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61: From Your Plate to Your Pleasure: Food, Body Image, and Intimacy with Emily Arthur, RD12 Nov 202500:49:26

Episode Overview

What's the connection between how you eat and how you experience intimacy? In this episode, Kristen sits down with Emily Arthur, a registered dietitian specializing in women's health, to explore the surprising intersections between nutrition, body image, sexual health, and endometriosis.

What You'll Learn

  • How disordered eating patterns affect intimacy and sexual expression—not just with partners, but with yourself
  • Why people with endometriosis are five times more likely to struggle with disordered eating, and how pain becomes tangled with attempts at control
  • What interdisciplinary endometriosis care actually looks like, and why it's so effective (yet so rare in Canada)
  • The spectrum of eating behaviors—from intuitive eating to eating disorders, and all the messy stuff in between
  • How cultural expectations around gender literally shape what we put on our plates and how we relate to our bodies
  • Practical approaches to addressing nutrition in pelvic health without falling into restrictive diet culture

About Emily Arthur, RD

Emily Arthur is a registered dietitian who specializes in nutrition for women's health "from first period to last period and everything in between." She completed a graduate certificate in sexual health education and has specialized training in endometriosis and pelvic health. Emily is part of the Endometriosis 360 interdisciplinary team, which provides comprehensive group programming combining nutrition, physiotherapy, and psychology for people with endometriosis. She also provides one-on-one nutrition counseling through Brandt Nutrition and is actively involved in endometriosis research.

Key Topics Covered

Disordered eating and its impact on intimacy | Endometriosis and nutrition | Body image and sexual health | Gender expectations and food | Intuitive eating | Interdisciplinary pelvic health care | The Endometriosis 360 program

Connect with Emily

Instagram: @emilytheperiodrd
Website: emilytheperiodrd.ca

Resources

Visit blueberrytherapy.ca to learn more about pelvic health physiotherapy and comprehensive care.

Subscribe to The Hole Shebang Podcast wherever you listen to podcasts.

Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

60: Perimenopause as Your Sexual Debut: Rewriting the Narrative with Taylor McConnachie05 Nov 202500:42:42

Episode Overview: What if perimenopause wasn't the end of your sex life—but the beginning of something completely new? In this honest, educational conversation, Kristen sits down with psychotherapist and sex therapist Taylor McConnachie to talk about what's really happening to your body, your desire, and your voice during perimenopause.

What You'll Learn:

  • Why perimenopause can be a "sexual debut"—a chance to completely transform how you experience pleasure
  • How the non-linear model of sexual response explains why your desire has changed (and why you're not broken)
  • What pleasure mapping is and how to rediscover what feels good in your changing body
  • Why that "bullshit meter" you're suddenly feeling is actually a gift—and how to use it
  • The role of differentiation in maintaining sexual connection while honouring your individual experience
  • Practical tools like lube, sex toys, and new ways of communicating about sex

About Taylor McConnachie: Taylor McConnachie is a registered psychotherapist, AASECT-certified sex therapist, and certified sexologist. She's the founder of Embodied Sexual Wellness and Psychotherapy, with a physical practice in Simcoe, Ontario, supporting people across the province with sex therapy, pelvic pain support, and sexual wellness education. Taylor's own experience with endometriosis and sexual pain drives her passion for creating safe, shame-free spaces to talk about sex and sexuality.

Key Topics Covered:

  • Sexual pain and pelvic health during perimenopause
  • Medical gaslighting and being told "you're too young" for perimenopause
  • Body changes, weight gain, and shifting self-image
  • Vaginal dryness and arousal changes
  • Finding your voice and setting boundaries during midlife
  • The connection between caregiving roles and sexual desire

Connect with Taylor: Instagram: @embodiedsexualwellness Website: embodiedsexualwellness.com

Resources Mentioned:

Visit blueberrytherapy.ca to learn more about pelvic health support in Hamilton, Ontario.

Subscribe to The Hole Shebang Podcast on Apple Podcasts, Spotify, or wherever you listen.

Connect with The Hole Shebang on Instagram: @blueberrytherapypelvichealth

51: Love, Actually: Exploring Ethical Non-Monogamy with Dr. Rachael Meir03 Sep 202500:44:54

What if everything you thought you knew about relationships was just... one option? Join Kristen as she sits down with Dr. Rachael Meir, a clinical psychologist who's been helping people navigate the beautiful complexity of ethical non-monogamy for over two decades. From her own journey into a polyamorous triad to the nitty-gritty of managing three people's deodorant preferences, Dr. Meir breaks down the real talk about love beyond the traditional box.

This isn't your typical relationship advice—it's a deep dive into how radical honesty, intentional communication, and knowing your "why" can transform not just your love life, but how you show up in your body and the world.

What You'll Learn

  • The difference between ethical non-monogamy and cheating (spoiler: it's all about consent and communication)
  • Why traditional monogamous couples could learn a thing or two from polyamorous communication strategies
  • How big emotions like jealousy are actually signals worth exploring, not feelings to avoid
  • The surprising ways relationship structures can impact your pelvic health and embodiment
  • Why "knowing your why" is the most important conversation before opening any relationship
  • Real talk about navigating societal judgment, family acceptance, and professional consequences

Episode Highlights

From Fantasy to Reality: Dr. Meir's Personal Journey

Dr. Meir opens up about her 25-year relationship with her husband Aaron and how they transitioned from the swinging lifestyle to forming a closed triad with their partner Casey. She shares the raw truth about moving in together during COVID, dealing with family death, and having "book club" meetings twice a week for two years to navigate their new dynamic.

Communication That Actually Works

Forget "we need to talk" conversations that go nowhere. Dr. Meir breaks down structured relationship check-ins with actual agenda items, action plans, and follow-ups. She explains how this level of intentional communication could revolutionize any relationship—whether you have one partner or five.

The Pelvic Floor Connection You Didn't See Coming

In a fascinating twist, Kristen and Dr. Meir explore how relationship dynamics directly impact pelvic health. From the liberation of consensual choice reducing "duty sex" tension to how unprocessed emotions create physical holding patterns, this conversation bridges the gap between emotional and physical wellbeing.

Navigating the "Zone of Chaos"

Dr. Meir doesn't sugarcoat the challenges. She talks honestly about societal stigma, family rejection, workplace fears, and the reality of living a "double life" for many people in non-monogamous relationships. But she also shares the beauty of finding chosen family and authentic community.

Medical Care in a Monogamous World

From emergency contact forms with only one line to birth certificates and hospital decisions, Dr. Meir reveals the practical legal and medical challenges facing non-monogamous families and the creative solutions they've developed.

Episode Chapters

00:00-10:00: Introduction and Dr. Meir's Background
From clinical psychology to relationship coaching specializing in ethical non-monogamy

10:01-18:30: Defining Ethical Non-Monogamy
The umbrella of options: swinging, open relationships, polyamory, and everything in between

18:31-25:45: Communication Superpowers
How non-monogamous relationships demand next-level communication skills—and why monogamous couples need them too

25:46-32:20: The Practical Stuff Nobody Talks About
Shared calendars, sleeping arrangements, and yes, where the deodorant lives

32:21-38:15: Dr. Meir's Triad Journey
The real story of meeting Casey, moving during COVID, and building a life together

38:16-44:30: Overcoming Barriers and Stigma
Dealing with family reactions, workplace concerns, and societal judgment

44:31-48:45: The Mind-Body Connection
How relationship dynamics impact pelvic health, sexual empowerment, and physical embodiment

48:46-52:00: Know Your Why
The essential first step for anyone considering non-monogamy

52:01-55:30: Resources and Wrapping Up
Books, communities, and next steps for curious listeners

Connect with Dr. Rachael Meir

Website: drrachaelmeir.com
Instagram: @drrachaelmeircoaching
Facebook: @drrachaelmeircoaching
LinkedIn: Dr. Rachael Meir Coaching
YouTube: @drrachaelmeircoaching
Triad Instagram: @triadandtrue

Book: 50 Questions to Ask Before Opening Your Relationship (available for pre-order)

Dr. Meir's Recommended Resources

Essential Reading: Martha Kauppi's Polyamory: A Clinical Toolkit for Therapists and Their Clients—packed with relationship wisdom that applies to any partnership structure

Communities: Search Facebook groups, local meetups, and munches for ethical non-monogamy to connect with like-minded people and learn from diverse experiences

Connect with The Hole Shebang

Instagram: @blueberrytherapypelvichealth
Website: blueberrytherapy.ca

Upcoming Events

The Pleasure Principle Conference
May 8th, 2026
Join us for a groundbreaking event featuring distinguished healthcare professionals exploring the intersection of health, pleasure, and wellbeing.

Dr. Meir's Theme Song

"Be Who You Are" by Michael Franti—because authenticity isn't just a buzzword, it's a way of life.

Ready to challenge everything you thought you knew about love and relationships? This episode isn't just about non-monogamy—it's about the courage to live authentically, communicate with radical honesty, and create the relationships that actually serve you.

Subscribe to The Hole Shebang Podcast for more conversations that break taboos and change lives.

50: Strips, Shame and Simplifying Ovaries with Jackie Harding28 Aug 202500:29:27
Episode Overview

Join Kristen Parise as she sits down with Jackie Harding, the brilliant entrepreneur behind Ovry—the Canadian company that's revolutionizing pregnancy testing one tiny strip at a time. From peeing on ketone strips to building a business that challenges Big Pregnancy Test's ridiculous markups, Jackie shares her journey of turning personal frustration into a sustainable, accessible solution that's changing how we think about reproductive health products.

What You'll Learn
  • Why that $25 pregnancy test at the pharmacy costs less than 50 cents to make (spoiler: you're being exploited)
  • How Jackie discovered that dollar store pregnancy tests are just as accurate as the fancy ones—and why Health Canada approval means what it says
  • The game-changing truth about strip format tests: 90% less plastic, multiple tests per box, and no electronic waste
  • Why Jackie's blood clotting disorder led to years of anxiety-inducing pharmacy runs (and how that sparked a business idea)
  • The surprising science behind male fertility testing and why the burden of infertility shouldn't fall only on women
  • Jackie's ambitious vision to transform Ovry into a co-op model—because nobody should be getting rich off tampons (or pregnancy tests)
Episode Highlights From Tree Planting to Test Strips: Jackie's Unconventional Path

Jackie opens up about her "strange, non-traditional" journey from business school to tree planting, construction, and mill work before finding her calling in reproductive health. Her diverse background in project management turned out to be the perfect training ground for launching a medical device company.

The Blood Clotting Plot Twist That Started Everything

Living with factor five leiden meant Jackie couldn't take most hormonal birth control, leading to recurring pregnancy anxiety and those mortifying trips to buy overpriced tests while hoping not to run into her boyfriend's mom. Sound familiar? Jackie turned this universal experience into a business opportunity.

The Ketone Strip Lightbulb Moment

The brilliant "aha!" moment when Jackie realized pregnancy tests should work like ketone strips—small, simple, and accessible. She discovered that hospitals and doctors' offices were already using strip format tests, but nobody was marketing them directly to consumers who desperately needed better options.

Big Pregnancy Test's Dirty Secret

Jackie exposes the exploitation happening in pharmacy aisles everywhere: Clear Blue and First Response charge $25 for a single test that costs them less than 50 cents to manufacture. They're counting on vulnerable women assuming expensive equals accurate—but that's not how Health Canada approval works.

The Male Fertility Revolution

Learn about Ovry's at-home male fertility test that detects the SP10 protein in sperm to identify potential concentration issues. Jackie explains why this preliminary screening tool is crucial for couples who want to identify potential barriers early, without the stigma and barriers of clinical testing.

Motherhood Meets Entrepreneurship

The hilarious story of Jackie and her co-founder Christina both getting pregnant around the same time—including the moment Christina gave Jackie an Ovry pregnancy test to announce her pregnancy, not knowing Jackie was already secretly pregnant too. Plus, Jackie's honest take on how motherhood has made her "wildly more productive" in shorter time windows.

The Co-op Dream: Reimagining Reproductive Health

Jackie's long-term vision goes way beyond pregnancy tests. She's working toward transforming Ovry into a cooperative model where consumers become owners, ensuring basic reproductive health products are sold at transparent, fair prices rather than exploitative markups.

Episode Chapters

00:00-05:30: Introduction and Ovry's Mission – Canadian-made reproductive health products that don't exploit women

05:31-12:45: Jackie's Origin Story – From factor five leiden to frustrated pharmacy runs to business breakthrough

12:46-18:20: The Strip Test Revolution – Why smaller, simpler, and multiple-per-box changes everything

18:21-25:15: Exposing Big Pregnancy Test – The shocking truth about markups and marketing manipulation

25:16-32:40: Male Fertility Matters Too – Breaking down the science and stigma around at-home male fertility testing

32:41-38:55: Building Sustainable Business – Manufacturing in Canada, reducing waste, and giving back

38:56-44:20: Motherhood and Entrepreneurship – Navigating babies, business growth, and retail distribution

44:21-49:30: The Co-op Vision – Reimagining how we think about essential health products

49:31-52:15: Simple Songs and Gratitude – Jackie's theme song choice and what keeps her grounded

Connect with Jackie and Ovry

Website: myovry.ca
Instagram: @myovry
TikTok: @myovry
Email Jackie directly: jackie@myovry.com

Where to find Ovry products:

  • Online at myovry.ca
  • Shoppers Drug Mart (300+ locations and growing)
  • Universities and sexual health clinics across Canada

Special Programs:

  • Give a Strip Program: Send unused tests back for redistribution to those who need them
  • Educational Discounts: Heavily discounted tests for nonprofits and educational institutions
  • Free Program: Up to 200 free tests monthly for qualifying nonprofits
Connect with The Hole Shebang

Website: blueberrytherapy.ca
Instagram: @blueberrytherapypelvichealth

Upcoming Event: The Pleasure Principle Conference - May 8th, 2026

Jackie's Theme Song for Her Life and Career

"Simple Song" by The Shins – A song about gratitude, appreciating everyday things, and finding sanctuary in home and loved ones. Just like Ovry's mission to simplify the complex experience of having ovaries, Jackie's chosen song reflects her commitment to making reproductive health more accessible, less wasteful, and fundamentally simpler.

This episode will make you question every overpriced pregnancy test you've ever bought and inspire you to support businesses that actually give a damn about women's experiences. Plus, you'll never look at ketone strips the same way again.

49: Unlocking the Secrets of Your Hormonal Cycle with Laura Federico19 Aug 202500:43:47

Cycle Tracking: How to Read Your Hormones and Trust Your Body

Most of us were never taught how our hormones actually work. We learn to fear our periods, dread PMS and hand our bodily data over to apps that get ovulation right only 20 percent of the time. Cycle tracking with paper and pen flips the script. In this episode, Kristen sits down with Laura Federico, AASECT certified sex therapist and coauthor of The Cycle Book, to talk about what a typical menstrual cycle actually looks like, how tracking can unlock answers for PMDD, PCOS, perimenopause, fertility and trauma recovery, and why turning your gaze inward is a radical act of trust in yourself. Whether you are trying to conceive, questioning if your symptoms are normal or simply want to understand your body better, this conversation is a permission slip to stop dismissing what you already know.

What You Will Learn

Laura walks through the everyday signals most of us were taught to ignore, from cervical fluid shifts to basal body temperature, and explains how these biomarkers decode the hormonal conversation happening in your body every single cycle. You will hear why pain, disruptive mood swings and feeling like a different person at different points in your cycle are not normal, how to recognize PMDD and PME, and why dissociation from the body is a protective response that gentle tracking can help heal. Kristen connects the dots to pelvic floor health, explaining how the estrogen drop in the luteal phase and perimenopause can worsen incontinence and prolapse symptoms that tracking can finally put into context.

Topics Covered

  • What a typical menstrual cycle actually looks like and what is not typical
  • PMDD, PME and why daily tracking is the key to diagnosis
  • Cervical fluid, basal body temperature and reading hormonal biomarkers
  • Cycle tracking as a gentle pathway for trauma recovery and dissociation
  • PCOS and tracking without a regular cycle
  • Why period tracking apps only predict ovulation correctly about 20 percent of the time
  • Data privacy concerns with digital period tracking apps
  • The pelvic floor, perimenopause and hormonal fluctuations
  • Starting with something positive as your first tracking practice

Resources Mentioned

Related Episodes

Theme Song

Work Bitch by Britney Spears

Connect with Laura Federico

Website: laurafedericotherapy.com
Joint site with Morgan: itslauraandmorgan.com
Instagram: @thecyclebook

Connect with The Hole Shebang

Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast. Leave a review wherever you listen, and head to blueberrytherapy.ca/podcast to binge the back catalog. Come hang out on Instagram @blueberrytherapypelvichealth.

Laura and Morgan will be at The Pleasure Principle Conference on May 8, 2026 with copies of The Cycle Book. Details at blueberrytherapy.ca.

48: Hydrate, Lubricate, and Vibrate: Empowering Midlife Women's Sexual Health with Cassandra Redding and Leah Fischer from Intimate Wellbeing15 Aug 202500:35:24

Hydrate, Lubricate and Vibrate: Midlife Sexual Wellness for Women

Most women hit midlife and realize nobody handed them the memo on sexual wellness. Pleasure, lubrication, vaginal moisture, vibrators and pelvic floor health got left out of the curriculum entirely. In this episode, Kristen sits down with Cassandra Redding and Leah Fischer, cofounders of Canadian sexual wellness boutique Intimate Wellbeing, to talk about what shifts in midlife, why shame keeps women silent and how their hydrate, lubricate, vibrate trifecta can protect pelvic floor function, circulation and desire long after 50. You will hear why every woman deserves lube regardless of natural lubrication, the real difference between vaginal moisturizer and lubricant, how accessibility products open up pleasure for bodies of every kind and why two to three orgasms a week is a reasonable pelvic floor goal. Whether you are navigating perimenopause, rediscovering intimacy after a life shift or never got the memo, this conversation is your permission slip.

