Gutpelvic floor

Pelvic Floor & Gut Health

Journal of Women's Health
Dated 24-06-2025
Author: Dr. Amanda Olson, DPT, PRPC President & Chief Clinical Officer
Pelvic Floor & Gut Health
Megan Pribyl, MSPT, shared a thought-provoking article on the Microbiota-Gut-Brain Axis (1). She reviewed a study by Sandu et al. (2) that explored how gut microbiota can influence brain health—and how this connection impacts conditions like anxiety and depression.
One of the key takeaways?

“Diet composition and nutritional status have consistently been shown to be among the most important modifiable factors affecting gut microbiota throughout life and across health conditions.”

As pelvic health practitioners, this reminds us to consider the strong link between gut health, mental health, and pelvic floor dysfunction—especially when these conditions occur together.

In the past, we may have viewed pelvic pain and anxiety through a purely bio-psycho-social lens: Which came first, the pain or the anxiety?

But now, research encourages us to include diet and gut health in that conversation—looking at how the gut-brain connection may influence the pelvic floor.

One way to support a healthier microbiome is through targeted probiotics.


  1. Cussotto S., Sandhu, K. V., Dinan, T. G., & Cryan, J. F. (2018). The neuroendocrinology of the microbiota-gut-brain axis: a behavioural perspective. Frontiers in neuroendocrinology, 51, 80-101

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About Dr. Amanda Olson, DPT, PRPC

Dr. Amanda Olson brings both clinical expertise and lived experience to pelvic health. Following a significant coccyx and pelvic floor injury, her recovery through comprehensive pelvic physical therapy shaped her clinical approach. She subsequently transitioned from pediatrics to specialize in pelvic health. Her work now informs the development and education behind Intimate Rose.

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