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15 min 11 sec
Available in:English

Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage

Shows women how leaking, painful sex, urgency and pelvic pain usually trace back to pelvic floor muscles that are too weak or too tight, and how to retrain them at home, through pregnancy, after birth and into menopause.

Table of Content

Leaking when you laugh, pain during sex, constant urges to pee: many women are told these come with having a female body, to be handled with pads, surgery or silence. In Floored, pelvic floor physical therapist Sara Reardon argues that such problems are common but not normal. Nearly one in three women has some pelvic dysfunction, she writes, and most of it traces back to one group of muscles that is too weak, too tight or poorly coordinated.

That is hopeful news, because muscles can be trained. Reardon’s case is that posture, breath, bathroom habits and patient recovery after birth and in menopause can prevent or reverse most of this trouble. Along the way you get a self-check you can do at home, a squeeze and a release worth practicing, a better way to sit on the toilet, and a four-step plan for pain that refuses to fade.

Every sneeze, laugh and breath depends on muscles most women have never been shown. A two-week class redirected Reardon’s career, and a simple home check reveals whether your own muscles need building up or calming down.

One small habit during lifting, straining or even a stressful day pushes force onto your pelvic floor. Reardon explains why the fix costs nothing and starts with how you sit, sleep and breathe.

The most famous pelvic exercise is often done wrong, and for some women doing more of it makes pain worse. Reardon teaches the real squeeze and an overlooked skill that works in reverse.

A teacher cut out coffee and water and still could not finish a walk without leaking. Her real problem was never in her cup, and the fix starts with how you sit on the toilet.

A sixteen-year-old was told to relax more when sex hurt. Reardon traces that pain to a protective clench, and shows why the muscles that matter in birth are not the ones doing the pushing.

Six weeks after birth, many women are told they are ready for anything. In midlife, hormones shift again. Reardon lays out how to rebuild in stages and why menopause changes need not be permanent.

A golf ball under you, sandpaper underwear, a nerve that will not settle. One in four women meets pain like this, and Reardon offers a four-step way to switch off a stuck alarm.

Floored rests on one reframe. The leak on a morning walk, the burning, the wall Candace met at sixteen: each feels like a private embarrassment, usually handled alone with pads, avoidance or a doctor’s advice to relax. Reardon puts them all on one map. A hammock of muscle that most women never learned to feel has become too weak, too tight or out of time, and like any muscle it can be trained.

The practical work begins with finding out which way yours leans, through the five-second self-check, then practicing what you need: the blueberry lift for weakness, the egg-laying release for tension. Breathe out whenever you lift, strain or push, whether the load is groceries or a baby. Sit fully on the toilet, lean forward and go on the urge rather than just in case. After birth, or as menopause arrives, rebuild in small stages instead of waiting for permission.

Sandra cut out coffee and water when the answer lay in muscles nobody had checked. Reardon’s point is that you can check them yourself, and start this week.

About this book

What is this book about?

Many women learn early to hide their periods and to put up with leaks, pain during sex or pressure down below as the cost of having a female body. Pads, surgery or silence become the answer. Sara Reardon, who has treated pelvic floor problems since 2007, argues that these problems are common but not normal, and that nearly one in three women lives with some form of pelvic dysfunction. Her angle is muscular. The pelvic floor is a hammock of muscle that controls the bladder and bowel, supports the organs, shapes sex and stretches for birth. When it is too weak, too tight or poorly coordinated, symptoms follow, sometimes far from the pelvis, as back, hip or jaw pain. Floored turns that diagnosis into a home program: a self-exam, a correct Kegel and its overlooked opposite, posture and breathing habits, better ways to pee and poop, preparation for birth, a gradual postpartum plan, care through menopause and a four-step protocol for chronic pelvic pain. Readers learn which way their own muscles lean and what to practice next.

Book Information

Rating:

Genre:

Health & Nutrition

Topics:

Sex & Intimacy, Women’s Health

Publisher:

HarperCollins

Language:

English

Narrator:

Jenna

First published:

June 10, 2025

Pages:

384

Length:

15 min 11 sec

Get the book:

Amazon

Who it's for

  • Leaks or painful sex

    Women who leak when they laugh, run or lift, or who feel pain during sex.

  • Expecting and new mothers

    Pregnant women and new mothers who want to prepare for birth and recover without rushing.

