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The Problem

And why you're still struggling

Most women with leaking, pelvic pain, pressure, or constipation are told things like “just do kegels” or “that’s normal after kids.” So you try random exercises, patch together advice, and hope it gets better.

Meanwhile, symptoms keep showing up  during workouts, intimacy, daily life, leaving you frustrated and unsure where to turn.

Pelvic floor symptoms are common, but they are not normal, and they are absolutely treatable with the right approach.

Holistic Pelvic Care, Done Differently

The Solution

We exist because you deserve pelvic care that is thorough, clear, and actually effective. Not rushed, dismissive, or cookie-cutter.

Our Services

Pelvic Physical Therapy That Fits Your Lifestyle

We offer a flexible approach to pelvic health that adapts to your life. Each service is designed to address root causes and build lasting strength.

Virtual Pelvic Physical Therapy

One-on-one virtual pelvic floor physical therapy for women who want expert care and accountability from anywhere.

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In-Person Pelvic Floor Physical Therapy

Hands-on pelvic floor physical therapy in Orange County for those ready to resolve pain, bladder issues, and pelvic dysfunction.

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Evidence-based strength and nutrition coaching designed to help you improve body composition and rebuild confidence, without sacrificing your hormones, gut health, or your social life.

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Conditions We Treat

Our pelvic floor physical therapy treats the full range of pelvic floor conditions by addressing strength, movement, and regulation, not just symptoms.

Who We Help

We support women who want their bodies back at every stage of life.

  • Active women

    Resolve leaking, pain, or pressure so you can return to lifting, running, or high-intensity training with confidence.

  • Pregnancy

    Reduce pain, manage pelvic pressure, prepare your body for birth, and move safely and comfortably.

  • Postpartum

    Newly postpartum or years later, we treat leaks, prolapse, scars, bowel issues, and painful sex.

  • Peri/menopause

    Hormonal shifts can trigger pelvic symptoms. We help you adapt, strengthen, and feel supported.

Your Path to Relief

How Treatment Works

A clear, supportive process designed to meet you where you are with guidance every step of the way

Apply to Work with Viva

Fill out a short form so we can understand your symptoms, goals, and what you’re looking for. Once reviewed, we’ll follow up with next steps and scheduling options.

Comprehensive Evaluation

Your first visit is a 1:1 evaluation, in person or virtual. We assess your pelvic floor, movement, breathing, and symptoms to understand what’s driving them.

Personalized Treatment Plan

You’ll receive a clear, customized plan tailored to your body, symptoms, goals, and daily life. Each step is realistic, and structured to support steady progress.

Receive Ongoing Support

Between visits, you’ll have ongoing support and guidance to ensure questions are answered, adjustments are made, and progress stays on track.

About

Meet Dr. Olivia

Dr. Olivia Van Guyse is a pelvic floor physical therapist who specializes in whole-body care for high-achieving women. Before becoming a physical therapist, she worked as a personal trainer and nutritionist and saw too many women dismissed, given vague advice, or told their symptoms were normal.

Viva Pelvic Health was created to offer a different level of care. Dr. Olivia treats the pelvic floor as part of a connected system that includes strength, stress, hormones, nutrition, and the nervous system, helping women restore confidence, move without fear, and build lasting resilience.

This is holistic pelvic floor physical therapy, done differently.

Testimonials

What Our Clients Are Saying

Giving you the best pelvic health care virtually and in-person.

Dr. Olivia has been an absolute Godsend to me. She is extremely thorough & knowledgeable, immediately put me at ease and made me feel confident that we’d be able to resolve my pelvic issues, and lo and behold – it’s happening! I feel empowered with the knowledge and tools I need for my long-term success. Worth every dime.

TN
I saw Dr. Olivia and my experience was wonderful. I came in with severe pain and in one session she truly helped. Obviously, it will take more than one session, but there was a large difference. I felt that she provided a caring and respectful environment. She really listened to what I had to say and made me feel valued.
JC
I started seeing Dr. Olivia when I was 20 weeks pregnant and then throughout my postpartum journey. I felt so prepared for birth and she truly helped me rehab and get back to my baseline postpartum. I received absolutely stellar care and I highly recommend her! I think all pregnant women should be receiving pelvic floor therapy throughout pregnancy and postpartum.
JeC
She truly helped me with my condition and it’s becoming more manageable and I’m not in constant pain everyday. Regarding my condition, I’ve had all sorts of doctors dismiss me and ever since the first day I started getting help, she was knowledgeable and told me all my symptoms are common. If it weren’t for her, I’m not sure what I would’ve done. She’s made a huge difference in my quality of life.
KM
From where I was at my first appointment (debilitating pain) to now, managing and strengthening my muscles and about 75% less daily pain. It’s seriously worth every penny. This is not your average physical therapy, I highly recommend her to anyone who has pain that they want to heal naturally.
MG

Frequently Asked Questions

You've got questions. We've got answers.

Your healing timeline is unique and depends on: How long you’ve had symptoms, your nervous system’s response, and how consistent you are with your personalized plan. Instead of guessing (“X” weeks), we measure progress through phases of treatment: Reconnect, Root Cause, Restore, Resiliency. Because that’s what actually reflects your body’s healing, not the calendar.

After 3-4 sessions, we’ll know exactly what trajectory you’re on:

  • Fast responder (symptoms improve quickly with the right strategies)
  • Steady progress (your body needs time to break long-standing patterns)
  • Multi-layered (Various contributing factors & chronic tension)

Those rigid timelines you get in traditional PT (“10 weeks”) are based on insurance limitations…not biology.

We are an out-of-network practice which means insurance companies don’t get to dictate your treatment plan, visit frequency, or the quality of care you receive.

For in-person sessions: You can submit a Superbill to your insurance for potential reimbursement through your out-of-network physical therapy benefits. Similar to in-network, coverage varies, so we recommend calling your insurance to confirm your OON benefits.

For virtual sessions, programming, and coaching: Insurance hasn’t caught up to the research. These services are highly effective and often more transformative than traditional PT, but they do not fall under insurance-approved “telehealth PT” categories. For that reason, they are self-pay services.

Most clinics give you a few exercises and a “see you next month.” If something feels off, you wait… and progress stalls.

Pelvic health isn’t meant to be treated this way. It’s influenced by stress, training, hormones, nutrition, and your nervous system — far more than just Kegels.

Our approach is different:

  • No guessing between sessions. We check your form, breath, warm-ups, and programming so you’re always progressing.
  • Continuous support. Ask questions and get feedback in real time — not weeks later.
  • Whole-body, evidence-based care. We treat the root causes — stress, posture, pressure, movement, metabolism, and pelvic floor coordination.
  • Built-in accountability. The single strongest predictor of long-term success.

In short: you get the level of support, personalization, and whole-body care that traditional PT simply doesn’t have the time or structure to offer.

Never. Pelvic floor function can improve at any stage of life. If something feels off, your body is asking for support.

Your doctor will assess how your pelvic floor, core, hips, breathing, and movement patterns are functioning together. You’ll leave with a clear understanding of what’s causing your symptoms and a personalized plan to address it.

Ready to Feel Like Yourself Again?

You don’t have to tolerate leaks, pressure, or pain, and you don’t have to figure it out alone.

Get Started Today