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Bethany Hansen, LLC

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United States
Edina, MN
Bethany Hansen, LLC

I bring experience and passion for all things pelvic health to help people achieve their goals. Location: Blooma (Minneapolis) or mobile in-home

10/03/2026

Love getting positive feedback!! 💛

10/01/2026

🎉Pelvicon 2026: What I learned or re-learned about the v***a from Dr. Rachel Rubin, MD - Part 2

👊What does cl****al phimosis/adhesions and keratin pearls ACTUALLY look like

👊In general, if the issue is at the skin just outside of the vestibule, could be Lichens Sclerosis (or another derm condition), if at the vestibule - vestibulodynia, and if in the va**na - GSM

👊Low testosterone can cause SUI as the bladder and urethral receptors are androgen mediated. Low testosterone can also cause loss of cl****al sensitivity, lower libido, increased difficulty achieving an or**sm and painful s*x.

👊Vestibulodynia can cause urinary urgency because the vestibule, bladder lining, and urethra have the same embryological origin - the endoderm.

👊People on combo oral birth control pills have low testosterone that doesn’t necessarily improve after going off of it.

👊For Lichens sclerosis, patients should use clobetesol ointment, not cream, and rub it in for 90”.

👊If your patient with GSM (or other underlying causes of genitourinary symptoms) is not getting improvement with estradiol alone, they should try (or start with) DHEA (Intrarosa) or a compounded combo of estradiol and testosterone.

I forgot these 2 in my post yesterday (the caption)…😬

👊If a patients says they have urgency or bladder irritation, ask them to point to where they have symptoms (80% of the time it’s not the bladder).

👊Review, in clinic, with patient demo and mirror use, how they put on their v***ar or va**nal cream - a lot of people don’t use enough, don’t “rub it in”, or don’t put it in the right place. Would you dab sunscreen on your face and not rub it in?

🎉Thank you, Dr. Rubin, for a fantastic 4-hour v***ar lecture/exam demo. Pelvicon never disappoints!

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Rachel S. Rubin MD
PelviCon | Pelvic Rehab Conference (Atlanta + Online)

09/30/2026

🎉Pelvicon 2026🎉Pre-Con: Lessons that I learned or re-learned about the V***a from Dr. Rachel Rubin, MD

Part One:

☝️Hormones can be affected by more than just oral birth control: and menopause: breastfeeding, infertility treatments, acne medication - spironolactone, Accutane, finasteride, oophorectomy, breast cancer treatments - Tamoxifen, and aromatase inhibitors

☝️It’s more than just GSM and GSL - GS___ (medication, breast cancer treatment, etc.). Menopause and lactation are not the only things that affect the v***a.

☝️ Get pH strips: va**nal pG - 4.5 good, 7.5 bad. We want them to have a healthy pH to fight unwanted infections and a healthy va**nal microbiome.

☝️The vestibular q-tip test should assess 12 o’clock above the urethra and the posterior urethral g***s (or posterior urethral vestibule) just under the urethra (in addition to the other areas on the vestibule).

☝️My vestibular q-tip testing has not been thorough enough and I also should be applying more pressure with my assessment.

If you’re a pelvic health PT/OT, what have u learned recently that u didn’t already know about v***ar assessments? Comment and share!!

Stay tuned for Part Two!

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Rachel S. Rubin MD
PelviCon | Pelvic Rehab Conference (Atlanta + Online)

09/17/2026

📣Share your latest menopause/perimenopause chronicles in the comments!! 🤪😂

07/16/2026

📣Perimenopause and Menopause Musts📣

These are just a few ideas! If you want to learn more about what can help, check out my latest blog “Does Menopause Affect Your Pelvic Floor?” (link in bio).

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genitourinarysyndrome pelvicfloorphysicaltherapy womenshealth menopausesupport hormonehealth va**nalestrogen pelvicfloor s*xualhealth postmenopause bladderhealth evidencebasedcare pelvicfloorproblems minneapolispt pelvicfloordysfunction

07/14/2026

Told to never plank or crunch again postpartum? 👀 You’re not alone - and it’s probably not true.

Diastasis recti (DRA) is one of the most misunderstood topics in postpartum care.

Quick truths:
🔹 DRA is a normal, common change in pregnancy - not a tear, not a hernia, not an injury
🔹 The size of the “gap” alone doesn’t determine your symptoms or function
🔹 Exercise does NOT make DRA worse - it’s part of what helps
🔹 “Doming” isn’t automatically a bad sign
🔹 Treatment should build strength and confidence, not chase a perfect gap width

The research on DRA is honestly pretty weak and inconsistent, so instead of chasing an arbitrary number, we focus on what actually moves the needle: progressive strength, functional goals, and helping you feel confident in your body again.