  • Menopause or pelvic pain

    Women in perimenopause or menopause, and anyone living with pelvic pain doctors have called normal.

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About the Author

Sara Reardon

Sara Reardon is a doctor of physical therapy who has treated pelvic floor problems since 2007. She is board certified in pelvic floor physical therapy, a clinical specialist in women's health and works at NOLA Pelvic Health. She founded The Vagina Whisperer, an on-demand platform of workouts for pregnancy, postpartum, menopause, painful sex and strengthening, and gave a TED talk on rethinking postpartum care. Floored is her first book.

Ratings & Reviews

Ratings at a glance

4.5

Overall score based on 1200 ratings.

What people think

Listeners find this guide both highly educational and accessible, considering it a vital resource for women of all ages. The delivery is clear, and listeners value the encouraging tone of the material. They appreciate the thorough exploration of pelvic health, including one listener who shared how the exercises successfully resolved their postpartum leaking issues.

Top reviews

Watcharin

This book is a masterclass in everything we should have been taught about our bodies in school but never were. As a long-time follower of 'The Vagina Whisperer' on Instagram, I was already familiar with some of the advice, but having it all organized in one place is invaluable. Reardon writes with such a clear, encouraging tone that makes even the most awkward topics feel like a chat with a smart friend. I particularly appreciated the emphasis on breathing techniques and why we should never hold our breath during a heavy lift. It’s practical, empowering, and personally life-changing if you struggle with leaking or discomfort. While some sections felt a bit repetitive, the foundational knowledge is so vital that I didn’t mind the extra reinforcement. If you have a vagina, you need this on your shelf immediately.

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Jong

Wow, I wish I had this book ten years ago before my first pregnancy left me feeling totally disconnected from my core. Reardon breaks down the science of the pelvic floor in a way that is accessible without being patronizing. The advice on using lubricant and avoiding the 'just in case' pee was a total eye-opener for me. In my experience, the section on perimenopause was the most enlightening part, especially the connection between weight training and pelvic support. It’s refreshing to see a medical professional treat these 'taboo' topics with such positivity and expertise. I've already started the exercises and have noticed a massive difference in my stability during workouts. This is essential reading for literally every stage of life.

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Mikael

The chapter on perimenopause alone makes this entire book worth the purchase price for women of a certain age. Reardon manages to make pelvic floor physical therapy feel like something everyone can and should do, rather than a scary medical intervention. I appreciated the specific tips on using feet elevation during bowel movements and the emphasis on staying hydrated for muscle health. Look, the book is designed to be a reference, so yes, some info is repeated, but that just helps the main points stick. I feel much more confident in my body’s ability to age gracefully now that I have these tools in my arsenal. It’s a positive, informative, and deeply necessary manual for anyone with a vagina.

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Chamnong

As someone who has struggled with pelvic pain for years, reading this felt like finally being heard by a medical professional. Reardon’s approach is so holistic and kind, taking the shame out of things like incontinence and sexual discomfort. I learned so much about the importance of not pushing when I pee and why breathing is the secret to a strong floor. To be fair, I think everyone—regardless of their current health status—could benefit from the preventative tips found here. The section on lifting weights as we age was particularly motivating for me to get back into the gym. It’s a comprehensive guide that I know I will return to whenever my body starts acting up. Truly a gift to women everywhere.

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Sarocha

After hearing so many good things about 'Floored,' I had high expectations, and I’m happy to say it delivered. The way the author explains the mechanics of our internal muscles is fascinating and surprisingly easy to visualize. I particularly liked the 'takeaway' summaries because they distill complex physical therapy concepts into actionable daily habits. It’s a very positive book that focuses on what our bodies can do rather than just listing what's wrong with them. My only small gripe is that it could be more inclusive of different gender identities, but it’s a huge step in the right direction. I’ve already recommended it to my sisters and my mom because everyone needs to know this stuff. Don't wait for a problem to start reading this!

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Nathan

Let's be real: we are generally taught nothing about our pelvic floors, and this book is the manual we all deserved. I loved how Dr. Reardon bridges the gap between clinical advice and real-life application, especially regarding postpartum recovery and menopause. The instructions on breathing through exertion have already changed the way I approach my morning pilates and weightlifting sessions. Personally, I found the tone to be incredibly reassuring, like a supportive coach guiding you through the weirdness of your own anatomy. While it is definitely a 'medical' book, it never feels dry or boring because the stakes are so personal to our quality of life. Grab a copy, get a stool for your bathroom, and start breathing better—your future self will thank you.

