While you wait...

Stronger Starts, Better Recoveries: How to Improve Your Surgical Outcomes

Mon, 22 Sep 2025 00:00:00 -0700

No one ever wants surgery, but if you need it, you absolutely want the best possible outcome. In this episode of While You Wait… I share practical, science-backed steps you can take before and after surgery to support your recovery.

From pre-op education and nutrition to exercise, stress management, and even when to sip clear liquids, I cover the details most patients don’t hear until the very last minute. I also opened up about my own breast cancer diagnosis and what preparing for surgery has taught me personally.

Whether you’re facing urogynecologic surgery or any other procedure, these tips can help you feel prepared, confident, and supported through every step of the journey.

Additional Resources:

YourPelvicFloor.org (IUGA patient resources)
Pelvic Organ Prolapse Support – peer support community
AAMC Article on Improving Surgical Results

Timeline:

00:30 Introduction: Preparing for Surgery

01:32 Personal Story and Podcast Introduction

02:33 Importance of Preoperative Education

09:53 Physical Preparation: Exercise and Nutrition

12:11 Mental and Lifestyle Preparation

15:08 Day Before and Day of Surgery Tips

16:53 Post-operative Care and Final Thoughts

Exploring the Overlap: Urogynecology and Colorectal Health

Mon, 15 Sep 2025 00:00:00 -0700

If you’ve ever wondered why hemorrhoids, constipation, or “smearing” show up with pelvic floor symptoms, or what actually happens in a colorectal exam, this episode makes it clear, calm, and doable. In this episode, I discuss the interconnected nature of urogynecology and colorectal health with Dr. Bethany Malone, a board-certified colon and rectal surgeon. The discussion covers how hormonal changes and colorectal issues like constipation, hemorrhoids, and IBS can impact urogynecologic and pelvic floor health. Bethany shares her journey in building patient trust, the nuances of colorectal surgery, and the importance of fiber in managing bowel health. We also explore the sensitive topics of fecal smearing, the significance of thorough examinations, and the role of pelvic floor physical therapy in maintaining overall health. Tune in to gain valuable insights into how these different areas of health are interlinked and the importance of a multidisciplinary approach in treating complex health issues.

Looking for more information:

Beth Malone: You can find her on IG, Twitter, and TikTok at BethanyMaloneMD, and her personal website is: http://www.bethanymalonemd.com

Information on Fiber

Timeline:

00:30 Introduction to Urogynecology and Related Medical Issues

02:02 Meet Dr. Beth Malone: Colorectal Surgeon

02:52 Rebuilding Trust in Healthcare

06:27 Understanding Colorectal Surgery

11:41 Common Colorectal Issues and Treatments

20:42 The Importance of Fiber and Probiotics

24:35 Pelvic Floor Issues: Weakness and Tension

31:01 Collaborative Care and Conclusion

First-Line Treatments for Overactive Bladder

Mon, 08 Sep 2025 00:00:00 -0700

Overactive bladder (urgency urinary incontinence) can feel overwhelming, emotionally and physically. Many women silently cycle through denial, frustration, and finally, acceptance. But living with constant urgency or leaking before reaching the bathroom doesn’t have to be your “new normal.”

In this episode, I break down first-line treatments for urgency incontinence, the practical, foundational steps every woman should try before turning to medications or procedures.

You’ll learn:

How to keep a bladder diary to identify your personal triggers (from sparkling water to coffee).
Why pelvic floor strengthening is key—and the difference between doing Kegels on your own vs. with support.
How to practice urge suppression—the 5 quick contractions + calming breath technique that really works.
The power of bladder retraining to teach your body to hold more comfortably over time.

These tools don’t just improve symptoms; they put you back in control, helping you feel less isolated and more hopeful.

Additional resource, BLADDER DIARY.

Take this first step toward confidence and freedom from urgency.

Overcoming Stress Urinary Incontinence: Practical Steps and Solutions

Mon, 01 Sep 2025 00:00:00 -0700

Not sure where to start with bladder leaks? In this episode, I break down the first steps for tackling stress urinary incontinence, which is leaks that occur with coughing, sneezing, laughing, or exercise. You’ll learn why pelvic floor strengthening is the gold standard, how to make sure you’re doing Kegels correctly, and what over-the-counter options like vaginal weights, peri-trainers, urethral seals, and pessaries can do to help. Plus, I share the #1 technique that can stop leaks in their tracks.

Free resources:

Vagina Coach

How to stay dry - MyPFM

Timeline:

00:45 Introduction to Tackling Urinary Incontinence

01:24 Understanding Stress Urinary Incontinence

01:55 Pelvic Floor Strengthening Basics

03:49 Advanced Pelvic Floor Strengthening Techniques

05:56 Using Devices for Pelvic Floor Strengthening

13:38 Exploring Over-the-Counter Devices

15:49 Final Tips and Resources

From Anxiety to Empowerment: The Truth About Pelvic Floor Therapy

Mon, 25 Aug 2025 00:00:00 -0700

Pelvic floor physical therapy can feel intimidating, especially when you don’t know what to expect. In this episode, I sit down with MJ Strauhal, one of Portland’s most experienced pelvic floor PTs, to walk through what really happens at that first appointment.

You’ll hear:

- Why pelvic floor PT isn’t like any other therapy you’ve had

- What the intake process looks like (yes, we ask about pooping, peeing, AND sex!)

- Why comfort, privacy, and patient choice are central to PT

- How PT can help with leaking, prolapse, pain, and more

If pelvic floor PT has ever made you nervous, this conversation will give you the clarity and reassurance you need.

Additional information:

PT finder https://www.aptapelvichealth.org/ptlocator

https://www.voicesforpfd.org/find-a-health-care-professional/

Timeline:

00:30 Introduction to Pelvic Floor Physical Therapy

01:54 Understanding the First PT Appointment

02:81 Scheduling and Preparing for Your Visit

03:45 The Importance of the Intake Form

05:33 Patient Comfort and Initial Assessments

07:37 The Role of Anatomy and Education

08:56 Exploring Treatment Options and Techniques

15:25 Virtual Visits and Online Classes

17:39 Addressing Common Concerns and Misconceptions

23:16 Conclusion and Final Thoughts

Empowering Patients: Navigating Healthcare and Communication Strategies

Mon, 18 Aug 2025 00:00:00 -0700

In this episode, we dive into the challenges and strategies of discussing intimate and potentially embarrassing health issues like bladder leaking with healthcare providers. I revisit an insightful conversation with Dr. Kara Wada, a board-certified allergist and immunologist, who emphasizes the importance of patient empowerment and effective communication in the healthcare system. Dr. Wada, a certified life coach and autoimmune patient, shares valuable tips on how to take ownership of your health story, prepare for appointments, and establish clear communication with your doctor. The discussion also explores the complexities of electronic medical records, the benefits of virtual visits, and the shared humanity between patients and physicians. This episode is packed with practical advice to help patients feel more confident and in control during their medical appointments.

Timeline:

00:30 Introduction

01:39 Meet Dr. Kara Wada: Background and Expertise

04:29 Navigating the Healthcare System: Challenges and Tips

06:02 The Importance of Owning Your Health Story

09:39 Effective Communication with Your Physician

16:06 Virtual Visits: A New Norm

25:42 Conclusion and Final Tips

Pessaries: A Modern Tool for Treating Prolapse and Incontinence

Mon, 11 Aug 2025 00:00:00 -0700

Pessaries have come a long way from their ancient origins. Today, they're sleek, medical-grade silicone devices that can help with prolapse and stress incontinence, no surgery required. In this episode, I break down the different types of pessaries, how they work, and why they're not just for "frail grandmothers" anymore.

We'll cover:

• How pessaries support prolapse & stress incontinence

• Over-the-counter options like Poise Impressa, Uresta, Revive

• Custom-fitted pessaries & innovative 3D-printed options from Cosm

• When pessaries are a bridge to surgery (and when they're the long-term fix)

What is Yōni.Fit? - Yōni.Fit

Bladder Support for Women | Uresta

FemTherapeutics - Pessary for prolapse support

Personalized Pessaries for Pelvic Floor Disorders | Cosm Medical

Revive Reusable Bladder Support for Women – Leak Protection & Comfort

Timeline:

00:30 Introduction to Pessaries

00:51 History and Evolution of Pessaries

01:51 Modern Pessaries: Materials and Misconceptions

02:29 Benefits and Flexibility of Pessary Use

02:55 Pessaries as a Temporary or Permanent Solution

04:28 Candidates for Pessary Use

06:02 Pessaries for Prolapse 08:22 Pessaries for Incontinence

11:35 Potential Risks and Side Effects

12:19 How to Get a Pessary

12:45 Conclusion and Encouragement

Understanding Hormones and Bladder Health

Mon, 04 Aug 2025 00:00:00 -0700

Hormones play a bigger role in bladder health than most women realize. In this week's episode of "while you wait…" podcast, I break down how estrogen shifts during perimenopause, menopause, postpartum, and even certain birth control methods can affect urgency, leaking, and pelvic floor function. I also explain why vaginal estrogen may be part of the solution, common risk factors for incontinence, and how lifestyle factors like weight, sleep, and stress can make symptoms better or worse.

Timeline:

00:30 Introduction and Overview

01:04 Hormonal Changes and Bladder Health

04:50 Genetic and Risk Factors for Incontinence

07:31 Non-Hormonal Factors Affecting Incontinence

09:28 Communicating Symptoms with Doctors

12:40 Hormone Therapy and Bladder Symptoms

15:15 Conclusion and Final Thoughts

Vacation-Ready: How to Manage Bladder Leaks While You Travel

Mon, 28 Jul 2025 00:00:00 -0700

Planning a vacation but nervous about traveling with bladder issues? You're not alone, and you're not out of options. In this episode, I share practical, proactive strategies for women managing bladder symptoms during travel. Whether it's stress incontinence, urge incontinence, or a mix of both, you'll learn about everything from bladder irritants and urge suppression techniques to pessary options and helpful apps. Plus, I share bonus tips like trying AZO Go-Less and tracking your food and fluid intake with a downloadable bladder diary.

Get your free copy of the voiding and bladder irritants diary here: https://womensbladderdoctor.kit.com/175637750c

Timeline:

00:30 Introduction and Travel Anxiety

02:24 Understanding Your Bladder Issues

02:35 Tips for Managing Urge Incontinence

07:26 Tips for Managing Stress Incontinence

08:37 General Travel Preparation Tips

10:35 Additional Advice and Conclusion

Set It and Forget It: How eCoin Is Revolutionizing OAB Treatment

Mon, 21 Jul 2025 00:00:00 -0700

I sat down with Jim Surek, CEO of Valencia Technologies, to explore eCoin, an innovative tibial nerve stimulator designed to treat overactive bladder (OAB) with fewer visits, fewer side effects, and more freedom.

Unlike traditional sacral nerve stimulation or ongoing Botox treatments, eCoin is a nickel-sized device implanted near the ankle that delivers consistent, effective relief. It's minimally invasive, easy to implant in an outpatient or office setting, and requires little follow-up.

We discuss:

How eCoin compares to other third-line OAB treatments
What makes it simpler and more accessible for both patients and providers
What women can expect from the implant procedure and its long-term effectiveness
How it's helping improve patient outcomes and free up busy practices
The exciting future of this device for broader pelvic health conditions

Whether you're a patient living with urgency and frequency or a provider looking for better options, this episode brings a much-needed look into the evolving treatment landscape for OAB.

Timeline:

00:30 Introduction

01:02 Overview of the Eco Device

03:31 Clinical Study Results and Patient Feedback

04:55 Battery Life and Replacement

06:53 Surgical Procedure and Placement

11:30 Patient Experience and Benefits

15:24 Future Developments and Company Vision

18:50 Conclusion and Final Thoughts

Exhausted, Foggy, and Ignored: The Hormone Conversation Every Woman Deserves with Dr. Lara Williams

Mon, 14 Jul 2025 00:00:00 -0700

In this powerful episode, I interview Dr. Laua Williams, a practicing OB/GYN with extensive training in functional, restorative, and integrative medicine. We dive deep into how our medical system often misses the mark when it comes to hormone testing, fatigue, and perimenopausal symptoms.

Dr. Williams explains how lifestyle, cortisol levels, iron levels, sleep quality, and stress responses are often overlooked and why progesterone, not estrogen, is often the missing piece.

If you've ever been told you're fine but feel anything but, this episode is for you.

For more information on Dr. Williams:

https://www.oregonclinic.com/our-team/lara-williams/#

Timeline:

00:30 Introduction to Dr. Lara Williams

01:07 The Journey to Integrative Medicine

01:48 Challenges in Traditional Western Training

02:16 Exploring Alternative Medicine

02:49 Combining Functional and Restorative Medicine

03:17 The Importance of a Holistic Approach

03:35 Addressing Training Gaps in Gynecology

05:02 Hormone Testing and Replacement

05:25 Case Study: Treating a 44-Year-Old Patient

05:59 The Role of Lifestyle in Hormonal Health

09:43 Understanding Cortisol and Stress

12:12 The Impact of Sleep and Lifestyle Choices

17:24 Iron Deficiency and Brain Fog

18:59 Addressing Urinary Symptoms and Urea Plasm

18:57 Patient Case Study: Urea Plasm

20:16 Functional and Integrative Medicine

21:28 Hormonal Imbalances and Treatments

28:42 Menopause: Symptoms and Testing

32:30 Testosterone Therapy Considerations

36:17 Empowering Women in Health

From Pain to Peace: Callie Krajcir's Journey with Interstitial Cystitis

Mon, 07 Jul 2025 00:00:00 -0700

What happens when your bladder pain starts in childhood, but doctors don't believe you until adulthood? In this episode, I talk with Callie Krajcir, IC dietitian, coach, and founder of "Road to Remission," about her journey from suffering in silence to becoming symptom-free. We unpack the layers of interstitial cystitis (IC), pelvic floor dysfunction, and the nervous system's role in chronic pain. Callie opens up about college struggles, pelvic PT challenges, pelvic wand use, and how she helps hundreds of women find hope and healing. Whether newly diagnosed or still searching for answers, this episode is a must-listen.

For more information on Callie:

Callie K Nutrition

@callieknutrition

Timeline:

00:30 Introduction

00:46 Callie's Journey with Interstitial Cystitis

02:15 Becoming an IC Dietician

03:19 Helping Others: Programs and Platforms

05:17 Common Symptoms of IC

07:49 College Struggles and Athletic Challenges

10:12 Pelvic Floor and Physical Therapy Insights

12:51 Diagnosis and Treatment Experiences

24:14 The Importance of Support and Positive Mindset

29:19 Final Thoughts and Encouragement

Nocturia: Why You're Waking to Pee at Night (and What You Can Do About It)

Mon, 30 Jun 2025 00:00:00 -0700

In this episode, I'll break down the real reasons behind getting up at night to pee, a condition called nocturia. From overactive bladder to fluid intake and systemic conditions like sleep apnea or diabetes, and why looking at the whole picture is essential. I'll also discuss effective treatments from bladder training to Botox and why a 3-day voiding diary is a crucial first step in figuring it all out.

Timeline:

00:30 Introduction to Nighttime Urination Issues

01:06 Understanding Nocturia

02:58 Common Causes of Frequent Nighttime Urination

03:23 Bladder Issues and Treatments

05:19 Evaluating Fluid Intake

06:26 Medical Conditions Affecting Urine Production

07:41 Importance of Accurate Voiding Diaries

08:21 Conclusion and Key Takeaways

08:58 Sleep Apnea and Its Impact on Nocturia

11:14 Recent Studies and Treatments

11:59 Final Thoughts and Recommendations

The Truth About Overactive Bladder Medications: Benefits, Risks, and Alternatives

Mon, 23 Jun 2025 00:00:00 -0700

If you've ever been prescribed medication for overactive bladder, you might wonder what it's actually doing and what the risks are. In this episode, I break down the two main types of medications used to treat OAB: anticholinergics and beta-3 agonists. We'll talk about how they work, the side effects (including memory concerns), and how to weigh the benefits and risks. I also explore alternative options like Botox and nerve stimulation, and why shared decision-making with your provider matters more than ever. If bladder urgency or leaking has been part of your life, this episode will help you make informed, confident choices about your treatment path.

For more information on this topic:

https://journals.lww.com/fpmrs/abstract/2017/05000/augs_consensus_statement__association_of.4.aspx#:~:text=Given%20the%20available%20evidence%2C%20which,medications%20in%20patients%20at%20risk.

https://pubmed.ncbi.nlm.nih.gov/34213600/

Timeline

00:30 Introduction to Overactive Bladder

00:48 Behavioral Treatments for Overactive Bladder

00:57 Medications for Overactive Bladder

01:18 Anticholinergic Medications and Memory Concerns

01:37 Types of Medications for Overactive Bladder

03:55 Studies on Anticholinergics and Cognitive Impairment

03:23 Clinical Guidelines and Recommendations

04:26 Prevalence and Types of Overactive Bladder

05:00 Side Effects and Risk Factors

05:38 Research Findings on Anticholinergics

08:32 Considerations for Prescribing Medications

10:38 Alternative Treatments and Final Thoughts

Understanding GSM: What Every Woman Needs to Know About Genitourinary Syndrome of Menopause

Mon, 16 Jun 2025 00:00:00 -0700

In this episode, I'm talking about something I see all the time in my practice but that too many women still suffer through in silence: Genitourinary Syndrome of Menopause (GSM). This condition shows up in women as estrogen levels decline, most commonly during and after menopause.

If you've been dealing with vaginal dryness, itching, pain with intercourse, or repeated urinary tract infections, you're not alone, and it may be GSM.

I walk you through the updated guidelines from the American Urologic Association (AUA) and the American Urogynecologic Society (AUGS) for diagnosing and treating GSM. We talk about what symptoms to look for and the full range of treatment options, including hormonal and non-hormonal therapies, so you can make informed decisions that work for you.

In this episode, I also cover:

Why follow-up care is just as important as starting treatment
How shared decision-making with your provider changes outcomes
What research still needs to catch up when it comes to cost and access

If you've ever wondered if your symptoms are "just aging" or felt unsure about what's normal after menopause, this episode is for you. My goal is to empower you with information and make sure you know you're not alone.

