 1:38.5 | vulva vaginal disorder. Yet despite how common pain down there is, 60% of people with these conditions consult three or more doctors before ever receiving a proper diagnosis, and it's a process that can take up to 12 years. |
| 1:53.5 | That's according to the National Volvo-Dinia Foundation. |
| 1:56.8 | I'm Jen White. You're listening to the 1A podcast. For today's installment of our series |
| 2:01.5 | in Good Health, we're discussing vulgar and pelvic pain and why we don't talk about that pain |
| 2:06.8 | enough. That's just after this short break. Stay with us. |
| 2:14.9 | Welcome back to the 1A podcast. For the latest installment of our series in Good Health, we're |
| 2:20.0 | talking vulgar and pelvic pain. Joining us in studio is Dr. Sarah Signer. She's an assistant |
... |
Transcript will be available on the free plan in 17 days. Upgrade to see the full transcript now.
Disclaimer: The podcast and artwork embedded on this page are from NPR, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of NPR and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.

