How We Treat Pelvic Pain, Painful Sex, and Sexual Dysfunction

Comprehensive sexual health care requires time and a team approach. I'm joined by two of my team members Karen Badley, my nurse practitioner, and Grace Prete, our pelvic floor physical therapist.

We talk about why complex conditions like pelvic pain, painful sex, and hormonal changes don't fit into 10-minute appointments. You can't address someone's full picture when insurance only reimburses for quick visits. We discuss why multidisciplinary care matters, why pelvic floor therapy sessions need real time, and why treating hormonal health alongside aesthetics makes a difference.

This conversation is about what patients deserve and why the traditional insurance model makes that impossible. We talk about treating the whole person, not just symptoms. Last year, I transitioned to a concierge model after over a decade of taking insurance because this is how medicine should be practiced.

Highlights

• Genitourinary syndrome of lactation is similar to GSM in menopause.
• Upper cross syndrome from breastfeeding and tech neck causes cervical spine issues.
• Visible light from phones and screens worsens hyperpigmentation (tinted mineral sunscreen helps).
• Tight pelvic floor muscles are actually the weakest, not the strongest.
• Insurance bundles entire pregnancy into one fee with no separate postpartum reimbursement.
• Patients can see multiple providers on the same day for coordinated care.

f you're struggling with sexual health issues, pelvic pain, or hormonal changes and feel like your appointments are too rushed, consider seeking comprehensive care. Check out our practice at https://www.thegsmcollective.com/ to learn more about our concierge model. Subscribe to the podcast so you don't miss upcoming episodes.

Connect with Dr. Rahman:

Website - https://www.thegsmcollective.com/about-us

Instagram - https://www.instagram.com/gynogirl/

Youtube - https://www.youtube.com/@UCmFnlujKDsDE3uIUMrbcByQ

Substack - https://gynogirl.substack.com/p/welcome-to-vagilante-nation?just_subscribed=true