What You Will Learn

Cass and Leah share how a shame filled first vibrator purchase at 47 became the spark for a business built on destigmatizing midlife sexuality. They walk through their trifecta of hydrate, lubricate, vibrate, explain why vaginal moisturizer belongs in your daily routine like face cream and tackle the common misconception that not needing lube is a badge of honor rather than a missed opportunity. Kristen layers in the pelvic health physiotherapy lens, explaining why vibration supports blood flow to erectile tissues, why positioning products open up intimacy for bodies with pain or mobility challenges and why every midlife woman deserves to spend time on a pelvic floor physio's table.

Topics Covered

  • What midlife sexual wellness actually looks like and why shame keeps women silent
  • The real difference between lubricant and vaginal moisturizer
  • The hydrate, lubricate, vibrate trifecta for midlife pelvic health
  • Why every woman deserves lube regardless of natural moisture
  • How vibration supports pelvic floor blood flow and function
  • Accessibility products for intimacy including positioning pillows and depth reducers
  • Working with pelvic floor physiotherapists and healthcare providers
  • Building a trusted community of midlife sexual wellness experts
  • Permission to prioritize pleasure with or without a partner

Resources Mentioned

Related Episodes

Theme Song

Flowers by Miley Cyrus

Connect with Intimate Wellbeing

Website: intimatewellbeing.com
Instagram: @intimate.wellbeing
Visit the brick and mortar boutique in Vernon, BC, in the Okanagan

Connect with The Hole Shebang

Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast wherever you listen. Leave a review, and head to blueberrytherapy.ca/podcast to explore the back catalog. Come hang out on Instagram @blueberrytherapypelvichealth.

47: Rewiring Pain: From Velociraptors to Victory with Dr. Laura Katz07 Aug 202500:45:37

Chronic pelvic pain and endometriosis affect how people live, work, sleep and connect with their bodies. In this episode of The Hole Shebang Podcast, Kristen Parise sits down with Dr. Laura Katz, a health, rehabilitation and clinical psychologist who specializes in helping people change their relationship with pain. Dr. Katz breaks down the science of how pain works, why our nervous systems can get stuck in a danger loop and what we can actually do about it.

Dr. Katz explains how chronic pain differs from acute pain at the nervous system level and why pain that persists beyond 12 weeks often has more to do with sensitization than ongoing tissue damage. She walks through how cognitive behavioral therapy (CBT) helps people shift from believing pain always equals danger to understanding that pain is uncomfortable but not always a signal that something is wrong. She also gives an inside look at the Endometriosis360 program, an innovative six week virtual program combining psychology, physiotherapy, nutrition and gynecological surgery expertise to address endometriosis from every angle.

What You'll Learn

  • Why our pain signals are still wired like we're running from predators and how that creates chronic pain cycles
  • The critical difference between acute and chronic pain and what happens at the 12 week mark
  • How CBT helps rewire pain related thoughts and beliefs for lasting change
  • What the Endometriosis360 interdisciplinary program looks like and why it works
  • The identity shift that happens when chronic pain no longer defines your life

Episode Chapters

00:00 Introduction and Dr. Katz's Background
11:01 Understanding Pain Science and Evolutionary Biology
24:01 When Acute Pain Becomes Chronic
32:01 Cognitive Behavioral Therapy for Pain
45:01 The Endometriosis360 Program
58:01 Practical Tools and Home Practice
68:01 Success Stories and Transformations

About Dr. Laura Katz

Dr. Laura Katz is a registered health, rehabilitation and clinical psychologist. She completed her PhD at Queen's University and is an Assistant Professor at McMaster University. She works at the Michael G. DeGroote Pain Clinic at McMaster University, where she provides patient care, develops interdisciplinary chronic pain programs and supervises trainees. She is also Director of Health Psychology at MindFit and a founding team member of the Endometriosis360 program alongside physiotherapist Jill Mueller, gynecological surgeon Dr. Mathew Leonardi and registered dietitian Emily Arthur.

Theme Song: "Shake It Off" by Taylor Swift

Resources Mentioned

Connect with Dr. Laura Katz

Instagram: @drlaurakatz
MindFit: mindfit.ca
Endometriosis360: endometriosis360.ca

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more bold, honest conversations about pelvic health, pain science and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

46: PAUZ Before You Perimenopause: The Reset Your Body Is Begging For with Natalie Perkins01 Aug 202500:54:59

Special Listener Offer
Follow @pauzhealth on Instagram and DM "hole shebang" to receive three months free in the PAUZ Health community plus entry to win $50 off at the PAUZ Health marketplace.

Perimenopause and menopause care in Canada is fragmented, hard to access and often dismissed by the very system that should be supporting it. In this episode of The Hole Shebang Podcast, Kristen Parise reconnects with her former McMaster University classmate Natalie Perkins, PhD, who left a VP role at a major telemedicine company to launch PAUZ Health, a virtual platform built to give women the education, clinical access and community they deserve during this transition.

Natalie gets raw about the personal catalysts that led her here: ending a 20 year marriage, surviving a cardiac episode during an Ironman race and realizing she had spent so long performing that she didn't even know what brought her joy anymore. She shares how perimenopause became her wake up call to pause, reassess and rebuild, and why she believes every woman deserves to view this stage of life as a course correction rather than something to endure. The conversation covers Natalie's evidence based recommendations for perimenopausal health including strength training with heavy weights, prioritizing protein, increasing fiber, educating yourself on hormone therapy options (both systemic and vaginal estrogen) and making sleep non negotiable.

What You'll Learn

  • How to recognize when perimenopause is calling you to pause and reassess your life
  • The three pillars of PAUZ Health: education with world experts, clinical access and curated products
  • Why vaginal estrogen should be considered as routine as preventive skincare
  • How to advocate for yourself when your healthcare provider lacks menopause training
  • Why it's not selfish to prioritize your own happiness and health

Episode Chapters

00:00 Introduction and Natalie's Journey
05:58 The Birth of PAUZ Health
09:07 Leaving Established Careers and Choosing Happiness
11:53 Embracing Perimenopause as a Gift
14:52 Mental and Physical Health During Life Transitions
18:05 Navigating the Gray Areas of Big Decisions
23:54 The PAUZ Health Philosophy and Mission
34:52 The Critical Importance of Education
36:15 Access to Care and Self Advocacy
45:14 Top Health Recommendations for Perimenopause
52:29 PFAS Free Products and Estrogen Disruptors
53:53 Special Listener Offer and How to Connect

About Natalie Perkins, PhD

Natalie Perkins holds a PhD in Public Health and is a health behavior change expert, former healthcare executive and competitive athlete. After spending years in digital health leadership, she founded PAUZ Health to address the massive gap in accessible, comprehensive menopause care in Canada. PAUZ connects women with menopause certified clinicians, dietitians, pelvic floor physiotherapists, therapists and health coaches. Natalie also hosts the PAUZ Grab Life by the Ovaries podcast.

Theme Song: "Everything is Everything" by Lauryn Hill

Connect with Natalie and PAUZ Health

Website: pauz.health
Instagram: @pauzhealth
Podcast: PAUZ Grab Life by the Ovaries

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more bold conversations about perimenopause, menopause and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

 

45: Exhausted to Energized: Real Nutrition Talk for Real Moms with Laura Lima23 Jul 202500:36:49

Postpartum nutrition and energy are two of the biggest struggles new parents face, and most of the advice out there is either too complicated or completely unrealistic for someone running on three hours of sleep. In this episode of The Hole Shebang Podcast, Kristen Parise chats with Laura Lima, a holistic nutritionist, founder of New Mama Nation and mom of four, about what actually works when you're trying to feed yourself well in the thick of early parenthood.

Laura shares her own journey from working in aesthetics to finding holistic nutrition after a career pivot she didn't see coming. She gets real about the newborn phase, including keeping a jar of almond butter on the nightstand and why perfectionism has no place in postpartum eating. The conversation covers practical strategies like why hydration is the foundation everything else depends on, how protein and fat combinations keep energy stable, why blood sugar spikes from convenient snack bars are making fatigue worse and how three solid meals a day can break the constant grazing cycle that leaves parents feeling depleted.

Laura also dives into the emotional side of eating, explaining how cravings are often about seeking comfort rather than actual hunger and why recognizing that pattern is the first step toward changing it. Her "future self" technique of asking "How do I want to feel when my head hits the pillow tonight?" is a simple reframe that shifts daily food choices without requiring willpower.

What You'll Learn

  • Why carrying water everywhere is the single most impactful nutrition habit for new parents
  • How protein and fat combinations prevent the blood sugar crashes that drive fatigue and mood swings
  • The slow cooker strategy and other meal prep approaches that work in real life with small kids
  • How to recognize emotional eating patterns and respond to cravings differently
  • Laura's morning ritual and "future self" technique for staying consistent when everything feels chaotic

Episode Chapters

00:00 Laura's Origin Story
02:22 The Energy Crisis for New Parents
04:05 Hydration as the Foundation
08:04 Smart Snacking with Protein and Fat
11:35 Blood Sugar and Three Solid Meals
16:55 Meal Prep for Real Life
21:29 Breaking the Constant Grazing Cycle
24:42 Physical vs Emotional Hunger
28:17 Morning Rituals and Future Self Thinking
30:54 The New Mama Nutrition Manual
35:28 Theme Song

About Laura Lima

Laura Lima is a certified holistic nutritionist (Institute of Holistic Nutrition) and founder of New Mama Nation. She specializes in helping parents increase energy, reduce emotional eating and feel like themselves again through practical, real life nutrition strategies. Laura works with clients virtually and offers the New Mama Nutrition Manual, a comprehensive online program with all of her strategies in one place.

Theme Song: "Happy Together" by The Turtles

Connect with Laura Lima

Website: newmamanation.com
Instagram: @lauraannlima
Course: New Mama Nutrition Manual

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more honest conversations about postpartum health, pelvic wellness and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

 

44: Rock Star to Pelvic Floor Revolutionary with Dr. Bruce Crawford16 Jul 202500:45:29

Pelvic floor disorders affect over 200 million people worldwide, and the conventional approach has been to treat them as surgical problems. In this episode of The Hole Shebang Podcast, Kristen Parise sits down with Dr. Bruce Crawford, a board certified urogynecologist and creator of the Pfilates method, who spent decades in the operating room before arriving at a conclusion that changed everything: most pelvic floor disorders are fitness problems that deserve fitness solutions.

Dr. Crawford's path to medicine was anything but traditional. He went from working as an 18 year old hospital janitor with no college plans to touring Europe as a drummer in rock bands to eventually acing the MCAT and attending NYU School of Medicine. A single email in 2003 led him to West Africa, where he spent years performing fistula repairs in Niger and Rwanda. That humanitarian work became the catalyst for his biggest professional realization: after watching successful surgeries fail long term, he understood that the real solution for most people was neuromuscular conditioning, not more surgery.

His team used EMG synchronization technology to study 120 different movements from Pilates, yoga and personal training. The result was 10 specific movements that passively engage the pelvic floor through reflex relationships with the glutes, inner thighs and deep abdominals. In a pilot study, 80% of participants reported a 50% improvement in bladder and bowel symptoms in just 28 days. Dr. Crawford has now trained over 7,000 instructors worldwide, including 1,700 in Japan alone.

What You'll Learn

  • Why most pelvic floor disorders are fitness problems being treated as surgical ones
  • How co-recruitment of glutes, inner thighs and deep abdominals strengthens the pelvic floor without isolated kegels
  • The EMG research behind Pfilates and why these 10 movements outperform traditional exercises
  • Dr. Crawford's approach to breaking the stigma around incontinence in clinical conversations
  • Why the medical system has it backwards, treating exercise as "radical therapy" instead of first line treatment

Episode Chapters

00:00 Introduction to Dr. Bruce Crawford
07:17 From Drummer to Janitor to Medical School
15:39 Movement Science and Pelvic Floor Recruitment
21:32 Breaking the Stigma of Incontinence
28:28 Why Fitness Should Be First Line Treatment
36:29 Humanitarian Work in Niger and Rwanda
40:16 The Future of Pelvic Floor Rehabilitation

About Dr. Bruce Crawford, MD

Dr. Bruce Crawford is a board certified urogynecologist with over 30 years of clinical experience and a graduate of NYU School of Medicine. He is the creator of the Pfilates method, the only pelvic floor fitness program developed by a urogynecologist in the United States. His research on pelvic floor neuromuscular conditioning has been published in the medical literature and his instructor certification program has trained over 7,000 health and fitness professionals worldwide. He also spent nearly a decade performing obstetric fistula repairs in West Africa.

Theme Song: "Don't Back Down" by Tom Petty

Connect with Dr. Bruce Crawford

Website: pfilates.com
Programs: Women's, Men's, Prolapse Coaching and Instructor Certification

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more conversations about pelvic health, bladder control and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

43: Body Brilliance: Connecting the Dots Between Emotional Eating, Hormones and Pelvic Health with Amber Romaniuk10 Jul 202500:30:22
Connect with Amber Romaniuk

Website: amberapproved.ca
Podcast: The No Sugarcoating Podcast (available on all podcast platforms)
Social Media: @AmberRomaniuk (Instagram)
Free Resources: Emotional eating quiz and workshop replay available on her website
Consultations: Free consultation bookings available through her website

Join the Body Brilliance Workshop

Date: Tuesday, July 29th
Time: 2:00-3:30 pm EST
Location: Online via Zoom
Investment: $47 CAD
Register: Body Brilliance Workshop

Can't attend live? No problem! All participants receive access to the recording.

What You'll Discover in Body Brilliance:

Emotional Eating & Hormonal Health (with Amber):

  • How hormonal fluctuations disrupt hunger cues and trigger emotional eating
  • Strategies for managing perimenopause mood swings and emotional challenges
  • Why conventional diet methods fail during hormonal transitions
  • Tools for addressing body image struggles and building self-worth

Pelvic Health & Physical Wellness (with Kristen):

  • Solutions for bladder issues including leaks and urgency
  • Relief strategies for pelvic organ prolapse and pelvic pain
  • Techniques to enhance sexual comfort and return to exercise with confidence
  • How to properly support your pelvic floor during life's changes
Episode Overview

Join Kristen Parise as she reunites with emotional eating expert Amber Romaniuk for an inspiring conversation about their groundbreaking collaboration: the Body Brilliance Workshop. This dynamic duo explores the powerful connections between emotional eating, hormonal health, and pelvic floor dysfunction—areas that profoundly impact women's lives yet are often overlooked or dismissed. From the shame surrounding both food struggles and pelvic health issues to the interconnected roots of these challenges, this episode reveals why addressing both physical and emotional health together is the key to true healing.

What You'll Learn
  • How emotional eating and pelvic health issues share surprising common roots in shame and unworthiness
  • Why hormonal changes during perimenopause require completely new approaches to health and healing
  • The connection between people-pleasing, boundary-setting, and both food and pelvic health struggles
  • How physical pain can drive emotional eating patterns and vice versa
  • Why creating safe spaces for women to discuss these "taboo" topics is essential for healing
  • What the Body Brilliance Workshop offers for women struggling with these interconnected issues
Episode Highlights Breaking the Shame Cycle Around Women's Health

Amber and Kristen explore how shame surrounding both emotional eating and pelvic health issues keeps women isolated and prevents them from seeking help. They emphasize that these struggles are far more common than women realize and that breaking the silence is the first step toward healing.

The Mind-Body Connection: When Physical and Emotional Health Collide

The hosts reveal fascinating connections between mental and physical health. When women experience pelvic pain, they often reduce activity and seek comfort in food. Similarly, hormonal fluctuations can trigger both emotional eating and pelvic floor dysfunction, showing why comprehensive approaches work better than treating symptoms in isolation.

Why Perimenopause Changes Everything

Amber explains how perimenopause represents a fundamental shift requiring completely new strategies. The restrictive diets and exercise routines that worked before suddenly become ineffective, demanding a more holistic approach that addresses hormonal changes, emotional patterns, and physical symptoms together.

Introducing Body Brilliance: Where Pelvic Health Meets Emotional Wellness

Kristen and Amber unveil their collaborative workshop that fills gaps in traditional healthcare. Body Brilliance connects the dots between cravings, hormones, emotional health, and pelvic function, providing women with comprehensive support in a safe, judgment-free environment.

Episode Chapters

00:00-01:03: Welcome Back Amber - Reintroduction and collaboration excitement
01:03-03:55: Amber's Expertise - Emotional eating, hormones, and the No Sugarcoating Podcast
03:55-07:59: Creating Safe Spaces - Why shame keeps women from seeking help
07:59-09:22: The Roots of Emotional Eating - Addressing unworthiness and self-sabotage
09:22-12:57: Perimenopause Game-Changer - Why old strategies stop working
12:57-16:29: Mind-Body Connection - How physical and emotional health intertwine
16:29-20:39: Body Brilliance Workshop - Connecting cravings, hormones, and pelvic health
20:39-23:19: Pelvic Health and Emotional Well-being - The pain-comfort food cycle
23:19-26:25: Resources and Theme Songs - Where to find Amber and her perfect life soundtrack

Key Takeaways

Your triggers are teachers - Instead of fighting against emotional eating triggers, learn to see them as valuable information about what your body and mind need.