For more information on this study: https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopause

Timeline:

00:30 Introduction to Genital Urinary Syndrome of Menopause

01:25 Understanding the Symptoms and Diagnosis

03:15 Guidelines for Treatment

06:09 Hormonal Treatments and Recommendations

07:43 Non-Hormonal Treatments and Considerations

08:49 Energy-Based Treatments and Their Efficacy

10:36 Cancer Concerns and Hormonal Treatments

13:14 Follow-Up and Long-Term Management

14:04 Conclusion and Future Research

Advances in Overactive Bladder Treatment with Dr. Suzette Sutherland

Mon, 09 Jun 2025 00:00:00 -0700

In this episode, I sat down with Dr. Suzette Sutherland, a seasoned urologist who recently transitioned from the University of Washington to a large urology group in Arizona. Dr. Sutherland shares her expertise on treating overactive bladder (OAB) and the latest innovation in neuromodulation therapies, specifically focusing on the efficacy and safety of tibial nerve stimulation. We discuss the evolution of treatment guidelines, the pros and cons of various therapies, including medications, Botox, and sacral nerve stimulation, and dive deep into the promising results from the FDA-approved Revi device from BlueWind. Dr. Sutherland also sheds light on patient selection, procedural details, and patient compliance, while offering insights into the future of OAB treatments.

For information on the REVI https://bluewindmedical.com/

Timeline:

00:30 Introduction and Guest Introduction
01:10 Understanding Overactive Bladder and Treatment Options
02:19 Tibial Nerve Stimulation: A New Approach
02:40 Changes in Treatment Guidelines
05:57 Mechanism of Tibial Nerve Stimulation
09:38 Implantable Tibial Nerve Stimulation Devices
13:39 Patient Experience and Compliance
17:54 Comparing Neuromodulation Devices
25:37 Comparing Revi and Eco Devices
26:32 Understanding Device Placement and Stimulation Frequency
27:18 Battery Life and Replacement Concerns
29:33 New Devices on the Horizon
30:03 Meta-Analysis of Tibial Nerve Stimulation
32:49 Patient Choices: Sacral Nerve Stimulation vs. Tibial Nerve Stimulation
38:22 The Role of Botox in Bladder Treatment
46:14 Challenges and Innovations in Urogynecology

Understanding Tibial Nerve Stimulation for Overactive Bladder

Mon, 02 Jun 2025 00:00:00 -0700

If you've tried lifestyle changes and medications for overactive bladder, but you're still dealing with urgency, frequency, or leaks, you're not out of options. In this episode, I break down tibial nerve stimulation, a lesser-known but powerful treatment for overactive bladder that's often overlooked in early care plans.

I discuss what neuromodulation means in pelvic health, and how it works, why the tibial nerve (yes, the one near your ankle!) plays a key role in calming bladder activity, the differences between transcutaneous, percutaneous, and implant-based tibial nerve stimulation, what to expect from the procedure, how often it's done, and why so many women tolerate it well, and the best part? Minimal side effects and multiple delivery methods make this a versatile, low-risk option for many women, especially if medications haven't worked.

For more information on this subject, check out:
S2E12: Finding Freedom with Sacral Nerve Stimulation
S2E35:Innovations in Overactive Bladder Solutions with Isaac Oppenheim
Livezida.com
Avation.com

Timeline

00:30 Introduction to Tibial Nerve Stimulation
01:14 Understanding Neuromodulation
02:05 Causes and Symptoms of Overactive Bladder
03:13 Sacral Nerve Stimulation Overview
04:21 Focusing on Tibial Nerve Stimulation
06:18 Transcutaneous Tibial Nerve Stimulation
11:47 Percutaneous Tibial Nerve Stimulation
16:20 Conclusion and Future Episodes

Your Pelvic Health Questions: Answered

Mon, 26 May 2025 00:00:00 -0700

In this episode, I’m answering some of the most common (and commonly avoided) questions about women’s pelvic health, questions that too often go unasked but deeply affect the quality of life.

We dive into the difference between a rectocele and rectal prolapse, what causes urinary leakage during sex (and what you can do about it), and how to know when it’s time to seek care for incontinence. I also share why early education and intervention matter so much, and why these conversations belong in every doctor’s office, whether your provider is male or female.

Suppose you’ve been putting off asking about your symptoms or don’t know what to expect at an urogynecology visit. In that case, you’ll also get practical tips to help you prepare, feel confident, and advocate for yourself.

This episode reminds you that your pelvic health matters, and your questions deserve answers.

Understanding Prolapse: Real Questions, Real Answers with Jeanice Mitchell

Mon, 19 May 2025 00:00:00 -0700

This week's podcast is about prolapse—what it is, how it affects daily life, and what you can do about it. A few weeks ago, I joined Janice Mitchell from MyPFM and had the chance to answer some incredible questions from her coaching group. The conversation was honest, insightful, and filled with the kinds of questions I hear every day in my practice.
We talked about whether prolapse can improve after childbirth, how to manage symptoms without surgery, and what to know if you're considering one. I also shared tips on pessary use and how to find a skilled urogynecologist and even addressed one of the most personal topics: sex and prolapse.
If prolapse has left you feeling unsure or overlooked, this episode is for you. These are the questions real women ask and the answers they deserve. Listen and learn.

https://thewomensbladderdoctor.com/

Timeline:

00:30 Introduction to Prolapse Discussion

01:02 Understanding Rectocele and Postpartum Recovery

02:39 Non-Surgical Options for Prolapse Management

03:46 Physical Therapy Techniques for Prolapse

05:26 Innovative Tools and Devices for Prolapse

07:06 Prolapse Surgery: Expectations and Outcomes

08:04 The Mesh Controversy in Prolapse Surgery

10:17 Pessaries: Types and Usage

12:48 Choosing the Right Urogynecologist

14:34 Final Thoughts and Q&A

When UTIs Keep Coming Back—What You Need to Know

Mon, 12 May 2025 00:00:00 -0700

This episode was inspired by a recent coaching group I joined with Janice Mitchell, a pelvic floor physical therapist with incredible insight and compassion. The women in that group had thoughtful, important questions about recurrent urinary tract infections, which I often hear in my practice.

So today, we're diving into that discussion and sharing it with you.

If you've ever dealt with bladder infections that come and go (and come back again), this episode will help you better understand what's going on and what you can do about it.

Together with Janice, we cover:

What truly defines a UTI and why urine cultures matter
How low estrogen levels and tight pelvic floor muscles can mimic UTI symptoms
The role of vaginal estrogen and other medical options in treatment and prevention
What to expect from your provider—and how to advocate for better care

You're in the right place if you're tired of the cycle and want answers that make sense.

mypfm.com

Timeline:

00:30 Introduction and Overview

01:19 Understanding UTIs: Causes and Symptoms

05:01 Diagnosing UTIs: Tests and Procedures

09:03 Treatment Options for UTIs

09:43 Vaginal Estrogen: Benefits and Usage

15:17 Preventing UTIs: Tips and Recommendations

18:04 Addressing Bleeding During or After Sex

Exploring the Pelvic Bra: A Revolutionary Support for Pelvic Floor Health

Mon, 05 May 2025 00:00:00 -0700

In this episode, I interview Janice Mitchell, a pelvic floor physical therapist and founder of the Pelvic Bra. This external support device helps with pelvic floor issues like prolapse. We discuss Janice’s personal experiences and the development of the pelvic bra, likening it to an industrial-strength thong that provides perineal compression. Janice explains how the device works and its benefits, and shares feedback from users who have found significant relief from symptoms such as stress urinary incontinence and bladder control issues. Highlighting the option for live Zoom fittings and upcoming restocks due to high demand. Join this insightful conversation to understand more about the innovative solutions for pelvic floor health and how the pelvic bra can help you or someone you know.

mypelvicbra.shop

Timeline

00:30 Introduction and Guest Welcome

01:40 Understanding the Pelvic Bra

04:03 Anatomy and Prolapse Explained

06:15 Benefits and Use Cases of the Pelvic Bra

07:42 Target Audience and Design Insights

17:10 Feedback and Real-Life Experiences

28:21 Sizing, Return Policy, and Availability

33:28 Conclusion and Future Plans

Understanding Urinary Incontinence Risks Post-Surgery

Mon, 28 Apr 2025 00:00:00 -0700

In this episode, I address the common questions I'm asked about the risk of urinary incontinence following surgery, specifically focusing on hysterectomy, prolapse repairs, and hip replacement. I discuss several key studies, including a 2000meta-analysis by Jeanette Brown and a 2023 paper in the American Journal of Obstetrics and Gynecology, which highlights the significant risks associated with these surgeries. I also provide tips on pelvic floor strengthening and the benefits of different surgical approaches to help minimize incontinence. I discuss how hip replacement surgery can have varying impacts on bladder function and the importance of a holistic view of the body's interconnectedness.

https://pubmed.ncbi.nlm.nih.gov/10950229/

https://www.nejm.org/doi/full/10.1056/NEJMoa054208

https://pubmed.ncbi.nlm.nih.gov/24408744/

https://pubmed.ncbi.nlm.nih.gov/36300551/

Timeline:

00:30 Introduction to Urinary Incontinence Risks
00:59 Hysterectomy and Urinary Incontinence
04:17 Prolapse Repairs and Bladder Leaking
06:15 Hip Replacement and Bladder Function
08:59 Conclusion and Key Takeaways

Menopause & Bladder Leaks—What's Really Going On?

Mon, 21 Apr 2025 00:00:00 -0700

In this episode, I'm diving into a topic that comes up often in midlife: urinary incontinence during menopause. If you've started noticing new bladder symptoms—like leaking, urgency, or increased frequency—you're not imagining things, and you're definitely not alone.

I'll walk through:

The different types of incontinence and why they matter
The crucial role of estrogen—and how vaginal estrogen can improve symptoms like dysuria and urge incontinence
How weight gain in midlife can affect your bladder (and how even modest weight loss can help)
Why changes in medications or recent surgeries might be affecting your bladder control
The power of pelvic floor training (yes, it works—and I'll explain how)
A clear overview of treatment options for both stress and urgency incontinence

Whether you're just starting to notice changes or you've been managing symptoms for a while, this episode is full of practical, evidence-based guidance to help you take charge of your bladder health—without shame or confusion.

Tune in and get the clarity and confidence you deserve.

For more information: a. https://journals.lww.com/menopausejournal/abstract/2023/06000/menopause_hormone_therapy_and_urinary_symptoms__a.14.aspx

b. https://pmc.ncbi.nlm.nih.gov/articles/PMC3038422/#:~:text=Effect%20of%20weight%20loss%20on,of%20noninsulin%2Ddependent%20diabetes%20mellitus.&text=In%20this%20article%2C%20we%20examine,women%20in%20the%20PRIDE%20study.

Timeline:

00:28 Introduction to Menopause and Urinary Incontinence

00:50 Understanding the Prevalence and Types of Incontinence

01:24 Role of Estrogen in Managing Incontinence

02:47 Vaginal Estrogen: Benefits and Usage

05:21 Impact of Weight on Urinary Incontinence

07:42 Medications and Surgeries Affecting Incontinence

08:46 Diagnosing Types of Incontinence

09:09 Pelvic Floor Muscle Training

11:33 Advanced Treatments for Incontinence

12:19 Conclusion and Encouragement

Managing Urinary Incontinence After Childbirth

Mon, 14 Apr 2025 00:00:00 -0700

This episode tackles a common concern: urinary incontinence after childbirth. This can affect about a third of women, so you're not alone. I dive into what you can do to minimize urinary leaks after your first delivery with insights from a major 2020 Cochrane Review. The big takeaway? Pelvic floor muscle training, like Kegels, can make a huge difference! I'll cover how to do these exercises, why they work, and the benefits they offer, including reducing the risk of severe tears during childbirth. I'll discuss risk factors such as multiple pregnancies, higher maternal weight, and age, as well as why maintaining a healthy weight and understanding your delivery options are essential. I also talk about how long recovery might take and what to expect. Importantly, if you're experiencing symptoms, there are strategies that can help. Join me for a friendly, informative chat about keeping those leaks at bay and feeling your best postpartum!

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007471.pub4/full

Timeline:

00:28 Introduction and Podcast Series Overview

00:43 Understanding Urinary Incontinence Post-Delivery

01:03 Pelvic Floor Muscle Training: Evidence and Benefits

02:41 How Pelvic Floor Muscle Training Works

03:45 Theories Behind Pelvic Floor Muscle Training Benefits

06:41 Risk Factors for Postpartum Urinary Incontinence

07:35 Prevention and Management Strategies

08:58 Post-Delivery Incontinence: What to Expect and Do

11:04 Conclusion and Key Takeaways

Aging Gracefully: Tips from a Physician

Mon, 07 Apr 2025 01:00:00 -0700

In this episode, I’m drawing from over 20 years of experience—as a physician and a woman navigating this journey myself—to share real, actionable strategies for aging well, inside and out.

We’ll explore the core pillars of healthy aging, including the power of movement, nourishing your body with the right foods, getting quality sleep, staying socially connected, and being proactive with your healthcare. These are evidence-backed strategies inspired by the National Institute on Aging and other trusted resources—but made personal, practical, and doable. I’m also shedding light on a topic that often gets left out of the aging conversation: urinary incontinence. It’s more than an inconvenience—it can limit your physical activity, impact your confidence, and quietly chip away at your social life. We’re going to talk about it openly, and I’ll show you how addressing bladder health can support your overall well-being as you age.

Whether you’re already noticing changes or just want to feel prepared for what’s ahead, this episode is full of guidance you can start using today.

For more information on today's topic:
www.nih.gov
www.cdc.gov
https://pubmed.ncbi.nlm.nih.gov/38383092/
https://www.nia.nih.gov/

Timeline:

00:28 Introduction to Aging Gracefully

01:34 Key Recommendations for Healthy Aging

02:56 The Importance of Staying Active

08:46 Healthy Eating Habits 10:36 The Role of Quality Sleep

13:31 Social Connections and Mental Health

14:47 Proactive Healthcare and Final Thoughts

15:54 The Impact of Bladder Health on Aging

Insights on Pelvic Floor Therapy: Interviews with Leading Experts

Mon, 30 Dec 2024 00:00:00 -0800

I've compiled insightful clips from interviews with three leading pelvic floor physical therapists. The focus is on the benefits of pelvic floor physical therapy, with the first clip featuring MJ Strauhal discussing what to expect in the initial therapy visit and the importance of a therapeutic relationship. Prof. Chantale Dumoulin from the University of Montreal emphasizes the effectiveness of pelvic floor exercises, the advantages of group training, and the importance of starting therapy early. Finally, Kari Bo from Norway discusses the specifics of pelvic floor strength training, the impact of high-impact exercises, and recommendations for pelvic floor training during pregnancy. The episode underscores the significance of individualized treatment plans and the benefits of group and one-on-one sessions.

To hear these episodes in their entirety or for more information:
S1E25: PT at Providence Portland with MJ Strauhal DPT
https://www.buzzsprout.com/2112419/episodes/13143516

S2E9: The Path to Aging Gracefully with Chantale Dumoulin
https://www.buzzsprout.com/2112419/episodes/14653291
For information on Prof. Dumoulin: https://www.womenhealthaging.ca/

S2E19: Empowering Women Through Pelvic Floor Strength with Dr. Kari Bo
https://www.buzzsprout.com/2112419/episodes/15087635

Timeline:

00:28 Introduction to Pelvic Floor Physical Therapy
01:13 Interview with MJ Strauhal: First Visit Insights
04:48 Interview with Prof. Chantale Dumoulin: Research and Group Training
15:39 Interview with Dr. Kari Bo: Strength Training and High-Impact Exercises
23:50 Conclusion and Encouragement

Exploring Non-Surgical Treatments for Stress Urinary Incontinence

Mon, 23 Dec 2024 00:00:00 -0800

In this episode, I dive into various non-surgical treatments for stress urinary incontinence. The show features clips from four different interviews. We start with Mandy Pulliam, CMO of Leva Health, who explains how their device assists in strengthening the pelvic floor. Next, Lauren Barker, CEO of Uresta, discusses her company's over-the-counter pessary. Allison Watkins, CEO of YoniFit, explains the benefits and study results of their prescription-only pessary. Finally, we hear from a woman named Jane, who shares her positive experience with a urethral bulking procedure known as Bulkamid. This comprehensive episode provides valuable insights and options for women dealing with stress urinary incontinence, offering them the tools to make informed decisions about their treatment options.
Looking for more information on these episodes and treatments:

S2E10:Leva Device with Mandy Pulliam
https://www.buzzsprout.com/2112419/episodes/14690011

S2E40: Uresta CEO Lauren Barker on the Transition to Over-the-Counter Availability
https://www.buzzsprout.com/2112419/episodes/16185663

S2E38: Innovating Women's Health: The Story Behind Yoni Fit
https://www.buzzsprout.com/2112419/episodes/16093774

S2E13: Jane's Decision - The Urethral Bulking Procedure
https://www.buzzsprout.com/2112419/episodes/14799586

Timeline:
00:28 Introduction to Stress Urinary Incontinence
01:06 Overview of the Episode Structure
02:21 Interview with Mandy Pulliam on Leva Health
08:08 Interview with Lauren Barker on Uresta 1
13:17 Interview with Allison Watkins on YoniFit
19:54 Personal Experience with Urethral Bulking
28:07 Conclusion and Encouragement

Innovative Solutions for Overactive Bladder: Neuromodulation Devices

Mon, 16 Dec 2024 00:00:00 -0800

This episode explores various neuromodulation devices designed to help women manage overactive bladder. I talk about the symptoms of overactive bladder and the common treatments such as pelvic floor exercises, behavioral changes, and medications. The episode features clips from interviews with leaders in the field discussing devices like Vivali, Zyda Control Sock, Revi, Ecoin, and sacral nerve stimulators. Each device has its unique approach and benefits, ranging from non-invasive wearables to implantable stimulators, offering patients multiple options for managing their symptoms. The episode aims to provide an overview of these technologies to help listeners make informed decisions about their treatment options.

Timeline:

00:28 Introduction to Overactive Bladder

01:46 Exploring Vivally: A Wearable Solution

08:31 ZIDA Device: Simplifying Bladder Control

14:59 Revi: Implantable Tibial Nerve Stimulator

20:14 E Coin: Long-Term Implantable Solution

27:39 Sacral Nerve Stimulation: A Long-Standing Solution

34:25 Conclusion and Further Resources

Traveling with Bladder Issues: Tips for Stress and Urge Incontinence

Mon, 09 Dec 2024 00:00:00 -0800

In this episode, I address the challenges many women face when traveling with bladder issues, particularly around the holidays. With comprehensive advice on managing urge incontinence and stress incontinence while traveling. For those with urge incontinence, I offer three key tips:

Identifying bladder irritants and avoiding them on travel days
Practicing urge suppression techniques
Consulting a physician about short-acting bladder medications

For women with stress incontinence, I suggest using over-the-counter pessaries such as Impressa or Uresta. Additionally, I highlight the importance of having a backup plan, like wearing incontinence pads or underwear and using bathroom finder apps to alleviate travel anxiety. The overall goal is to help women travel confidently and enjoyably without being hindered by bladder issues.

