06/02/2026
I recognized early on that if I could demonstrate performance improvements as a result of addressing pelvic health needs...I’d have a huge IN to get rehab, medical, strength pros, and the athletes themselves to invest in strategies and solutions.
�We have data that indicates that fit and athletic folks leave or modify their participation in physical activity due to pelvic health symptoms. While this suggests pelvic health impact on how intensely one might exercise, the choice to engage in an alternative activity, or that someone may stop participating entirely, it doesn’t get at the direct effect of pelvic health on how folks perform.
To do that we had to look beyond quantifiable outcomes typically tied to performance like speed, load, PR, etc. Instead, we needed to get at it by looking at indirect variables such as the mental load of symptoms, the ongoing awareness of pelvic health symptoms, or awareness of the potential of a visible leak has on an athlete’s performance. How heavy was that extra load that athletes carried?
Turns out it’s a lot.
* Dancers reported loss of concentration, worries about visible leaks or odors, reduced training, and fear of re-occurance (Winder et al. 2025)
* Rugby players reported changing body positions during contact, changing techniques or speed in non-contact activities, and reducing weight training (McCarthy-Ryan et al. 2024)
* Elite female athletes (multiple sports) reported embarrassment, fear, concern/worry, annoyance, and frustration (Culleton-Quinn et al. 2022; Giagio et al. 2025)
Indirect effects create an added invisible (and sometimes visible) load for athletes. Now we have more information to help coaches, trainers, strength pros, and the sports med community understand the value of addressing pelvic health as a building block toward whole athlete health, performance, therapeutic alliance, and sport longevity. We have our IN.
Take a deeper dive on this week’s Substack here: https://tr.ee/_bbCbdrBN0