Full blog with all the research citations is linked in my bio or on my website www.bethanyhansenpt/blog.com (What to do for Diastasis Recti: A Pelvic Floor PT Perspective). If you’re stuck or unsure where to start, I’d love to help!!

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07/10/2026

😴💤🛌 Good sleep hygiene is no joke! It helps us stay sane, and helps people in pain.

Hey, that rhymes!!

Seriously tho, our tissues and nervous system recover as we sleep, so this is no joke. While some people might brag about being up all night posting nonsensical stuff on Truth Social, your patients (and you 👀) actually need those hours of deep, restorative sleep to heal.

Sleep isn’t just “rest” - it’s when your body does its repair work: tissue healing, nervous system regulation, hormone balance, and pain modulation. Skimp on it, and pain, inflammation, and stress all creep back up.

Save this and share it with your patients as a reminder of the sleep hygiene basics that actually move the needle. 🥱

Which one are you already nailing, and which one do you need to work on? Tell me below 👇

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nervoussystemregulation physicaltherapy

07/08/2026

Hot flashes get all the attention. Your pelvic floor deserves some too. 🔥

Menopause doesn’t just affect your temperature regulation and sleep - it directly affects your pelvic floor muscles, connective tissue, and the tissues of your v***a, va**na, and urethra.

One study found that 84% of postmenopausal women showed signs of Genitourinary Syndrome of Menopause (GSM) by six years after menopause.

84% is not a niche problem!

In my latest blog post, I break down exactly what’s happening hormonally, what it means for your pelvic floor, and - most importantly - what actually helps.
Here’s what’s covered:

→ The stages of menopause and what they feel like in your body

→ Menopause Hormone Therapy - the honest facts (including the black box warning that was finally removed in 2025 🎉)

→ What GSM is and why it’s wildly underdiagnosed

→ Why va**nal estrogen is a game-changer for pelvic floor symptoms

→ How pelvic PT and va**nal estrogen work better together

→ What you can actually do about leaking, dryness, pain, and prolapse

Because “just live with it” is not a treatment plan. 💛
Link in bio - go read it.

genitourinarysyndrome va**naldryness pelvicfloorphysicaltherapy womenshealth menopausesupport hormonehealth va**nalestrogen pelvicfloor s*xualhealth postmenopause bladderhealth evidencebasedcare pelvicfloorproblems minneapolispt pelvicfloordysfunction

06/09/2026

If you’ve ever been told you were “double-jointed” and spent years wondering why your body hurts so much - this one’s for you. 🧬

As a pelvic PT AND someone who lived with undiagnosed hypermobility for over two decades, this blog post is deeply personal to me. (Yes, I once got neck pain from sneezing wrong. 🙄)

Here’s what most people don’t know: hypermobility isn’t just about flexibility. In my latest blog I cover:

✅ What hypermobility actually is

✅ Why it affects the pelvic floor so significantly

✅ What treatment really needs to look like (hint: it’s different)

✅ Why your pelvic floor isn’t weak - it’s overworked

✅ How to find the right provider

You are not fragile. You are not broken. And you don’t have to just live with this. 👏

Link in bio to read the full blog or go to www.Bethany Hansen.com/blog/why-so-many-patients-are-hypermobile

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pelvichealth connectivetissue EhlersDanlos chronicpain pelvicfloorPT bendy pelvicdysfunction womenshealth Minneapolis

05/30/2026

May is Ehlers-Danlos Syndromes (EDS) and Hypermobility Spectrum Disorders (HSD) Awareness Month!

Are you hypermobile and dealing with leaking, prolapse, pelvic pain, or bowel issues? It is NOT in your head - and it is not a coincidence.

I recently listened to an episode of the Zebra Talks Podcast (5/6/2024) with Dr. Libby Hinsley () featuring pelvic PT Dr. Beth Kemper ()titled “Pelvic Health Challenges in the Hypermobility Community”, and it was full of important info for the bendy community. These were the important takeaways (see above ⬆️).

The most important message: bendy people DO get better. It takes the right approach, the right PT, and patience - but healing is absolutely possible.

Save this and share it with a zebra who needs to hear it.

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ConnectiveTissueDisorder ZebraCommunity EhlersDanlos PelvicPain Prolapse PelvicFloor BendyPeople ChronicIllness WomensHealth ZebraTalksPodcast

Address

7250 Metro Boulevard # 100 Edina, MN
Edina, MN
55436

Opening Hours

Monday	8am - 2pm
Tuesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 2pm

Website

http://www.bethanyhansenpt.com/

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