Timeline:

00:28 Introduction to Traveling with Bladder Issues

01:18 Understanding Your Type of Incontinence

01:30 Tips for Managing Urge Incontinence

06:20 Tips for Managing Stress Incontinence

07:25 General Travel Preparation Tips

09:05 Conclusion and Final Thoughts

Uresta CEO Lauren Barker on the Transition to Over-the-Counter Availability

Mon, 02 Dec 2024 00:00:00 -0800

In this episode, I spoke with Lauren Barker, CEO of Uresta, about the transition of Uresta's pessary from prescription-only to over-the-counter status. Uresta treats stress incontinence, commonly caused by physical activities like coughing and exercising. Lauren discusses the rigorous FDA approval process, safety studies, and the extensive user data gathered from Canada, reinforcing the product's safety and effectiveness. She explains the broad target audience, including women in their 20s to 80s, and details the purchasing process, including the starter kit and pricing. Additionally, Lauren teases upcoming complementary products, such as a natural cleaning gel and hyaluronic acid vaginal moisturizer, aiming to enhance user experience and accessibility.

You can find more information on the Uresta:
Website: www.uresta.com
Instagram @myuresta
Facebook: Uresta
Pinterest: My Uresta
TikTok: myuresta

Timeline:

00:28 Introduction to Uresta and Guest Lauren Barker

00:57 Transition to Over-the-Counter Availability

01:46 Safety and Clinical Studies

04:12 Target Audience and Usage

07:32 Purchasing and Fitting Uresta

10:10 Customer Feedback and Effectiveness

13:45 Future Developments and Conclusion

Innovating Women's Health: Addressing Pelvic Pain with HYIVY's Floora Device

Mon, 25 Nov 2024 00:00:00 -0800

In this episode, I spoke with Susan Stover, Director of Marketing and Sales at HYIVY, a company focused on improving female pelvic health through innovative solutions. Susan discusses the company's origins, founded by Rachel Bartholomew due to personal struggles with pelvic issues such as Endometriosis and radiation-induced vaginal stenosis. Susan introduces HYIVY's groundbreaking device, Floora, which offers controlled, automatic dilation and heating. We dive into the significance of integrating clinical feedback, leveraging patient data, and the potential future enhancements for Flora. Susan highlights the importance of addressing chronic pelvic pain, a pervasive yet often overlooked issue that affects many women. We also discuss ways for viewers to participate in focus groups and stay updated on the product's development.

For more information, check out: https://hyivy.com/

Timeline:

00:28 Introduction to HYIVY and Susan Stover
01:02 Rachel Bartholomew's Journey and the Birth of HYIVY
02:11 Understanding Pelvic Health Challenges
03:02 The Problem with Traditional Dilators
07:04 Innovative Solutions by HYIVY
11:11 The Floora Device: Features and Benefits
17:38 Future Prospects and Clinical Trials
23:24 How to Get Involved and Final Thoughts

Innovating Women's Health: The Story Behind Yoni Fit

Mon, 18 Nov 2024 00:00:00 -0800

In this episode, Allison Watkins joins the podcast to discuss Yoni Fit, an innovative incontinence pessary she developed. Watkins shares her personal experiences with stress urinary incontinence following childbirth, leading her to create Yoni Fit as a solution. She talks about the challenges she faced, including unsuccessful pelvic floor rehabilitation, and how her active lifestyle inspired the design of her device. The conversation covers the practical aspects of using Yoni Fit, the importance of self-sizing for comfort and efficacy, and the prospects of making the product available through pharmacies and telehealth. This episode emphasizes how important it is to handle incontinence problems tactfully and successfully.

For more information, be sure to check out her

website at: https://yonifit.com/

Instagram: @yoni.fit_bladder_support

Facebook: Yōni.Fit Bladder Support

Timeline:

00:28 Introduction to the Podcast and Guest

00:52 Allison's Personal Journey with Incontinence

02:08 Challenges and Initial Solutions

03:17 The Birth of Yoni Fit

05:46 Development and Testing of Yoni Fit

08:26 Efficacy and Comfort of Yoni Fit

15:18 Target Audience and Availability

18:52 Conclusion and Final Thoughts

Exploring Overactive Bladder: Mental Health and Cardiovascular Connections

Mon, 11 Nov 2024 00:00:00 -0800

This episode discusses the often-overlooked overactive bladder (OAB) condition and its associations with other health conditions. The discussion is centered around two key studies based on survey data from the U.S. National Health and Nutrition Examination Survey. The first study examines the significant correlation between OAB and depression, highlighting the importance of recognizing mental health issues in patients with OAB. The second study investigates the relationship between cardiovascular health and stress urinary incontinence, emphasizing how better overall health can reduce the likelihood of incontinence. Due to its broader health implications, these findings underscore the importance of taking incontinence seriously.

For more information on these studies:

https://pubmed.ncbi.nlm.nih.gov/38642902/

https://pubmed.ncbi.nlm.nih.gov/39169591/

Timeline:

00:00 Introduction to Overactive Bladder

00:32 Study 1: Overactive Bladder and Depression

02:25 Study 1: Findings and Implications

05:19 Study 2: Overactive Bladder and Cardiovascular Health

07:14 Study 2: Findings and Implications

08:43 Conclusion and Final Thoughts

Understanding Vaginal Estrogen: Types, Uses, and Costs

Mon, 04 Nov 2024 00:00:00 -0800

In this episode, I dive into the benefits, forms, and costs associated with vaginal estrogen for women at different stages of life. I discuss how vaginal estrogen can help during menopause, perimenopause, postpartum, and while using hormonal contraception. Discover the various forms available, including creams, suppositories, pills, and vaginal rings, and get insights into their application, advantages, and potential costs. I also address common concerns, such as irritation and waste, and provide practical tips on finding the best option for your needs and budget. Learn how to navigate medication websites for coupons and discounts, ensuring you get the most cost-effective and suitable treatment.

Additional information can be found at the following links:

https://www.premarin.com/

https://www.estring.com/

https://www.vagifem.com/

https://www.imvexxy.com/

https://www.goodrx.com/

Timeline

00:28 Introduction to Vaginal Estrogen

00:33 When to Use Vaginal Estrogen

01:09 Forms of Vaginal Estrogen

01:27 Benefits and Safety of Vaginal Estrogen

01:50 Different Methods of Administration

02:21 Cost Considerations

03:44 Detailed Overview of Creams

08:24 Suppositories and Pills

10:46 Vaginal Rings

12:42 Comparing Dosages and Efficacy

13:46 Conclusion and Recommendations

Innovations in Overactive Bladder Solutions with Isaac Oppenheim

Mon, 28 Oct 2024 00:00:00 -0700

In this episode, I welcome Isaac Oppenheim, CEO of Zida, to discuss revolutionary solutions for overactive bladder (OAB). Isaac shares his personal motivation behind developing the Zida control sock, a device utilizing percutaneous tibial nerve stimulation designed to provide an accessible and effective treatment. We delve into the challenges of existing OAB treatments, patient-centered care, and the impactful results of clinical trials showing an 80% success rate in symptom relief. The conversation also explores the integration of neuromodulation, lifestyle changes, and pelvic floor therapy as comprehensive approaches to managing OAB. Emphasizing the importance of accessibility, we discuss the device's design, ease of use, and affordability through various purchasing options, including Medicare. Join us as we explore these innovative solutions aiming for 100% symptom improvement and the future of personalized medicine in treating overactive bladder.
Zida website https://livezida.com/

TimeLine:

00:28 Introduction to Overactive Bladder

00:59 Isaac Oppenheim's Background and Inspiration

02:21 Developing the Zida Control Sock

09:12 Clinical Trials and Success Rates

11:43 User Experience and Practicality

13:46 Innovative Technology in Textiles

16:10 Understanding the Fit and Sizing

16:57 Overactive Bladder: Prescription vs. Over-the-Counter

17:19 The Importance of Doctor-Patient Communication

18:17 Challenges with Overactive Bladder Treatments

20:46 Insurance Coverage and Costs

25:06 How the Zida Control Device Works

27:09 Future Goals and Research

29:04 Conclusion and Final Thoughts

Innovating Pelvic Health: Personalized Pessaries and AI Solutions with Dr. Goli Ameri

Mon, 21 Oct 2024 00:00:00 -0700

In this episode, we welcome Dr. Goli Ameri from COSM, a leading Toronto-based medical device company dedicated to revolutionizing pelvic health. Dr. Goli, Head of Research at COSM, holds a PhD in Biomedical Engineering specializing in image-guided therapy and surgery from the Robarts Research Institute at Western University. She has played a crucial role in COSM's growth, contributing to 4 peer-reviewed publications and 11 conference presentations. We explore the limitations of traditional pessaries and delve into COSM’s advanced technologies, such as 3D printing and AI-powered tools, which create personalized pessaries for conditions like pelvic organ prolapse and incontinence. The discussion also highlights the potential of non-invasive ultrasound imaging and accurate measurement tools. But what truly sets COSM apart is its data-driven platforms, which offer comprehensive digital support to physicians and patients. We examine the integration of educational apps, peer support, and remote monitoring to enhance overall care. Discover how COSM transforms pelvic health with precision-based solutions for unique bodies and needs, all underpinned by its robust data-driven platforms. For more information, be sure to check out their:

Website: https://www.cosm.care

Instagram: @cosm.medical

Facebook: Cosm.medical

Timeline:

00:00 Introduction to Golia Ameri and Cosm

00:04 The Problem with Traditional Pessaries

01:03 COSM's Innovative Solution

02:05 Custom Pessary Fitting Process

04:21 Challenges and Measurements

09:27 Provider and Patient Support

13:27 Future Developments and Products

13:36 Future Innovations in Personalized Pastries

13:58 Postpartum and Post-Surgery Recovery Solutions

14:41 Clinical Trials and Studies

15:09 Personalized Devices for Different Needs

16:06 Stabilizing Tissue for Better Healing

17:37 Collaborations and Innovations

19:19 AI and Machine Learning in Women's Health

20:15 Advanced Measurement Tools

22:41 Challenges and Future Directions

23:32 Connecting with Cosm

24:57 Conclusion and Gratitude

Empowering Women: Holly Mozak's Journey to Leak-Proof Activewear

Mon, 07 Oct 2024 00:00:00 -0700

In this episode, Holly Mozak shares her lifelong struggle with bladder leaks and how it spurred her to create a line of leak-proof activewear. Holly discovered her passion for CrossFit at 39, which led to an empowering fitness journey but highlighted her incontinence issues during high-impact activities. Determined to find a solution, she developed Moxie Fitness Apparel—leak-proof shorts, capris, and leggings designed to offer both functionality and comfort. Holly discusses the challenges of starting a small business, the importance of openly addressing women's health issues, and her mission to help women stay active and confident.

For a discount on Moxie Fitness Apparel, use code: drsarah

Timeline:

00:28 Introduction to Holly Mozak's Story

00:56 Discovering CrossFit and Empowerment

03:39 The Embarrassing Incident

06:08 Seeking Solutions and Developing a Product

12:26 Challenges and Feedback

22:13 Future Plans and Final Thoughts

Overcoming Prolapse: A Physical Therapist's Journey and Support for Others

Mon, 30 Sep 2024 08:00:00 -0700

In this episode, we meet Dr. Margo Kwiatkowski, a physical therapist specializing in orthopedic and pelvic floor therapy, who shares her personal prolapse story after giving birth during the COVID-19 pandemic. Margo discusses the challenges of diagnosing and managing prolapse symptoms, including her experiences with bladder dysfunction, pelvic pain, and the emotional toll the condition took on her. She also highlights the importance of mental health support, the use of a pessary, and topical estrogen in her recovery. Margo has since founded a support group and created a tailored exercise program for women with prolapse, emphasizing the need for empathetic listening and factual information sharing. The conversation underscores the significance of community and professional support in navigating postpartum pelvic health issues.

Want more information on Margo and her work, check out her:

Website https://www.p4moms.com/about

Instagram @postpartum_pop_pt

Timeline:

00:28 Introduction and Guest Introduction

00:55 Margo's Background and Initial Prolapse Diagnosis

02:41 Challenges and Symptoms Post-Delivery

05:36 Mental Health and Support Systems

08:55 Treatment and Recovery Journey

10:00 Pessary and Estrogen Therapy

13:32 Prolapse Staging and Long-Term Outlook

16:13 Understanding Prolapse Dynamics

16:31 Second Delivery Experience

16:59 Decision for Elective C-Section

18:53 Postpartum Recovery and Prolapse Management

19:39 Living with Prolapse: Symptoms and Surgery

21:26 Support and Advocacy for Women with Prolapse

22:19 Creating a Prolapse Support Community

23:20 Educational Resources and Visual Aids

29:19 Joining the Prolapse Support Group

30:10 Final Thoughts and Gratitude

Exploring the Revi Device for Overactive Bladder with Dr. Rebecca McCrery

Mon, 23 Sep 2024 00:00:00 -0700

In this episode, I join expert urogynecologist Dr. Rebecca McCrery from Omaha, Nebraska, to discuss the innovative Revi device from Blue Wind. Dr. McCrery discloses her involvement in the clinical trials that led to FDA approval and shares her insights on the benefits and functionality of this implantable tibial nerve stimulator for treating overactive bladder. We'll cover the procedure details, patient experiences, the advantages of this device over other treatments, and the consideration of insurance and billing challenges. She underscores the importance of providing patients with multiple therapy options. She highlights the non-invasiveness and effectiveness of the Revi device.

You can find more information on Dr. McCreary and the Revi at:

https://adultpediatricuro.com/our-providers/physicians/ https://bluewindmedical.com/

Facebook: https://www.facebook.com/bluewindmedical

Instagram @bluewindmedical

Timeline

00:28 Introduction and Guest Introduction

00:49 Disclosure of Conflicts of Interest

01:59 Overview of Overactive Bladder Treatments

02:57 Introduction to the Revi Device

04:36 Implantation Procedure Details

06:48 Device Features and Patient Experience

11:18 Availability and Insurance Considerations

15:26 Final Thoughts and Conclusion

The Femme Flexor: Revolutionizing Pelvic Floor Health with Wanda Cotie

Mon, 16 Sep 2024 00:00:00 -0700

In this episode, I welcome Wanda Cotie, developer of the Femme Flexor, to discuss her journey in creating a product aimed at helping women strengthen their pelvic floor. She shares her background in commercial real estate, her experiences with pelvic floor issues, and her decision to develop the Femme Flexor as a non-invasive, resistance-based solution.

We cover Wanda's insights on pelvic health's emotional and physical aspects, the product's development process, and the benefits of integrating movement and resistance training to improve pelvic floor strength. Wanda also emphasizes the importance of understanding one's body and provides practical advice on using the Femme Flexor effectively.

For more information on The Femme Flexor be sure to check out their website: https://femmeflexor.com/

TimeLine:

00:28 Introduction and Guest Welcome

00:46 Wanda's Background and Journey

02:24 Personal Health Struggles

06:00 Discovering Alternative Therapies

09:37 Developing the FemFlexor

16:36 Using the FemFlexor

24:45 Future Plans and Final Thoughts

Innovative Solutions: Cindy Santa Cruz and the Lady Patch Journey

Mon, 09 Sep 2024 00:00:00 -0700

In this episode, I spoke with Cindy Santa Cruz, the CEO of Lady Patch, about the innovative product designed to help women with bladder leaks. Cindy shares the inspiring story of her mother's discovery that led to the creation of Lady Patch. We discuss the patch's development, effectiveness, and the challenges of addressing a taboo topic. Cindy provides insights into the product's mechanism, user feedback, and future plans, highlighting the ongoing efforts to make LadyPatch a common solution for bladder control issues.

Get more information at: https://www.ladypatch.com/

Timeline

00:28 Guest Introduction

00:46 The Origin Story of Lady Patch

02:38 Cindy's Journey with Lady Patch

04:55 Clinical Feedback and Challenges

11:01 Product Details and User Experience 1

6:00 Recognition and Future Plans

22:59 Conclusion and Final Thoughts

Vivally - Innovative Solution for Overactive Bladder with Jill Schiaparelli

Mon, 15 Jul 2024 00:00:00 -0700

In this episode, I sit down with Jill Schiaparelli, CEO of Avation Medical, to discuss their groundbreaking device, Vivally. Vivally is designed to alleviate overactive bladder symptoms through noninvasive tibial nerve stimulation. Jill explains how Vivally works by continuously monitoring and personalizing electrical signals to effectively target the tibial nerve.

We cover the challenges of current OAB treatments and reassure the audience about Vivally's convenience and effectiveness. We’ll also touch on how the device can be integrated into patients' lives with minimal disruption, instilling confidence in our audience.

For more information, visit Avation website HERE

Timeline

00:28 Introduction

00:35 Understanding Overactive Bladder

01:03 How Vivally Works

01:39 Challenges with Current Treatments

02:03 Innovations in Neuromodulation

04:18 Vivally's Unique Features

07:19 Patient Experience and Feedback

16:32 Clinical Studies and Effectiveness

19:29 Future Research and Real-World Data

22:09 How to Access Vivally

23:30 Conclusion and Final Thoughts

Revolutionizing Postpartum Care: Interview with HEM Support Wear Founder Lauren Fleming

Mon, 08 Jul 2024 00:00:00 -0700

In this episode, I interviewed Lauren Fleming, the founder of HEM Support Wear, a company pioneering the market of external support garments for women experiencing pelvic organ prolapse. Lauren shares her personal journey of discovering prolapse after having her first baby during the pandemic and her struggles with finding comfortable and effective support garments, which led her to create her own.

We discuss the importance of pelvic floor health, the differences between internal and external support options, and the broader applications of HEM garments for postpartum women and those with conditions like vulvar varicosities. Lauren also addresses the need for aesthetically pleasing and easy-to-use support garments and her efforts to create a supportive community through storytelling and partnerships with healthcare professionals.

Find Lauren IG: @hemsupportwear

Facebook: Hem Support Wear

Timeline

00:28 Introduction and Guest Welcome

00:51 Lauren's Journey to Founding Hem Apparel

01:38 Challenges and Solutions in Pelvic Health

04:15 Exploring External and Internal Support Options

07:23 Target Audience and Product Benefits

12:18 Building Community and Raising Awareness

15:30 Future Plans and Final Thoughts

Understanding and Utilizing Voiding Diaries for Better Bladder Health

Mon, 01 Jul 2024 00:00:00 -0700

In this episode, we explore the concept of voiding diaries—a vital tool for tracking bladder symptoms and understanding urinary habits. I explain how to document liquid intake and output, identification of bladder irritants, and methods for monitoring symptoms to aid in diagnosis and improve bladder health.

