Monarch Physical Therapy & Performance

Monarch Physical Therapy & Performance Elizabeth Lauten (Edwards) PT, DPT. Pelvic health & orthopedic physical therapy, & doula services.

We specialize female pelvic health, perinatal care, & female athlete support. We also help barbell athletes perform their best and recover after injury.

Even before I started my physical therapy doctoral program, I knew I wanted to work in women’s health.But when it came t...
09/17/2026

Even before I started my physical therapy doctoral program, I knew I wanted to work in women’s health.
But when it came to my own pelvic health, I had a mixed experience with providers, and a lot of important questions went unanswered.

First, some definitions...
Energy Availability is the energy your body has left for essential functions (hormone production, bone health, immune function) after accounting for exercise and activity. It’s primarily about calorie intake versus output, but sleep and stress management play a role too.

Relative Energy Deficiency in Sport (RED-S) occurs in athletes when there isn’t enough energy available to support those essential functions.

Low Energy Availability (LEA) puts people, especially athletes or very active individuals, at risk for bone injuries, GI dysfunction, urinary leakage, cycle irregularities, fertility challenges, and decreased performance.

Athletes and highly active people have higher energy requirements than those who are more sedentary (but we should all be moving daily for our health 😁).

LEA is also a source of stress on the body. It can disrupt the autonomic nervous system, raise cortisol, and make it harder to manage stress overall.
Why does this matter for your pelvic health?
    •    LEA can decrease gut motility, causing constipation, which increases pressure in the pelvis.
    •    LEA can negatively impact hormone and cycle health, affecting fertility and the ability to conceive.
    •    LEA in female athletes is linked to stress urinary incontinence, on top of the pelvic floor’s already increased load from training.

Fitness and performance are about more than lifting heavy and running hard. Training falls under the umbrella of overall health, alongside fueling, stress management, and sleep.

LEA/RED-S is something I myself experienced personally, not just something I know clinically about. Stay tuned for my story in Part 2b!

Thank you to for the photo!! 📸
Edited with the help of AI for grammar and clarity — content and story are my own. This is educational, not individual medical advice.

09/10/2026

🎬 Note: This is a short 47-second preview! Head to my profile grid to watch the full 3-minute video breakdown!

Hello! I am Elizabeth Lauten, a pelvic health and orthopedic physical therapist specializing in female pelvic health and perinatal care. I am based in Lacey & Olympia, WA. Here is a fun snapshot into my clinical work, we are going to see what’s inside my bag!

🧠 A quick clinical correction on the pelvic model: You can appreciate the space in the pelvis and how when the re**um fills, the uterus swells, the bladder is full, or when there is inflammation/swelling, there is simply less space (rather than it being “tighter”).

🙌 Shoutout to my support team & community:
Thank you to bryn (https://www.instagram.com/the.ease.project/) for helping me film! Bryn supports business owners by taking tasks off their plate. Check out her business!

You may hear some background noise. We filmed this at the Women’s Networking in Olympia | Networking Without The “Ick” (https://www.instagram.com/olympiabosssociety/) content lab. If you are a woman business owner in the area and want to connect with an incredible community, OBS is a great spot!

✨ Pelvic Health Tools & Supplements:
We partner with VWELL Pelvic Health - Vaginal Trainers, Pelvic Wands + more (https://www.instagram.com/vwell_brand/) to help you access premium pelvic health tools! This is the Flex Vibrating Wand. You can use code ELIZABETH15 for a discount. (FTC Compliance: We partner with Vwell and receive a profit from sales).

I absolutely love Needed (https://www.instagram.com/needed/) supplements. Needed is an incredible company providing Radically Better Nutrition for pregnancy, postpartum, fertility, and female health. I am proud to partner with them and offer discounts! (FTC Compliance: We partner with Needed and receive a profit from sales).

Thanks for watching my video! Drop any questions below!

I used AI to help edit this caption for grammar, spelling, and clarity, the content and information are fully my own.

09/09/2026

Hello! I am Elizabeth Lauten, a pelvic health and orthopedic physical therapist specializing in female pelvic health and perinatal care. I am based in Lacey & Olympia, WA. Here is a fun snapshot into my clinical work, we are going to see what’s inside my bag!

