
Episode #26
Ep. 26: Sandra's story & how pelvic floor physio can help during menopause
Sandra Ghaly, founder and clinical director of Makewell Health , sat through two to three days of pelvic floor education in physio school and thought (along with every other woman in her class) "no chance am I ever doing that." She built an entire career in orthopedic physio instead — until she kept meeting patients who told her they leaked when they squatted or felt heaviness she had no idea how to treat. It took her own two pregnancies, one vaginal delivery and one C-section, both requiring her to fight for her own answers, to realize how deep the gap in women's healthcare actually runs. Now she owns a multidisciplinary women's health clinic in Oakville built entirely around the idea that nobody should have to repeat their story five times to five different specialists. Amy and Sandra get into what actually happens during a pelvic floor assessment (it's a lot more than "fingers in your vagina"), why Kegels are terrible generic advice, and the genitourinary symptoms of menopause that don't go away on their own — they get worse the longer nobody treats them. KEY COMPONENTS She spent physio school swearing she'd never specialize in the pelvic floor, and what changed her mind after she'd already built a career in something else entirely. "Your pelvic floor is not weak — sometimes it's guarding" : Why the advice to "just do your Kegels" is often exactly backwards. The genitourinary symptoms of menopause that never go away on their own — unlike hot flashes and brain fog, this set of symptoms gets worse the longer it's ignored. Why she has patients bring a mirror into the room, and what she's found most women have genuinely never looked at. "If something doesn't feel right, tell someone about it. It's probably a very common thing that you're feeling, but also very treatable. There's help out there." Visit Makewell Health's website here Follow Makewell Health on Instagram Follow Sandra on Instagram Click here to join the movement at downthereaware.org Subscribe, like, and share to show us you care! Podcast produced by Binge-Worthy Studio For informational and entertainment purposes only — not medical advice. We're here to get loud, not to play doctor.

