Year-End Pelvic Health 2025 Summary from Origin’s CEO and Co-Founder

As we close out 2025, I’m thinking about a question that has driven us since day one: how can we ensure that pelvic floor physiotherapy is accepted as the standard of care?

The research shows this should be the first-line treatment for dozens of women’s health problems, from postpartum recovery to incontinence and so much more.

Pelvic floor therapy, for all stages of life.

Whether someone suffers from incontinence, pelvic pain, pain during sex, menopausal symptoms or is recovering from surgery, Pelvic floor therapy provides an effective, non-invasive treatment that improves both physical and mental health outcomes.

This is the answer so many women are looking for. Don’t jump straight to surgery or (usually) just ‘live with it’. The benefits of pelvic floor therapy are real, evidence-based and life-changing, and more patients are discovering this every day.

The data tells us why this is important: bladder and bowel symptoms affect 1 in 2 women aged 18 to 59, and sex-related symptoms affect 1 in 3 women. Still, 33% of women aren’t sure what ‘normal’ is when it comes to pelvic health, and 30% aren’t sure if anything meaningful can help.

But pelvic floor therapy can help, and should be the first stop for most women with these incredibly common conditions.

Pelvic floor specialists are also uniquely equipped to treat a wide range of musculoskeletal conditions beyond the pelvic floor. Whether it’s frozen shoulder during menopause, hip pain after childbirth, or chronic neck and back pain (which affects women 50% more often than men), pelvic floor therapists are trained to understand hormonal shifts, anatomical differences, and biomechanical patterns that affect pain and function throughout the body.

At Origin we see every day that specialized pelvic and movement care changes lives. Through hundreds of thousands of visits, we have helped patients regain their health, their self-confidence and their quality of life.

The good news: Pelvic health is finally in the spotlight

We have been helping to build this new standard since 2020, and the shift we have seen is undeniable.

Searches for ‘pelvic floor’ have increased by 488% in the last ten years. There are hundreds of TikTok influencers educating about pelvic health. It made the news WIRED Magazine (WIRED, obviously!), and even men’s pelvic health is having a moment, from the New York Times Unpleasant National Geographic.

And one of the signs that I am personally most excited about is that doctors are now participating. Our team at Origin now works with more than 5,000 doctors across the country to support their patients, up from 1,500 a year ago. Major healthcare systems such as Kaiser Permanente, Advantia Health, Providence, UCSF, Baylor Scott & White, Kelsey Seybold and The Woman’s Hospital of Texas recognize the critical need for pelvic floor care and are partnering with us to support their patients with pelvic floor dysfunction and navigating critical life stages such as pregnancy, postpartum and menopause. I liken this to my experience with pelvic pain when I was in my 20s, and I was never referred to a pelvic floor therapist. We’ve come this far.

There has been an amazing growth in awareness and access, and we are working to turn this moment into a lasting movement.

So consciousness grows. But what will actually make this the standard?

The need is clear and the conversation takes place outside the shadows. So what now?

One of the biggest reasons why pelvic floor therapy is not yet the standard of care is that there are not enough licensed, expert PTs and PTAs who carry insurance to meet the growing demand.

As we look to the future, we are working on three major changes to ensure care is accessible, ubiquitous and effective for all patients.

1. We need much more published research – Like many aspects of women’s health, women’s pelvic and musculoskeletal health is understudied and underfunded. The result is a wild west in which patients are marketed with a Kegel trainer and an app, or health coaching, and told it is pelvic floor therapy.

I’m all for consumer choice and there is certainly a time and place for digital interventions – but many, a lot of Patients still need 1-1 care from a certified, expert doctor. Given the hundreds of thousands of patient interactions we’ve supported at Origin, we’re excited to contribute to the growing body of research on the value of clinical care, whether in-person or virtual.

2. Insurance coverage should be expanded – One of the most frequently asked questions we hear is: Is pelvic floor therapy reimbursed by insurance? The answer is yes, and this is crucial to making healthcare accessible. At Origin, 96% of our patients use insurance, with most paying less than $25 per visit. Effective pelvic floor treatment should not be out of reach if we know the impact it has.

That said, not all insurance companies cover pelvic floor therapy, and many that do pay well less than what is necessary to provide high-quality care. We are excited to continue working with insurance companies across the country to ensure sustainable access.

3. Training and supporting pelvic floor therapists – We need more certified pelvic floor therapists, period. And achieving that will require systemic shifts from more education in PT schools, more affordable (and better!) training outside of school, and more tools to prevent burnout.

We are excited to partner with 51 universities across the country to provide PT students with access to high-quality clinical rotations and have developed the most supportive, hands-on training program in the industry. The burnout challenge is real, and while we don’t have all the answers, we are investing in better technology and custom AI tools for our workforce to minimize the “work around work.” Right now, our training and development efforts are focused on our team, and we look forward to a future where we can expand access to this to people outside of Origin.

These shifts won’t happen overnight, but we are here for the long haul.

Our first five years have taken pelvic floor therapy from niche to standard. Over the next five years, we’ll move it from normal to non-negotiable.

We are honored to do this work, and we are grateful to have you here with us. Forward!

-Carine