Expect expands access to pelvic-health and rehabilitation specialists across geographically dispersed military populations — supporting postpartum return to duty, post-prostatectomy recovery, injury rehab, continuity of care, and clinical capacity for the whole force.
ABPTS Board-Certified Pelvic & Women's Health Clinical Specialists in the entire United States — a scarce subspecialty that geographically dispersed and remote-duty populations rarely reach.
Pelvic-health and musculoskeletal conditions affect the whole force. Women — the fastest-growing segment of the military — face postpartum recovery; men face post-prostatectomy rehabilitation and pelvic pain. Together they drive lost duty days, reduced quality of life, and medical non-deployability — yet the specialists who treat them are concentrated in a handful of urban clinics.
Service members at remote installations, afloat, or returning from deployment — and the millions of veterans in VA care — face long waits and long travel for pelvic-health and rehabilitation care. Postpartum and post-surgical return timelines stretch when specialist follow-up isn't locally available.
Scarce specialists. A dispersed force. Expect was built to close that distance — for men and women alike.
The pelvic floor isn't a niche women's-health concern — it is core infrastructure for physical performance and mental health in men and women alike. That is why closing this gap is a whole-force readiness issue, not just a quality-of-life one.
The pelvic floor is the base of the deep-core canister — with the diaphragm and transversus abdominis, it regulates intra-abdominal pressure and stabilizes the spine. EMG studies show it activates ahead of limb movement — firing before the shoulder does on a fast arm raise — and scales its force to the load. It is a first responder to every lift, jump, and impact, not a passive sling — and the mechanism is the same in men and women.1,2
When the floor fails, training pays for it. Up to ~45% of female CrossFit athletes — and 75–80% in high-impact sport — report exercise-induced urinary leakage, and cope by wearing pads, restricting fluids, or dropping the activity. Among female soldiers, roughly 1 in 3 report training incontinence severe enough to affect performance; some restrict fluids in the field, trading one readiness risk for dehydration.3,4,5
Pelvic floor dysfunction is associated with roughly 1.5–2× higher odds of depression and anxiety, and postpartum urinary incontinence raises the odds of postpartum depression by ~45–63%. Restoring the pelvic floor is a lever on mental health — not just continence.6,7
of medically non-deployable soldiers are sidelined by musculoskeletal injury — which also drives ~60% of limited-duty days — and servicewomen are injured at up to twice the rate of men. Pelvic-floor and deep-core dysfunction is an upstream, often-missed contributor to that gap, and a direct lever on postpartum and post-surgical return to duty.8
Sources. 1. Hodges, Sapsford, Pengel. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn. 2007. 2. Sapsford, Hodges, et al. Co-activation of the abdominal and pelvic floor muscles. Neurourol Urodyn. 2001. 3. Domínguez-Antuña et al. UI in female CrossFit athletes: systematic review & meta-analysis. Int Urogynecol J. 2022. 4. Syeda & Pandit. UI in female athletes: systematic review. Cureus. 2024. 5. Davis et al. Urinary incontinence among female soldiers. Mil Med. 1999. 6. Cheng et al. Association of UI and depression or anxiety: a meta-analysis. J Int Med Res. 2020. 7. Gallego-Gómez et al. UI increases risk of postpartum depression: systematic review & meta-analysis. Am J Obstet Gynecol. 2024. 8. Molloy et al. Musculoskeletal injuries and U.S. Army readiness, Part I. Mil Med. 2020.
Pelvic health is not sex-specific — and neither is Expect. The platform extends the same human-supervised, deterministic pathway to men, where the specialist gap is even wider and the veteran burden is enormous.
Nearly every man leaks immediately after a radical prostatectomy; depending on how it is measured, roughly 5–45% still have some leakage a year later. Pelvic-floor muscle training is a first-line, guideline-recognized therapy that may speed the return to continence in the months after surgery.1,2
Prostate cancer is the most common non-skin cancer in men (~313,000 new U.S. cases in 2025) and falls disproportionately on veterans — roughly 15,000 new diagnoses a year in the VA, about a third of its new cancer cases, and a presumptive Agent Orange condition. Hundreds of thousands of veterans live with its after-effects.3,4,5
Male pelvic health is an underserved niche inside an already-scarce specialty: about 95% of surveyed pelvic-health clinicians report feeling underprepared to treat men. And chronic pelvic pain syndrome — often driven by pelvic-floor dysfunction — is the most common urologic diagnosis in men under 50, prime service age.6,7
The force is roughly 80% male, and the veteran population more so. Extending human-supervised pelvic-health rehabilitation to men — post-prostatectomy recovery, pelvic pain, and continence — turns Expect from a women's-health tool into whole-force readiness infrastructure, without adding a single scarce specialist.
Sources. 1. Ficarra et al. Continence recovery after robot-assisted radical prostatectomy: systematic review & meta-analysis. Eur Urol. 2012. 2. Anderson et al. Conservative management for postprostatectomy urinary incontinence. Cochrane Database Syst Rev. 2015 (benefit is chiefly earlier recovery; long-term outcomes converge). 3. Prostate cancer statistics, 2025. CA Cancer J Clin. 2025. 4. VA National Oncology Program data, 2024. 5. U.S. Dept. of Veterans Affairs, Public Health — prostate cancer as a presumptive Agent Orange condition. 6. APTA Pelvic Health — surveys of pelvic-health clinician preparedness for male patients. 7. American Urological Association — Diagnosis & Management of Male Chronic Pelvic Pain (CP/CPPS) Guideline.