"None of your old tricks are going to work" - Perimenopause requires a complete shift in approach, moving away from restrictive methods toward supportive, holistic strategies.

"It's so easy to get in your head" - The stress-eating cycle perpetuates itself, but understanding this pattern is the first step to breaking free.

Safe spaces save lives - Creating environments where women can openly discuss their struggles without shame is essential for healing and empowerment.

Connect with The Hole Shebang

Website: Blueberry Therapy Pelvic Health and Pediatrics
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference

Amber's Theme Song for Her Career

"Life is a Highway" by Tom Cochrane – "I'm gonna ride it (during the day, not the night, because I'm sleeping!)" – perfectly capturing her journey of helping women navigate their health challenges while prioritizing rest and self-care.

This episode is brought to you by the shared mission of breaking taboos and changing lives through open, honest conversations about women's health. Knowledge is power, and talking openly about women's bodies is revolutionary.

42: From Dry to Delighted - The Vaginal Moisturizer Revolution with Angelique Montano-Bresolin30 Jun 202500:34:47

Vulvar dryness affects far more people than most realize, and it's not just a menopause issue. In this episode of The Hole Shebang Podcast, Kristen Parise sits down with fellow pelvic health physiotherapist Angelique Montano-Bresolin to talk about vaginal moisturizers, why they're different from lubricants and how a gap in available products led Angelique to create FemmeSense Balm.

Angelique breaks down the science behind vulvar tissue changes, including one powerful visual: pre-menopause vaginal tissue has approximately 20 layers of skin cells, while post-menopause tissue may have as few as two. She explains the difference between lubricants (what she calls "lubes for love," designed for short-term friction relief during sexual activity) and moisturizers (ongoing skin support, like face cream for your vulva). The conversation covers who needs to know about vaginal moisturizers beyond menopause, including postpartum and breastfeeding individuals, post-cancer treatment patients, anyone managing urinary incontinence and those living with vulvar dermatological conditions like lichen sclerosus.

Angelique also walks through what to look for in a quality vaginal moisturizer: proper pH balance (3.5 to 5.0 range), emollient properties to soften and lubricate, occlusive properties to prevent moisture loss and humectant properties to draw and retain water in the skin.

What You'll Learn

  • The difference between vaginal lubricants and vulvar moisturizers and when to use each
  • Why vulvar tissue changes so dramatically during menopause and what you can do about it
  • The pH range your vulvar area needs to stay healthy and how many products get this wrong
  • Who beyond menopausal patients should be using vaginal moisturizers
  • How Angelique went from clinician to entrepreneur after struggling to find effective products for her clients

Episode Chapters

00:00 Introduction and Angelique's Journey into Pelvic Health
02:58 The Creation of FemmeSense Balm
05:51 Vaginal Moisturizers vs Lubricants
09:03 Choosing a Quality Vaginal Moisturizer
11:52 Moisturizers and Midlife Changes
14:49 Vulvar Dryness Across Different Life Stages
18:06 Lichen Sclerosus and Its Impact
20:47 FemmeSense Balm for Sensitive Skin
24:05 Where to Find FemmeSense Balm

About Angelique Montano-Bresolin

Angelique Montano-Bresolin, PT, BSc PT, HBA Kin, is a registered physiotherapist, Adjunct Lecturer at the University of Toronto and Clinic Director at Proactive Pelvic Health Centre in Toronto, the city's first private integrative pelvic health rehabilitation clinic. She has been treating all genders and ages for pelvic health concerns since 2009. Angelique is also the founder of Pelvic Health Hub and creator of FemmeSense Balm, a natural, non-hormonal vulvar moisturizer developed after years of struggling to find effective products for her clients.

Theme Song: "Don't Stop Believin'" by Journey

Where to Find FemmeSense Balm

Pelvic Health Hub (direct), Amazon, Well.ca and select pelvic health clinics including Blueberry Therapy

Connect with Angelique

Clinic: proactiveph.com
Pelvic Health Hub: pelvichealthhub.com
Instagram: @proactivepelvichealth and @pelvichealthhub

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more honest conversations about vulvar health, pelvic wellness and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

59: Your Vagina Is Shrinking and Nobody Told You: The Hormone Conversation We NEED with Dr. Carrie Jones29 Oct 202500:42:24

Episode Overview: What if everything you thought you knew about hormone therapy was based on a misunderstood study from 2002? In this conversation with Dr. Carrie Jones—naturopathic doctor, hormone specialist, and host of the Hello Hormones podcast—we unpack the real data behind hormone replacement therapy, why perimenopause might be starting earlier than you think, and what's actually happening to your body during this transition.

What You'll Learn:

  • The truth about the 2002 Women's Health Initiative study and why "estrogen causes cancer" isn't the full story
  • How perimenopause can start in your late 30s (and what other conditions to rule out first)
  • The specific hormone labs you should request from your doctor—and why "everything looks normal" isn't good enough
  • What genitourinary syndrome of menopause (GSM) is and why nobody talks about vaginal atrophy until it's too late
  • Why pain during sex is common but absolutely not normal, and what you can do about it
  • How to advocate for yourself when doctors dismiss your symptoms as "just stress" or "too young for hormones"

About Dr. Carrie Jones: Dr. Carrie Jones is a naturopathic medical doctor with a passion for women's hormones and helping people understand their bodies. She graduated from the National University of Natural Medicine (NUNM) in Portland, Oregon, and has been practicing for over 20 years, specializing in hormone health through all life stages. Dr. Jones is the host of Hello Hormones with Dr. Carrie Jones podcast and has an upcoming book (Fall 2026) that promises to make perimenopause education fun, accessible, and actually useful. Her mission is simple: help women not feel so crazy and understand what's happening in their bodies.

Key Topics Covered: Hormone replacement therapy, bioidentical hormones, perimenopause symptoms, menopause, estrogen, progesterone, hormone testing, FSH, LH, estradiol, thyroid function, genitourinary syndrome of menopause (GSM), vaginal atrophy, painful sex, Women's Health Initiative study

Connect with Dr. Carrie Jones: Website: drcarriejones.com Free hormone labs ebook: drcarriejones.com/labs Podcast: Hello Hormones with Dr. Carrie Jones

Connect with The Hole Shebang: Visit blueberrytherapy.ca for pelvic health resources Subscribe to The Hole Shebang Podcast wherever you listen Follow us on Instagram @blueberrytherapypelvichealth

41: Exercise as Medicine: Stroke, Recovery, Strength Training, and Healthy Aging with Dr. Ada Tang24 Jun 202500:42:30
Episode Overview

Join Kristen Parise as she sits down with Dr. Ada Tang, a physiotherapist, professor, and researcher at McMaster University who's transforming how we think about exercise for stroke survivors and older adults. From her unexpected journey from clinical practice to groundbreaking research, Ada shares evidence-based insights on how the right exercise can be life-changing medicine for recovery, independence, and healthy aging.

What You'll Learn
  • Why aerobic exercise should be a standard part of stroke rehabilitation (just like cardiac rehab)
  • The surprising benefits of high-intensity interval training (HIIT) for stroke survivors
  • How power training differs from traditional strength training and why it matters
  • The truth about what strength training should look like for older adults (hint: it's not bean bag weights)
  • How to recognize pre-frailty and why early intervention with exercise can prevent decline
  • The mental health, cognitive, and social benefits of exercise programs
  • Why women are underrepresented in stroke research and what's being done about it
Episode Highlights Ada's Journey: From Bedside to Bench Science

Ada shares her unexpected path from planning a career in private practice to becoming a leading researcher in neurorehabilitation. Her clinical experience working with stroke survivors and older adults directly informs her research mission: proving that exercise truly is medicine for recovery and healthy aging.

Exercise After Stroke: Breaking Down Barriers

Learn why stroke rehabilitation should mirror cardiac rehabilitation when it comes to exercise prescription. Ada explains how her research bridges the gap between stroke care and cardiac care, showing that people with stroke face similar cardiovascular risks but don't receive the same exercise-focused interventions.

HIIT for Stroke Survivors: Challenging Assumptions

Discover the groundbreaking findings from Ada's multi-site study showing that stroke survivors can safely perform high-intensity interval training using recumbent steppers. With just 19 minutes of training (10 one-minute high-intensity intervals), participants achieved greater fitness gains than those doing 30 minutes of moderate exercise.

Power Training: The Next Frontier

Ada introduces the concept of power training for stroke recovery—combining strength with speed to better mimic the demands of daily activities. From standing up quickly to crossing the street when the light changes, power movements are essential for functional independence.

Preventing Frailty: Moving Beyond Bean Bag Weights

Learn how Ada's research challenges traditional assumptions about exercise for older adults. Instead of seated exercises with light weights, her studies show that older adults can safely perform complex, weight-bearing movements that challenge multiple systems simultaneously—and the results are transformative.

The Social Prescription: Exercise as Community Medicine

Explore the profound mental health, cognitive, and social benefits Ada has observed in her exercise programs, from improved memory and executive function to caregiver respite and community connection.

Episode Chapters

00:05-05:00: Introduction and Ada's Winding Journey – From physiotherapy student to stroke rehabilitation researcher

05:01-13:00: Exercise and Stroke Recovery – Why stroke rehab should look more like cardiac rehab

13:01-16:30: Power Training for Stroke Survivors – Combining strength with speed for functional recovery

16:31-20:00: HIIT Research Breakthrough – Revolutionary findings on high-intensity exercise after stroke

20:01-25:00: Understanding Frailty and Pre-Frailty – Early intervention strategies for healthy aging

25:01-31:00: Strength Training Reimagined – Moving beyond bean bags to functional movements

31:01-35:00: The Prescription for Exercise – Frequency, progression, and getting professional guidance

35:01-39:00: Mental Health and Social Benefits – The non-physical benefits of physical activity

39:01-43:00: Research on Research – Improving women's representation in stroke studies

43:01-End: Future Directions and Final Thoughts – Ada's theme song and research vision

Connect with Dr. Ada Tang
  • Lab: MacStroke Canada at McMaster University
  • Social Media: Instagram, X (Twitter), Facebook
  • LinkedIn: Ada Tang
  • Research Focus: Exercise, stroke recovery, frailty prevention, and inclusive research practices
Connect with The Hole Shebang
  • Website: Blueberry Therapy Pelvic Health and Pediatrics
  • Instagram: @theholeshebang
  • Upcoming Event: The Pleasure Principle Conference
Ada's Theme Song for Her Career

"Ain't No Mountain High Enough" by Motown – perfectly capturing her belief that there's always somewhere to go and that we can tackle mountains together!

40: Beyond the Numbers - How Retirement Planning Affects Your Mental Health & Soul with Gillian Stovel Rivers19 Jun 202500:39:49

Retirement planning is about far more than a savings number. In this final installment of The Hole Shebang Podcast's three part financial wellness series, Kristen Parise and wealth advisor Gillian Stovel Rivers tackle the money, the mindset and the mental health challenges that come with planning for and transitioning into retirement.

Gillian breaks down the current retirement savings targets for Canadians (approximately $1.5 to $1.7 million, with millennials needing closer to $2 to $2.5 million) and explains the building blocks that get you there: CPP, OAS, workplace pensions and personal savings through RRSPs and TFSAs. She walks through smart tax strategies for drawing down retirement income, why blending taxable and tax free sources matters and how whole life insurance can function as a tax sheltered investment vehicle growing at 6% or more annually.

But this conversation goes well beyond the numbers. Gillian shares research showing that social isolation in retirement impacts health as severely as smoking and obesity, and she explains why the belief that "retirement means stopping" is one of the most dangerous misconceptions people hold. She introduces her Five Good Adventures program, a 12 week framework that uses love languages and personal values to design a retirement that actually flourishes instead of flatlines. The episode also covers the reality of long term care costs in Canada (memory care can run $20,000 to $25,000 monthly) and the trade off conversations every couple needs to have while they still can.

What You'll Learn

  • Current retirement savings targets for Canadians and why the number keeps growing for younger generations
  • Tax strategies for blending RRSP, TFSA and other income sources to minimize your retirement tax burden
  • Why social isolation in retirement is a health crisis and how to plan against it
  • How whole life insurance can become a tax sheltered investment and long term care funding strategy
  • Gillian's Five Good Adventures framework for designing a retirement worth living

Episode Chapters

00:00 The Retirement Reality Check and Savings Targets
03:01 Legacy vs Living: Balancing Enjoyment and Preservation
06:00 Tax Strategy for Retirement Income
09:13 Planning for Inflation and Longevity
12:09 Mental Health and Social Isolation in Retirement
14:59 Five Good Adventures and Designing a Fulfilling Retirement
17:50 Busting Dangerous Retirement Myths
20:56 Long Term Care Costs and Planning
23:58 Whole Life Insurance as an Investment Vehicle

About Gillian Stovel Rivers

Gillian Stovel Rivers, MA, CFP, CEA, is a Senior Wealth Advisor and Branch Owner at Surround Wealth Advisors (Assante Financial Management Ltd.). She is a second generation wealth advisor, a recipient of the WXN Canada's Most Powerful Women Top 100 Award, and was named one of Canada's Top Women Wealth Advisors by The Globe and Mail. Gillian is also the creator of the Five Good Adventures retirement transition program.

Theme Song: "Suddenly I See" by KT Tunstall

Catch Up on the Series

Part 1: Financial Wellness and Mindset Shifts
Part 2: Investing, Growing Wealth and The Power of Compounding
Part 3: Retirement Planning and Mental Health (this episode)

Connect with Gillian

Website: surroundwealth.com
Email: grivers@assante.com
Instagram: @gillianstovelofficial
LinkedIn: Gillian Stovel Rivers

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more honest conversations about financial wellness, pelvic health and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

 

39: Floored by the Truth: Demystifying Pelvic Health from Teens to Menopause with Dr. Sara Reardon12 Jun 202500:44:14
Episode Overview

Join Kristen Parise for a compelling conversation with Dr. Sara Reardon, pelvic floor physical therapist and author of the groundbreaking book "Floored." Dr. Reardon challenges the dangerous myths surrounding pelvic health, from the misconception that Kegels are a universal solution to the harmful narrative that pelvic floor dysfunction is just part of aging and motherhood. This episode is a rallying cry for women's health advocacy and a comprehensive guide to understanding your pelvic floor at every life stage.

What You'll Learn
  • Why balance, not strengthening or relaxing, is the key to pelvic floor health
  • How to identify whether you have a hypertonic (high tension) versus hypotonic (low tension) pelvic floor
  • The surprising connection between stress, emotions, and pelvic floor dysfunction
  • Why 90% of female orgasms occur through clitoral stimulation and what this means for sexual health
  • The critical importance of pelvic health education during the teenage years
  • How childhood experiences and trauma can manifest as adult pelvic floor issues
  • The integrated approach needed to treat pelvic floor dysfunction effectively
Episode Highlights From Misconceptions to Empowerment

Dr. Reardon reveals the three biggest misconceptions she encounters: women not knowing they have a pelvic floor, believing dysfunction is "normal," and assuming Kegels are always the answer. She emphasizes that many women actually have pelvic floor tension rather than weakness, requiring completely different treatment approaches.

The Emotional Barometer

Exploring the profound mind-body connection, Dr. Reardon shares how the pelvic floor serves as an "emotional barometer." She recounts powerful patient stories and her own experience during Hurricane Ida, demonstrating how stress and trauma directly impact pelvic floor function.

Sexual Health Revolution

Breaking down barriers around sexual education, Dr. Reardon explains the anatomy of arousal, orgasm, and why painful sex is never normal. She advocates for comprehensive sexual health education that goes far beyond "sperm meets egg" to include pleasure, function, and the pelvic floor's central role.

The Teenage Years: A Critical Window

Dr. Reardon makes a compelling case for pelvic health education starting in adolescence, addressing everything from painful periods (which are NOT normal) to the 40% of high school female athletes who experience urinary incontinence. She emphasizes how early education can prevent decades of silent suffering.

Beyond the Pelvic Floor: An Integrated Approach

Using her "layers of an onion" metaphor, Dr. Reardon explains how effective treatment must address posture, breathing, abdominal function, and emotional health alongside pelvic floor muscles. She challenges the medical system's tendency to isolate symptoms rather than treating the whole person.

The Healthcare Revolution Needed

Dr. Reardon calls for systematic changes in medical education and practice, advocating for screening tools, better provider training, and the integration of pelvic health into standard women's healthcare rather than treating it as a last resort.