I'll discuss the importance of recognizing triggers through voiding and food trigger diaries and provide practical tips for creating and interpreting these journals.

Learn how this method can help manage incontinence issues and enhance your journey to better bladder health.

Get your FREE VOIDING & fOOD TRIGGER DIARY HERE

Timeline:
00:28 Introduction to Voiding Diaries

01:11 Understanding Voiding Diaries

02:34 Tracking Your Bladder Habits

03:09 Measuring Progress with Voiding Diaries

05:43 How to Keep a Voiding Diary

09:45 Analyzing Your Voiding Diary

12:46 Identifying Bladder Irritants

16:17 Using a Food Trigger Diary

18:17 Conclusion and Resources

Addressing Recurrent Urinary Tract Infections: Causes, Diagnosis, and Treatments

Mon, 24 Jun 2024 00:00:00 -0700

This informative episode dives into recurrent urinary tract infections (UTIs). I highlight the importance of accurate diagnosis and discuss common misconceptions.

Many women experience symptoms that resemble UTIs but are actually due to other conditions like tight pelvic floor muscles or low estrogen levels, particularly during menopause or postpartum.

The episode emphasizes the limitations of urgent care in managing recurrent cases and the necessity for a holistic evaluation. Various treatment options, including vaginal estrogen, prophylactic antibiotics, and physical therapy, are explored. The key takeaway is to ensure the correct diagnosis and consider broader medical evaluations for persistent symptoms.

00:28 Introduction to Recurrent Urinary Tract Infections

01:34 Prevalence and Impact of UTIs

02:32 Challenges with Urgent Care Treatment

03:04 Defining Recurrent UTIs

04:38 Exploring Non-Bacterial Causes

06:58 Holistic Evaluation and Treatment

07:34 Advanced Diagnostic Procedures

08:41 Preventative Measures and Treatments

11:05 Alternative and Emerging Treatments

12:01 Conclusion and Final Thoughts

Mastering Urge Suppression and Bladder Training

Mon, 17 Jun 2024 00:00:00 -0700

In this empowering episode, I dive deep into the world of bladder training and urge suppression techniques, specifically designed to support women struggling with Overactive Bladder (OAB) and urgency urinary incontinence. These practical, non-invasive methods are recommended by leading health authorities, including the American Urogynecology Society and JAMA.

Key techniques covered include Kegel exercises, urge suppression through pelvic floor contractions, and timed voiding strategies. These methods have improved symptoms in about 50% of women and are foundational even for those requiring additional treatments.

Practical steps for implementing these techniques and the importance of a strong pelvic floor are emphasized, alongside tips to avoid panic and manage the urgency more effectively.

Join me as we uncover the secrets to taking control of your bladder health and improving your quality of life.

For More Information: Dive deeper into urge suppression strategies in my comprehensive blog post:https://thewomensbladderdoctor.com/urge-suppression/

Additional References:

Tune in to this episode for a blend of expert insights and practical advice, all designed to empower you to live confidently and comfortably.

Timeline

00:28 Introduction to Bladder Training and Urge Suppression

00:56 Understanding Urgency Urinary Incontinence and Overactive Bladder

01:29 Guidelines and Initial Recommendations

02:24 Techniques for Urge Suppression

04:32 Steps to Manage Urge Suppression

06:25 Timed Voiding Explained

07:09 Implementing Timed Voiding

09:06 Additional Tips and Conclusion

Mastering the KNACK: A Technique for Minimizing Stress Urinary Incontinence

Mon, 10 Jun 2024 00:00:00 -0700

In this episode, I'll discuss the KNACK technique, a pelvic floor contraction method designed to help minimize stress urinary incontinence. I explain how this technique, also known as 'squeeze before you sneeze,' can reduce leakage by up to 80% in pregnant and non-pregnant women.

This episode details the benefits of coordinating pelvic floor contractions with breathing and showcases the effectiveness of the KNACK through the paper towel test. Listeners are encouraged to try the technique and, if needed, improve the strength and coordination of their pelvic floor muscles.

For more information, visit Dr. Janis Miller's website, MyConfidentBladder.com, "Bladder101" course available on my website at thewomensbladderdoctor.com, or my blog post the "KNACK" at https://thewomensbladderdoctor.com/?s=knack

00:28 Introduction to KNACK

00:54 Understanding Stress Urinary Incontinence

01:38 The Knac Technique Explained

04:58 Scientific Validation of the Knac

05:20 Paper Towel Test Demonstration

06:32 Effectiveness in Pregnant and Non-Pregnant Women

07:41 Challenges and Considerations

09:07 Additional Resources and Final Thoughts

Holistic Weight Loss with Dr. Leslie Sanchez-Goettler

Mon, 03 Jun 2024 00:00:00 -0700

In this episode, I talk to Dr. Leslie Sanchez-Goettler, the medical director of Radiance MD and an obesity medicine specialist, about her comprehensive approach to weight loss. Dr. Sanchez-Goettler emphasizes a holistic methodology, integrating the 'five pillars' of nutrition, physical activity, sleep, emotional and spiritual wellness, and appropriate medications.

She shares her personalized strategies, including hiking and weightlifting sessions, with her patients, highlighting the importance of psychological support and bio-composition tracking. She also discusses the challenges and benefits of weight loss medications, the significance of avoiding compounded drugs, and her dedication to building a compassionate, patient-centered practice.

00:00 Introduction to Dr. Leslie Sanchez-Goettler

00:52 Holistic Approach to Weight Loss

01:56 Peer Support and Exercise

06:38 Personalized Nutrition Plans

08:15 Emotional and Spiritual Wellness

10:44 Medications and Hormone Replacement

13:16 Challenges and Solutions in Weight Loss

20:29 Insurance and Accessibility

22:29 Conclusion and Contact Information

Healing and Empowerment: Revolutionizing Postpartum Care with Peyton Schmidt

Mon, 27 May 2024 00:00:00 -0700

Today, I'm speaking with Peyton Schmidt, a clinical assistant professor at the University of Michigan, focused on the innovative 'Healthy Healing after Delivery' program. As the first of its kind in the U.S., this initiative offers specialized support to women dealing with various postpartum pelvic floor issues, such as lacerations, incontinence, and pelvic floor dysfunction, which often go unaddressed in standard postpartum care. The program was inspired by similar research in the U.K. and aims to provide comprehensive care, including education on pelvic floor health, tailored physical therapy, and the potential for surgical interventions if necessary.

Peyton highlights the program's genesis, its implementation challenges, outcomes, and the broader implications for improving postpartum care. It also touches on future research areas and the importance of broader education and conversation around postpartum pelvic health to enhance women's recovery and quality of life after childbirth.

Timeline

00:00 Introduction to the Healthy Healing After Delivery Program

00:39 Origins and Impact of the Program

04:20 Challenges and Successes in Referral and Acceptance

06:18 Clinic Operations and Patient Care Process

07:15 Educational Approach and Physical Therapy Integration

11:26 Research, Outcomes, and Future Directions

19:48 Expanding the Conversation on Pelvic Floor Health

23:55 Closing Thoughts and the Importance of Awareness

Empowering Women Through Pelvic Floor Strength with Dr. Kari Bo

Mon, 20 May 2024 00:00:00 -0700

In this episode, I have the opportunity to speak with Dr. Kari Bo, a respected physical therapist and exercise scientist from Norway, known for her extensive research and education on the pelvic floor.

Dr. Bo discusses the importance of pelvic floor muscle training, debunking myths regarding its effectiveness and emphasizing evidence-based practices. She highlights the necessity of supervised training for significant improvements, the adaptability of pelvic floor exercises to online formats, and the critical aspect of progressively increasing exercise intensity.

Dr. Bo addresses common misconceptions about exercise postpartum and advocates for regular physical activity incorporating pelvic floor strength for aging gracefully, emphasizing the role of lifestyle, social connections, and nutrition.

00:28 Introduction to Dr. Carrie Bo: The Mother of Pelvic Floor Physical Therapy

01:43 The Importance and Effectiveness of Pelvic Floor Muscle Training

02:03 Challenges and Misconceptions Around Pelvic Floor Training

03:45 Optimizing Pelvic Floor Training: Techniques and Maintenance

06:25 Incorporating Pelvic Floor Training into Regular Exercise Routines

15:00 Addressing Pelvic Floor Training Post-Vaginal Delivery

18:17 Exercise Classes and Pelvic Floor Strengthening: A Personal Approach

23:05 Aging Gracefully: Lifestyle, Exercise, and Nutrition

25:44 Cultural Differences in Diet and Portion Sizes

28:43 Closing Thoughts and Goodbye

Empowering Post-Surgery Recovery with Rebeca Segraves

Mon, 13 May 2024 00:00:00 -0700

In this engaging episode, we sit down with Rebeca Segraves, a leading physical therapist specializing in women's health, to explore the complexities of post-surgery rehabilitation.

From her residency at Duke, where she honed her expertise in urogynecology, to her pioneering programs in early rehabilitation post-surgery, Rebeca shares her journey and insights into specialized care for women. Discover the critical role of early intervention after procedures like mastectomy, hysterectomy, and childbirth, and learn about the challenges and triumphs in implementing comprehensive care models. Tune in as Rebeca advocates for better postoperative recovery practices and addresses the pressing need for enhanced care for postpartum women.

You can find more information on Rebeca Segraves at:

IG: @rebecasegraves_

X: @rebecasegraves

FB: @rebecasegraves

Linkedin: @rebecasegraves

00:28 Introduction to Rebeca Segraves and Her Mission

00:53 The Journey to Women's Health Physical Therapy

01:48 Collaboration and Early Intervention at Duke

03:20 Expanding Early Recovery Programs Beyond Duke

04:57 The Importance of Education in Post-Surgery Recovery

12:30 Challenging Traditional Post-Delivery Care Practices

23:17 Scaling Up Birth Recovery Services

29:17 Advocacy and Future Directions

Addressing Common Urinary Health Questions

Mon, 06 May 2024 00:00:00 -0700

In this podcast, I answer frequently asked questions about urinary health, touching on the efficacy of D mannose for preventing urinary tract infections, the impact of vitamin D deficiency and supplementation on bladder health, the role of vaginal estrogen in treating urinary symptoms, and when to treat asymptomatic urinary tract infections.

I'll also cover how to differentiate between urine leaks and sweat during exercise, the relationship between bladder issues and pelvic floor health, the benefits of pelvic floor physical therapy postpartum, and managing bladder symptoms in the third trimester of pregnancy. I address misconceptions about the pelvic floor's role in urinary health and offer practical advice for women experiencing these common issues.

00:00 Welcome to the Q&A Session!

00:55 Exploring D Mannose and UTI Prevention

04:03 Vitamin D Deficiency: Impacts and Solutions

05:59 The Role of Vaginal Estrogen in Urinary Health

06:45 Addressing Asymptomatic UTIs: To Treat or Not to Treat?

08:27 Distinguishing Between Urine Leaks and Sweat

09:44 Bladder Issues vs. Pelvic Floor Problems

11:52 Postpartum Physical Therapy: Is It Ever Too Late?

14:22 Managing Bladder Symptoms During Late Pregnancy

15:18 Closing Remarks and Invitation for More Questions

Understanding and Treating Bladder Leaking: A Comprehensive Guide

Mon, 29 Apr 2024 00:00:00 -0700

In this informative episode, I explore the profound impact of this condition on women's lives, emphasizing its prevalence and significance. Join me as we explore the four types of bladder leaking and underscore the importance of accurate diagnosis for effective treatment.

Explore 'Bladder 101', a revolutionary course designed to educate and empower women on bladder health. From understanding the intricacies of anatomy to navigating various treatment options, this comprehensive guide is a powerful tool that equips women with the knowledge and confidence to make informed decisions about their bladder health.

Join us for this enlightening discussion, which has the potential to transform your life and offer new perspectives and solutions to bladder leaking.

For more information on Bladder101: https://thewomensbladderdoctor.com/bladder101/

00:28 Introduction to Bladder Leaking: Why It Matters

01:10 Understanding the Impact of Bladder Leaking

02:05 Types of Bladder Leaking and Why Diagnosis is Key

04:15 Navigating Treatment Options and Overcoming Barriers

06:23 Introducing Bladder 101: A Comprehensive Course

10:43 Deep Dive into Bladder 101 Course Modules

18:13 The Benefits of Addressing Bladder Leaking Early

Unlocking Surgical Success: Expert Tips for a Smoother Recovery

Mon, 22 Apr 2024 00:00:00 -0700

In this episode of "while you wait...", I share invaluable insights on optimizing surgical outcomes. Diagnosed with breast cancer and facing a temporary departure from my clinical practice, I highlight the importance of utilizing this time to prepare for surgery.

From preoperative education to physical conditioning, I discuss key strategies to enhance surgical recovery and overall well-being. Tune in as I guide my listeners through the essential steps to ensure a smoother surgical journey.

Take advantage of this empowering episode as I share invaluable tips to optimize your surgical journey!

For additional resources and community support, visit Pelvic Organ Prolapse Support and International Urogynecological Association.

For more personalized guidance or inquiries, feel free to reach out to me or my office.

Pallavi L et al AUGS-IUGA Joint Clinic Consensus statement on Enhanced Recovery with Urogynecology Surgery , Urogynecology 2022.

Introduction - 0:28
- I discuss my personal experience with breast cancer diagnosis.
Preoperative Education - 1:41
- Emphasizes the significance of understanding surgical procedures and anesthesia options.
Training for Surgery - 8:55
- Advises listeners on the benefits of physical conditioning and maintaining optimal nutrition before surgery.
Diet and Nutrition - 10:18
- The importance of good nutrition and proper amount of protein before surgery for optimal healing.
Stress Reduction and Well-being - 11:14
- The importance of managing stress, reducing alcohol consumption, and adopting healthy lifestyle practices.
Pre-Surgery Preparation - :
- Practical tips for the day before surgery, including dietary guidelines, hygiene practices, and medication instructions.
Post-Surgery Considerations - 14:24
- Advice on post-operative care, including pain management, bladder and bowel function, and contacting the surgical team if needed.
Conclusion - 17:28
- Discussing the importance of trust in the surgical team and understanding the recovery process for optimal outcomes.

Making Progress While You Wait

Mon, 15 Apr 2024 00:00:00 -0700

In this episode of "while you wait," I address the importance of taking proactive steps toward managing pelvic floor issues, even while facing delays in office visits. I discuss the challenges of increased wait times and my temporary absence due to medical leave. Despite these obstacles, I'll discuss the significance of initiating the journey toward pelvic health.

Despite challenges, progress is attainable on the path to pelvic health. By embracing vulnerability, documenting symptoms, and exploring treatment options, patients can take meaningful steps towards improving their well-being, setting the stage for informed discussions and personalized care upon their clinic visit.

Introduction: This section addresses the challenges of increased wait times for clinic visits and my temporary absence due to medical leave.
Navigating Wait Times: Despite delays, progress can still be made in managing pelvic floor concerns, emphasizing the importance of proactive steps.
Empowering Patients: With the support of nurse practitioners and physician assistants, patients can initiate the evaluation process and receive guidance on treatment options, even without direct physician consultation.
Embracing Vulnerability: Share a powerful interview with a woman who bravely underwent a urethral bulking procedure. Her story illuminates the transformative power of vulnerability in addressing bladder leakage.
Taking Action: Emphasizing the importance of listeners documenting their symptoms, triggers, and treatment preferences. This proactive step empowers them to actively participate in their healthcare journey.
Understanding Treatment Options: From pelvic floor strengthening exercises to medications and surgical procedures, I provide valuable insights into the diverse approaches available for managing pelvic floor disorders.
Preparation and Research: Prior to clinic visits, patients are advised to journal symptoms, explore pelvic floor physical therapy options, and familiarize themselves with potential treatment modalities, ensuring informed decision-making and effective collaboration with healthcare providers.
Conclusion: Reiterating the importance of proactive steps in achieving pelvic health, promising more empowering insights and practical guidance on future episodes of "while you wait."

Jane's Decision - The Urethral Bulking Procedure

Mon, 08 Apr 2024 00:00:00 -0700

Join us for an insightful conversation with Jane as she shares her personal journey with stress incontinence, a condition affecting many women of all ages. From childhood to adulthood, Jane struggled with symptoms that impacted her daily life. She discusses the challenges of dealing with stress incontinence at a young age and the stigma surrounding it.

Jane's openness and honesty shed light on the importance of breaking taboos and seeking support for women's health issues. Learn about her decision to undergo the urethral bulking procedure and the life-changing results she experienced. Discover how Jane's journey toward healing has empowered her and inspired others to seek solutions for their own health challenges.

Feeling inspired by Jane's journey? If you're experiencing similar challenges, don't hesitate to reach out for support and explore treatment options. Take the first step towards improving your health and reclaiming your confidence today!

0:27 - Introduction: Introducing Jane and discussing the topic of stress incontinence.
1:12 - Symptoms and Early Experiences: Jane shares her early experiences with stress incontinence, which began in childhood and affected her daily activities.
3:42 - Seeking Help and Support: Jane discusses the challenges of seeking help for her condition and the lack of awareness among peers.
5:57 - Treatment Approaches: Jane explores her journey through various treatment options, including pelvic floor therapy, before deciding on the urethral bulking procedure.
8:47 - Procedure Experience: Jane describes her experience undergoing the urethral bulking procedure, including preparation, anesthesia, and post-procedure discomfort.
12:27 - Recovery and Results: Jane reflects on her recovery process and the significant improvement in her symptoms following the procedure.
15:12- Impact on Daily Life: Jane discusses how the procedure has positively impacted her confidence, activity levels, and overall quality of life.
17:57 - Follow-Up and Future Plans: Jane shares her plans for follow-up appointments and discusses the importance of ongoing care and maintenance.
20:27 - Closing Thoughts: Emphasize the importance of raising awareness about women's health issues and encouraging others to seek support and treatment.

Finding Freedom with Sacral Nerve Stimulation

Mon, 01 Apr 2024 00:00:00 -0700

Embark on an inspiring journey with clinical specialist Jane, who shares her personal triumph over incontinence on a special episode of the "while you wait..." podcast. Jane opens up about her life-changing experience with Sacral Nerve Stimulation, a revolutionary therapy provided by Axonics. Through her honest storytelling, listeners gain deep insights into her challenges and the profound impact of this neurostimulation technology.

Join Jane as she dives into the nitty-gritty of life with a neurostimulator, offering practical tips and heartfelt advice along the way. Her resilience and determination shine through, making her story a beacon of hope and empowerment. Don't miss out on this captivating episode, where science meets personal resilience in an exploration of boundless possibilities.

