In this episode, we talk with Dr. Alexandra Hill, PT, DPT, founder of OncoPelvic PT, about how treatment can affect pelvic health, sexual function, and movement. A Doctor of Physical Therapy and double board-certified specialist in oncologic physical therapy and pelvic and women’s health physical therapy, Alex is also a LANA-certified lymphedema therapist. She completed her degree at the University of Florida and a women’s health residency at Duke University.
Through OncoPelvicPT.com, she shares education and patient resources. She explains how surgery, radiation, hormone therapy, and lymph node removal may contribute to scar tissue, altered sensation, vaginal narrowing, urinary changes, or swelling. We discuss why swelling can appear years later, why physical therapy matters, and how pelvic floor training may support recovery after prostate surgery.
Listeners will hear how to raise sexual health concerns with care teams and how coordinated support can help restore comfort, function, and participation in activities.
In this episode, you will hear:
- Oncology physical therapy from diagnosis through long-term follow-up
- Pelvic health effects of cancer treatments, including hormone therapy
- Surgery and radiation effects on tissue, sensation, and vaginal opening
- Lymphedema risks and the value of early assessment
- Pelvic floor training before and after prostate surgery
- Barriers to discussing sexual health and accessing care
- Coordinated support from physical therapists and other specialists
Resources from this Episode
Explore the OncoPelvic PT Blog
Cancer Rehabilitation Physical Therapy
Pelvic Health Physical Therapy
Cancer, Pelvic Health & Sexual Health Resources
American Cancer Society — Managing Sexual Side Effects as a Woman With Cancer
American Cancer Society — Pelvic Radiation and Sexual Health
Learn about how pelvic radiation can affect sexual function and what may help manage these changes.
National Cancer Institute — Sexual Health Issues in Women With Cancer
National Cancer Institute — Sexual Health Issues in Men With Cancer
National Cancer Institute — Self-Image, Sexuality, and Cancer
Professional Resources
American Society of Clinical Oncology (ASCO) — Survivorship Resources
NCCN — Survivorship Guidelines
APTA Pelvic Health — Find a PT
APTA Pelvic Health — CAPP-Certified Directory
Disclaimer:
The information shared in this podcast is intended for educational and informational purposes only and should not be considered medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or medical condition. The views and opinions expressed are those of the individual participants and do not necessarily reflect the views, policies, or positions of MedRoots or the medical community at large. Listeners should consult a qualified healthcare professional before making any healthcare-related decisions.
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