Episode Chapters

00:00-03:12: Introduction and Book Launch Celebration – Dr. Reardon returns to discuss her new book "Floored"

03:12-05:59: Breaking Down the Biggest Misconceptions – Why most women don't know they have a pelvic floor

05:59-08:57: The Balance Principle – Understanding hypertonic vs. hypotonic pelvic floors and why Kegels aren't universal

08:57-12:07: The Power of Advocacy – Why your voice is your most powerful tool in healthcare

12:07-14:54: Sexual Health Deep Dive – The pelvic floor's role in arousal, lubrication, and orgasm

14:54-17:57: The Emotional Connection – How the pelvic floor serves as an emotional barometer

17:57-20:49: Stress and Trauma Impact – Personal stories and Hurricane Ida's effect on pelvic floor tension

20:49-23:11: Integrated Treatment Approaches – Why comprehensive care includes mental health support

23:11-24:09: The Comprehensive Philosophy – Moving beyond isolated pelvic floor treatment

24:09-26:25: Teenage Years as the Critical Window – Why pelvic health education should start early

26:25-29:09: Breaking the Shame Cycle – Creating open conversations about bodies and function

29:09-31:42: The "Layers of an Onion" Approach – Understanding the pelvic floor as part of an integrated system

31:42-35:42: Resources for Healthcare Providers – Screening tools and outcome measures

35:42-40:50: The Mesh Crisis That Changed Everything – Dr. Reardon's pivotal experience with surgical complications

40:50-End: Advocacy and Action – The mission to make pelvic health standard care

Key Takeaways
  • Pelvic floor dysfunction affects women at all life stages, not just after childbirth or during aging
  • Balance between strength and relaxation is more important than just doing Kegels
  • Painful periods, painful sex, and urinary incontinence are never normal and always treatable
  • Stress and emotional trauma directly impact pelvic floor function
  • Early education during teenage years can prevent decades of dysfunction
  • Comprehensive treatment must address the whole person, not just isolated symptoms
  • Healthcare providers need better training and screening tools for pelvic health issues
  • Women deserve better care and must advocate for themselves within the medical system
Connect with Dr. Sara Reardon
  • Instagram: @the.vagina.whisperer
  • TikTok: @thevagwhisperer
  • Website: thevaginawhisperer.com
  • Book: "Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage" (Available at all major bookstores)
  • Online Platform: V-Hive membership with pelvic floor workouts and free trial available
Connect with The Hole Shebang
  • Website: Blueberry Therapy Pelvic Health and Pediatrics
  • Instagram: @blueberrytherapypelvichealth
  • Upcoming Event: The Pleasure Principle Conference
Dr. Sara's Theme Song

"Who Runs the World? Girls" by Beyoncé - A powerful anthem that captures her mission to advocate for women's health and the belief that women are leading the charge in demanding better healthcare.

38: The Scoop on Kids Poop: The Secret World of Pediatric Pelvic Health with Clare Bourne05 Jun 202500:42:24

Pediatric pelvic health is one of the most overlooked areas of children's wellness, and many adult pelvic floor issues trace directly back to childhood patterns that were never properly addressed. In this episode of The Hole Shebang Podcast, Kristen Parise talks with Clare Bourne, a London based pelvic health physiotherapist and author of Strong Foundations: Why Pelvic Health Matters, about bedwetting misconceptions, the pediatric constipation crisis and why shame has no place in teaching kids about their bodies.

Clare explains how pediatric pelvic assessment works nothing like adult evaluation. There are no internal examinations. Instead, Clare describes the process as detective work: gathering clues about bowel habits, bladder patterns and family dynamics to understand what's happening. She breaks down why bedwetting before age seven is completely normal (it requires hormonal maturity, adequate bladder capacity and specific sleep patterns that develop on their own timeline) and why potty training should be viewed as a developmental process, not a quick fix with a deadline.

The conversation gets into the rising rates of pediatric constipation and the complex factors driving it beyond the oversimplified "eat more fiber" advice: lack of parental support during toileting, bathroom access issues at school, stress from life transitions like new siblings or starting school, and inappropriate potty training pressure. Clare and Kristen also trace how childhood constipation and holding patterns can lead to increased pelvic floor tension that later makes tampon insertion painful in adolescence and can contribute to painful intercourse in adulthood. Thirty years of pelvic health history matters long before someone gives birth.

What You'll Learn

  • Why pediatric pelvic assessment is about education and detective work rather than physical examination
  • Why bedwetting before age seven is developmentally normal and what factors determine nighttime dryness
  • The complex causes behind rising pediatric constipation rates beyond diet alone
  • How childhood holding patterns and constipation can lead to pelvic floor tension, painful tampon use and painful sex later in life
  • Practical first steps parents can take before seeking professional help

Episode Chapters

00:00 Introduction and Clare's Pelvic Health Journey
02:30 Pelvic Floor and Continence in Children
05:17 How Pediatric Assessment Differs from Adult
08:25 Common Pediatric Pelvic Issues
11:23 Education, Anatomy and Breaking Shame
16:41 Practical First Steps for Parents
21:09 The Pediatric Constipation Epidemic
24:47 Stress, Family Support and Global Events
28:22 Medication Management and Treatment
30:21 Growth, Development and Family Dynamics
34:32 Childhood Issues and Adult Pelvic Health
38:13 Empowering Through Education and Resources

About Clare Bourne

Clare Bourne is a consultant pelvic and digestive health physiotherapist based in London. She has specialized in pelvic health for over 16 years, working extensively in the NHS before moving into private practice. Clare treats women, men and children and is an ambassador for The Endometriosis Foundation. She is the author of Strong Foundations: Why Pelvic Health Matters, co-founder of the Pelvic Health Practice and founder of All About Mum, which provides postnatal education resources.

Theme Song: "There She Goes" by The La's

Connect with Clare

Website: clare-bourne.com
Instagram: @clarebournephysio
Book: Strong Foundations: Why Pelvic Health Matters
Also on TikTok and LinkedIn

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more conversations about pelvic health for all ages and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

37: Sex, Pelvic Health and Breaking Taboos with Dr. Rachel Gelman29 May 202500:43:57

Sexual health and pelvic floor dysfunction are deeply connected, and most people never get the full picture on either one. In this episode of The Hole Shebang Podcast, Kristen Parise talks with Dr. Rachel Gelman, a pelvic floor physical therapist and AASECT certified sexuality counselor based in San Francisco, about painful sex, pelvic pain, incontinence during intimacy and why your pelvic floor might need the opposite of what you think.

Rachel explains why she prescribes vibrators more often than kegels, since many people dealing with pelvic pain actually have an overactive, tight pelvic floor that needs to learn to relax rather than contract more. She walks through her "chocolate cake" technique for rediscovering pleasure when sex has become associated with pain, and introduces the concept of a sexual menu to help people move beyond the assumption that sex equals penetration. The conversation covers the clitoris to penis anatomical connection and why most sex education gets it wrong, how bathroom habits (and a $15 toilet stool) can directly impact sexual function, the surprising link between tailbone pain and sexual dysfunction and what's happening when erections are painful.

Rachel also shares her favourite sex tech brands for people with pelvic pain and explains why solo sex is a legitimate and essential part of pelvic health treatment, not just recreation.

What You'll Learn

  • Why kegels can make pelvic pain worse and what to do instead
  • How to rebuild a relationship with pleasure after painful sex using Rachel's chocolate cake approach
  • The anatomical connection between the clitoris and penis that most sex education leaves out
  • Why incontinence during sex might not be urine at all and how to tell the difference
  • Simple breathing and positioning techniques that calm the nervous system and reduce pelvic floor tension

Episode Chapters

00:00 Rachel's Path into Pelvic Health
05:30 Solo Sex as Self Care and Therapy
12:15 The Orgasm Education Gap and Clitoral Anatomy
18:45 Tailbone Pain and Sexual Dysfunction
24:00 Breathing Techniques for Better Sex
29:30 Creating Your Sexual Menu
35:15 Incontinence During Intimacy
41:00 Painful Erections and Pelvic Floor Dysfunction
46:30 Sex Tech Recommendations

About Dr. Rachel Gelman, PT, DPT, CSC

Dr. Rachel Gelman is a Doctor of Physical Therapy and AASECT certified sexuality counselor with over 15,000 clinical hours. She is the owner and founder of Pelvic Wellness and Physical Therapy in San Francisco, where she treats pelvic pain, bowel, bladder and sexual dysfunction across all gender identities. Rachel completed her sexuality counseling training through the University of Michigan and is an adjunct instructor at Samuel Merritt University, where she teaches the pelvic health curriculum in the Doctor of Physical Therapy program. She also consults with companies in the sex tech and femtech space.

Theme Song: "I Won't Back Down" by Tom Petty

Sex Tech Brands Mentioned

  • Unbound
  • Maude
  • Mystery Vibe (research backed products for people with pelvic pain)

Connect with Dr. Rachel Gelman

Clinic: pelvicwellpt.com
Website: rachelgelmandpt.com
Instagram: @pelvichealthsf

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more bold conversations about sexual health, pelvic wellness and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

36: Growing Your Wealth with Gillian Stovel Rivers22 May 202500:36:49
Summary

In this enlightening follow-up conversation, host Kristen Parise welcomes back Gillian Stovel Rivers, Senior Wealth Advisor and creator of The Muscle Money Mindset®, for a deep dive into investing and wealth building strategies. Building on their previous discussion about financial wellness, Gillian breaks down complex investment concepts into digestible frameworks that anyone can understand.

This episode reveals the powerful connection between personal growth and financial growth, emphasizing that investing isn't just about stocks and bonds—it's about investing in yourself and your community. Gillian shares her three-principle approach to investing: mechanics, consistency, and intensity, while highlighting the "eighth wonder of the world"—compounding—and the importance of defining what "enough" means to you.

Whether you're just starting your investment journey or looking to optimize your current strategy, this conversation provides practical wisdom and actionable insights for taking control of your financial future.

Key Takeaways
  • Before approaching investments with intensity, master the mechanics and practice consistency
  • Understanding the fundamentals of different investment vehicles (cash instruments, stocks, bonds, mutual funds) creates confidence
  • Compounding is the "eighth wonder of the world" that allows your money to grow exponentially over time
  • It's never too late to start investing, regardless of your age
  • Defining "enough" helps set realistic financial goals and celebrate milestones along the way
  • Registered savings vehicles like RRSPs and TFSAs offer significant tax advantages for Canadians
  • The most sustainable investment plans include meaning and connection
  • Investing in yourself and your community creates returns that extend beyond financial growth
Episode Chapters

00:00 - Introduction to Growing Wealth 03:23 - The Framework: Mechanics, Consistency, Intensity 05:18 - Understanding Investment Mechanics 09:23 - Building Consistency in Your Investment Practice 11:26 - The Power of Compounding: The Eighth Wonder of the World 15:49 - It's Never Too Late to Start 16:33 - Defining "Enough" in Wealth Planning 20:37 - Registered Savings Vehicles Explained 25:28 - Strategies for Successful Investing 27:40 - Broadening Your Definition of Investing 30:05 - The Connection Between Financial and Personal Growth

Featured Guest

Gillian Stovel Rivers is a Senior Wealth Advisor at Assante Wealth Management with over twenty years of experience in the industry. She is also the creator of The Muscle Money Mindset®, where she coaches professional women and men to transform from "chronically overwhelmed endurance athletes" to "shot-calling performance athletes" in business and life. As a CF-L2 Coach and Certified High Flow Coach, Gillian brings a unique perspective to financial planning that integrates physical and financial wellness.

Connect with Gillian:

Resources Mentioned Connect with Kristen Don't Miss Out!

Join Kristen at The Pleasure Principle Conference - a groundbreaking event exploring the intersection of health, wellness, and sexual pleasure. Get your tickets now!

The Hole Shebang is produced by Kristen Parise.

The information provided in this episode is for educational purposes only and is not intended as financial advice. Always consult with a qualified financial advisor before making investment decisions.

35: Unfuckwithable: The Art of Receiving with Haley Bowler-Cooke15 May 202500:53:10

What does it actually look like to stop doing and start receiving? In this episode of The Hole Shebang Podcast, Kristen Parise talks with Haley Bowler Cooke, bestselling author of Unfuckwithable and founder of Uplift Lifestyle, about the art of receiving, balancing feminine and masculine energies and why high achieving women often burn out by treating every area of life like a project to power through.

Haley shares her path from studying kinesiology to becoming a channel, speaker and author. She opens up about a near death experience in 2024 that forced her to learn how to receive help from others, calling it the best gift she could have asked for. The conversation explores what Haley calls "the dimension of openness," a state where healing and manifestation become accessible when we stop extracting and start receiving. She and Kristen talk about why success in just one area of life never creates true fulfillment and how quantum physics supports the idea that there is no separation between our physical, emotional and spiritual health.

Haley also shares practical tools listeners can use immediately: a breathwork technique she calls "breathe like you're playing hide and seek" (slow, quiet breathing), lying on the floor as a simple practice to attune to joy, the concept of radical responsibility through saying "I chose this" and shifting from a mindset of extraction to one of "thank you, more please."

What You'll Learn

  • What the art of receiving actually means and how it differs from passive inaction
  • How Haley's near death experience in 2024 became her biggest breakthrough in vulnerability
  • Why holistic success across love, wellbeing, wealth, purpose, impact and joy matters more than achievement in any single area
  • Practical breathwork, body based and mindset tools you can start using today
  • What "the dimension of openness" is and how to access it

Episode Chapters

00:00 Introduction to Unfuckwithable
02:40 Haley's Journey and Background
05:33 The Art of Receiving
15:07 Vulnerability and Personal Growth
25:34 Holistic Success Paradigms
29:22 Holistic Wellness and Success
32:05 The Dimension of Openness
38:41 Practical Steps to Connect with Your Body
42:59 Radical Responsibility and Self Care
46:27 Theme Song and Personal Connection

About Haley Bowler Cooke

Haley Bowler Cooke is the bestselling author of Unfuckwithable, founder and CEO of Uplift Lifestyle Inc. and host of the Uplift Lifestyle Podcast. She works with high level professionals and individuals through channeled healing, retreats, group programs and private sessions. Her book has been featured on Gwyneth Paltrow's Instagram and was requested for review by the New York Times.

Theme Song: "Treat You Better" by Rufus Du Sol

Connect with Haley

Website: upliftlifestyle.ca
Instagram: @uplift_lifestyle
Book: Unfuckwithable on Amazon

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more conversations about wellness, embodiment and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

34: Healing Below the Belt: The Missing Piece in Cancer Care with Dr. Alex Hill09 May 202500:35:45

Pelvic Health After Cancer: Recovery, Lymphedema and Late Effects

Cancer treatment saves lives, but it also leaves a trail of side effects nobody warns you about. Pelvic pain, vaginal dryness, lymphedema, anal fissures, sexual dysfunction, surgical menopause dropped in your lap overnight. And then you are told it is normal. Just deal with it. In this episode, Kristen sits down with Dr. Alex Hill, a double board certified pelvic health and oncology physical therapist based in Jacksonville, Florida, to talk about what cancer rehab actually looks like, why exercise during treatment is not just safe but necessary and how the myth that you can only get lymphedema after cancer is keeping people from care they desperately need. Whether you are navigating active treatment, years into survivorship or trying to support someone you love, this conversation is a permission slip to stop accepting dismissal as the price of being alive.

What You Will Learn

Alex walks through the three distinct phases of cancer side effects, the acute symptoms during treatment, the long term effects that linger and the late effects that surface months or years later and surprise everyone. She breaks down the gold standard four part treatment for lymphedema, explains why vaginal dilators are essential after radiation and medically induced menopause and describes how the pelvic floor often becomes overactive in response to the trauma of a cancer diagnosis. Kristen layers in stories from her own practice, including patients blindsided by tamoxifen induced dryness and anal fissures nobody prepared them for, reinforcing why every cancer survivor deserves a pelvic health physiotherapist on their team.

Topics Covered

  • What pelvic health and oncology physiotherapy actually treats
  • Lymphedema explained and the four part complete decongestive therapy approach
  • Debunking the myth that cancer patients should rest instead of exercise
  • Vaginal dilators after radiation and medically induced menopause
  • Radiation fibrosis and what it means for pelvic tissues
  • Acute, long term and late effects of cancer treatment
  • Why the pelvic floor becomes overactive during cancer treatment
  • Tumor boards, rehab integration and early referral for pelvic cancers
  • Late effects including lifelong lymphedema risk and tissue fibrosis

Resources Mentioned

  • OncoPelvic PT, Dr. Alex Hill's educational platform, blog and continuing education courses for patients and rehab clinicians
  • OncoPelvic PT Clinic Services, concierge pelvic health and oncology rehab in Jacksonville, Florida, with in clinic, mobile and telehealth visits

Related Episodes

Theme Song

Get Back Up Again from Trolls

Connect with Dr. Alex Hill

Website: oncopelvicpt.com
Instagram: @OncoPelvicPT
YouTube: @OncoPelvicPT

Connect with The Hole Shebang

Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast wherever you listen. Leave a review, and head to blueberrytherapy.ca/podcast to explore the back catalog. Come hang out on Instagram @blueberrytherapypelvichealth.

33: Hot Flashes, Happy Vaginas, and Hormone Heroes with Jessica Caceres02 May 202500:48:06
Episode Overview

Join Kristen Parise as she sits down with Jessica Caceres, a nurse practitioner with 15 years of experience who's revolutionizing women's hormonal health care. From frustrating dismissals in traditional medicine to pioneering a holistic approach to hormone therapy, Jessica shares her journey and expert insights on navigating the often turbulent waters of perimenopause and menopause.

What You'll Learn
  • Why the infamous Women's Health Initiative study created decades of fear—and why much of it was unfounded
  • The critical differences between synthetic and bioidentical hormones
  • How to recognize when your body is entering the "zone of chaos" known as perimenopause
  • Why joint pain might be your first clue that hormonal changes are happening
  • The life-changing (and potentially life-saving) benefits of vaginal estrogen
  • When to seek help for hormonal changes and what to expect
Episode Highlights Jessica's Transformation from Traditional Medicine to Hormone Hero

Jessica describes her awakening to the gaps in women's healthcare after years in family medicine, where she noticed women's hormonal concerns being consistently dismissed or treated with band-aid solutions like antidepressants. Her own frustration with her inability to truly help these patients led her to extensive training in functional medicine and hormone optimization, completely transforming her approach to patient care.