- Introduction: Welcome to a special episode where we dive into the world of Sacral Nerve Stimulation with our guest, Jane.
- Jane's Journey Begins: Jane's lifelong struggle with incontinence, from childhood bedwetting to managing the challenges of motherhood.
- Exploring Treatment Options: Learn about the different therapies Jane explored before discovering Sacral Nerve Stimulation and her initial encounters with healthcare professionals.
- Understanding Sacral Nerve Stimulation: Dive into the details of this third-line therapy for incontinence and its profound impact on Jane's life.
—Choosing Axonics: Explore the factors that led Jane to select the Axonics neurostimulator, including its innovative features and compatibility.
- The Implantation Process: Jane's experience during the implantation procedure and its immediate effects on her symptoms.
- Living with the Device: Incorporating a neurostimulator into daily life, from charging routines to airport security.
- Managing Expectations: Hear Jane's perspective on the outcomes of Sacral Nerve Stimulation and the ongoing journey towards improved quality of life.
—Addressing Common Concerns: Jane addresses common questions and misconceptions about neurostimulators and offers valuable insights into their functionality and limitations.
—Empowering Others: Learn about Jane's role as an advocate and educator as she helps individuals navigate their paths to healing and empowerment.
- Conclusion: Join us in celebrating Jane's resilience, courage, and commitment to raising awareness about Sacral Nerve Stimulation.

Sher Palm Women’s Health Empowerment Advocate

Mon, 25 Mar 2024 00:00:00 -0700

Join me for a captivating conversation with Sher Palm, a dedicated advocate and activist for women's health empowerment. Cher shares her inspiring journey of self-discovery and advocacy in destigmatizing vaginal and intimate health concerns, mainly focusing on pelvic organ prolapse.

From her diagnosis at 30 to founding the Association of Pelvic Organ Prolapse Support (APOPS), Sher's story is one of resilience, empowerment, and determination to improve women's healthcare.

Join us for an enlightening conversation with Sher Palm as we delve into the vital work of empowering women to take control of their vaginal and pelvic health.

For more information on APOPS: https://www.pelvicorganprolapsesupport.org/

Introduction
- Introducing Sher Palm as a women's health empowerment advocate.
- Sher's work focuses on destigmatizing vaginal and intimate health concerns.
Background and Journey Into Advocacy
- Sher discusses her unexpected journey into advocacy for women's health.
- Diagnosed with pelvic organ prolapse at 30 after being proactive about her health.
Initial Diagnosis and Response
- Sher's experience of discovering pelvic organ prolapse and seeking medical advice.
- Lack of awareness and understanding of the condition at the time.
- Sher's proactive approach and decision to pursue surgery.
Writing and Publishing "The Biggest Secret in Women's Health"
- Decision to write a book about her experience with pelvic organ prolapse.
- Challenges faced during the publishing process and finding a publisher.
Establishing APOPS
- Realization of the need for a support network for women with pelvic organ prolapse.
- The growth of APOPS and its global reach, with over 26,000 members in 183 countries.
APOPS Support Space and Community Engagement
- Facebook group created for APOPS members.
- Importance of peer support and shared experiences in navigating pelvic organ prolapse.
Challenges and Policing in Online Support Groups
- Addressing challenges of moderating online discussions and enforcing community guidelines.
- The importance of respectful communication and diverse perspectives within the group.
Personalized Treatment Approaches and Patient Empowerment
- Emphasizes the importance of individualized treatment approaches for pelvic organ prolapse.
- Recognizing different personality types and preferences in treatment decisions.
- Supporting women in making informed choices about their health care options.
Advocacy Efforts and Public Awareness Campaigns
- Advocacy work to raise awareness about pelvic organ prolapse
- Launching APOPS' first Women's Public Health Expo to educate and empower women.
Educating Teens and Addressing Taboos Around Vaginal Health
- Discussion on the importance of early education about pelvic health and anatomy.
- Challenges in addressing taboos and cultural barriers related to vaginal health.
Closing Thoughts and Future Directions
- Cher reflects on the progress made in women's health advocacy and the work that remains.
- Emphasizing the importance of collaboration between practitioners, advocates, and patients.

Leva Device with Mandy Pulliam

Mon, 18 Mar 2024 00:00:00 -0700

In this episode, I'm joined by Mandy Pulliam, the CMO of Axena Health, to discuss the revolutionary Leva Pelvic Health System.

Discover the inner workings of the Leva system, a cutting-edge solution designed to address urinary incontinence through innovative technology and personalized coaching. Learn about its unique features, including its accompanying mobile app filled with educational resources and exercise programs.

Learn how the Leva system integrates into daily life, providing users with a standardized and convenient pelvic floor muscle training solution. Mandy discusses recent research findings and long-term outcomes for the Leva system's users. And discover the future directions and ongoing research efforts at Axena Health aimed at expanding the indications and accessibility of the Leva system.

Join us for this enlightening discussion on pelvic health, urinary incontinence, and the groundbreaking Leva Pelvic Health System. Don't miss out on valuable insights and expert perspectives!

Introduction & Background:

Introduction to Mandy Pulliam, CMO of Axena Health.
Discussion on the Leva Pelvic Health System and recent research findings.

Understanding the Leva System :

Explanation of the components of the Leva system.
How the Leva system works and its unique features.
Importance of personalized coaching and support for users.

Effectiveness of the Leva System:

Comparison of Leva to traditional pelvic floor exercises.
Research findings on the effectiveness of the Leva system.
Long-term outcomes and maintenance of results.

Setting Expectations & Goals :

Managing expectations for users of the Leva system.
Individualized goals and outcomes for urinary incontinence treatment.
Understanding the importance of continuous improvement.

Integration into Daily Life :

Incorporating pelvic floor muscle training into daily routines.
Addressing challenges and barriers to treatment adherence.
Benefits of standardized treatment options like the Leva system.

Future Directions & Research :

Ongoing research and development efforts at Axena Health.
Expansion of indications for the Leva system.
Advocacy for insurance coverage and accessibility.

Conclusion & Final Thoughts :

Importance of addressing urinary incontinence as a medical condition.
Empowering women with effective and evidence-based solutions.
Looking ahead to the future of pelvic health and treatment options.

The Path to Aging Gracefully with Chantale Dumoulin

Mon, 11 Mar 2024 00:00:00 -0700

Join me as we explore the fascinating realm of pelvic floor health with the esteemed Professor Chantale Dumoulin. A professor at the School of Rehabilitation at the Université de Montréal is renowned for her pioneering work in urogynecology and pelvic floor rehabilitation.

Professor Dumoulin has dedicated her career to advancing the understanding and treatment of pelvic floor disorders, particularly in older women. With a keen focus on research, her mission is twofold: to unravel the complexities of pelvic floor muscle dysfunction and to enhance prevention and treatment strategies, empowering women to reclaim control over their pelvic health.

In our conversation, Professor Dumoulin sheds light on the misconceptions surrounding pelvic floor exercises like Kegels, the efficacy of group therapy versus individual sessions, and the importance of early intervention and prevention strategies. With practical advice and evidence-based recommendations, this episode offers invaluable guidance for women of all ages seeking to prioritize their pelvic health.

Tune in as we embark on a journey towards empowered pelvic health with Professor Chantale Dumoulin, unraveling the mysteries of the pelvic floor and paving the way for a future of holistic wellness.

For more information on Prof. Dumoulin: https://www.womenhealthaging.ca/

00:28 - Introduction: Meet Professor Chantale Dumoulin, a trailblazer in pelvic floor health and rehabilitation at the Université de Montréal.
01:53 - Professor Dumoulin's Expertise: Discover her role in developing Canada's sole graduate program for perineal and pelvic rehabilitation and her methodological approach to research.
04:37 - Research Focus: Delve into Professor Dumoulin's mission to understand pelvic floor muscle dysfunction and enhance prevention and treatment strategies, particularly for older women.
08:42 - Debunking Myths: Explore the efficacy of pelvic floor exercises like Kegels and the evolution of treatment modalities over time.
11:57 - Group Therapy Insights: Uncover the surprising benefits of group therapy for pelvic floor rehabilitation and its impact on patient adherence and social support.
15:12 - Practical Advice: Learn about the importance of pelvic floor maintenance and ongoing exercise for long-term pelvic wellness, including Professor Dumoulin's recommendations for optimal training frequency.
18:47 - Prevention Strategies: Gain insights into the critical role of early intervention during pregnancy and menopause in preventing pelvic floor disorders and promoting lifelong pelvic health.
22:32 - Clinical Impact: Reflect on the transformative impact of Professor Dumoulin's research on clinical practice and the future of pelvic health care.
25:57 - Conclusion: Embark on a journey towards empowered pelvic health with Professor Chantale Dumoulin, unraveling actionable insights and empowering strategies for women of all ages.

Effective Treatments for Urgency Urinary Incontinence

Mon, 04 Mar 2024 00:00:00 -0800

In this episode, we explore advanced treatments for urgency urinary incontinence, beyond the conventional approaches. Join me as we uncover the intricacies of three distinct third-line interventions to alleviate OAB.

These three conversations were extracted from past interviews, offering a comprehensive understanding of each intervention. We begin with sacral nerve stimulation, a groundbreaking procedure targeting the intricate communication between the bladder and the brain. From there, we transition to the innovative E Coin, a tibial nerve stimulator, exploring its placement and effectiveness in managing overactive bladder symptoms.

Lastly, we dive into the widely used Botox treatment, shedding light on its mechanism, procedure, and potential outcomes. With detailed insights and expert advice, this episode equips listeners with valuable knowledge to navigate their journey toward improved bladder health.

Whether exploring treatment options or seeking deeper insights into these innovative interventions, this episode promises valuable insights and actionable advice. Tune in now to empower yourself with the knowledge needed to reclaim control over your bladder health!

00:27 Introduction: Understand overactive bladder and urgency urinary incontinence, exploring three lines of treatment: behavioral interventions, medication, and intervention.
01:39 Sacral Nerve Stimulation: Insights from Amy Anderson of Axonic company (Season 1, Episode 33), discussing the procedure's efficacy and trial period.
06:12 Tibial Nerve Stimulation: Overview of the E Coin implant, featuring a patient interview (Season 1, Episode 43), including procedure details and patient experience.
11:57 Botox Injections: Managing overactive bladder symptoms, with detailed procedure explanation and potential side effects (Season 1, Episode 40).
17:25 Conclusion: Emphasize patient empowerment and the availability of various treatment options.
18:47 Encouragement: Inspire listeners to explore these treatments and regain control over their bladder health.

Three Solutions for Stress Urinary Incontinence

Mon, 26 Feb 2024 00:00:00 -0800

In this episode, we dive into three ways you can help improve your (SUI) stress urinary incontinence (urine leakage during activities such as coughing, sneezing, or laughing). Managing your SUI can be complex, so many women are looking for effective solutions tailored specifically to their needs.

Our expert guests guide listeners through three innovative approaches to address SUI, offering insights into their unique devices, benefits, and effectiveness. From the Leva pelvic health system's app-based exercises to the Inovo shorts' neuromuscular electrical stimulation and the Uresta incontinence pessary's discreet and adjustable design, each solution presents a unique path toward regaining bladder control.

Introduction to Stress Urinary Incontinence (SUI):
- Definition: Leakage during activities like coughing, sneezing, or laughing.
- Common problem with various available solutions.
Leva Pelvic Health System:
- Description: App-based system with a wand for pelvic floor exercises.
- Features: Real-time exercise feedback, personalized coaching.
- Benefits: Improved muscle strength and control.
- Prescription device requiring healthcare provider consultation.
- Long-term effectiveness backed by credible research.
Inovo Shorts:
- Description: Neuromuscular electrical stimulation shorts.
- Features: Eight embedded electrodes, smart algorithm programming.
- Benefits: Maximized muscle contraction, reduced fatigue.
- Usage: 30 minutes, 5 days a week for 12 weeks.
- Early improvements weseen within two to four weeks.
Uresta Incontinence Pessary:
- Description: Self-managed and self-fitted solution.
- Features: Easy insertion, comfortable wear, adjustable sizing.
- Starter kit includes sizes 3, 4, and 5 for initial fitting.
- Adjustments based on leakage, comfort, and ease of urination.
- Over-the-counter availability in Canada, prescription in the US.
Conclusion:
- Recap of discussed solutions and their potential benefits.
- Encouragement to explore different options and seek improvement.
- Acknowledgment of initial skepticism and the importance of trying new solutions.

Full Episodes:

How to strengthen your pelvic floor with the Leva Pelvic Health System and Dr. Mandy Pullium: Season 1, Episode 9 https://www.buzzsprout.com/2112419/12426039
Inovo Shorts: Season 1, Episode 26 https://www.buzzsprout.com/2112419/13186182
Uresta- a self-managed tool for stress incontinence: Season 1, Episode 32 https://www.buzzsprout.com/2112419/13360159

Final Thoughts:

Discover empowering solutions for managing stress urinary incontinence with our in-depth exploration of innovative products. From personalized coaching to advanced stimulation techniques, there's something for everyone seeking relief from SUI. Tune in and take the first step toward reclaiming control and confidence in your daily life.

Online Pelvic Floor Courses

Mon, 19 Feb 2024 00:00:00 -0800

Let's explore online pelvic floor courses designed to empower and strengthen women's pelvic health. In this episode, we delve into interviews with three remarkable women - Betsy Petri-Johnson of Mama Made Strong, Kim Vopni of The Vagina Coach, and Jeanice Mitchell of MyPFM. Each offers unique insights and programs aimed at enhancing pelvic floor strength and addressing common concerns.

First, we hear from Betsy Petri-Johnson, a physical therapist and mother of triplets, who shares her journey and the inspiration behind her virtual program.

Next, Kim Vopni, an athletic trainer and founder of The Vagina Coach, discusses her innovative online programs, including the 28-day challenge aimed at optimizing pelvic floor function through whole-body movement. Kim's approach emphasizes education, dynamic exercises, and community support to empower women to reclaim their pelvic health.

Finally, Jeanice Mitchell, a pelvic floor therapist and founder of MyPFM, highlights the importance of virtual resources in promoting pelvic health awareness and accessibility.

With their diverse backgrounds and expertise, these women offer valuable resources for women seeking to strengthen their pelvic floor from the comfort of their homes. Tune in to discover which program resonates with you and take the first step towards a stronger, healthier pelvic floor.

Introduction to three leading experts in online pelvic floor courses: Betsy Petri-Johnson, Kim Vopni, and Jeanice Mitchell.
Insights from Betsy Petri-Johnson's virtual program, Mama Made Strong, emphasizing flexibility and accessibility for pelvic floor wellness.
Kim Vopni's approach with The Vagina Coach, including the 28-day challenge and emphasis on whole-body movement and community support.
Jeanice Mitchell's group coaching program, MyPFM, focuses on education, support, and accountability for women experiencing leaks and prolapse.
Discussion on the importance of virtual resources in promoting pelvic health awareness and accessibility.
Guidance for listeners on choosing the right online pelvic floor course based on individual needs and preferences.
Encouragement to take the first step towards pelvic health empowerment from the comfort of home.

S2E5: Revisiting what to do before you come into the office

Mon, 12 Feb 2024 00:00:00 -0800

Revisiting what to do before you come into the office

Start the new year right by taking charge of your bladder health! In this episode of "While You Wait...", I revisit essential tips for managing bladder symptoms before your appointment. Whether you're dealing with leaks or constant urges, I'll provide actionable steps to empower you on your journey to wellness. Tune in to discover expert advice and practical strategies that can make a difference in your daily life.

Show Note Timeline:

Introduction:

Reintroducing essential strategies for managing bladder symptoms before your appointment.
Addressing common questions and concerns about bladder health.

Managing Bladder Symptoms:

Importance of using the right products: highlighting the difference between menstrual pads and incontinence pads, emphasizing the need for effective leakage control.
Keeping a bladder diary: Learn how journaling your symptoms can help identify triggers and patterns, providing valuable insights for better management.
Understanding your diagnosis: learn the different types of urinary incontinence in women and the importance of recognizing your specific symptoms.
Strengthening the pelvic floor: Discover simple exercises and techniques to strengthen pelvic muscles, essential for managing urinary incontinence.

Taking Action Before Your Appointment:

Practical tips for implementing these strategies in your daily routine.
Guidance on gradually progressing with pelvic floor exercises for optimal results.
Empowering individuals to take proactive steps towards bladder wellness.

Don't wait to take control of your bladder health! Join me as I share invaluable advice to help you navigate the journey towards improved bladder function and overall well-being.

My Resolution: Empowering Women to Take Control of Their Bladder Health

Mon, 05 Feb 2024 00:00:00 -0800

I recorded this episode of "While You Wait" on January 1st, 2024, where I discussed my resolution for 2024. I'll passionately challenge the stigma around bladder symptoms, emphasizing that leaking urine is not just common but deserves attention and proactive management.

Discover courses I've created to help women on this journey.

They range from a free video collection guiding women in understanding and addressing different types of leaking and practical steps for managing stress and urgency incontinence to my most comprehensive offering, which provides in-depth knowledge about anatomy, terminology, and factors influencing bladder health. Empower yourself to choose a treatment that aligns with your lifestyle confidently.

Whether you're a woman seeking solutions or a healthcare professional, this episode offers valuable insights and resources to defy the notion of accepting bladder symptoms as an inevitable part of life. Tune in for a roadmap to improved bladder health and graceful aging.

Timeline

Introduction:

Dr. [Host's Last Name]'s commitment to liberating women from living with bladder symptoms.
Addressing societal shame and the normalization of bladder issues with age.

Bladder Starter Series:

Overview of the free video series for women starting their journey to understand and address bladder issues.
Diagnosing different types of leaking and practical steps for managing stress and urgency incontinence.

Masterclass - How to Find the Right Way to Strengthen Your Pelvic Floor:

Exploring various methods, from Kegel exercises to professional coaching, to strengthen the pelvic floor.
Creating a personalized treatment blueprint for successful and sustainable outcomes.

Comprehensive Course - Bladder 101:

In-depth insights into anatomy, terminology, and factors influencing bladder health.
Empowering women to choose a treatment aligned with their lifestyle confidently.

Tune in, be inspired, and take proactive steps toward improving bladder health on "While You Wait."

Pip's Pantys: Postpartum and Surgical Comfort with Dr. Teresa Mahon

Mon, 29 Jan 2024 00:00:00 -0800

Discover the innovative solution revolutionizing postpartum and surgical care on today's episode with Dr. Teresa Mahon. Join the conversation as Dr. Mann unveils her groundbreaking creation, Pip's Panty. This thoughtfully designed boy short panty addresses the specific needs of postpartum women. Driven by her observations of undignified postpartum care, Dr. Mann embarked on a mission to enhance the recovery experience for new mothers as well as surgical patients.

