By Tia Cristy
Not every woman is comfortable talking about her lady parts—and unfortunately, it shows. Women’s health remains one of the most challenging topics to discuss, especially when it comes to sexual organs and their connection to the infamous pelvic floor. With euphemisms like “the land down under,” “the treasure,” “south of the equator,” and “the V,” it’s no wonder the subject feels mysterious and even taboo.
But Dr. Marcy Crouch is changing that narrative. Widely recognized as The Down There Doc, she’s boldly initiating the conversation as a trailblazer in women’s health. A board-certified women’s health physical therapist, Dr. Marcy has devoted her career to addressing pelvic floor dysfunction, especially during the critical periods of pregnancy and postpartum recovery. With over 15 years of clinical experience and nearly 200,000 Instagram followers, she’s become a trusted expert—empowering women to reclaim their health with confidence.
California Girl
Dr. Marcy grew up a happy California girl in Los Angeles. She later attended college in San Diego before returning to LA to earn her Doctorate of Physical Therapy at the University of Southern California.
“I’m a West Coast girl at heart,” she says. “I didn’t know anything about women’s health before PT school. I knew the stuff most PTs know—the knee, the shoulder… you know. And then… my whole life changed.”
It happened in her first semester of grad school. Her anatomy professor began talking about spinal structure, eventually shifting into female anatomy and the pelvic floor. Dr. Marcy was 25, hadn’t had children yet, and wasn’t surrounded by friends who had either.
“I sat there horrified as the professor went on about bladder issues, sexual dysfunction, and then dropped the bomb that women can tear during childbirth,” she recalls.
“I was floored. I couldn’t believe I’d never heard about this before. I was in grad school to learn about ankles? From that point, I was all in on women’s health.”
Filling a Gap in Maternal Healthcare
After graduating, Dr. Marcy was accepted into the Women’s Health Residency Program at Baylor Hospital and Texas Women’s University in Dallas. She worked with high-risk pregnancies while teaching and training others. But as her experience deepened, she began noticing a troubling pattern: despite the profound physical changes that occur during pregnancy and postpartum, many women receive inadequate education and support.
Pelvic floor injuries, perineal trauma, and related complications were often dismissed or misunderstood—leaving women to suffer in silence.
Everything Points South
After Texas, Dr. Marcy moved back west—first Portland, then LA—where she had her sons. Eventually, she and her family relocated to Alabama right before the COVID-19 pandemic, where they still reside today.
With clinics shut down and services on pause, Dr. Marcy knew women were still out there struggling with pelvic floor issues—and she couldn’t stay silent. She launched The Down There Doc, an innovative online platform offering evidence-based birth prep and postpartum recovery programs.
“When 50% of the population is responsible for creating 100% of the population, I thought—what are we doing here?” she says, laughing.
“I had the social handle while still in LA, but I knew this was the name. I wanted women to find me and feel comfortable.”
And they did.
The Down There Doc: A Comprehensive Resource
Dr. Marcy’s platform offers a suite of digital courses that are accessible, empowering, and deeply informative. These include:
Birth Preparation Courses
A cornerstone offering that includes:
- Techniques for pelvic floor relaxation
- Optimal labor positions
- Core strengthening exercises
- Tips to minimize perineal trauma
Postpartum Recovery Courses
Focused on healing and regaining strength after childbirth:
- Pelvic floor rehabilitation
- Managing scar tissue and perineal tears
- Restoring core stability
- Safe return to exercise and daily routines
“Recovery is a process,” Dr. Marcy says. “Women need to approach it with patience and compassion.”
Backed by Results
Dr. Marcy’s approach is grounded in science, anatomy, and biomechanics. She’s helped thousands of women across the globe, with 95% reporting significant symptom improvement.
Her programs address:
- Pelvic floor dysfunction
- Diastasis recti
- Urinary incontinence
- Painful intercourse
- Perineal trauma
Her mission is clear: prevent unnecessary suffering and help women feel strong in their bodies again.
Breaking the Stigma
One of Dr. Marcy’s biggest goals is to normalize conversations about pelvic health. Topics like incontinence and birth injury are often considered taboo, keeping women isolated and ashamed.
“There’s a large population of adult women who don’t know their anatomy,” she says. “Some can’t use a tampon without pain. Some have never had intercourse but are expected to on their wedding night. We need to normalize these discussions.”
Keeping quiet only fuels shame—and keeps women from the care they deserve.
Nix the Shame
Cultural taboos and misinformation have made pelvic issues seem like personal failings. Dr. Marcy is dismantling that.
“Sex is considered an ADL—an Activity of Daily Living,” she says. “It’s just as important as putting on a shirt or fastening a bra after a shoulder injury. It’s vital for healthy relationships.”
If women experience pain during sex or when using feminine products, there are solutions. From Kegels to dilators, from weights to physical therapy—help exists.
“You don’t go to the gym and do 100 reps of something and expect results everywhere. Certain exercises target certain things,” she adds. “It’s the same here.”
A Vision for the Future
Dr. Marcy sees a future where every woman has access to education and support around pelvic health—whether that’s through courses, workshops, or healthcare partnerships.
“We’re just scratching the surface,” she says. “There’s so much potential to change how we approach maternal health.”
The Final Word
Dr. Marcy Crouch’s work is revolutionary. Through The Down There Doc, she’s not just offering programs—she’s redefining how we talk about and treat maternal health. Her message is simple and powerful:
Every woman deserves to feel strong, supported, and empowered—down there and everywhere.