The Women's Health Initiative: Setting the Record Straight

Learn why this 20-year-old study created widespread fear around hormone replacement therapy despite major flaws in methodology. Jessica breaks down how the study used women who were too old, synthetic hormones instead of bioidentical ones, and oral medications instead of safer topical options—all leading to misleading conclusions that have impacted millions of women's health decisions.

The Perimenopausal Roller Coaster: What to Expect When Everything's Unexpected

Jessica vividly describes perimenopause as a "treacherous valley" of hormonal peaks and troughs, explaining why symptoms can vary so wildly and change so quickly. From heavy periods to joint pain, brain fog to sleep disturbances, she offers clear guidance on recognizing the signs and knowing when to seek help.

Beyond Hot Flashes: The Musculoskeletal Syndrome of Menopause

Discover the surprising connection between estrogen decline and joint pain, frozen shoulder, back pain, and other musculoskeletal issues. Jessica and Kristen discuss how these symptoms are often overlooked despite being some of the earliest and most common complaints among perimenopausal women.

"Vaginal Estrogen Saves Lives": Breaking the Taboo

In perhaps the most powerful segment of the conversation, Jessica passionately advocates for vaginal estrogen as a game-changing treatment that's safe for everyone—even breast cancer survivors. She shares moving stories of women in their 70s, 80s, and 90s whose lives were transformed by this simple intervention, and why breaking the stigma around discussing vaginal health is literally a matter of life and death.

Episode Chapters
  • 00:00-08:00: Introduction to Hormonal Health and Jessica's Journey – From family medicine to women's hormone specialist
  • 08:01-19:18: The Shift in Women's Health Perspectives – How outdated studies created fear and confusion
  • 19:19-25:27: Understanding Perimenopause and Hormone Replacement Therapy – The basics of bioidentical hormones
  • 25:28-28:28: Addressing Heavy Periods and Hormonal Changes – More than just "take some iron"
  • 28:29-31:55: Understanding Perimenopause Symptoms – From hot flashes to brain fog and beyond
  • 31:56-35:03: The Chaos of Hormonal Changes – Navigating the unpredictable "zone of chaos"
  • 35:04-37:24: Hormone Replacement Therapy: Lifelong Considerations – Is it forever? (Spoiler: it can be!)
  • 37:25-40:56: The Importance of Vaginal Estrogen – A passionate case for this life-changing treatment
  • 40:57-46:40: Breaking the Stigma Around Women's Health Conversations – Educating ourselves and future generations
Connect with Jessica Connect with The Hole Shebang Jessica's Theme Song for Her Career

"Still Standing" by Elton John – perfectly capturing her journey through clinical practice and commercial renovation!

32: Growing Beyond Religious Constraints: Exploring Sexuality with Alyssa Howard25 Apr 202500:32:40

Religious and strict upbringings can shape how people relate to their bodies, their pleasure and their sexuality for decades. In this episode of The Hole Shebang Podcast, Kristen Parise talks with Alyssa Howard, a registered psychotherapist and founder of Grounding Place Therapy in Hamilton, Ontario, about the complex intersection of religious conditioning, sexual shame and reclaiming your relationship with pleasure.

Alyssa explains how sexual shame develops when sex becomes a topic that is never spoken about, creating an automatic sense that it must be wrong or dangerous. She walks through how this shows up in her clients as anxiety, physical tension and negative self talk during sexual experiences, and how those patterns can contribute to actual pain with intercourse. The conversation covers how she works with individuals and couples to identify the beliefs they were taught, examine where those beliefs came from and decide which ones they want to carry forward as a unit.

For listeners who grew up in environments where sensuality was never explored, Alyssa offers three starting points: self compassion around what you don't know, education through books and other resources, and personal exploration to discover what feels good for you. She also shares practical tools including scheduled 10 to 15 minute check ins about sex with a partner, reflective listening that captures emotions (not just words), simple breathing exercises for mindfulness during intimacy and approaching your own pleasure with curiosity rather than judgment.

What You'll Learn

  • How strict religious upbringings create sexual shame and why silence around sex is where that shame takes root
  • The connection between psychological shame patterns and physical sexual pain
  • How Alyssa works with couples to identify individual beliefs and build shared values around sexuality
  • Mindfulness and somatic techniques for being present during sexual experiences
  • Practical first steps for cultivating sensuality when you never had permission to explore it

Episode Chapters

00:00 Introduction to Alyssa Howard
02:46 Navigating Identity and Values
05:50 The Impact of Strict Upbringings on Sexuality
09:00 Understanding Sexual Shame and Guilt
12:01 Communication and Relationship Dynamics
14:50 Education and Exploration in Sexuality
18:11 Therapeutic Techniques for Redefining Sexuality
20:59 Working with Couples on Shared Beliefs
24:04 Mindfulness and Somatic Practices
27:07 Practical Steps for Overcoming Sexual Pain
30:08 Cultivating Sensuality and Pleasure
32:50 Recommended Resources
35:59 Theme Song and Connection

About Alyssa Howard, RP

Alyssa Howard is a registered psychotherapist and founder of Grounding Place Therapy in Hamilton, Ontario. She offers in person and virtual sessions across Ontario, specializing in supporting racialized individuals (particularly Black women), members of the 2SLGBTQ+ community, couples navigating cultural differences and adults working through identity, burnout and relationship concerns. Before becoming a therapist, Alyssa spent 8.5 years in education technology.

Theme Song: "i" by Kendrick Lamar

Books Mentioned

  • Come As You Are by Emily Nagoski
  • Sex Talks: Five Conversations That Will Transform Your Love Life by Vanessa Marin and Xander Marin

Connect with Alyssa

Website: groundingplacetherapy.ca

Upcoming: Catch Alyssa at The Pleasure Principle Conference

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth

Want more conversations about sexual health, identity and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

58: Strength Training for Women: What Actually Works with Dr. Lauren Colenso-Semple23 Oct 202500:43:24

Fact Check Fridays

Episode Overview Muscle metabolism researcher Dr. Lauren Colenso-Semple joins Kristen to debunk fitness myths that are keeping women confused and away from strength training. This evidence-based conversation covers everything from cycle syncing to protein needs, with practical advice for building and maintaining muscle through perimenopause and beyond.

What You'll Learn

  • Why muscle building capacity remains strong at any age and how to harness it effectively
  • The science behind why cycle syncing workout programs may actually hinder your progress
  • Realistic protein recommendations that don't require obsessive tracking
  • How to adapt your training as recovery needs change with age
  • Simple strategies for consistent strength training with compound movements

About Dr. Lauren Colenso-Semple Dr. Lauren is a muscle metabolism researcher with a psychology background who translates complex science into actionable fitness guidance. After working in business development and personal training, she pursued graduate research focusing on muscle physiology for women. She's passionate about evidence-based approaches that cut through industry confusion and help people exercise effectively throughout their lives.

Key Topics Covered

  • Anabolic resistance with aging and what it really means for your workouts
  • Why consistency and progression matter more than perfect programming
  • The truth about protein needs for muscle building (it's less than you think)
  • Recovery differences in your 40s, 50s and beyond—and how to adapt
  • Starting resistance training later in life and the powerful functional benefits
  • Simple workout strategies that work: compound movements, shorter sessions, regular frequency

Connect with Dr. Lauren Instagram: @drlaurencs1

Resources Mentioned Sign up for Dr. Lauren's evidence-based newsletter for weekly myth-busting fitness insights

Visit blueberrytherapy.ca for pelvic health physiotherapy in Hamilton Ontario Subscribe to The Hole Shebang Podcast Connect with us on Instagram @blueberrytherapypelvichealth

31: The Fertility Factors Nobody Talks About with Rachel Corradetti Sargeant18 Apr 202500:49:01

Fertility health deserves the same level of planning and preparation as a wedding, and yet most people start trying to conceive without understanding their own cycle, their partner's sperm health or the environmental factors working against them. In this episode of The Hole Shebang Podcast, Kristen Parise talks with Dr. Rachel Corradetti Sargeant, a fertility focused naturopathic doctor at Conceive Health within Niagara Fertility in Stoney Creek, Ontario, about what preconception care actually looks like and why the three to six month window before trying to conceive matters more than most people realize.

Rachel's path into fertility medicine is deeply personal. After experiencing an ectopic pregnancy and discovering she had premature ovarian insufficiency (a condition that also affected her grandmother and aunt), she became passionate about helping others optimize their fertility before crisis hits. She explains why she calls her patients "the ultimate bodybuilders" because they are literally building another human, and why that process deserves the same nutritional, environmental and lifestyle attention any serious physical pursuit would.

The conversation covers the fertility signals your body is already giving you (particularly cervical mucus changes, which are more reliable than apps alone), why sperm health is dramatically underemphasized despite contributing equally to outcomes, the impact of environmental toxins in everyday products on fertility, and why nearly every patient Rachel tests is vitamin D deficient. Rachel also breaks down PCOS (which 75% of her patients have and which is frequently misunderstood as simply "cysts on ovaries"), blood sugar control as a hidden fertility factor, and how naturopathic and conventional fertility medicine work best when integrated rather than siloed.

What You'll Learn

  • Why the three to six month preconception window is critical and usually overlooked
  • How to read your body's fertility signals without relying solely on apps
  • Why sperm health matters as much as egg health and is rarely given equal attention
  • The impact of environmental toxins and vitamin D deficiency on fertility outcomes
  • What PCOS actually is, how it's commonly misunderstood and how it affects fertility

Episode Chapters

00:00 Introduction to Pelvic Health and Fertility
02:50 Rachel's Journey into Naturopathic Medicine
05:48 Understanding Premature Ovarian Insufficiency
08:56 Preconception Planning
12:11 The Underestimated Impact of Sperm Health
14:55 Fertility Signals: Cervical Mucus and Basal Temperature
17:51 Inside a Naturopathic Fertility Consultation
20:50 Environmental Toxins and Vitamin D Deficiency
26:08 Blood Sugar Control and Fertility
27:32 PCOS Demystified
31:24 Advanced Fertility Support
34:37 Integrating Naturopathic and Conventional Medicine
38:35 Three Steps to Start Your Fertility Journey
41:58 Fertility Myths Busted
45:35 Theme Song and How to Connect

About Dr. Rachel Corradetti Sargeant, ND

Dr. Rachel Corradetti Sargeant is a fertility focused naturopathic doctor practicing at Conceive Health within Niagara Fertility in Stoney Creek, Ontario (part of TRIO Fertility). She studied at the Canadian College of Naturopathic Medicine and the National College of Natural Medicine in Portland, Oregon. Rachel is licensed through the College of Naturopaths of Ontario and is a member of the Canadian and Ontario Associations of Naturopathic Doctors and the Endocrinology Association of Naturopathic Physicians. Her own fertility journey, including an ectopic pregnancy and premature ovarian insufficiency, drives her passion for helping others conceive.

Theme Song: "Started from the Bottom" by Drake

Resources Mentioned

Connect with Dr. Rachel

Website: rachelcorradetti.com
Instagram: @dr_rachel_nd
Practice: Conceive Health at Niagara Fertility, Stoney Creek, Ontario

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Podcast: Listen and Subscribe
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference May 8, 2026

Want more conversations about fertility, hormonal health and the stuff nobody else is talking about? Subscribe to The Hole Shebang Podcast and leave a review.

 

30: The Missing Link in Endometriosis Care with Physiotherapist Jill Mueller11 Apr 202500:46:21

For more information on The Pleasure Principle Conference Learn More

In this engaging conversation, Kristen Parise speaks with Jill Mueller, a pelvic health physiotherapist, about her journey into pelvic health, the complexities of endometriosis, and the importance of understanding sensitization in chronic pain. They discuss the connection between endometriosis and gastrointestinal dysregulation, the evolution of diagnostic methods, and the innovative Endometriosis 360 program that takes a holistic approach to treatment. Jill shares practical tips for managing pain and emphasizes the need for a comprehensive understanding of the patient's experience.

Key Takeaways
  • Jill's journey into pelvic health was influenced by her own fertility struggles and endometriosis diagnosis
  • Sensitization plays a crucial role in chronic pain, affecting how the nervous system responds
  • Endometriosis is complex and can manifest in various ways, including outside the pelvis
  • GI dysregulation is common among endometriosis patients and can exacerbate symptoms
  • Diagnosis of endometriosis is evolving, with less invasive methods like ultrasound gaining traction
  • Endometriosis 360 offers a holistic, interdisciplinary approach to treatment involving physiotherapy, psychology, and nutrition
  • Understanding the patient's life context is crucial for effective care
  • Pain management should consider both physical and psychological factors
  • The tissue is just one aspect of understanding pain; the brain's role is significant
Chapters
  • 00:00 - Journey into Pelvic Health Physiotherapy
  • 03:20 - Understanding Sensitization and Chronic Pain
  • 05:37 - Exploring Endometriosis: Definition and Perception
  • 10:17 - The Connection Between Endometriosis and GI Dysregulation
  • 14:50 - Diagnosis of Endometriosis: Traditional vs. Modern Approaches
  • 23:25 - Introducing Endometriosis 360: A Holistic Approach
  • 27:14 - One-on-One Client Care: Addressing Sexual Pain
  • 32:44 - Cutting Edge Care for Endometriosis
  • 35:51 - Practical Tips for Managing Pain and Sensitization
  • 41:46 - Future Directions and Resources for Patients
Resources Mentioned
  • Natasha Orr - Researcher focused on sensitization and endometriosis - natashaorr.com
  • "Healing Pelvic Pain" by Dr. Peta Wright
  • "Tame the Beast" - Educational video on YouTube about pain science
  • Endometriosis 360 - endometriosis360.ca
  • Endo Together - endo-together.com
About Jill Mueller

Jill Mueller has been a physiotherapist since 2001 and is the founder of Endo Together and a lead physiotherapist at Endometriosis 360. After her own experiences with endometriosis and fertility challenges, she shifted her focus to pelvic health. She practices at Healthy Balance Physiotherapy and Wellness in Oakville, Ontario, and is dedicated to empowering people with pelvic health conditions.

Connect with Jill Connect with The Hole Shebang
29: Moving from Surviving to Thriving in the Perinatal Period with Dr. Arielle Buch-Frohlich04 Apr 202500:49:04

For more information about The Pleasure Principle Conference: Learn More

 

Episode Description

In this powerful episode of The Hole Shebang, host Kristen Parise sits down with Dr. Arielle Buch-Frohlich, a clinical psychologist specializing in perinatal mental health, sex and couples therapy. Together they explore the often unspoken challenges of pregnancy, birth, and postpartum life. Dr. Buch-Frohlich shares insights from both her professional expertise and personal experiences, offering valuable guidance for couples navigating the complex emotional terrain of new parenthood. From redefining intimacy after baby to processing birth trauma and managing postpartum emotions, this conversation breaks the silence on topics many suffer through alone.

About Our Guest

Dr. Arielle Buch-Frohlich is a Clinical Psychologist licensed with the College of Psychologists of Ontario and Quebec. She completed her doctorate in Clinical Psychology (Psy.D) from the Université du Québec à Montréal (UQAM) and clinical training at the Sex and Couple Therapy Service at the Allen Memorial Institute. Dr. Buch-Frohlich provides inclusive Sex and Couples Therapy using a combination of Emotionally Focused Therapy (EFT), Cognitive Behavioural Therapy, and Acceptance and Commitment Therapy (ACT). She specializes in helping couples navigate communication challenges, infidelity, and transitions into parenthood, from fertility to perinatal and postpartum care.

Key Takeaways
  • Perinatal mental health issues are far more common than most people realize
  • The postpartum period should be treated as a survival period before thriving can begin
  • Both partners may experience birth trauma, though often in different ways
  • Self-care is essential for new parents and should not be viewed as selfish
  • The pressure to "bounce back" after pregnancy is unrealistic and harmful
  • Intimacy can be redefined beyond sexual intercourse through emotional and physical connection
  • Communication is key to maintaining intimacy and navigating challenges in relationships
  • Processing emotions like anger is healthy; it's the behaviors that need to be appropriate
  • Prioritizing your relationship during parenthood is vital for long-term success
Chapters
  • 00:00 Introduction to Perinatal Mental Health
  • 03:04 The Journey of a Clinical Psychologist
  • 05:57 Navigating Emotional Changes in Pregnancy
  • 09:04 Creating a Supportive Environment for Couples
  • 11:48 Surviving the Postpartum Period
  • 14:57 The Pressure to Bounce Back
  • 17:59 Self-Care Strategies for New Parents
  • 21:03 Resuming Intimacy After Baby
  • 24:02 Communication and Intimacy in Relationships
  • 26:41 Creating Safe Spaces for Vulnerability
  • 27:34 Understanding Birth Trauma and Its Impact
  • 30:03 Preparing for Birth: Communication and Expectations
  • 32:10 Processing Trauma Together: The Partner's Perspective
  • 33:53 Navigating Anger and Reconnection Postpartum
  • 35:56 Self-Care Strategies for New Parents
  • 39:34 Emotional Regulation and Healthy Expression
  • 43:14 Resources for Postpartum Support
  • 45:29 Prioritizing Relationships in Parenthood
Resources Mentioned
  • Big Little Feelings (Instagram and podcast)
  • Dr. Becky Goodenstein
  • Fertility Oasis/The Oasis Network (support groups for Ontario)
  • Dr. Arielle's website: drarieltherapy.com
  • Coming Soon: Anna and Solomon's Sex and Couples Health (launching May 2025)
Connect With Dr. Arielle Buch-Frohlich
  • Website: Dr. Arielle website
  • Coming soon: Anna and Solomon's Sex and Couples Health
  • Instagram: @annaandsolomon (launching May 2025)
Connect With The Hole Shebang

This episode contains discussions about birth trauma, mental health challenges, and intimate relationships. While we aim to provide helpful information, this podcast is not a substitute for personalized medical or psychological care.

