Endometriosis, Fertility & Surgery: An Interview with Dr. Sadikah Behbehani

When the Dream of Time Freedom Turns to a Nightmare

One of the biggest reasons people start a business… is freedom.  Freedom to: *  Work the hours you want  *  Pick your kids up from school  *  Travel  *  Control your schedule  But somewhere along the way… the dream turns into a nightmare. You started the business for freedom, but...  👉 You’re working constantly  👉 Thinking about the business all the time  👉 Feeling trapped by your schedule  👉 And wondering why you somehow have less freedom than before Because you cannot truly feel successful if you don’t control your time. The Business Accelerator helps you create the systems, workflows, and structure that actually lead to freedom. 👉 Learn more here:  www.pelvicptrising.com/accelerator [http://www.pelvicptrising.com/accelerator] About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them. 🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads  👤 Founder – PelvicSanity clinic in Southern California  🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference  📚 Author – The IC Solution, helping 20,000+ patients worldwide  🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally  💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Endometriosis, Fertility & Surgery: An Interview with Dr. Sadikah Behbehani

How many of your patients might have endometriosis… and no one has said it out loud yet? Because that’s happening. A lot. In this episode, Nicole sits down with one of the only physicians in the country trained in both endometriosis excision surgery and reproductive endocrinology—Dr. Sadikah Behbehani. And this conversation pulls back the curtain on what’s really happening with endo, fertility, and patient care. We cover:  👉 Why endometriosis is still massively underdiagnosed (and often missed—even in fertility clinics)  👉 The difference between suspecting endo vs actually confirming it 👉 Why surgery is still the gold standard—and when it matters most 👉 The role pelvic PT plays (before AND after surgery) 👉 What REIs are often missing—and why 👉 How endometriosis impacts fertility, miscarriage risk, and pregnancy outcomes 👉 When conservative care is helpful… and when it’s delaying necessary treatment Because as pelvic rehab providers… 👉 We’re often the first ones to connect the dots  👉 The first ones to say the word “endometriosis”  👉 And the first chance patients have to get the right care About Dr. Sadikah Behbehani Dr. Sadikah Behbehani is a double board-certified OB/GYN and reproductive endocrinology and infertility specialist with additional fellowship training in minimally invasive gynecologic surgery. She is one of only a handful of physicians in the U.S. with expertise in both fertility treatment and advanced endometriosis excision surgery. She practices at Endometriosis & Fertility Center, where she focuses on complex endometriosis care, fertility preservation, and helping patients build their families. 👉 Website: https://endometriosis-fertility.com/ [https://endometriosis-fertility.com/] 👉 Instagram: https://www.instagram.com/dr.sadikahbehbehani/ [https://www.instagram.com/dr.sadikahbehbehani/] Downtraining Masterclass If you want to be able to better help your pelvic pain patients, you need to be working on the nervous system.  And if you don't know the three different types of downtraining....make sure you've taken the Downtraining Masterclass ($47).  👉  www.pelvicptrising.com/ [http://www.pelvicptrising.com/clinical]downtraining About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them. 🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads  👤 Founder – PelvicSanity clinic in Southern California  🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference  📚 Author – The IC Solution, helping 20,000+ patients worldwide  🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally  💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Revenue vs Profit - Where you Need to Be

Revenue is vanity. Profit is reality. And most business owners are focused on the wrong number. In this episode, we break down one of the biggest mindset shifts in business: 👉 Revenue is how much money your business brings in 👉 Profit is how much actually ends up in your pocket And the difference between those two numbers determines everything about your life. This conversation started after a high-level business conference in Vegas where someone asked: “How do you improve profitability in an insurance-based business?” The answer? “If you can’t control your pricing… there’s only one game to play:  you have to ruthlessly cut costs.” And honestly? That’s not a business most of us want to run. We break down: *  Why profit margin is the metric serious business owners actually care about  *  The huge mistake most people make when trying to improve profitability  *  Why you cannot save your way to a successful business  *  The difference between finite expense cuts and uncapped revenue growth  *  How small increases in patient volume massively outperform tiny cost savings  *  Why business model determines lifestyle more than almost anything else  And then we get into the contrast that changes everything: 🏥 Insurance-based model  ~10% margins  ~42 visits/day to make $100k 💰 Cash-based model  ~66% margins  ~3 visits/day to make $100k Same income. Completely different life. This episode is about more than money. It’s about:  👉 Burnout  👉 Freedom  👉 Control  👉 And building a business that actually works for your life If you're ready to build a business with stronger systems, better margins, and more freedom… The Business Accelerator is where we help pelvic rehab business owners grow intentionally—without burning themselves out. 👉 Learn more here:  www.pelvicptrising.com/accelerator [http://www.pelvicptrising.com/accelerator] About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them. 🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads  👤 Founder – PelvicSanity clinic in Southern California  🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference  📚 Author – The IC Solution, helping 20,000+ patients worldwide  🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally  💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What Trauma-Informed Care Really Means: An Interview with Krystyna Holland

