In this 16 hour lab and evidenced based course, the clinician will learn both the diagnosis-based and symptomatic approaches to management of pelvic health disorders in men and women. Dry needling strategies are presented that have shown favorable clinical outcomes in patients with urinary incontinence, fecal incontinence, pelvic organ prolapse, vulvodynia, constipation, urinary retention, dyspareunia, episiotomy scarring, testicular pain, pudendal neuralgia, anismus and painful intercourse. Orthopedic and fascial connections will be considered in explaining systemic disease and thoughtful comprehensive treatment strategies will be offered to guide the practitioner managing this difficult patient population. Dry needling for the pregnant patient will be discussed as an evidence based practice and guidelines for optimal outcomes will be considered. Participants need to feel comfortable partially exposing their perineum for observation, palpation and needling. Coccyx manipulation externally and via the rectum will be taught and pelvic mobilization techniques reviewed. A case study based written examination will be given to ensure understanding of techniques offered.