Dr. Mann shares insightful details about the product's design, addressing common challenges women face during postpartum and surgical recovery. With heartwarming anecdotes and positive feedback from users, this episode sheds light on a transformative solution for a traditionally underserved aspect of women's health.

Whether you're a healthcare professional, a new mom, or someone interested in innovative medical solutions, this episode offers a glimpse into the intersection of healthcare and entrepreneurship. Tune in to explore the story behind Pip's Panty and gain valuable insights into the challenges and triumphs of introducing a game-changing product to the market.

For more informaiton on Dr. Mahon you can find her:

IG: pips4moms

FB: Pips Comfort Care

Website: https://pipscomfortcare. Com

Show Notes Time Line:

- 00:34 Introduction:
  - 00:53 Dr. Teresa Mahon's background and transition to becoming a hospitalist.
  - 01:10 The challenges of private practice and the decision to prioritize patient care.
- 02:18 Pip's Panty: A Revolutionary Solution:
  - 02:27 The inspiration behind creating Pip's Panty.
  - 05:57 Addressing the needs of postpartum women and surgical patients.
- 07:38 User Feedback and Impact:
  - 08:23 Heartwarming stories from users, including relief for postpartum discomfort and surgical recovery.
- 08:47 Creation of Pip’s Pantys
  - 09:45 Challenges in bringing the product to market and the importance of fair-wage manufacturing.
- 11:50 Anatomically Designed
  - 11:58 Detailed explanation of the anatomically correct design and functionality.
  - 12:42 Dr. Mahon's vision for expanding the application of Pip's Panty to benefit a broader audience.
- 13:30 Get your Pip’s Pantys
  - 13:37 What’s included
  - 13: Where to find Pip’s Pantys
- Future Endeavors:
  - Dr. Mahon's reflections on the business side of healthcare and the learning curve.

Urinary Incontinence Initial Eval & Treatments

Mon, 22 Jan 2024 00:00:00 -0800

In today's episode, we talk about urinary incontinence. Following the initial diagnosis and treatments, then taking the mystery out of some complex medical procedures. Beginning with a thorough understanding of the body's signals, we break down the initial steps in diagnosis—discussing the importance of identifying triggers, symptom assessment, and the overall health context. Then, transition into stress incontinence.

We dive into personalized care and programs, coaching benefits, as well as virtual group sessions as alternatives.

Beyond the basics, we explore various solutions, from user-friendly devices to non-invasive procedures. Then, it extends to advanced treatments, like surgery, and the developments in stem cell therapies.

We'll address urgency incontinence through behavioral adjustments, dietary considerations, and medication.

Tune in for a comprehensive exploration of urinary incontinence, offering insights, hope, and a roadmap to empower those navigating this journey.

Podcast Show Notes Timeline:

Introduction:

Overview of the episode's focus on the initial workup and treatment of urinary incontinence.
Mention of guidelines from the American Urogynecology Society and the International Continence Society.

Patient Consultation:

Importance of patient history in understanding leakage triggers and overall health.
Screening for factors like previous treatments, pain association, voiding symptoms, and pelvic conditions.

Symptom Assessment:

Detailed exploration of bladder diaries, questionnaires, and quality-of-life evaluations.
Utilization of urinalysis and ultrasound to assess bladder function.
Examination for estrogen status, muscle strength, and potential pelvic floor issues.

Stress Incontinence Treatment:

Focus on pelvic floor muscle training as the gold standard.
Individualized programs, coaching, and reinforcement in physical therapy.
Exploration of virtual group options and recommended online resources.

Alternative Treatments:

Introduction to peritrainers and devices like the Leva for pelvic floor strengthening.
Insights into bulking procedures as non-invasive options.

Advanced Treatments:

Overview of surgeries, including mesh slings and emerging stem cell therapies.
Discussion on ongoing research, including a phase three clinical trial on stem cell therapy.

Urgency Incontinence:

Emphasis on pelvic floor muscle training, behavioral modifications, and dietary considerations.
Exploration of medications and their potential side effects.
Insights into third-line therapies, including Botox injections and nerve stimulations.

Note: The information provided is educational and does not substitute personalized medical advice. Consult with healthcare professionals for tailored recommendations.

Why bladder leaking is important, and the one thing providers should do

Mon, 15 Jan 2024 00:00:00 -0800

Welcome to Season 2, Episode 1 of "While You Wait..."! In this compelling episode, I'll dive into a crucial aspect of women's health—bladder leakage. Drawing from a recent talk in Portland titled "Doctor, My Bladder Leaks, How Can You Help Me?" aimed at primary care colleagues, I emphasize the significance of addressing incontinence.

Discover why bladder leakage is a prevalent and impactful issue affecting women of all ages. This episode is a detailed exploration of the talk's key points, highlighting the societal and personal implications of this often-overlooked concern.

From the staggering statistics revealing the commonality of bladder leakage to its profound impact on quality of life, our host breaks down the reasons healthcare providers should prioritize addressing this issue. The episode also touches upon the associated risks, both medical and financial, making a compelling case for proactive intervention.

The central message? Validation matters. I talk about the importance of healthcare providers validating women's symptoms, offering insights into why this seemingly simple step can be a game-changer. The conversation extends to the duration of time women endure symptoms in silence and the associated challenges in discussing a topic that still carries a degree of taboo.

But that's not all. Practical solutions are provided, including knowing local resources and introducing the "Bladder Starter Series," a valuable resource on my website, thewomensbladderdoctor.com. This series aims to empower women and guide healthcare providers in initiating conversations around bladder health.

Tune in for an insightful start to Season 2, where healthcare meets empathy, and the journey to destigmatize and address bladder leakage begins.

Podcast timeline:

Importance of Addressing Bladder Leakage: Unpack the prevalence and impact of bladder leakage on women's lives, exploring the societal, quality-of-life, and health implications.
Statistics and Data: Dive into eye-opening statistics, including a study from Norway, shedding light on the widespread occurrence of bladder leakage across age groups.
Emotional and Physical Toll: Explore the emotional and physical toll of bladder leakage, from body image issues to its association with sexual dysfunction.
Medical Risks: Understand the medical risks associated with bladder leakage, including increased risks of depression, hospitalization, falls, and fractures.
Financial Impact: Delve into the economic aspect, as a recent study reveals the substantial annual expenditure on bladder leakage, emphasizing the financial burden on affected individuals.
The Role of Validation: Emphasize the importance of healthcare providers validating women's symptoms as the crucial first step in addressing bladder leakage.
Local Resources and Bladder Starter Series: Encourage healthcare providers to be aware of local resources and introduce the "Bladder Starter Series" as a free and accessible educational tool.

For more resources and information, visit thewomensbladderdoctor.com.

Note: The information provided is educational and does not substitute personalized medical advice. Consult with healthcare professionals for tailored recommendations.

eCoinTibial Implant: Jane's Personal Journey

Mon, 18 Dec 2023 00:00:00 -0800

Breaking from our usual educational format, we sit down with a woman, who I'll refer to as Jane, who has firsthand experience of urgency incontinence. Jane takes us through her transformative journey, offering insights into her challenges, decisions, and the life-changing impact of the eCoin Tibial Implant.

Tune in for a Personal Perspective: Whether you're navigating your healthcare journey or curious about innovative solutions, Jane's candid story provides a valuable and relatable perspective. Join us for this intimate episode, delving into the human side of healthcare.

Highlights:

Bladder Challenges Unveiled: Jane shares the origins of her bladder issues, triggered by extensive overseas work travel and recurrent infections.
Treatment Evolution: As symptoms progressed, Jane walks us through her experience with medications and PTNS (Percutaneous Tibial Nerve Stimulation) before discovering the eCoin Tibial Implant.
Decision-Making Process: Understand the considerations that led Jane to choose the eCoin Tibial Implant over other options, marking a shift from traditional treatments.

Procedure Deep Dive:

Outpatient Experience: Gain insights into the outpatient surgery performed under local anesthesia and Jane's perspective on the procedure.
Postoperative Phase: Learn about postoperative care, including using a compressive sock and Jane's experience during the healing process.

Life After eCoin:

Travel Triumphs: Discover how the eCoin Tibial Implant has transformed Jane's experience during long airplane trips, previously marred by bladder pressure.
Symptom Relief: Delve into Jane's reflections on the remarkable relief from pain and leakage issues, bringing a sense of normalcy back to her life.

Future Considerations:

Battery Life and Replacements: Explore the anticipated battery life of the eCoin Tibial Implant and Jane's plans for future replacements.
Upcoming Advancements: a glimpse into potential advancements in the next iterations, including MRI compatibility and extended battery life.

Reflections and Gratitude:

Scar Minimalism: Understand Jane's perspective on the minimal scarring resulting from the procedure and her overall satisfaction.
Encouragement to Others: Jane shares her thoughts on the procedure's impact, expressing gratitude for the positive changes and offering encouragement to those on a similar healthcare journey.

Disclaimer: The shared information reflects personal experiences and does not replace individualized medical advice. Consult with healthcare professionals for tailored recommendations.

Surgery in a Surgery Center with Anand Jain, MD

Mon, 11 Dec 2023 00:00:00 -0800

Join me as we discuss the ever-growing popularity of surgery centers with our special guest, Dr. Anand Jain, the Medical Director of the East Pavilion Surgery Center in Portland, Oregon. In this episode, we dive into the intricacies of outpatient surgeries, discussing the unique features that distinguish surgery centers from hospital operating rooms.

Gain insights into the patient-centric approach of surgery centers, addressing safety concerns, patient selection criteria, and the crucial post-op care that ensures a smooth recovery. Discover the nuances of building a positive culture within a surgery center, and learn how these centers are poised to play a more prominent role in the evolving healthcare landscape.

Please note that the information shared is for educational purposes and does not substitute personalized medical advice. Consult with your healthcare provider for tailored recommendations.

Key Differences: Dr. Jain highlights the distinctions between surgery centers and hospital operating rooms, emphasizing the patient-centric focus and efficiency of outpatient care.
Safety Concerns: Addressing the perception of surgery centers as "surgery factories," Dr. Jain discusses the stringent safety protocols, accreditation, and collaborative efforts that ensure patient safety.
Patient Selection Rules: Explore the criteria, including BMI limits, that determine patient eligibility for surgery center procedures, emphasizing the individualized and collaborative nature of decision-making.
Ensuring Patient Comfort: Learn about measures taken to ensure physical and mental comfort for patients throughout their surgical experience, enhancing the overall patient journey.
Post-Op Care and Recovery: Dr. Jain sheds light on the collaborative efforts and patient-centric approach that facilitate a smooth transition for patients from surgery to recovery, focusing on safety and well-being.
Building a Positive Culture: Discover the factors contributing to a positive workplace culture at the East Pavilion Surgery Center, including strong leadership, effective communication, and a commitment to shared values.
Looking Ahead: Dr. Jain shares insights into the future role of surgery centers in the healthcare landscape, discussing their efficiency, cost-effectiveness, and the evolving preferences of patients.

10 Highlights from ICS Conference

Mon, 04 Dec 2023 00:00:00 -0800

Let's dive into the highlights from the International Continence Society convention 2023. This episode explores the global collaboration among healthcare professionals, discussing the diverse approaches to evidence-based medicine.

Join me as I go through the ten key takeaways from the conference, ranging from the effectiveness of pelvic floor muscle training to groundbreaking research on prolapse causes. Discover the impact of group-based physical therapy classes, both in-person and online, and how they contribute to a 75% cure rate for stress incontinence.

Delve into postmenopausal health, where pelvic floor muscle strengthening surprisingly enhances blood flow, elasticity, and overall well-being. Learn about innovative developments, such as a vaccine to prevent chronic urinary tract infections and its potential to revolutionize preventive care.

Whether you're a healthcare professional or simply curious about the latest advancements in women's health, this episode offers valuable insights and bridges the gap between international perspectives.

Please note that the information shared is for educational purposes and does not substitute personalized medical advice. Consult with your healthcare provider for tailored recommendations.

3:10 Muscle Training for Incontinence: Explore the profound impact of muscle training on incontinence, with an eightfold increase in cure rates for stress incontinence.

3:52 Prolapse Insights: Uncover research from the University of Michigan on prolapse causes, highlighting the significance of pelvic muscle defects and the role of childbirth in prolapse development.

5:44 Reversing Prolapse with Muscle Training: Learn how pelvic floor muscle training can reverse prolapse by one stage, offering hope for effective non-surgical interventions.

8:28 The Power of The Knack: Understand the significance of the "knack" technique, squeezing before sneezing, to aid in preventing stress incontinence.

10:31 Vaccine for UTIs: Discover an innovative vaccine developed in Europe to prevent chronic urinary tract infections, showing a 70-80% decrease in UTI occurrences.

11:56 Overactive Bladder Phenotypes: Explore ongoing research on different phenotypes of overactive bladder, addressing individualized treatment approaches.

13:40 Group-Based Physical Therapy: Delve into the effectiveness of group-based physical therapy classes, showcasing a 75% cure rate for stress incontinence and reduced stigma.

16:50 Pelvic Floor Training for Postmenopausal Women: Examine surprising benefits of pelvic floor muscle training for postmenopausal women, including increased blood flow and improved symptoms of genital urinary syndrome.

19:10 Exercise and Pelvic Floor: Studies showing if you strengthen your pelvic floor, and you image the muscle before and after that muscle gets bigger.

Botox's Transformative Power for Overactive Bladder

Mon, 27 Nov 2023 00:00:00 -0800

Embark on an enlightening journey into Botox in this "While You Wait..." episode.

Join me as we unravel Botox's mysteries, delving into its origin as a neurotoxin and its remarkable role in alleviating overactive bladder symptoms.

I'll break down the science behind Botox, explaining how it disrupts cell signaling and temporarily paralyzes muscle fibers. Explore its fascinating application in preventing dynamic facial wrinkles, offering a multifaceted solution.

Understanding the nuances of Botox, from its temporary effectiveness requiring repeat treatments to potential side effects, is key. We'll navigate the procedure from bladder numbing to injection processes, offering insights into choosing between office and operating room settings and the role of pre-medication in managing anxiety.

Post-procedure care takes center stage, emphasizing the importance of checking for infections, prescribing antibiotics, and scheduling follow-up appointments. Anticipate changes, manage expectations, and delve into the psychological aspects of the process, highlighting the significance of trust in your medical team.

Remember that Botox may not be suitable for everyone, and I encourage the exploration of alternative treatments.

[Note: This podcast episode is for educational purposes, not a substitute for personalized medical advice. Consult with your healthcare provider for individualized recommendations.]

Introduction

Understanding Botox (0:30):

Explore the basics of Botox, a neurotoxin produced by bacteria.
Learn how Botox interferes with cell signaling, temporarily paralyzing muscle fibers.

Mechanism of Action (1:00):

Understand the role of Botox in preventing dynamic facial wrinkles and its muscle-relaxing effects.
Gain insights into direct injection into the muscle for conditions involving tight or overactive muscles.

Risks and Considerations (2:15):

Examine the temporary nature of Botox effectiveness and the need for repeat treatments.
Identify potential side effects, including urinary tract infections and difficulty emptying the bladder.

The Botox Procedure (3:30):

Detailed steps from numbing the bladder to the actual injection process.
Emphasize the importance of discussing all aspects of the procedure beforehand.

Office vs. Operating Room (4:15):

Gain insight into where Botox procedures are commonly performed.
Address anxiety concerns with pre-medication options for a comfortable experience.

Post-Procedure Care (6:30):

Check for infections before the procedure and prescribe antibiotics as needed.
Understand the role of a follow-up appointment to assess bladder emptying and Botox effectiveness.

Anticipating Changes (9:00):

Manage expectations regarding potential post-procedure discomfort and irritation.
Discuss the psychological aspect of the procedure and the role of trust in the medical team.

Closing Thoughts:

Recognize that Botox may not be suitable for everyone and explore alternative treatments.

Please note that this episode is for informational purposes and is not a substitute for personalized medical advice. Consult with your healthcare provider to determine the most suitable options for your individual needs.

Stay tuned for more engaging discussions on "While You Wait..." as we continue to explore advancements in women's health.

Exploring Stem Cell Therapy for Women's Health

Mon, 20 Nov 2023 00:00:00 -0800

Join me for an enlightening episode that delves into the world of stem cell therapy and its revolutionary potential in addressing pelvic floor disorders, specifically focusing on stress urinary incontinence (SUI).

I'll take you on an exploration of stem cells' remarkable abilities, shedding light on the difference between pluripotent and multipotent stem cells, and emphasize the advantages of utilizing multipotent stem cells derived from adult tissues, including mesenchymal stem cells in various tissues.

You'll discover the promising developments in stem cell therapy and its application to treat SUI, a common concern among many women. We'll explore the outcomes of numerous studies, revealing the impact of stem cell therapy on critical tissue components like collagen and elastin.

As we peer into the future of women's health, I discuss ongoing clinical trials, offering a glimpse of how stem cell therapy may reshape the healthcare landscape.

Please note that this episode is for educational purposes and is not a substitute for medical advice. I aim to empower and inform my listeners about the exciting advances in women's health and the promising future of stem cell therapy.

Stay tuned for a fascinating journey through this groundbreaking field, where science and healthcare merge to enhance the well-being of women everywhere.

0:30 Understanding Stem Cells

Defining stem cells and their incredible potential.
Their role in self-renewal, differentiation, and creating the optimal environment for cell growth.

1:00 Exploring Stem Cell Types

Distinguishing between pluripotent and multipotent stem cells.
Emphasizing the advantages of using multipotent stem cells derived from adult tissues.

2:15 Sources of Adult Stem Cells

Highlighting the presence of mesenchymal stem cells in various adult tissues.
The promise of utilizing autologous stem cells in therapies.

3:30 The Evolution of Stem Cell Therapy

Tracing the historical progression from bone marrow transplantation to treating diverse medical conditions, including SUI.

4:15 Stress Urinary Incontinence and Stem Cell Therapy

Focusing on human studies, particularly in females.
Exploring the challenges of stem cell differentiation and injection techniques.
An overview of mesh sling surgeries and their effectiveness in treating SUI.

6:30 Research Findings

Highlighting key studies, including positive outcomes and minor complications.
A deeper dive into the mechanisms of stem cell therapy, affecting collagen, elastin, and critical tissue components.

9:00 The Future of Stem Cell Therapy

Discussing ongoing clinical trials such as the "Celebrate Trial" in the United States.
Examining the path toward optimizing stem cell preparation, dosing, and injection methods.
Anticipating a brighter, more sophisticated future in the realm of women's health.