Expect doesn't replace physical therapists — it multiplies their reach, so a single licensed clinician can safely oversee care across a dispersed population.
Patients complete the same evidence-based battery a board-certified pelvic floor PT would use in a clinical evaluation — via telehealth, from any duty station or remote location.
Expect runs on a deterministic clinical algorithm co-developed with a board-certified PT. Same inputs, same evidence-based outputs, every time — auditable and reproducible. Patent pending.
The intake surfaces red flags beyond the pelvic floor — mental health, colorectal, and other symptoms — and routes those individuals to the appropriate provider or military treatment facility.
During the initial deployment, every individualized care plan is reviewed, modified as necessary, and approved by a licensed physical therapist before it reaches the patient. The clinician retains final authority over all treatment decisions.
No autonomous treatment. The platform never delivers a care plan a licensed physical therapist has not reviewed and approved.
Deterministic & auditable. Every recommendation traces to defined clinical rules — reviewable, reproducible, and explainable, unlike generative AI.
Escalation built in. Red-flag symptoms are routed to human clinicians and in-person care rather than managed by the algorithm.
Expect is built for exactly the conditions that make specialty care hardest to deliver in the naval services: dispersed populations, remote and afloat duty, and constrained clinical capacity.
Structured, clinician-approved pelvic-health rehabilitation supports a safe, well-documented postpartum return to duty — even when a specialist isn't stationed nearby.
Guideline-recognized pelvic-floor rehabilitation for men recovering from prostate surgery — delivered remotely under licensed-PT supervision, reaching men who today have almost nowhere to turn.
Care plans travel with the service member across duty stations, deployments, and PCS moves — maintaining continuity where in-person specialty access is limited.
One licensed PT can safely oversee individualized care at a scale traditional clinics can't reach — relieving pressure on a limited pool of pelvic-health specialists.
The intake surfaces conditions that often go undetected and routes service members to the right military treatment facility or provider — a front door, not a dead end.
One pelvic-health pathway can follow members from active duty into the VA — where the prostate-cancer and pelvic-health burden is largest and specialist access is thinnest.
Before defense, Expect is proving the platform in a live, regulated civilian market. Utah is a deliberate proving ground: a large, geographically dispersed population served by five ABPTS board-certified Pelvic and Women's Health Clinical Specialists in Utah — the same specialist scarcity the force faces, in a governed clinical setting.
Licensed-PT oversight, clinical intake, and safety screening operating under civilian health regulation — the real-world environment that de-risks a defense deployment.
Five board-certified specialists for 1.6 million women mirrors the dispersed-population, scarce-specialist problem across the naval services.
Expect holds a Cooperative Research and Development Agreement (CRADA) with the U.S. Department of Veterans Affairs' Veterans Health Administration for its OB/GYN-approved prenatal and postnatal fitness program (expect.fit) — a formal federal partnership supporting the health of pregnant and postpartum veterans.
That CRADA is for Expect's commercial fitness foundation — but it means Expect Fitness, Inc. is already a vetted collaborator inside a federal health system, working the same women's-health mission, security expectations, and dispersed-population challenge the naval services face. The same organization built the human-supervised rehabilitation platform, so that federal footing directly de-risks a defense engagement.
What the CRADA covers. The agreement supports Expect's OB/GYN-approved prenatal and postnatal fitness program for veterans — the company's established, clinically governed foundation.
Proven federal footing. Expect Fitness, Inc. is already a vetted partner collaborating with the VHA under a formal federal agreement — experience that carries directly into a defense deployment of the rehabilitation platform.
Women veterans. Women are the fastest-growing group in the VA population, and prenatal, postpartum, and pelvic-health needs are recognized access gaps — the exact continuum Expect serves.
Men & post-prostatectomy. Prostate cancer is a signature veteran diagnosis (~15,000 new VA cases a year; a presumptive Agent Orange condition), and post-surgical pelvic rehabilitation is exactly the underserved, dispersed-access need Expect's pathway is built to close.
A structured demonstration lets the naval services evaluate safety, outcomes, and fit before any broader rollout — with full clinical oversight at every step.
A defined cohort at one or more sites, with licensed-PT review of 100% of care plans and predefined safety and outcome measures.
Extend to remote and afloat beneficiaries to validate continuity of care and the capacity multiplier under real operational conditions.
Integrate referral and record workflows, evaluate readiness and return-to-duty impact, and define the pathway to broader adoption.
A deterministic, auditable architecture is a security asset: decisions are reproducible and explainable rather than opaque. The roadmap below outlines the path to defense-grade deployment.
HIPAA-aligned handling. Protected health information managed under HIPAA safeguards today.
Auditable decisions. Every recommendation traces to defined clinical rules — fully reviewable, unlike generative models.
Authorization pathway. Roadmap toward FedRAMP and DoD Impact Level authorization for government deployment.
Record integration. Designed to integrate with military health records and referral workflows (e.g., MHS GENESIS).
Access control. Role-scoped access and tamper-evident audit logging of clinical activity.
Data residency. Deployment options to meet government data-residency and hosting requirements.
Items describe current safeguards and the planned authorization roadmap; specific government authorizations are pursued in coordination with the sponsoring command.
We work with defense, military medical, and public-sector leaders evaluating human-supervised AI for force readiness and access to care.