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Cholada

Ever wonder why nobody talks about pelvic health until there’s a major problem? Dr. Reardon is changing that narrative with this comprehensive guide that covers everything from pregnancy to menopause. I found the specific tips on 'toileting posture'—shoutout to the Squatty Potty fans—to be incredibly helpful for daily life. Not gonna lie, the middle sections get a little redundant, and I felt like the author kept hammering home the same three points about hydration and lube. However, the exercises are well-explained, even if they are a bit tricky to visualize without seeing the videos. It’s a solid resource for anyone looking to be proactive about their health as they age. Every woman should at least skim this to understand how their internal muscles actually function.

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Chokdee

Picked this up because I was tired of hearing that 'peeing a little' when you sneeze is just a normal part of being a mom. Truth is, it’s common but not normal, and this book explains exactly how to fix it through targeted physical therapy. The writing style is punchy and direct, which makes the medical jargon much easier to digest during a busy day. I did feel that some of the language was a bit geared toward able-bodied individuals, and it would have benefited from a more inclusive lens for disabled folks. That said, the core takeaways—like exhaling on the 'work' part of a lift—are game changers for my gym routine. It's a great companion piece to her Vhive membership if you’re already a fan.

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Riley

Finally got around to reading this after seeing it all over my feed, and I have mixed but mostly positive feelings. On the one hand, the information is top-tier; Dr. Reardon clearly knows her stuff and presents it with genuine care. On the other hand, if you already follow her on Instagram, you might find that you know about 80% of this already. The audiobook version is a bit difficult because you can’t see the diagrams for the exercises while you’re driving or doing chores. I’d suggest getting the physical copy so you can dog-ear the pages on postpartum recovery and lifting techniques. It’s a solid 4-star read that fills a massive gap in women’s healthcare literature.

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Darawan

Not what I expected given the high praise, although the medical information itself is undeniably high-quality and important. Frankly, the book is extremely repetitive and could have probably been a long-form pamphlet or a series of blog posts. By the time I hit chapter five, I felt like I was reading the same instructions on how to breathe through exertion over and over again. Also, a word of caution: chapters 8 and 9 go into very graphic detail about birth trauma and recovery. As someone who had a difficult delivery, I found these parts quite triggering and had to skip ahead to protect my peace. It’s a good reference for specific issues, but reading it cover-to-cover felt like a chore. I’d recommend just following her social media instead.

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Questions about this book

Reardon argues that leaking, urgency, painful sex and pelvic pain are common but not normal. Most of these problems come from pelvic floor muscles that are too weak, too tight or poorly coordinated. Because these are muscles, they can be trained, and posture, breathing, toilet habits, Kegels, relaxation practice and gradual recovery after birth and menopause can prevent or reverse much of the trouble.

Reardon teaches it in three stages. Sitting tall with feet flat, first tighten only the muscles around the urethra, then relax. Next tighten only the muscles around the anus, then relax. The full Kegel squeezes front and back together while lifting toward the pubic bone, a feeling she compares to lifting a blueberry with the vagina. Women with tight muscles should also practice the reverse: a gentle release.

Yes, according to Reardon, if the muscles are already tight. Endless Kegels on tense muscles can worsen painful sex, difficulty starting urination and chronic pelvic pain. She treats relaxation as an equal skill: sit comfortably, breathe out and imagine laying an egg, letting the perineum bulge gently toward the seat. A self-exam that reveals tenderness or tightness suggests putting the release first.

For urinating, Reardon advises sitting fully on the seat with feet flat, leaning forward on your forearms, never pushing, and going only when you feel the urge, normally every two to four hours, not just in case. For bowel movements, raise your feet on a stool so the knees are above the hips, breathe out instead of holding your breath, and don’t delay the urge.

It suits women with leaks, urgency, constipation or painful sex, pregnant women preparing for birth, new mothers who feel rushed back to activity at six weeks, and women entering perimenopause or menopause. It also helps anyone with unexplained pelvic pain, since Reardon gives a four-step protocol: track the pain, pause triggers, relax the pelvic floor and return to triggers gradually.

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Floored

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