Are you truly practicing trauma-informed care… or just assuming you are? Because there’s a big difference. And most of us were never actually trained in it. In this episode, Nicole sits down with pelvic PT, researcher, and educator Krystyna Holland to break down what trauma-informed care really looks like—and where our field is still falling short. And this conversation goes deeper than you expect. We’re not just talking about being empathetic or “good with patients.” We’re talking about:  👉 The intentional choices that either build safety… or unintentionally cause harm 👉 Why “I’m a caring provider” isn’t the same as being trauma-informed 👉 The missing clinical frameworks that should have been part of our training 👉 How even well-meaning clinicians can get this wrong Krystyna shares insights from her current research—including the development of actual, tangible guidelines for trauma-informed care in pelvic health. Not theory. Not buzzwords. Real, actionable practices. We also get into: *  Why ongoing consent matters (and how to actually do it)  *  How intake forms can unintentionally create harm  *  What to say when a patient discloses trauma  *  The biggest mistakes clinicians make when trying to “protect” patients  *  Why trauma-informed care applies to every interaction—not just internal exams  *  The surprising gap between what patients want… and what providers think matters  This episode will likely challenge how you think about your care. And that’s the point. About Krystyna Holland Krystyna Holland is a pelvic health physical therapist, trauma-informed care researcher, author, and founder of Inclusive Care LLC. She specializes in providing inclusive, affirming, and trauma-informed pelvic healthcare and is a leading voice in bringing evidence-based trauma-informed practices into the pelvic health space. She has spoken at major conferences including PelviCon and is currently leading research to develop standardized clinical guidelines for trauma-informed care. Follow her here: https://www.instagram.com/krystyna.holland/ [https://www.instagram.com/krystyna.holland/] If you want to feel more confident in how you communicate, assess, and treat patients… Our clinical courses are designed to bridge the gap between what you know and how you actually show up in the room. 👉 Explore here:  www.pelvicptrising.com/clinical [http://www.pelvicptrising.com/clinical] About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them. 🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads  👤 Founder – PelvicSanity clinic in Southern California  🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference  📚 Author – The IC Solution, helping 20,000+ patients worldwide  🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally  💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The Courage of Little Leaps: An Interview with Kyle Hartman

What if growing your business didn’t require one big leap… …but a series of small, courageous ones? Because that’s how most successful practices are actually built. In this episode, Jesse sits down with Rising CEO coach and practice owner Kyle Hartman to talk about what it really looks like to grow—from a brand new pelvic PT during COVID… to running a 4-clinician practice. And the story isn’t what you think. There was no master plan.  Just a willingness to take the next step. We get into: *  Why confidence doesn’t come before action (it comes from it)  *  How “low-risk” decisions can still lead to big outcomes  *  The power of starting small—and staying consistent  *  How to grow a practice without losing focus or chasing every opportunity  *  What it actually takes to lead a team (and have hard conversations well)  *  Why grit and courage matter more than experience early on  We also dive into how Kyle has intentionally expanded her practice: *  A quarterly labor prep seminar that serves the community and drives leads  *  Her work in sex coaching and counseling, helping patients move beyond pain into pleasure  *  Consulting with professional athletes on return-to-sport postpartum care If you’ve been waiting until you feel “ready”… This episode is your reminder: You don’t need a perfect plan.  You just need the courage to take the next step. Business Accelerator Program If you're ready to build your business step-by-step (without guessing what comes next)… The Business Accelerator is where we walk you through exactly what to focus on—at every stage. 👉 Learn more here:  www.pelvicptrising.com/accelerator [http://www.pelvicptrising.com/accelerator] About Kyle Hartman Kyle Hartman is a pelvic health physical therapist, Rising CEO coach, and owner of Monterey Pelvic Health—a thriving 4-clinician practice in California. Known for her intentional growth and strong team culture, Kyle has expanded her services beyond traditional pelvic PT to include labor prep education, sex counseling, and consulting for professional athletes navigating pregnancy and return to sport. You can learn more at www.montereypelvichealth.com [http://www.montereypelvichealth.com/] and follow her on Instagram at @montereypelvichealth https://www.instagram.com/montereypelvichealth [https://www.instagram.com/montereypelvichealth] About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them. 🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads  👤 Founder – PelvicSanity clinic in Southern California  🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference  📚 Author – The IC Solution, helping 20,000+ patients worldwide  🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally  💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!