Exploring Treatments for Urgency Urinary Incontinence

Mon, 13 Nov 2023 00:00:00 -0800

Welcome to another informative episode of "While You Wait..."! In this episode, we're diving deep into the various treatments available for urgency urinary incontinence (UUI) and overactive bladder, a common condition that affects about half of all adult women.

I'll take you through a comprehensive overview of the treatment spectrum, ensuring you're well-informed to make the best choices for your needs or share this valuable information with someone who might benefit.

Urgency urinary incontinence is when you constantly feel the need to urinate, often leaking before reaching the restroom. It can be an unpredictable and frustrating condition.

We categorize UUI treatments into three lines:

First-Line Treatment: This line of treatment focuses on pelvic floor muscle strengthening, education, and behavioral training. Learn how urge suppression can be a game-changer, and discover the importance of understanding your bladder's triggers and optimizing your bladder timing.

Second-Line Treatment: When first-line treatments aren't sufficient, medications and supplements come into play. Explore various options, including anticholinergic medications and beta-agonists, each with unique features and potential side effects.

Third-Line Treatment: For those who haven't found relief, we explore third-line therapies, including interventions and procedures like Botox injections, tibial nerve stimulation, and sacral nerve stimulation. We delve into the ins and outs of each and highlight their efficacy rates and considerations.

But here's the good news: there's no one-size-fits-all approach. The effectiveness of these treatments can vary from person to person, and what works best for you is the most important consideration. With an overall improvement rate of 60% to 80% for third-line treatments, there's hope for those dealing with UUI.

I provide additional resources on my website for further information. So, if you're seeking more in-depth information, check out the links in the show notes.

Please share this essential episode with anyone who might be experiencing urgency urinary incontinence or overactive bladder, and together, let's move forward on our journey to a more comfortable and confident life. Don't wait; tune in now!

The Journey to Conquer Stress Urinary Incontinence

Mon, 06 Nov 2023 00:00:00 -0800

Welcome to "While You Wait...". In this episode, we're embarking on an informative journey to uncover the myriad treatments for stress urinary incontinence (SUI).

SUI is a common condition affecting around 50% of adult women. It can be frustrating when everyday activities like coughing, sneezing, or laughing trigger abdominal pressure, leading to unexpected urine leakage.

Our systematic exploration of treatments begins with containment products, including specialized incontinence pads and eco-friendly options like Attention Grace.

Specialized incontinence underwear designed for reuse also plays a role in this journey, effectively concealing mild to moderate leakage.

Pelvic floor strengthening is a crucial avenue to explore. Pelvic floor physical therapy provides personalized exercises and valuable in-person or virtual guidance.

Various tools like vaginal weights, muscle measurement devices, and specialized exercise wear are available for independent pelvic floor strengthening. Weight loss, backed by studies showing a 70% improvement in SUI after losing 8% of body weight, is a noteworthy consideration.

Moving forward, we discover pessaries. Impressa, an over-the-counter option with multiple sizes, offers a disposable solution. Healthcare providers can also provide silicone or reusable pessaries, effectively improving SUI in 50-80% of women.

Urethral bulking procedures represent the next stage of our journey, involving substance injections to reinforce the urethra, enhancing urine retention. Finally, we explore sling procedure quests that provide long-lasting relief from SUI. These surgeries can be transformative, whether using mesh slings or your body's tissue.

The path to SUI victory is yours to create, reflecting your unique story and preferences.

Revolutionizing Women's Health: The Cash-Based Practice

Mon, 30 Oct 2023 00:00:00 -0700

In this enlightening episode, join us for a deep dive into the world of pelvic floor therapy with Erin Devoy, a seasoned pelvic floor physical therapist with 17 years of expertise. Erinn is the driving force behind Cornerstone Pelvic Therapy, a unique practice known for its innovative approach to women's health.

Erin's journey is a testament to her unwavering commitment to providing the best possible care for her patients. Discover how she transitioned from conventional insurance-based therapy to a cash-based practice, all in pursuit of delivering evidence-based, compassionate care that truly transforms lives.

Join us as we delve into Erin's story of breaking free from the constraints of the insurance-driven system. Learn about the challenges she faced when advocating for her patients and how she made the bold decision to create a practice where care comes first.

Explore the driving force behind Erin's practice – a deep desire to provide women with the highest quality of care without compromise. Uncover the empowering truth that for many providers like Erin, the shift to cash-based practice is not about money but the freedom to offer the best care possible.

Join us for an eye-opening conversation that challenges the healthcare status quo, redefining what's possible for women's health. Whether you're a provider, a patient, or simply curious about the future of healthcare, this episode offers invaluable insights into a transformational approach to pelvic floor therapy.

All about laser and radiofrequency

Mon, 23 Oct 2023 00:00:00 -0700

Unraveling the Mystery of Vaginal Treatments: Laser, Radio Frequency, and the Science Behind Them

This episode delves deep into the fascinating world of laser and radio frequency treatments for vaginal health. These therapies have been gaining significant attention, but what's the real science behind them?

I've converted a recent lecture into a podcast format to provide unbiased, evidence-based information. While it might get a tad technical at times, there's a goldmine of essential information in here.

My goal is to provide you with insights into these energy-based devices, how they work, and, most importantly, what the science says about their effectiveness. Please note that this podcast is for educational purposes only and should not be considered medical advice.

So, whether you're curious about these treatments or considering them an option, join us on this enlightening exploration. Let's unravel the mystery together and discover what's fact, what's fiction, and what could truly benefit you.

Mindset with Dr. Priscilla Hidalgo

Mon, 16 Oct 2023 00:00:00 -0700

This episode is all about mindset.

Dr. Priscilla Hidalgo is a board certified psychiatrist who has both a virtual and office based practice. She is an expert in mindset and helping women achieve their goals by finding their inner voice and strength. You can find more about her here: https://www.luxpsychiatry.com/

What is mindset- it is your attitude to the world. There are different types of mindset that can impact how you interact in the world. Dr. Hidalgo talks about visualization exercises that she has her clients do. She focuses on how the situation or action makes them feel. She talks about different types of mindset and how different situations call for different mindsets and how there are times when a fixed mindset can be helpful.

What are the ways to develop a better mindset?

Visualize how an activity or situation will make you feel
Be ok with not making everyone happy
Surround yourself with people who have a similar mindset

What are the myths about mindset?

Mindset does not make everything possible
Growth mindset is not the same as a positive mindset- it is looking for the change that might be needed even if hard
You are never too old to change
You can have more than one type of mindset

You can change your mindset on your own but many women benefit from help.

And remember to be kind to yourself. Visualize how you want to feel and then do what it takes to create that feeling, And remember to separate your thoughts and feelings from your worth.

Mindset impacts so many things in our lives. Come listen to this powerful episode!

what is Axonics for overactive bladder?

Mon, 09 Oct 2023 00:00:00 -0700

In this episode I talk to Amy Anderson who provides support for the sacral nerve stimulator (SNS) developed by Axonics. SNS is a therapy that was to developed to help treat urgency urinary incontinence, urinary retention, and fecal incontinence. It stimulates the third sacral nerve via an implant – think of it like a pacemaker for the bladder.

Amy and I discuss how the therapy works and how successful it is. And we talk about the practical details of having this type of implant. There is a 1-2 week long trial period where we determine if the implant is successfully addressing your symptoms. During the trial, there is a wire implanted that stimulates the nerve (there are 2 different ways this can be done) and an external battery. You have to keep voiding diaries before and during the trial.

We talk about how the device can be programmed if it becomes less effective over time (this is done via Bluetooth and without undressing just using an i-pad like device). We also talk about what the stimulation feels like, what different types of batteries can be used, the possible complications, the ability to get MRI’s after the procedure and the current TSA regulations that impact implants.

You can learn more about Axonics here :https://www.axonics.com/

Uresta- a self managed tool for stress incontinence

Mon, 02 Oct 2023 00:00:00 -0700

In this episode, I talk to Lauren Barker about uresta, an incontinence pessary. Uresta is available in the US with a prescription but it is designed to be fitted and managed at home (they're working on making it OTC in the US like it is in Canada). While it may look uncomfortable, most women do not find it to be so and find it easy to use. Studies have shown that around 90% of women have improvement in their leaks and 90% were still using it after 12 months.
Uresta can be worn for up to 24 hours. It is recommended to get a new one annually.
The initial starter kit is 139$ and a replacement pessary is 89$. They don't have discounts but often have sales on Black Friday, Mother's Day and International Women's Day.

Check out more here: https://myuresta.com/

What's the vagina coach?

Mon, 25 Sep 2023 00:00:00 -0700

Kim Vopni is the vagina coach. She's a certified personal trainer with personal experience with prolapse. She has created online pelvic floor exercise programs to help women with incontinence and prolapse. Kim is also dedicated to removing the stigma around these issues and wants us all to be comfortable speaking freely- I have to say, she is SO very entertaining.

Come listen to me talk to Kim about her vagina coach platform and all it has to offer. Or you can check it out here: https://www.vaginacoach.com/

What resources does myPFM provide with Jeanice Mitchell, PT

Mon, 18 Sep 2023 00:00:00 -0700

Jeanice Mitchell is an expert pelvic floor physical therapist with clinics in Texas who has created an on-line platform to educate women and other health providers about the pelvic floor.

She has lots of free content and videos but also provides online class and coaching for women who need more help. In this episode, I'll discuss the different programs that she currently has available.

You can find out more about Jeanice and myPFM (that's my pelvic floor muscles) here: https://www.mypfm.com/ and you can also find her on IG @myPFM.

What can I do about my perimenopausal symptoms?

Mon, 11 Sep 2023 00:00:00 -0700

In this episode, I'll talk to Gouri Pimputkar who is a physician board-certified in both Obstetrics & Gynecology and Lifestyle medicine. You can find her at:
https://www.allarahealth.com/
and on social media at wellnesswithdrgouri

We'll talk about the perimenopause and what symptoms we commonly see. She has some great advice, like thinking of your hormones like they are on a dimmer switch- they don't just turn on and off.

She'll talk about when you seek help (it is when you feel off and it is effecting your life) and who you should see. We'll discuss tracking your symptoms before you come into the office and how to do that and what to track. This gives us more information and makes it easier to figure out what is going on.

She'll talk about when to check hormones levels and when to treat with hormones. But we also spend a long time discussing the importance of lifestyle changes like:

nutrition
sleep
social connections
exercise

We'll talk about new online platforms that are being created to support you.

Her best advice is to start by prioritizing yourself and figuring out how to diminish your stress. Little changes can have a huge impact on our hormonal changes, how we feel and how we show up in the world. Come listen to her reassuring voice!

All about Attn:Grace incontinence products

Mon, 04 Sep 2023 00:00:00 -0700

Women with bladder leaking need incontinence products and so I am always looking at what is out there. Lots of women have sensitivities and need hypoallergenic products. This week, I interview Alex Fennell, who is the co-CEO of Attn: Grace, an incontinence products company.

We'll discuss their origin story and what led them to create this "disruptor" company.

She'll talk about what makes their products different including:

Attn: Grace products are made from recycled sugar cane waste and have minimal chemical treatment. This is different than typical products which are made from petroleum based products and are chemically treated.

Their products have less irritation BUT also match or outperform all brands on the market in independent lab testing.

The products are not specifically treated to minimize odor but wick away the urine so odor is not an issue

The pads designed for mild to heavy leaks. There are also hybrid pads designed to contain urine and blood.

There is a fit finding quiz on the website to help you find your best products

Attn: Grace is available online (at the Attn:Grace website, target.com, Walmart.com and Amazon) and is currently at >1600 Walmarts with plans to be available at more places soon.

They don't offer samples but you can use this code (Drsarah20) to get 20% off your first purchase. This code will only work on their specific website.

Their pricing is competitive with other brands.

The packaging is fully paper packaging.

Check them out at: https://attngrace.com/

What is the pelvic floor?

Mon, 28 Aug 2023 00:00:00 -0700

I talk a lot about the pelvic floor in my podcast and my guests do too. But do you know what we mean when we say pelvic floor? And where your pelvic floor is?

In this episode, I talk about the pelvic floor, where it is and what it does. Then I talk about different factors that can cause dysfunction in the pelvic floor. This is a primer episode, geared to answer all of your pelvic floor questions.

If at the end of this episode, you want to look for a pelvic floor physical therapist or urogynecologist, use this finder: https://www.voicesforpfd.org/find-a-provider/

All about Innovo with Ruth Maher PT PhD DPT

Mon, 21 Aug 2023 00:00:00 -0700

This episode is all about the Innovo. The Innovo is a non-invasive way to strengthen the pelvic floor to help improve stress urinary incontinence. It is a pair of shorts that uses an electrical strimulation to contract the pelvic floor. The sorts are designed to be more for 30 minutes 5 times per week and should improve incontinence in 12 weeks. No prescription is needed to obtain this device.

In this episode, I talk to Ruth Maher who helped design this device based on her work as a physical therapist. I tried the shorts before the episode and had some trouble getting them to contract my pelvic floor. Ruth helped me to trouble-shoot why and get them to work. Come listen!

See more about innovohttps://www.myinnovo.com/ here:

PT at Providence Portland with MJ Strauhal DPT

Mon, 14 Aug 2023 00:00:00 -0700

In this episode, I talk to MJ Strauhal. MJ is an expert pelvic floor physical therapist, an awesome human and is in charge of pelvic floor PT in the Providence Health System in Portland, OR. In this episode, we cover a lot of the details that women want to know before their appointment. Like:

~ What happens from the time of the referral? How are patients assigned a physical therapist (it is based on where they live but also their diagnosis and the complexity of their situation)

~ What paperwork do they have to complete?

~ The importance of making sure you and your PT are a match

~ The importance of "going global before you go local- investigating other structures and previous injuries

~ The first appointment is all discussion and no exam. Exams happen when the patient is ready and do NOT have to include internal exams.

~ What the space feels like

~ The importance of assessing posture and ergonomics

~ The importance of assessing pressure and breathing

~ Clinical visits vs virtual visits

We also discuss a new online virtual class for Providence Health Plan patients that is a zoom class which is live and interactive. It is designed to help introduce patients to concepts- may be all the need or help set them up for next steps

~ The importance of an individualized approach and collaboration

Addressing pelvic floor concerns is a journey. This episode is designed to make you more comfortable and informed before heading to PT. Come check it out!

You can see more about MJ and Providence PT here: https://www.providence.org/doctors/physical-therapy/or/portland/m.j.-strauhal-1235617242

Leggings for leaky runners with Kim Pierpoint

Mon, 07 Aug 2023 00:00:00 -0700

In this episode, I talk with Kim Pierpoint, a retired healthcare administrator and sprint triathelete. She'll tell us her personal story of leaking while training and not liking what was on the market. She developed a prototype and created her own brand of leggings and shorts designed for leaky runners.

She'll talk about the limitations of what was on the market and the most common feedback she got while developing her product (invisible panty-lines). She'll discuss PFAS chemicals and how she manages this, how to care for her product, her return policy and how they hold up over time.

Her line of running wear is made for women with mild to moderate leaks and is only available on line. Kim wants to keep women active and is committed to improving awareness and education around bladder leaking for women.

You can check out her line of sportswear here: https://pricklypearsports.com/

Come hear Kim's story!

Does anxiety impact my bladder? with Dr. Priscilla Hidalgo

Mon, 31 Jul 2023 00:00:00 -0700

It feels like we are all just a little bit more anxious these days. Join me as I talk with Dr. Priscilla Hidalgo (or "Dr.H" as her patients call her), aboard certified and fellowship trained psychiatrist in private practice who serves patients in North Carolina and Florida. Her practice focuses on helping people with busy lives who are stressed and overwhelmed. She also has special interest in women's mental health and physician wellness.

You'll here us talk about whether anxiety is really worse these days and how anxiety increased with hormonal change in the perimenopausal period. And while you can't impact your external stressors, you can shift your mindset and focus on what you can do internally.

We talk about a theme that comes up with many of my guests- how women put themselves last and how this can impact health. And how to be kind and compassionate with yourself. The importance of scheduling rest time. And finding joy in the day.

She will also discuss the difference between anxiety and an anxiety disorder and how to find a therapist or psychiatrist.

You can find Dr. Hidalgo here:
http://https://www.luxpsychiatry.com/

Why is sleep important? with Dr. Valerie Cacho

Mon, 24 Jul 2023 00:00:00 -0700

Most of underestimate the importance of sleep. Sleep can dramatically impact how our bodies work.

In this episode, I talk with Dr. Valerie Cacho, a physician who is triple boarded in internal, sleep, and integrative medicine. She is passionate about helping her patients achieve optimal sleep health. She is also the founder of Sleephoria, an online company promoting optimal sleep habits for women. She is also a speaker, writer, and sleep wellness consultant as well as the first sleep guide for AthletaWell.

Join us as we talk about how we become a nation of bad sleepers. Dr. Cacho talks about how sleep impacts your:
cognitive health
heart health
immune system
ability to lose weight
and bladder health (of course!)

She is a wealth of knowledge and so good at explaining the physiology behind good sleep and improved health. You can find her here:
http://https://www.sleeplifemed.com/
https://sleephoria.com/

and on IG @ drvalsleepgal

How risky is anesthesia? with Dr. Danielle Doyle

Mon, 17 Jul 2023 00:00:00 -0700

I find that most of my patients are more worried about anesthesia than they are about the surgery (this may be my surgeon's view of the world). Anesthesia is actually very safe but it is important to have a team that you trust.

In this episode, I talk with Dr. Danielle Doyle, a double board-certified anesthesiologist and pain doctor with experience as an award-winning professor and Washingtonian top doctor. She has spent her career administering and teaching anesthesia at tertiary care centers and level one trauma centers, providing diligent and compassionate anesthesia care for critically ill adult patients. She is a trailblazer in the field of ketamine care and chronic pain, having directed the George Washington University Pain Center and ketamine infusion program, providing care to thousands of patients. She is currently the CEO of Cultured Therapeutics. She has been widely published.

We discuss the safety of anesthesia and how common memory loss is after anesthesia (spoiler: it is not). We talk about how to manage the anxiety around anesthesia with medication but also by trust-building, expectation setting and education. We talk about managing the nausea that women commonly get after surgery with hydration before surgery, medications, and avoiding certain types of anesthetics. We talk about managing postoperative pain with preemptively treating pain, proper positioning, educating, and medications.

You can find Dr. Doyle here:

http://www.linkedin.com/in/danielle-doyle-culturedtherapeutics

http://https://www.facebook.com/profile.php?id=100090277508221&mibextid=LQQJ4d

http://https://instagram.com/culturedtherapeutics?igshid=YmMyMTA2M2Y=

http://https://www.tiktok.com/@culturedtherapeutics?_t=8azjMlcGYNK&_r=1

Virtual PT and relaxing the pelvic floor with Angela Fishman, PT

Mon, 10 Jul 2023 00:00:00 -0700

Join me for this conversation with Angela Fishman, a pelvic floor physical therapist who has a practice that is exclusively online( http://www.mypelvictherapy.com) Angela is passionate about teaching women how to conquer these often embarrassing problems in the comfort of their own home, so they can live their life to the fullest.

