Pelvic Alignment: Constipation, Sacral Pain & Sexual Health

Biomechanist Katy Bowman speaks with physical therapist Dr Anietie (Tia) Ukpe-Wallace about pelvic health, movement, and self-care.

They discuss Tia’s recent book, Tending To Your Womb, a guide to caring for the uterus and pelvic tissues through awareness, movement, and practical self-care strategies. In this episode, Katy and Tia focus on movement-based approaches for uterine retroversion, a pelvic misalignment that can contribute to sacral pain, sciatic symptoms, and constipation.

They also explore clitoral atrophy — a reduction in tissue size, tone, and flexibility that can occur during menopause — and share movement and self-care practices to help maintain mobility and function.

Tune in and join in for a guided pelvic clock movement sequence taught by Tia.

Enhanced Show Notes and Full Transcript

0:00 Intro & New Dynamic Collective
6:56 Meet Dr. Tia Ukpe-Wallace
9:49 Misalignments of the uterus
15:30 Symptoms of a retroverted uterus: constipation, sacral pain & sciatica
19:55 The pelvic clock: join in with a guided practice!
27:43 Clitoral atrophy in menopause & movement-based approaches
35:24 Self-care: not indulgence, but simple body maintenance
42:25 Where to find Tia Ukpe-Wallace
46:34 Listener question on prolapse, sponsored by Earth Runners

Books, Links and Resources:

Tending to your Womb: Self-Care for Every Stage of Your Reproductive Journey, No Matter the Outcome by Anietie Ukpe-Wallace
About Tia Ukpe-Wallace
Tia on Instagram @selfcarephysio 

Connect, Move & Learn:

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Made Possible By Our Wonderful Sponsors:

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Venn Design: Beautifully upholstered ball-shaped Air Chairs and floor cushions that encourage dynamic sitting

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October Retreats 2026