28: It's More Complicated: Understanding Hormones with Dr. Stacey Ritz28 Mar 202500:50:11

For More Information about The Pleasure Principle Conference Learn More

In this enlightening episode of The Hole Shebang, host Kristen Parise sits down with Dr. Stacey Ritz, Associate Professor at McMaster University, to challenge our understanding of hormones and their roles in health across all bodies. Dr. Ritz shares her expertise on how cultural narratives have shaped our misconceptions about hormones like estrogen and testosterone, and explains why moving beyond binary thinking is essential for both healthcare and scientific research.

Episode Highlights:
  • The myth of "male" and "female" hormones and why this framing is scientifically inaccurate
  • How testosterone and estrogen function in all bodies, regardless of gender
  • The reverse relationship: how behavior can influence hormone levels
  • Why hormonal levels vary throughout life stages and aren't as dimorphic as commonly believed
  • The complex feedback mechanisms between different hormones
  • How gender diversity research enhances our understanding of hormonal health
  • Practical approaches to discussing hormones with children without reinforcing stereotypes
Key Takeaways:
  • Testosterone and estrogen are present and important in all bodies
  • There's significant overlap in hormone levels between different sexes
  • The relationship between hormones and behavior is bidirectional
  • Cultural narratives often misrepresent the roles of hormones in behavior
  • Understanding hormonal complexity helps dismantle harmful stereotypes
  • The social and biological aspects of hormones are deeply entangled
Chapters:

00:00 - Introduction to Dr. Stacey Ritz and Her Journey 02:50 - The Intersection of Sex, Gender, and Health Research 05:47 - Myths About Hormones: Understanding Testosterone and Estrogen 08:55 - The Reality of Hormones in All Bodies 12:03 - Cultural Narratives and Hormonal Stereotypes 15:11 - Talking to Children About Hormones 18:01 - The Reverse Relationship: Behavior Influencing Hormones 26:53 - Understanding Hormones and Their Interactions 32:30 - The Complexity of Hormonal Balance 36:43 - Hormones and Female Sexual Health 40:37 - Evolving Perspectives on Gender and Hormones 45:42 - The Interplay of Biology and Society 48:31 - Future Directions in Hormonal Research

About Dr. Stacey Ritz:

Dr. Stacey Ritz is an Associate Professor in the Department of Pathology and Molecular Medicine at McMaster University. Her research focuses on how sex and gender should be considered in health research, particularly developing approaches that account for the nuance, complexity, diversity, and dynamicism of sex and gender-related factors beyond binary comparisons.

Resources:
  • Dr. Ritz's research on hormones associated with gender and sex (HAGS)
  • The concept of sex contextualism in biomedical research
  • The understanding of hormone receptors and their function across different bodies
27: Financial Wellness for Women: Building Confidence with Money19 Mar 202500:52:40

For more about Women's Sexual Health The Pleasure Principle Conference

To connect with Gillian Linkedin, website or email grivers@assante.com

In this engaging conversation, Kristen Parise and Gillian Stovel Rivers explore the intricate relationship between financial wellness and personal health. They discuss the importance of understanding financial stability, the mindset shifts necessary for overcoming financial anxiety, and the unique perspectives women bring to financial discussions. The conversation also delves into practical steps for building long-term financial security, particularly in the context of education savings for children. Through personal anecdotes and professional insights, the episode aims to empower listeners to take control of their financial futures.

Guest Bio

Gillian Stovel Rivers is a Senior Wealth Advisor at Assante Wealth Management and the creator of The Muscle Money Mindset. With over twenty years in wealth management, Gillian acquired her wealth business from her father in 2007 and tripled it before partly monetizing it to her fellow founding partners at SurroundWealth.com in 2020. She holds CFP® and CEA designations, is certified as a CF-L2 Level 2 Coach in CrossFit, and is also a Certified High Flow Coach through the Flow Research Collective. When not advising clients, Gillian competes as a Masters CrossFit athlete and Olympic weightlifter, and is the mother of two teenage sons and two dogs.

Gillian Stovel Rivers is a Senior Wealth Advisor with Assante Financial Management Ltd. The opinions expressed are those of the presenter and Financial Advisor and not necessarily those of Assante Financial Management Ltd. Please obtain professional financial advice or contact Gillian Stovel Rivers at (905) 335 - 1950 or visit https://www.surroundwealth.com/ to discuss your particular circumstances prior to acting on the information presented.

Episode Chapters

  • 00:00 Introduction to Financial Wellness
  • 05:57 Understanding Financial Stability
  • 10:54 Mindset Shifts Around Money
  • 16:32 Unique Perspectives of Women in Finance
  • 20:32 Building Long-Term Financial Security
  • 24:50 Concrete Steps for Education Savings
  • 27:07 Starting Over Financially: Navigating Life Changes
  • 30:20 The Importance of Advisors and Networking
  • 32:35 Building Resilience Through Financial Challenges
  • 38:36 Practical Budgeting for Everyday and Long-Term Goals
  • 46:31 Practical Tips for Increasing Savings
  • 51:48 Tax Efficiency in Saving and Investing

Resources Mentioned

  • The Muscle Money Mindset by Gillian Stovel Rivers
  • DIY financial planning software:  Optiml– there are literally few if not no other personal financial planning programs available to Canadians, everything else is a budgeting app!
  • Ray Dalio Principles for success: an ultra mini-series adventure on You Tube
26: The Art of Community Building with Sharlene Louden14 Mar 202500:49:19

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For more information about Right At Home Sharlene Louden

In the podcast interview Kristen Parise speaks with Sharlene Hogeterp Louden, a dynamic serial entrepreneur and registered kinesiologist with a passion for movement as medicine. Sharlene's journey began as a gymnastics coach and developed through her work in a multidisciplinary clinic setting, where she emphasized the importance of movement for all ages. Her entrepreneurial spirit led her to create Louden Kinetics, focusing on rehab and health promotion, alongside other ventures.

 

In 2018, Sharlene sought a legacy project and partnered with Right at Home, a franchise providing in-home care services, especially valuable during the COVID-19 pandemic. Sharlene's approach is grounded in building compassionate, client-centered care teams by hiring individuals with personal caregiving experiences. Her leadership philosophy is to create a supportive work environment, celebrating staff achievements and fostering a spirit of connection and respect.

 

Sharlene is committed to volunteering and community building, often seen leading initiatives like women's health summits and advocating for mental health services through the Canadian Mental Health Association board. Her belief in taking risks and her love for community interaction have been instrumental in her success.

 

Sharlene has faced personal health challenges, including navigating a total hysterectomy, but she advocates for self-care, movement, and being one's own health advocate. Her passion for movement continues through her longstanding fitness group, Louden Kinetics, which she started to support and connect with other mothers.

 

Throughout the interview, Sharlene emphasizes the importance of building networks, volunteering, and taking risks. Her life motto, underscored by songs like "Courage" by The Tragically Hip, reveals her dedication to continuous personal and community growth, making a meaningful impact wherever she can.

25: Cultural Perspectives on Sexual Desire with Dr. Sari van Anders07 Mar 202500:45:24

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For more information on Dr. Sari van Anders van Anders Lab

 

In this engaging episode of The Hole Shebang podcast, host Kristen Parise welcomes Dr. Sari van Anders from Queen's University. Dr. van Anders shares her impressive academic journey, which began with a passion for teaching sex education to younger students and evolved into a career as a Canada 150 Research Chair at Queen's University. She specializes in social neuroendocrinology, sexuality, and gender sex, weaving these interests into a complex tapestry of research that includes feminist and queer science perspectives.

 

Dr. van Anders discusses her groundbreaking Sexual Configurations Theory (SCT), which aims to address gaps in traditional understandings of sexual orientation. SCT provides a framework that separates identity, orientation, and status, capturing the complexity of human sexuality beyond binary definitions. This theory is particularly useful for individuals whose identities do not align with conventional labels. Dr. van Anders and her team are developing materials for clinicians and educators to help them utilize SCT in practical settings.

 

Another significant topic covered in the interview is the societal impact on women's sexual desire, particularly in heteronormative relationships. Dr. van Anders challenges the notion that low desire in women is primarily due to biological factors like testosterone levels. Instead, she posits that gender inequities and cultural expectations play a significant role, affecting women's sexual experiences and desires. This perspective shifts the focus from individual issues to broader societal structures that influence intimate dynamics.

 

The conversation also explores Dr. van Anders' research on orgasms, revealing how these experiences are often viewed as achievements tied to gender roles rather than purely personal pleasure. Her work suggests that cultural expectations can distort relationships and sexual satisfaction.

 

Regarding pornography and sexual norms, Dr. van Anders acknowledges the branched nature of sexual fantasies, desires, and real-life experiences. Her research emphasizes that what arouses in fantasy or pornographic content doesn't necessarily align with in-person desires, highlighting the importance of recognizing and respecting these differences.

 

Throughout their discussion, Kristen and Dr. van Anders emphasize the power of open communication in relationships to navigate and challenge outdated sexual norms. Dr. van Anders is working on developing pragmatic tools and language around these issues for clinicians and educators to improve understanding and acceptance in various sexual and relational contexts.

 

For those interested in learning more about her work, Dr. van Anders' research and resources on Sexual Configurations Theory are accessible online, promising fresh insights and practical applications for those looking to deepen their understanding of sexuality and gender dynamics.

24: Empowering Perinatal Health Through Naturopathy with Dr. Carly King28 Feb 202500:59:57

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For more information on Dr. Carly King Dr. Carly King

Dr. Carly King, a passionate and experienced naturopathic doctor, joins me on the Podcast to share her remarkable journey and insights into perinatal health. With a background as a high-level athlete at McMaster University, Dr. King's personal health challenges led her to explore naturopathic medicine after conventional treatments failed to alleviate her severe migraines.

 

Dr. King's passion for perinatal health was ignited by her personal experiences during the perinatal period. Her challenging pregnancy, including being diagnosed with kidney failure and undergoing close monitoring, taught her the importance of being proactive. Researching ways to improve pregnancy outcomes through lifestyle, nutrition, and holistic approaches became her mission.

 

In this episode, Dr. King discusses the significance of early intervention in pregnancy and emphasizes the proactive measures that can be taken to ensure a healthy outcome for both mother and child. She highlights the importance of addressing nutritional deficiencies early in pregnancy, particularly focusing on iron, vitamin D, and omega-3s, which are crucial for placental and fetal development. Dr. King shares valuable tips on maintaining health through a Mediterranean diet, known for its benefits in reducing risks like gestational diabetes and enhancing fertility.

 

Listeners will be captivated by Dr. King's inspirational story of resilience through her medical challenges, including a recent kidney transplant. Her dedication to combining naturopathic practices with conventional medicine offers a comprehensive approach to perinatal care, and her insights are sure to resonate with those seeking a more informed and holistic path through pregnancy.

 

This episode promises to be a beacon of knowledge and a source of empowerment for expecting mothers and healthcare providers alike. Whether you're interested in holistic health approaches or captivated by Dr. King's journey, this episode is a must-listen.

 

23: Pelvic Organ Prolapse: Myths, Facts, and Real Treatment Options with Dr. Carolyn Best21 Feb 202500:48:16

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For more information on Dr. Carolyn Best Dr. Carolyn Best

In this engaging episode of The Hole Shebang, Kristen Parise welcomes Dr. Carolyn Best, a seasoned urogynecologist, for an in-depth discussion about pelvic organ prolapse (POP), surgical options, and the misconceptions surrounding these conditions. Dr. Best shares her journey into urogynecology and her passion for impactful, tangible results in women's health. Her experience ranges from Mount Sinai Hospital in Toronto to her current position at Halton Healthcare, where she continues to perform surgeries and educate others in the field.

 

Throughout the conversation, Dr. Best emphasizes the importance of understanding the symptoms of pelvic organ prolapse, such as a feeling of pressure or bulging in the vagina, which can significantly impact a person's quality of life. The discussion highlights that while these symptoms are common, they often remain misunderstood, leading to unnecessary distress among those affected.

 

Dr. Best provides clarity on the causes of prolapse, pointing to pregnancy, gravity, chronic constipation, and heavy lifting as potential contributors. While hormones play a role, the exact mechanism remains under study, with changes in estrogen levels affecting tissue integrity and muscle tone more than directly causing prolapse.

 

Listeners will gain insight into how Dr. Best approaches treatment, considering surgery only when prolapse significantly affects a patient's life and when non-surgical options prove insufficient. She explains the nuances of grading prolapse, focusing on quality of life rather than numerical severity. This approach ensures that treatment is highly personalized, acknowledging the diversity of patient experiences.

 

Prolapse surgeries, as Dr. Best describes, are typically done through the vagina, minimizing recovery time and the need for invasive procedures. She elaborates on the steps involved in these surgeries, including vaginal hysterectomy and repairing the vaginal walls, while emphasizing non-surgical measures like pelvic floor exercises and pessaries when appropriate.

 

Dr. Best addresses common concerns about the longevity of surgical outcomes, explaining that while prolapse can recur, each case is unique. She reassures listeners that treatment options remain open, even if prolapse returns, providing a balanced perspective on surgical success rates.

 

The episode concludes with Dr. Best's theme song choice, "Get Up, Stand Up" by Bob Marley and the Whalers, reflecting her advocacy for women's health and the continuous fight for improved awareness and care.

 

This episode is a must-listen for anyone interested in women's health, providing expert insights and practical advice on managing pelvic organ prolapse with warmth, humor, and a wealth of experience.

 

22: Caregiving with Susan Alexander14 Feb 202500:44:38

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In this episode Susan Alexander, a registered psychotherapist and Kristen's cousin discuss Caregiving. They discuss Susan's journey into psychotherapy, starting from her personal experience with therapy at 18 after a high school betrayal. Susan's career began in massage therapy, where she noticed clients opening up about stress and anxiety. Her interest in psychotherapy deepened after her son was diagnosed with leukemia, leading her to connect with professionals in the field during his treatment.

 

The conversation shifts to caregiving, highlighting the challenges faced by the "sandwich generation" managing care for both children and aging parents. Susan emphasizes the importance of recognizing and addressing caregiver burnout, which can manifest as exhaustion and stress. She shares strategies for setting healthy boundaries and the significance of self-awareness in preventing burnout. Mindfulness techniques, such as the 5-4-3-2-1 grounding exercise, are suggested as methods to manage stress and stay present.

 

Kristen and Susan discuss the societal pressures on women to balance caregiving and other responsibilities, often resulting in guilt. They stress the importance of communication and self-compassion, encouraging women to ask for help and prioritize their well-being. Susan mentions the benefits of seeking psychotherapy and support networks, particularly in times of caregiving challenges. The podcast also touches on self-talk and reframing thoughts towards self-compassion and kindness. Susan concludes by sharing her theme song, "Hallelujah" by Leonard Cohen, as a representation of her journey, symbolizing hope and resilience.

 

57: Perimenopause Isn't All in Your Head: Empowering You with the Knowledge You NEED with Jessica Caceres16 Oct 202500:47:35

Register for the Empowered Transitions Master Class (Nov 13th 2025, 7-8:30 PM Eastern)

Connect with Jessica Caceres at Bonita Medical Aesthetics

Episode Overview

Kristen welcomes back nurse practitioner Jessica Caceres for an in-depth conversation about perimenopause, menopause, and the collaborative care that's transforming women's health. This episode tackles the symptoms, treatments, and myths surrounding this life stage while announcing an exciting new educational opportunity.

What You'll Learn
  • The real timeline for when to start monitoring hormonal changes and symptoms
  • Why blood tests can't predict your menopause journey
  • How estrogen decline affects your pelvic floor function
  • The connection between hormones and joint pain, sleep, and brain fog
  • Why vaginal estrogen is a game-changer for UTI prevention and tissue health
  • How to become a better advocate for your own healthcare
Featured Expert

Jessica Caceres, Nurse Practitioner - Specializes in women's health with a focus on perimenopause and menopause care. Jessica provides virtual consultations across Ontario and is passionate about education and evidence-based treatment for hormonal health.

Key Topics Covered
  • Perimenopause symptoms that start in your late 30s and early 40s
  • The musculoskeletal syndrome of menopause
  • Hormone replacement therapy safety and effectiveness
  • The role of vaginal estrogen in preventing infections
  • Collaborative care between pelvic health physiotherapy and hormone specialists
  • Patient advocacy and education
Exciting Announcement

Empowered Transitions Masterclass Join Kristen and Jessica for a 90-minute live educational session on November 13th 2025 from 7-8:30 PM Eastern. This interactive masterclass will dive deeper into the topics covered in this episode, plus live Q&A and downloadable resources.

Connect with Jessica Caceres

Follow Jessica for evidence-based menopause information and virtual consultation availability.

Connect with Kristen

Visit blueberrytherapy.ca for pelvic health physiotherapy in Hamilton and virtual consultations across Ontario. Subscribe to The Hole Shebang Podcast for more honest conversations about pelvic health, parenting, and healthy aging.

Follow The Hole Shebang on Instagram @blueberrytherapypelvichealth

The information in this podcast is for educational purposes and not intended to replace medical advice. Always consult with your healthcare provider about your individual situation.