In this podcast, we'll talk about the benefits and limitations of seeing a PT virtually. We'll also talk about why women hesitate to seek help for bladder and pelvic floor issues. Then we'll talk about techniques to relax the pelvic floor and how it is often harder to relax than strengthen. Angela will focus on breathing techniques, unlearning "bad" behaviors and replacing them with good behaviors, the benefits of stretching, scar release, and the impact of injuries. We'll also discuss other muscles that can impact the pelvic floor including the hips, groin, abdomen and back.

We cover a lot! You can see more about Angela's work here:
Facebook: https://www.facebook.com/mypelvictherapy

LinkedIn: https://www.linkedin.com/in/angelafishmanpt

Instagram: https://www.instagram.com/mypelvictherapy

Youtube: https://youtube.com/@mypelvictherapy

Her online courses can be found at courses.mypelvictherapy.com

Can I do physical therapy at home? With Meredith Brezinski PT, DPT

Mon, 03 Jul 2023 00:00:00 -0700

Join me on this episode as I talk to Dr. Meredith Brezinski, a pelvic floor physical therapist who delivers PT in her client's homes! She'll discuss home this works and why clients like it (think convinience!). It works particularly well for new moms.

She is part of a company called Concierge Physical Therapists (https://www.conciergephysicaltherapists.com/) who provide this service in 20 different states for pelvic floor and orthopedic conditions.

You can find out more about Dr. Meredith here: https://drmeredithbrezinskipt.com/ or she is very active on instagram https://www.instagram.com/dr.meredithpt/

She wants you all to know that it is never too late to try PT, even if your youngest is 40!

In this podcast, Dr. Brezinski talks about a 10 question screening tool she uses. This is called the cozean questionnaire. This questionnaire is commonly used by physical therapists. Google it to learn more!

How to fix your body after baby with Betsy Petry-Johnson PT

Mon, 26 Jun 2023 00:00:00 -0700

Join me for a conversation about how to fix your body after baby with the enthusiastic Betsy Petry-Johnson, PT. Besty shares her own story. She was a very experienced physical therapist in orthopedics and a serious athlete (she competed on a national level in water-skiing). Her body changed after her pregnancy and delivery of triplets (they were spontaneous triplets!) and she had a significant diastasis recti. Even as a skilled physical therapist, it took her two years to figure out how to help herself. She became interested in all things pelvic floor including breath work and evaluating the nearby muscles. This experience and her new interest in the pelvic floor led her to create a course to help you fix your body after your delivery (even if your delivery was 30 years ago).

You can find her at http://www.mammamadestrong.com

or on Instagram @mamamadestrong.

How do I lose weight with Dr. Alicia Shelly

Mon, 19 Jun 2023 00:00:00 -0700

In this episode, I talk to Dr. Alicia Shelly about how to lose weight. Dr. Shelly is a Board Certified Internal Medicine/Obesity Medicine physician and is the lead physician for Wellstar Douglasville Medical Center. She is the host of Back on track: Achieving Health Weight loss Podcast and Thrive for life Youtube channel. She is a renowned speake rand has completed 6 marathons and Ironman.

Join us for this practical talk on how to lose weight. She offers a free online course to help you get started that you can find here:

thriveforlifechallenge.com/kickstart

Want more of Dr. Shelly? You can look here:

Website: https://drshellymd.com,

Twitter/Instagram: @drshellymd (Twitter,Instagram),

LinkedIN: https//:linkedin.com/in/alicia-shelly-535685175

Facebook: https://www.facebook.com/Dr-Shelly-MD-109288878073798

Youtube:@drshellymd

What do I do about these hemorrhoids? with Dr. Bethany Malone

Tue, 13 Jun 2023 00:00:00 -0700

As a urogynecologist, my work frequently overlaps with that of a colorectal surgeon. Bowel and rectal issues can have a huge impact on bladder and pelvic floor symptoms. Join my for my conversation with Dr. Bethany Malone, a board certified colon and rectal surgeon in private practice in Fort Worth, TX. Dr. Malone uses TikTok and social media to provide patient education and disrupt typical referral streams. She has contributed to Forbes, Insider, and Healthline to increase physician led health information distribution. Her (amazing!) goal is to increase patient access to quality healthcare and to rebuild trust in the medical system.

In this conversation, you'll here us discuss how to rebuild trust between doctors and patients. She'll talk about what a colorectal surgeon does as well as treating "hemorrhoids" (lots of things are called hemorrhoids when it is really something else going on), fecal smearing and fecal leaking. We'll talk about who you should see with these issues, what the exam is like and what symptoms can be caused by a tight pelvic floor. Dr. Malone does an amazing job talking about these issues that most women don't want to discuss!

You can find her on IG, Twitter, and TikTok at BethanyMaloneMD and her peronal website is: http://www.bethanymalonemd.com

ONDR incontinence underwear with Dr. Jessica Lubahn

Tue, 06 Jun 2023 00:00:00 -0700

Jessica Lubahn is a board certified urologist and the CEO of ONDR incontinence underwear. https://ondrwear.com/

As a urologist and woman, she is well aware of the stigma associated with bladder leaking. She's seen many women in her clinical work who have been bothered by just a small amount of leaking. She saw the need for incontinence underwear made for young, healthy, active and powerful women. Her goal was to make something that was functional, attractive, and ecofriendly.

Dr. Lubahn is working to erode the stigma associated with bladder leaking. Join us for this conversation about incontinence underwear, what to look for when choosing incontinence underwear, PFAS, and the risk to you of PFAS in incontinence underwear.

And remember, incontinence underwear and period underwear are made to hold different types of fluids- period underwear doesn't work well for incontinence!

All about incontinence pads and incontinence underwear

Tue, 30 May 2023 00:00:00 -0700

There are a lot of products out there! This episode is all about incontinence pads and underwear. When you are thinking about pads, it is important to use pads designed for bladder leaking- they work better. The most common pads in stored are Poise, Depends, Always discrete, Tena, and Kroger generic. I think it is always a good idea to look at the websites before you go to the store, so you have an idea of what would work for you. The different types of pads describe their absorbency in different ways- there isn't one system- so it is hard to compare them. If you try a few that don't work for you, there are a few websites that offer recommendations or have experts you can talk to. These include:
home care delivered https://www.hcd.com/need-medical-supplies/products/
the National Association for Continence https://nafc.org/
Carewell https://www.carewell.com/

Some women have very sensitive skin and pads can be irritating. There are pads that are designed for more delicate skin. many of these are found online. Always discrete has some pads for sensitive skin, as do Honeypot, Elyte, and AttnGrace. So if your current pads are bothering you, check out these additional brands.

Incontinence underwear (the reusable type) is only available online. Current brands include:
speax https://www.thinx.com/thinx-for-all-leaks
ONDR https://ondrwear.com/
Proof https://shopproof.com/
Knix https://knix.com/collections/all-leakproof?loc=Main-ShopAllNav-Categories&nav=leakproof-hq
Wearever https://www.weareverincontinence.com/

Be sure to look at the return policies before you buy! You can't return incontinence underwear but some companies will send you a new pair if you need a different size.

And if you like the idea of workout pants made for leaking, check out these brands:
Moxie https://gowithmoxie.com/
Prickly Pear https://pricklypearsports.com/shop-leggings

How do I find my pelvic floor muscles with Jeanice Mitchell, PT MPT, BCB-PMD

Tue, 23 May 2023 00:00:00 -0700

It can be hard to find your pelvic floor muscles and contract them, so many women have problems doing this! This episode is from a webinar I did with Jeanice Mitchell. She is a fabulous pelvic floor physical therapist and she walks us through how to find the muscles and do a correct kegel contraction.

If you want more information on Jeanice, you can find it on her myPFM website https://www.mypfm.com/ She has such great content there!

She's also done some youtube videos and if you need more of a visual after listening to this podcast, you can check it out here: https://www.youtube.com/@myPelvicFloorMuscles

This webinar was saved on my membership website and members can find it there! There's more information on the membership on my website: https://thewomensbladderdoctor.com/

As always, leave me a review if you loved this episode. And if you have questions or ideas for an episode, send them over to me!

How hormonal changes might be impacting you with Dr. Karen Adams

Tue, 16 May 2023 00:00:00 -0700

This episode is about perimenopausal symptoms and specifically how they can impact the vagina and bladder. I’m talking to Karen Adams, a board certified gynecologist who is a professor emeritus. Dr. Adams is an expert in menopause and is currently creating a Menopause and Healthy Aging clinic at Stanford University.

We discuss the perimenopausal period which is the time before your period stops but when your hormones are erratic. This period can last between 1 and 10 years but can be packed with symptoms like:

Irregular periods

Hot flushes

Night sweats

Mood changes

Depression

Anxiety

Sleep disturbances

Vaginal symptoms like dryness and pain with sex

Bladder symptoms like frequency and recurrent infections.

We also discuss the impact of estrogen on vaginal tissues and using local or vaginal estrogen to treat these symptoms.

The who, why, when and how of hormone replacement therapy for vaginal and bladder symptoms

Tue, 09 May 2023 00:00:00 -0700

In this episode, I get into the details of hormone replacement therapy for vaginal and bladder symptoms.

I start with talking about how we only have a finite number of eggs and when they are gone, we stop making estrogen. This leads to menopause. In the period before they are gone, we make estrogen in an irregular fashion- this is the perimenopause.

I discuss who should use estrogen (women with symptoms), why they should use it (to help with symptoms like vaginal dryness and recurrent bladder infections), when they should start it (before age 60 or within 10 years of the start of menopause if using oral estrogen), and how they should use it (if the symptoms are vagina or bladder related, you should use vaginal estrogen). I talk about the "rules" around estrogen therapy- like if you have a uterus, you need a progesterone. And then I talk about common symptoms, how we describe them medically and what I hear patients saying.

The information here is data driven and supported by the North American Menopause Society. You can read more here:
https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf

Can't wait to share this information with you!

4 things to get you started treating your bladder leaking

Tue, 02 May 2023 00:00:00 -0700

In this episode I will be talking about 4 things that you can do to get started while you are waiting for an appointment.

#1. Pick the right incontinence products

If you are not sure what to get, consider an incontinence product finder like:

https://nafc.org/find-your-perfect-incontinence-product/

Consider incontinence underwear like:

ONDR https://ondrwear.com/

SPEAX https://www.thinx.com/speax

KNIX https://knix.com/collections/high-absorbency-period-underwear

#2 Journal your symptoms

If you need help finding a bladder diary, use this resource: https://www.yourpelvicfloor.org/media/Bladder_Diary-5.pdf

#3 Determine your diagnosis. If you need help, you this questionnaire: https://the-womens-bladder-doctor.involve.me/typeofincontinence

#4 Strengthen your pelvic floor

The different ways to strengthen your pelvic floor include:

Kegels (here’s more info on how to do a kegel:

https://www.voicesforpfd.org/assets/2/6/Bladder_Training.pdf

Kegel weights

Peritrainers

Working with an athletic trainer, online PT or groups classes

Pelvic floor physical therapy

Muscle stimulators that use e-stim or a magnetic wave

If you need help choosing a way to strengthen your pelvic floor, I have a masterclass available on my website. https://thewomensbladderdoctor.com/masterclass/

How to strengthen your pelvic floor with the Leva Pelvic Health System and Dr. Mandy Pullium

Tue, 25 Apr 2023 00:00:00 -0700

In this episode, I interview Dr. Mandy Pulliam, a board-certified urogynecologist who is currently the CMO of Axena Health. This company offers the Leva Pelvic health System which is a prescription digital therapeutic device to improve pelvic floor strength. (find out more here: https://www.levatherapy.com ).

This system is unique because it measures the movement of the muscle and can tell if you are doing a contraction correctly. This is different than other devices. It also provides an app to follow your progress, human coaching and reports back to your prescribing physician.

You can read more about studies done with the leva here: https://www.levatherapy.com/women/results/

There are currently studies to see how long the effect from the leva lasts.

This is one way to strengthen your pelvic floor but a pretty smart way!

Why do I need to see a provider?

Tue, 18 Apr 2023 00:00:00 -0700

Bladder leaking is a huge quality of life issue that is usually a benign condition. But there are lots of medical issues that can cause leaking that need to be evaluated. In this episode, I discuss the medical conditions that can cause symptoms of bladder leaking. These medical conditions are rare but always need to be considered. Most of them can be evaluated with a simple history and physical exam.

This is why it is important that you are up-to-date on your health care before you consider treating your bladder leaking on your own.

What to expect at your first office visit

Tue, 11 Apr 2023 00:00:00 -0700

Lots of women are nervous before their first office visit. In this episode, I talk about what you can expect. This includes:

The important of filling out the paperwork (even if it seems redundant and is a pain).

Why we ask the questions we do.

The details of the office visit including the exam

How you can customize your visit to suit you.

The benefits of a virtual visit (or telemedicine)

I encouraged you
to be proactive
to let me know your big questions at the beginning of the appointment
to make sure I have all of the information you want me to have
to not worry

This is a great episode to get you ready for your first visit!

Changes that help all types of leaking

Tue, 04 Apr 2023 00:00:00 -0700

There are some behavioral changes that help all leaking. They are:
~quitting smoking
~losing weight
~avoiding constipation
~moderating fluid intake

How to get the most out of your office visit with Dr. Kara Wada

Tue, 28 Mar 2023 00:00:00 -0700

In this episode, Dr. Wada and I discuss how to get the most out of your doctor’s appointment. It is her mission to: “empower us to thrive in systems that at times feel like they were built to overwhelm.”

We discuss topics like:

Preparing your questions for your visit (and being confident enough to ask them!)

Owning your story and knowing your past medical history

Matching expectations of the appointment, future appointments and communication

Avoiding being gaslit and moving toward solutions

Recognizing that your physician is human too

Join us for this information conversation and get prepared from your next appointment!

You can find out more about Dr. Wada at: https://www.drkarawada.com/

How to get started when you have urgency incontinence

Tue, 21 Mar 2023 00:00:00 -0700

In this episode, I’ll discuss the first line treatment for urgency urinary incontinence or overactive bladder.

For more information about pelvic floor muscle strengthening without a PT, check out this 2018 Cochrane Review by Dumoulin at: https://doi.org/10.1002/14651858.CD005654.pub4

If you need instructions on how to kegel (or contract your pelvic floor): look here:

https://www.yourpelvicfloor.org/media/Pelvic_Floor_Exercises_RV2-1.pdf OR

https://www.voicesforpfd.org/assets/2/6/Bladder_Training.pdf

If you need help finding a pelvic floor physical therapist, here is a PT finder:

https://www.voicesforpfd.org/find-a-provider/

The different ways to strengthen your pelvic floor include:

Kegels

Kegel weights

Peritrainers

Working with an athletic trainer, online PT or groups classes

Pelvic floor physical therapy

Muscle stimulators that use e-stim or a magnetic wave

If you need help choosing a way to strengthen your pelvic floor, I have a masterclass available on my website. https://thewomensbladderdoctor.com/masterclass/

Check out this bladder diary here: https://www.yourpelvicfloor.org/media/Bladder_Diary-5.pdf

Check out more information on bladder training here: https://www.yourpelvicfloor.org/media/Bladder_Training_RV2.pdf

More information on bladder irritants here: https://nafc.org/diet-and-exercise/?utm_source=Google&utm_campaign=ManageCondition&utm_medium=PPC&utm_content=DietExercise&utm_source=google&utm_medium=cpc&utm_term=bladder%20irritants&utm_content=421279241449&utm_campaign=&gclid=CjwKCAiAxP2eBhBiEiwA5puhNZwAEG--W9mw3MdFhcctNEOSfBvzQc31QnDcUFFqs2VZaieinQgozhoCRWsQAvD_BwE

How to get started when you have stress incontinence

Tue, 14 Mar 2023 00:00:00 -0700

In this episode, I’ll discuss what things you can try to improve stress urinary incontinence. I’ll talk about pelvic floor strengthening as well as different devices.

For more information about pelvic floor muscle strengthening without a PT, check out this 2018 Cochrane Review by Dumoulin at: https://doi.org/10.1002/14651858.CD005654.pub4

If you need instructions on how to kegel (or contract your pelvic floor): look here:

https://www.yourpelvicfloor.org/media/Pelvic_Floor_Exercises_RV2-1.pdf OR

https://www.voicesforpfd.org/assets/2/6/Bladder_Training.pdf

If you need help finding a pelvic floor physical therapist, here is a PT finder:

https://www.voicesforpfd.org/find-a-provider/

Some of the different ways to strengthen your pelvic floor include:

Kegels

Kegel weights

Peritrainers

Working with an athletic trainer, online PT or groups classes

Pelvic floor physical therapy

Muscle stimulators that use e-stim or a magnetic wave

If you need help choosing a way to strengthen your pelvic floor, I have a masterclass available on my website. https://thewomensbladderdoctor.com/masterclass/

Finess has a urethral seal https://www.amazon.com/Finess-Bladder-Leak-Protection/dp/B079G755Q9

OTC pessaries available in the US include:

Impressa
https://www.poise.com/en-us/products/impressa/introduction

Revive
https://userevive.com/?gclid=CjwKCAiAxP2eBhBiEiwA5puhNUOh16xMHBvulm7U72ZVnDbXVeceL2cshV6eskcN8lOPnST17LQoqRoCoTYQAvD_BwE

Your first step...

Tue, 07 Mar 2023 00:00:00 -0800

The first step is to determine why you are leaking. There are different reasons that women leak. They are:
~stress urinary incontinence
~urgency urinary incontinence
~mixed urinary incontinence
~overflow urinary incontinence

Different types of leaking are treated in different ways. Usually we make the diagnosis based on your story. You can use a bladder diary to get to know your symptoms better. (here is an example of a bladder diary https://www.yourpelvicfloor.org/media/Bladder_Diary-5.pdf)

There is also a diagnosis helper on my website (https://the-womens-bladder-doctor.involve.me/typeofincontinence)

The "Why am I doing this" episode

Sat, 04 Feb 2023 10:00:00 -0800

This episode is an introduction to me and what you can expect from this podcast. My goal is to help women get started on their bladder issues while they are waiting for an appointment with a Urogynecologist. I talk about what led me to do a podcast and why I am so excited to get started!

If you are interested in seeing more from me, check out:
www.thewomensbladderdoctor.com or you can find me on facebook or IG.