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/

👉 Instagram: 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/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, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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

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, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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/

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

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, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!