21: Pessaries with Kristen Parise and Dr. Maureen Macdonald07 Feb 202500:54:52

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In this engaging episode of The Hole Shebang Podcast, Dr. Maureen Macdonald hosts an insightful conversation with Kristen Parise, a pelvic health physiotherapist specializing in women's health issues, particularly pelvic organ prolapse and pessaries. Pelvic organ prolapse, a common condition affecting up to 50% of women, involves the descent of pelvic organs due to weakened support structures. Kristen emphasizes that this condition is prevalent but often unaddressed, partly due to a lack of awareness and conversation.

 

The discussion starts with a detailed introduction to vaginal pessaries, devices used to support pelvic organs, much like how a knee brace supports a weakened knee. Pessaries are presented as a versatile solution for women of all ages, from those in their twenties postpartum to women over 100 years old. Kristen highlights their effectiveness not only in managing symptoms but also in potentially preventing further progression of prolapse by providing necessary structural support.

 

Kristen and Maureen explore the anatomy and function of the pelvic floor, emphasizing its vulnerability to gravity and life's physical demands. They discuss how prolapse can manifest differently in women, with varying symptoms such as the sensation of heaviness, urinary difficulties, and bowel issues. Kristen explains the grading of prolapse severity and underscores that even minor prolapse can significantly impact a woman's quality of life, making day-to-day activities challenging.

 

The podcast delves into the assessment process for pelvic floor health, demystifying what might seem an intimidating experience. Kristen describes a comprehensive approach that includes lying and standing assessments to understand the true extent of prolapse and ensure effective treatment planning. Emphasizing a holistic approach, Kristen talks about collaborating with other healthcare professionals to provide well-rounded support for women, acknowledging the role of teamwork in optimal pelvic health management.

 

Preventive measures are also a critical component of the conversation. Kristen advocates for early education and pelvic floor health awareness, suggesting that pelvic health assessments should be as routine as annual physicals, especially before childbirth. Proper understanding and strengthening of the pelvic floor, managing constipation, maintaining healthy weight, and mindful physical activity are recommended to minimize the risk of prolapse.

 

Another key point of discussion is the innovation in pessary design. Kristen shares her excitement about new developments in custom pessaries, which offer more comfortable, personalized fits compared to standard models. This innovation provides hope for those who previously struggled with standard pessary discomfort.

 

Overall, this episode is a valuable resource for anyone seeking to understand pelvic organ prolapse better and explores the role of pessaries as a supportive, effective solution. The key takeaway is clear: there is hope and help available, and conversations like these are the first step in lifting the veil on women's pelvic health issues.

 

20: Muve Forward with Michelle Wolfe31 Jan 202500:44:52

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To learn more about Michelle Wolfe and the Muve Forward Podcast Michelle Wolfe

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In this episode of The Hole Shebang Podcast, Kristen Parise interviews Michelle Wolfe, an inspiring entrepreneur and the creative force behind Muve Forward and Muve Life. Michelle shares her journey from growing up in a small town to establishing her activewear brand and launching her podcast. Her passion for movement and health was influenced by her experience as a massage therapist, working particularly in a neurological rehab facility where she learned the significance of movement in overcoming illness and pain.

 

Michelle's brand, Muve Life, arose from a personal history of struggling with body image and the absence of her mother, who passed away when Michelle was just eight. Wanting to create clothing that embraces various body types, she designs activewear that fits well and motivates people to feel confident and comfortable in their skin.

 

Throughout the interview, Michelle emphasizes the importance of consistency, a lesson she learned from producing over 460 episodes of her podcast, Muve Forward. This consistency, combined with her courage to reach out and connect with diverse individuals, has enriched her professional life and expanded her reach.

 

A notable moment in the conversation is when Kristen relates to Michelle about working in traditionally male roles, reflecting their shared experiences of empowerment. They discuss the valuable lessons learned from various jobs that shape personal and professional growth.

 

Michelle shares the personal challenges she's faced, from family tragedies to navigating the complexities of entrepreneurship. Her podcast was born out of a difficult period, serving as a channel to heal and help others. This experience reinforced the power of controlling one's mood and thoughts for personal well-being.

 

The discussion touches on the intersection of physical and emotional health, with Michelle sharing insights from her massage therapy days about the mind-body connection and the power of positivity in healing. Her approach aligns with Kristen's work in physiotherapy, emphasizing reframing thoughts to overcome pain and distress.

 

Later in the episode, Michelle reveals her newfound awareness of habits that held her back, like a tendency to prioritize helping others over her own growth. This realization is fueling her journey toward balancing altruism with self-focus, ensuring her business and personal endeavors align with her values.

 

Michelle's vision for Muve Life is expansive, aiming to make a global impact by providing quality activewear that fits and empowers diverse body types. The conversation closes with Michelle's refreshing philosophy on embracing change and the anticipation of future growth for her brand, including partnerships with spaces like Blueberry Therapy to broaden her reach.

 

Kristen concludes by reflecting on how their discussion highlights themes of movement, connection, and the power of choice and curiosity. She expresses admiration for Michelle's authenticity and resilience, reinforcing the positive impact of Michelle's work and personality. The episode wraps up with a fun question about theme songs, where Michelle humorously relates her life to "Just Dance" and the liberating simplicity of movement.

 

19: Pelvic Floor, TMJ, and Breathing: The Ugly Triad Explained with Dr. Nicole Wilson24 Jan 202500:45:08
For more information on Blueberry Therapy Blueberry Therapy   For more information on The Pleasure Principle Conference The Pleasure Principle   For more information on Dr Nicole Wilson The Health Centre   In this engaging conversation, Dr. Nicole Wilson shares her journey from suffering debilitating migraines to becoming a passionate chiropractor. She discusses the importance of posture, breathing, and the interconnectedness of physical and mental health. Dr. Wilson highlights the 'ugly triad' of neck pain, digestive issues, and anxiety, emphasizing how proper alignment and breathing techniques can alleviate these problems. She also delves into prenatal and postpartum care, the significance of meditation, and strategies for addressing osteoporosis and pelvic floor issues. This insightful dialogue offers valuable perspectives on holistic health and wellness. In this conversation, Dr. Nicole discusses the critical role of core strength and proper posture in overall health, particularly in relation to back pain and children's health. She emphasizes the importance of posture in daily activities, the impact of technology on children's alignment, and the necessity of good sleep for healing. Dr. Nicole shares real-life examples of how improving posture can lead to significant transformations in health and performance, and she reflects on her journey in the health field, highlighting the importance of resilience and strength. takeaways
  • Dr. Nicole's journey into chiropractic was driven by personal pain.
  • Posture significantly impacts not just physical health but mental well-being.
  • The diaphragm plays a crucial role in stress management and digestion.
  • Chiropractic care can help improve posture and alleviate pain.
  • Prenatal yoga is beneficial for maintaining health during pregnancy.
  • Meditation and deep breathing can change brain structure and reduce anxiety.
  • Proper spinal alignment is essential for effective breathing.
  • Postpartum care requires gentle core exercises and spinal alignment.
  • Osteoporosis patients need tailored strategies for maintaining posture.
  • Breathing techniques can stimulate the vagus nerve and promote relaxation. Core strength is essential for proper posture.
  • Avoid relying on braces for support; strengthen your core instead.
  • Changing positions frequently is crucial for spinal health.
  • Posture reminders can help reinforce good habits.
  • Children's posture is affected by technology use.
  • Proper alignment can improve digestion and mental health.
  • Sleep is vital for healing and overall well-being.
  • Good posture can enhance athletic performance.
  • Education on posture should start at a young age.
  • Resilience and strength are key themes in health.
  Chapters 00:00 Introduction to Chiropractic and Personal Journey 03:03 Understanding the Ugly Triad: Posture, Pain, and Mental Health 06:10 The Role of Breathing and Diaphragm in Health 08:55 Chiropractic Techniques for Pain Relief and Posture Improvement 11:45 Prenatal and Postpartum Care: Supporting Women Through Changes 15:10 The Importance of Meditation and Breathwork 17:59 Addressing Osteoporosis and Pelvic Floor Issues 25:04 Core Strength and Posture Alignment 29:56 Posture Tips for Kids and Technology 34:55 The Importance of Sleep and Rest 40:06 Real-Life Transformations Through Posture 42:52 Dr. Nicole's Journey and Theme Song
18: Secrets to a Healthy Pregnancy Journey with Dr. Kristi Adamo17 Jan 202500:45:35
For more information on Blueberry Therapy Blueberry Therapy   For more information about Dr. Kristi Adamo The Adamo Lab   In this conversation, Dr. Kristi Adamo discusses her journey from muscle physiology to her current research on the intergenerational cycle of obesity, the importance of physical activity during pregnancy, and the role of diet and gut microbiome in maternal and fetal health. She emphasizes the benefits of exercise for both mothers and their babies, debunking myths about pregnancy and physical activity, and highlights the significance of a healthy lifestyle for long-term health outcomes. In this engaging conversation, Kristi Adamo and Kristen Parise explore the intricate connections between microbiota, prenatal care, and women's health. They discuss the impact of delivery methods on microbiota, the development of the Smart Moms app to support pregnant women, and ongoing research into placenta biology and physical activity. Additionally, they highlight the challenges faced by women in the Canadian Armed Forces, particularly regarding pelvic floor health and postpartum support. The discussion emphasizes the importance of evidence-based approaches in women's health and the need for supportive resources for mothers and military personnel alike.   Takeaways
  • Dr. Adamo's journey into research was influenced by her mentor.
  • The intergenerational cycle of obesity can start in utero.
  • Physical activity during pregnancy reduces risks of complications.
  • Weight gain recommendations vary based on pre-pregnancy weight.
  • Exercise can improve both maternal and fetal health outcomes.
  • The placenta is a key communication conduit between mother and baby.
  • Sperm health can impact placental quality and offspring health.
  • Diet and physical activity are crucial for healthy pregnancy outcomes.
  • Gut microbiome changes during pregnancy are an emerging area of research.
  • Healthy behaviors can mitigate risks associated with higher pre-pregnancy weight. Fecal transplants can significantly impact health outcomes.
  • The mode of delivery affects a baby's microbiota.
  • The Smart Moms app aims to support pregnant women.
  • Evidence-based resources are crucial for maternal health.
  • Pelvic floor disorders are common in military women.
  • Postpartum support is essential for women's careers.
  • Physical activity influences placenta biology.
  • Research is ongoing to improve women's health resources.
  • The military is working to retain female members.
  • Life as a female scientist can be overwhelming but rewarding.
Chapters 00:00 Introduction to Dr. Kristi Adamo and Her Journey 06:04 The Importance of Weight Gain During Pregnancy 16:52 The Role of Sperm in Placental Health 23:02 Exploring Gut Microbiome Changes During Pregnancy 32:41 Exploring Placenta Biology and Physical Activity 44:41 Connecting with Kristi: Research and Resources
17: Overcoming Emotional Eating with Amber Romaniuk10 Jan 202500:50:46

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For more information on Amber Romaniuk Amber Approved

Amber Romaniuk is an emotional eating, digestive, and hormone expert who helps women claim food and body freedom. She shares her journey of overcoming her own struggles with emotional eating and binge eating and how it led her to start her business. Amber works with clients all over the world, offering coaching programs to support them on their healing journey. She emphasizes the importance of building awareness around physical and emotional hunger and understanding the triggers for emotional eating. Amber's clients have experienced significant wins, such as healing their relationship with food, improving their hormone health, and transforming their lives. Amber Romaniuk discusses the connection between emotional eating, hormones, and self-worth. She explains how emotional eating can lead to hormone imbalances, which can worsen during perimenopause and menopause. Amber also shares her approach to helping women heal their relationship with food and build self-worth. She discusses the importance of addressing childhood experiences and healing the inner child. Additionally, Amber talks about her future plans, including creating a podcast course and helping female entrepreneurs heal their relationship with money.   keywordsemotional eating, digestive health, hormone health, coaching, self-care, emotional eating, hormones, self-worth, perimenopause, menopause, healing, inner child, podcasting, female entrepreneurs, money mindset takeaways
  • Emotional eating is any reason for eating other than physical nourishment.
  • Building awareness around physical and emotional hunger is the first step in overcoming emotional eating.
  • Self-care practices and reflection can help individuals understand their triggers and make healthier choices.
  • Amber's coaching programs provide support, accountability, and guidance for long-term healing and transformation.
  • Healing emotional eating and improving hormone health can lead to significant wins, such as improved self-worth, better physical health, and a higher quality of life. Emotional eating can lead to hormone imbalances and worsen during perimenopause and menopause.
  • Healing the relationship with food involves addressing childhood experiences and healing the inner child.
  • Amber Romaniuk plans to create a podcast course to teach podcasters how to start, grow, and monetize their shows.
  • She also aims to help female entrepreneurs heal their relationship with money and claim their power and worth.
Sound Bites
  • "You literally helped me completely change my life."
  • "Women completely transform their lives and learn to love themselves."
  • "Physical nourishment is eating in response to hunger signals, while emotional hunger is eating for any other reason."
  • "Emotional eating fuels hormone issues."
  • "Diets don't work the same way during perimenopause and menopause."
  • "Healing the inner child is key to building self-worth."
Chapters 00:00 Introduction and Background 02:15 Amber's Journey: Overcoming Emotional Eating and Binge Eating 05:07 Coaching Programs: Supporting Clients on Their Healing Journey 08:36 Client Success Stories: Transforming Lives through Healing 17:27 Differentiating Between Physical and Emotional Hunger 20:22 Tips for Overcoming Emotional Eating 23:01 The Connection Between Emotional Eating and Hormones 28:26 Healing the Relationship with Food and Building Self-Worth 40:37 Creating a Podcast Course for Podcasters
16: Exercise and Mental Health: How Movement Heals Your Brain03 Jan 202500:47:34
In this engaging conversation, Dr. Jennifer Heisz shares her journey from a sedentary lifestyle to becoming a leading researcher in the field of exercise and mental health. She discusses the profound impact of exercise on mental well-being, the importance of mindset shifts for engaging in physical activity, and the emerging research on the benefits of both aerobic and resistance training. Dr. Heisz emphasizes that any movement is beneficial and that exercise can be as effective as medication for mental health issues. She also highlights the significance of planning and consistency in maintaining an active lifestyle, as well as the personal experiences that have shaped her understanding of the connection between movement and mental health. takeaways
  • Exercise can significantly improve mental health and cognitive function.
  • Mindset shifts are crucial for engaging in regular exercise.
  • Any movement is better than no movement; start small.
  • Exercise can be as effective as antidepressant medications.
  • Resistance training is important for maintaining cognitive health as we age.
  • Planning and consistency are key to sticking with an exercise routine.
  • Lactate produced during exercise is beneficial for brain health.
  • Finding pleasure in movement can enhance motivation to exercise.
  • Exercise helps train the body's stress response, making it less reactive.
  • It's never too late to start exercising; benefits can be seen at any age.
Chapters 00:00 Introduction to Dr. Jennifer Heisz and Her Journey 03:46 Mindset Shifts for Engaging in Exercise 06:31 The Effectiveness of Exercise on Mental Health 12:14 Understanding the Minimum Requirements for Exercise 15:51 Measuring the Impact of Exercise on the Brain 20:25 The Role of Resistance Training in Mental Health 24:40 Transformative Personal Experiences with Exercise 30:35 The Importance of Planning and Consistency in Exercise 36:04 The Connection Between Pleasure and Movement 43:43 Current Research and Exciting Projects
15: From Physiotherapist to Lactation Consulting with Laura Doyle18 Dec 202400:30:59
Use this link to find out more about Laura Doyle Laura Doyle   Use this link to learn more about Laura's amazing course Foundations of Infant Bodywork   In this engaging conversation, Kristen Parise interviews Laura Doyle, a pediatric physiotherapist and lactation consultant, about her journey in the field of pediatrics and the integration of lactation consulting into her practice. They discuss the importance of assessing both mothers and infants during breastfeeding, the significance of tummy time, and the role of infant bodywork in promoting functional movements. Laura shares valuable insights on tethered oral tissue, parental guidance, and the importance of consistency in home activities. The conversation concludes with Laura's upcoming course for healthcare professionals and her aspirations for the future.   Takeaways
  • Laura's journey from kinesiology to pediatric physiotherapy and lactation consulting.
  • The importance of assessing both mother and infant in breastfeeding.
  • Tummy time is crucial for infant development and breastfeeding success.
  • Understanding tethered oral tissue and its impact on feeding.
  • Infant bodywork helps release tension for better functional movements.
  • Parental involvement is key in supporting infant feeding and development.
  • The goal of breastfeeding can shift as the relationship develops.
  • Healthcare professionals can benefit from specialized training in infant bodywork.
  • Consistency in home activities is essential for change in infants.
  • Laura's excitement for the future and her upcoming course offerings.
Sound Bites
  • "The goal can always change."
  • "Change takes time, but it also takes consistency."
  • "Tummy time, tummy time, tummy time!"
  • "You only get better at breastfeeding by breastfeeding."
  • "I'm on fire because 2025 is going to be my year."
Chapters 00:00 Introduction and Background 02:52 Transition to Lactation Consulting 05:47 Assessment and Feeding Techniques 08:59 Understanding Tethered Oral Tissue 12:11 Infant Bodywork and Its Importance 15:04 Parental Guidance and Home Activities 18:00 Advice for New Moms 21:09 Course Offerings for Healthcare Professionals 23:48 Conclusion and Future Aspirations
14: Protein in Perimenopause: How Much You Really Need13 Dec 202400:52:14
Dr. Stuart Phillips shares his journey into muscle research and resistance training. He discusses the differences between how men and women build muscle and the impact of estrogen on muscle mass. The conversation then shifts to the changes that occur in skeletal muscle during perimenopause and the importance of resistance training for women in their 20s to 40s. Dr. Phillips emphasizes the need for consistency and effort in resistance training, regardless of the weight lifted. He also highlights the importance of protein in supporting muscle and bone health, and the convenience of protein supplements. In this conversation, Stu Phillips discusses collagen supplements, other dietary supplements, and the impact of menstrual cycle hormones on exercise performance. He emphasizes the importance of overall healthspan and highlights the pillars of physical activity, social support, diet, sleep, and stress management. Stu also shares his theme song and reflects on the joy of learning and trying new things. keywordsmuscle research, resistance training, estrogen, perimenopause, skeletal muscle, women, muscle mass, protein, supplements, collagen supplements, dietary supplements, menstrual cycle hormones, exercise performance, healthspan, physical activity, social support, diet, sleep, stress management, theme song, learning, trying new things takeaways
  • Resistance training is important for both men and women to build muscle.
  • Women can gain muscle just as much as men, relative to their muscle mass.
  • Estrogen plays a role in the age-related loss of muscle and bone mass.
  • Resistance training should be started early in life to build strength and maintain muscle mass.
  • Protein intake is important for muscle and bone health, and supplements can be a convenient option. Collagen supplements, like those endorsed by Jennifer Aniston, may have benefits for skin health, but there are other factors at play in achieving healthy skin.
  • Vitamin D and creatine are worth considering as supplements for musculoskeletal health, and omega-3s can be beneficial if sourced properly.
  • There is limited evidence to support the idea that menstrual cycle hormones significantly impact exercise performance and muscle protein synthesis.
  • Maximizing healthspan involves focusing on physical activity, social support, diet, sleep, and stress management.
  • Trying new things and learning are important for personal growth and resilience.
  • Stu's theme song would be one that embodies resilience and the ability to overcome challenges.