🧠 A quick clinical correction on the pelvic model: You can appreciate the space in the pelvis and how when the re**um fills, the uterus swells, the bladder is full, or when there is inflammation/swelling, there is simply less space (rather than it being “tighter”).

🙌 Shoutout to my support team & community:
Thank you to bryn (https://www.instagram.com/the.ease.project/) for helping me film! Bryn supports business owners by taking tasks off their plate. Check out her business!

You may hear some background noise. We filmed this at the Women’s Networking in Olympia | Networking Without The “Ick” (https://www.instagram.com/olympiabosssociety/) content lab. If you are a woman business owner in the area and want to connect with an incredible community, OBS is a great spot!

✨ Pelvic Health Tools & Supplements:
We partner with VWELL Pelvic Health - Vaginal Trainers, Pelvic Wands + more (https://www.instagram.com/vwell_brand/) to help you access premium pelvic health tools! This is the Flex Vibrating Wand. You can use code ELIZABETH15 for a discount. (FTC Compliance: We partner with Vwell and receive a profit from sales).

I absolutely love Needed (https://www.instagram.com/needed/) supplements. Needed is an incredible company providing Radically Better Nutrition for pregnancy, postpartum, fertility, and female health. I am proud to partner with them and offer discounts! (FTC Compliance: We partner with Needed and receive a profit from sales).

Thanks for watching my video! Drop any questions below!

I used AI to help edit this caption for grammar, spelling, and clarity, the content and information are fully my own.

Before I became a pelvic PT, I had my own mixed experience with providers, and a lot of questions that went unanswered. ...
08/18/2026

Before I became a pelvic PT, I had my own mixed experience with providers, and a lot of questions that went unanswered. 👇

This series is my story of becoming a pelvic PT, and everything I wish I’d known sooner for my own pelvic health (and overall health).

Part 1: Bowel & Bladder Basics 🚽

Swipe through for the habits I had to unlearn, including one I swore by for years (hi, hovering 👋) that was actually working against me.

If any of this sounds familiar, you’re not alone, and pelvic PT can help. Send us a DM or check the link in bio to get started. 💛

Thank you to Elmara | PNW Photographer for the photo and check out her work!!!
Edited with the help of AI for grammar and clarity, content and story are my own.

Did you know that not all lubricants are created equal?Many personal lubricants contain ingredients that can irritate se...
08/03/2026

Did you know that not all lubricants are created equal?

Many personal lubricants contain ingredients that can irritate sensitive tissue, aren’t formulated with vaginal health in mind, or aren’t s***m-friendly. Choosing a lubricant designed for vaginal tissue can support comfort and healthy moisture. If you’re trying to conceive (TTC), a fertility-friendly lubricant can help support s***m motility.

Our recommendations:

Trying to conceive: Good Clean Love® BioGenesis Fertility Lubricant
For intimacy: Uberlube® — a premium silicone-based lubricant with exceptional glide
For intimacy or pelvic floor tools: Good Clean Love® water-based lubricants

Why use a lubricant?
✔️ Reduces discomfort during intimacy
✔️ Improves glide and decreases friction
✔️ Helps prevent tissue irritation
✔️ Supports vaginal tissue hydration

The right lubricant can make intimacy more comfortable while supporting your goals — whether that’s conceiving, improving comfort, or using pelvic health tools.

Have questions about which lubricant is right for you? We’d love to help.

Just because your body is changing doesn’t mean intimacy has to disappear. Many women experience shifts in comfort, plea...
06/02/2026

Just because your body is changing doesn’t mean intimacy has to disappear. Many women experience shifts in comfort, pleasure, and connection during perimenopause and menopause, and there is so much that can help. You don’t have to navigate it alone.
Read my latest guide featured on , link in bio and you can find it at VWell.com/blogs/news. Use code Elizabeth15 for 15% off pelvic health tools at VWell.

05/11/2026

Upcoming appointment availability. All appointments are hour long one-on-one with a doctor of physical therapy in a private treatment room.

Address

418 Carpenter Road SE, Suite 202
Olympia, WA
98503

Opening Hours

Tuesday 1pm - 7pm
Wednesday 1pm - 7pm
Thursday 8:30am - 2pm
Friday 8:30am - 2pm

Telephone

+13608902693

Website

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