 

Chapters 00:00 Introduction and Background 03:28 Muscle Changes during Perimenopause 12:30 The Importance of Resistance Training 26:31 Protein and its Role in Muscle and Bone Health 29:05 The Convenience of Protein Supplements 30:38 Collagen Supplements and Skin Health 31:06 Other Dietary Supplements: Vitamin D, Creatine, and Omega-3s 32:53 Menstrual Cycle Hormones and Exercise Performance 40:34 Maximizing Healthspan: Physical Activity, Social Support, Diet, Sleep, and Stress Management 46:42 The Joy of Learning and Trying New Things 48:46 Stu's Theme Song: Resilience and Overcoming Challenges
13: Naturopathic Approach to Perimenopause with Dr. Erin Ley06 Dec 202400:47:43
In this conversation, Dr. Erin Ley, a naturopathic doctor, discusses her journey into naturopathic medicine with a focus on women's health, particularly during perimenopause and menopause. She highlights the lack of support for women in this phase of life and the importance of a comprehensive, evidence-based approach to treatment. The discussion covers the differences between naturopathic and traditional medicine, the assessment tools used for patients, the role of nutrition in managing symptoms, and the training required to become a certified menopause practitioner. Dr. Ley emphasizes the need for personalized care and the importance of understanding each patient's unique situation. In this conversation, Dr. Erin Ley discusses the multifaceted aspects of health during perimenopause, focusing on nutrition, sleep, vaginal health, and the importance of women prioritizing their own health. She emphasizes evidence-based approaches to supplements, the significance of sleep hygiene, and the need for open conversations about vaginal health and hormone therapy. The discussion highlights the empowerment of women to take charge of their health and well-being. Takeaways
  • Naturopathic medicine combines science and empathy to support women's health.
  • Many women feel unsupported during perimenopause and menopause.
  • Naturopaths can provide more comprehensive assessments than traditional doctors.
  • Nutrition plays a crucial role in managing perimenopause symptoms.
  • The Dutch test may not provide more information than standard blood tests.
  • Training to become a menopause practitioner requires significant education and certification.
  • Personalized care is essential for effective treatment during menopause.
  • Women often restrict their diets unnecessarily during perimenopause.
  • Front-loading nutrition can improve energy levels and overall well-being.
  • Understanding hormone changes is key to effective menopause management. A lot of the information out there about supplements is misleading.
  • Preserving cardiovascular health is crucial during perimenopause.
  • Fiber supplements can help achieve daily fiber intake goals.
  • Sleep hygiene and environment significantly impact sleep quality.
  • Reducing alcohol and caffeine intake can improve sleep.
  • Establishing a consistent sleep schedule is essential for better sleep.
  • Vaginal estrogen products are effective for managing vaginal dryness.
  • Women often neglect their own health while caring for others.
  • Empowering women to prioritize their health is vital.
  • A light-hearted approach can make serious health topics more relatable.
  Chapters 00:00Introduction to Naturopathic Medicine and Women's Health 07:01Assessment Tools for Perimenopause Patients 16:18Training and Certification in Menopause Care 25:55Navigating Nutrition and Supplements in Perimenopause 38:48Addressing Vaginal Health and Sexual Wellness 45:09Empowering Women to Prioritize Their Health   To learn more about the podcast The Hole Shebang Podcast   To learn more about the products and services at Blueberry Therapy Blueberry Therapy   To learn more about Dr. Erin Ley Clarity Health
12: HRT in Perimenopause: What You Need to Know with Dr. Alison Shea29 Nov 202400:45:13
In this conversation, Dr. Alison Shea discusses her journey in women's health, focusing on menopause and hormone replacement therapy. She explains the hormonal changes that occur during perimenopause, the impact of lifestyle on hormonal health, and the importance of addressing vaginal health and sexual function. Dr. Shea also clarifies misconceptions about starting hormone therapy and highlights emerging research on hormones and brain health. Additionally, she introduces new treatments for menopausal symptoms and emphasizes the need for individualized care in managing menopause.   Takeaways
  • Dr. Shea's background in neuroscience and women's health informs her approach to menopause.
  • Hormonal fluctuations during perimenopause can significantly affect mood and cognition.
  • Lifestyle changes, such as optimizing sleep and exercise, can improve hormonal health.
  • Hormone replacement therapy is safe for most women when started at the right time.
  • Vaginal dryness and discomfort can be effectively treated with local estrogen or DHEA.
  • Understanding the role of estrogen and progesterone is crucial for managing menopause symptoms.
  • Many misconceptions exist about when to start hormone therapy.
  • New non-hormonal treatments for menopausal symptoms are emerging.
  • Research is ongoing regarding the neuroprotective effects of hormone therapy.
  • Empowering women through education and advocacy is essential for improving women's health.
Chapters 00:00 Introduction to Menopause and Hormone Replacement Therapy 03:00 Dr. Alison Shea's Journey in Women's Health 05:56 Understanding Hormonal Changes in Perimenopause 08:45 Impact of Lifestyle on Hormonal Health 11:49 Exploring Hormone Replacement Therapy 15:11 Addressing Vaginal Health and Sexual Function 18:08 The Role of Estrogen and Progesterone 20:55 Misconceptions About Starting Hormone Therapy 23:59 Navigating Hormone Therapy with Existing Conditions 27:09 Emerging Research on Hormones and Brain Health 30:07 New Treatments for Menopausal Symptoms 32:55 Future Directions in Menopause Research
56: The Real Talk about Sex After Cancer Treatment with Dr. Michelle Jacobson09 Oct 202500:47:36

The Pleasure Principle 2026

Coven Women's Health

Sexual health after cancer treatment is a conversation that needs to happen more often and with much more nuance. In this episode, Dr. Michelle Jacobson brings her expertise as an OB-GYN and co-founder of Coven Women's Health to break down the real science behind sexual recovery after cancer.

What You'll Learn:

Dr. Jacobson explains the key differences between tamoxifen and aromatase inhibitors and how each affects sexual function differently. We dive into why some cancer treatments leave women feeling like they have "nothing"—no estrogen, increased joint pain, and profound vaginal dryness. She also addresses the safety of vaginal estrogen use post-breast cancer, debunking common misconceptions that prevent women from accessing effective treatment.

The conversation covers practical, evidence-based solutions including the importance of hyaluronic acid moisturizers, choosing the right lubricants (hint: water-based isn't always best), and why coconut oil deserves a spot in your bedroom toolkit. We discuss the crucial role of pelvic floor physiotherapy in sexual recovery and break down the difference between DHEA and estrogen-based vaginal treatments.

For women who've experienced radiation therapy, Dr. Jacobson explains the prevention and treatment of vaginal stenosis, emphasizing why early intervention with dilation and moisturizers makes all the difference. We also tackle the often-overlooked topic of orgasm difficulties after cancer treatment, including how antidepressants, weakened pelvic floor muscles, and changing nerve sensitivity all play a role.

About Dr. Michelle Jacobson:

Dr. Michelle Jacobson is an obstetrician-gynecologist from Toronto and co-founder of Coven Women's Health, a virtual clinic focused on perimenopause, menopause, and cancer survivorship care. Previously the director of the ovarian cancer prevention clinic with a 2.5-year wait list, she created Coven to scale personalized, evidence-based women's healthcare access across Canada.

Visit blueberrytherapy.ca

Subscribe to The Hole Shebang Podcast

Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Bonus Episode: Kristen Turns 50 and Reflects on Pelvic Health Physiotherapy, Building a Business, and Future Plans with Maureen Macdonald23 Nov 202400:48:02
In this engaging conversation, Kristen Parise shares her journey from personal health challenges to becoming a pelvic health physiotherapist and business owner of Blueberry Therapy. She discusses the importance of advocating for pelvic health awareness, the misconceptions surrounding it, and the impact of her work on clients' lives. The conversation also touches on the challenges of entrepreneurship and the vision behind creating a welcoming space for women and children in her practice. In this engaging conversation, Kristen Parise reflects on her journey as a business owner, the challenges posed by COVID-19, and how these experiences have shaped her approach to her practice at Blueberry Therapy. She shares her vision for the future, including plans for community engagement and education in women's health. As she approaches her 50th birthday, Kristen discusses the significance of this milestone, her aspirations for authenticity and vulnerability, and the importance of building supportive communities through movement and fitness. The conversation concludes with a light-hearted discussion about her theme song, encapsulating her dynamic spirit and commitment to personal growth.   Takeaways
  • Kristen's journey into pelvic health physiotherapy was inspired by her own health challenges.
  • Advocacy for pelvic health is crucial for changing perceptions in healthcare.
  • The name 'Blueberry Therapy' was chosen to create a friendly and approachable brand.
  • Creating a comfortable environment for clients is a priority in Kristen's practice.
  • Education is a key component of pelvic health physiotherapy.
  • Awareness of pelvic health issues has improved but still has a long way to go.
  • Pelvic health physiotherapy can significantly improve conditions like urinary incontinence.
  • Kristen emphasizes the importance of self-advocacy in healthcare.
  • The business journey has been filled with both challenges and successes.
  • Kristen believes that if you can envision your goals, you can achieve them. I appreciate that I just think that I'm doing something I absolutely love.
  • COVID presented some really big challenges, but we adapted.
  • Sometimes challenges can end up being beneficial for the business.
  • Every day, I thought, what can I do to stimulate revenue today?
  • I have so much left to do at Blueberry Therapy.
  • Turning 50 feels like a new chapter in my life.
  • I want to change the future state for women's health education.
  • I need to be more authentic and vulnerable in my conversations.
  • Building community through movement has been vital in my life.
  • I would tell my younger self to pay more attention to what's happening around me.

 

Chapters 00:00 Introduction and the Journey Begins 06:04 From Personal Experience to Professional Passion 11:56 Building Blueberry Therapy: The Vision and Name 18:00 Advocating for Pelvic Health Awareness 24:02 The Impact of Pelvic Health Physiotherapy 26:12 Navigating Business Challenges 31:12 Vision for the Future of Blueberry Therapy 34:10 Reflections on Turning 50 39:22 Embracing Vulnerability and Authenticity 44:28 Building Community Through Movement 47:35 The Theme Song of My Journey
11: Postpartum Pelvic Floor Health With The Vagina Whisperer Dr. Sara Reardon22 Nov 202400:46:37
In this conversation, Dr. Sara Reardon, a pelvic floor physical therapist, shares her journey and insights into pelvic health, particularly focusing on postpartum care. She emphasizes the importance of pelvic floor therapy for anyone who has been pregnant, discusses common postpartum issues, and provides practical advice for new mothers regarding exercise, recovery, and intimacy. The conversation highlights the need for better support systems for postpartum women and the significance of education in pelvic health. In this conversation, Dr. Sara Reardon and Kristen Parise discuss the complexities of postpartum recovery, focusing on physical and emotional health. They explore the importance of addressing postpartum pain, particularly related to C-sections, and the role of pelvic floor therapy in recovery. The discussion also highlights the emotional challenges women face during this period and the need for supportive spaces to share experiences. They emphasize the significance of self-care and knowledge in empowering women to navigate their postpartum journey effectively.   Takeaways
  • Dr. Reardon is a pelvic floor physical therapist with extensive experience since 2007.
  • Pelvic health therapy is crucial for anyone who has been pregnant or given birth.
  • Postpartum individuals often face challenges like urinary incontinence and diastasis recti.
  • Rehabilitation should focus on healing in the early weeks postpartum.
  • Walking is an excellent low-impact exercise for postpartum recovery.
  • It's important to address pelvic floor symptoms before returning to high-impact activities like running.
  • The first postpartum poop can be challenging; proactive measures can help.
  • Education on pelvic health is essential for new mothers.
  • Returning to intimacy should be approached with care and awareness of potential discomfort.
  • Support systems for postpartum women need significant improvement. Low estrogen levels can cause tissue adhesion and pain.
  • Many women suffer in silence with postpartum pain.
  • C-section recovery can lead to pelvic pain due to fascia tightness.
  • Scar massage is crucial for healing after a C-section.
  • Pelvic floor therapy can significantly improve sexual health.
  • It's important to address emotional health postpartum.
  • Women often feel shame discussing pelvic health issues.
  • Supportive spaces can help women unpack their birth experiences.
  • Self-care is essential for postpartum recovery.
  • Knowledge about pelvic health empowers women.
  Chapters 00:00 Introduction to Pelvic Health and Dr. Reardon's Journey 05:23 Understanding Postpartum Pelvic Floor Health 12:33 Navigating Postpartum Running and Exercise 18:19 The First Poop: Tips for Postpartum Women 22:00 Returning to Intimacy: Postpartum Sexual Health 24:22 Understanding Postpartum Pain and Treatment Options 32:07 Connecting with Core Strength and Pelvic Floor 36:14 The Emotional Journey of Postpartum Recovery 42:07 Empowering Women Through Knowledge and Support
10: Sleep and Babies with Sarah Murphy Sleep Consultant15 Nov 202400:42:53
Sarah Murphy, owner of Everglow Sleep Consulting, shares her journey to becoming a sleep consultant and her passion for supporting moms' well-being. She offers personalized sleep plans and in-home support for newborns and children up to seven years old. Sarah's unique approach includes providing concrete next steps and empathetic support to families. She emphasizes the importance of creating an optimal sleep environment, understanding wake windows, and debunking myths about sleep training. In this conversation, Kristen Parise interviews Sarah from Everglow Sleep Consulting about the importance of sleep for new moms and babies. They discuss debunking common sleep myths, the role of intuition in parenting, common mistakes parents make when trying to improve their baby's sleep, and the impact of sleep on mental health. Sarah emphasizes the need for emotional, practical, and professional support for new moms and highlights the importance of sleep for maternal well-being. They also touch on the future of postpartum care and the potential for sleep consulting services to be covered as a national benefit. The conversation concludes with a discussion about sleep regressions and the significance of the theme song for Everglow Sleep Consulting. keywordssleep consultant, newborn care, personalized sleep plans, in-home support, mom's well-being, optimal sleep environment, wake windows, sleep training, sleep, new moms, babies, myths, intuition, mistakes, mental health, support, postpartum care, sleep regressions   Takeaways
  • Sarah Murphy became a sleep consultant based on her own experiences as a mother and her passion for supporting moms' well-being.
  • Everglow Sleep Consulting offers personalized sleep plans and in-home support for newborns and children up to seven years old.
  • Sarah's unique approach includes providing concrete next steps and empathetic support to families.
  • Creating an optimal sleep environment, understanding wake windows, and debunking myths about sleep training are key factors in improving baby sleep. Debunk common sleep myths and trust your intuition when it comes to your baby's sleep.
  • Recognize the signs of overtiredness in your baby to avoid sleep disruptions.
  • Seek emotional, practical, and professional support as a new mom to prioritize your own well-being.
  • Sleep is crucial for mental health, and getting enough rest can help alleviate postpartum mood disorders.
  • The future of postpartum care should prioritize the needs of moms, including sleep support.
  • Sleep regressions are often linked to developmental changes in babies, and consistency is key in managing them.
00:00 Introduction and Background 03:02 Supporting Moms' Well-being Through Sleep Consulting 05:59 Personalized Sleep Plans for Newborns and Children 09:20 Creating an Optimal Sleep Environment 15:51 Understanding Wake Windows for Better Sleep 19:44 Debunking Myths About Sleep Training 22:21 Debunking Sleep Myths and Trusting Your Intuition 24:31 Recognizing Signs of Overtiredness in Babies 27:45 Sleep and Mental Health in the Postpartum Period 36:06 Managing Sleep Regressions with Consistency   If you would like to learn more about Blueberry Therapy or The Hole Shebang please click here Blueberry Therapy   To learn more about Sarah Murphy and her services through Everglow Sleep Consulting click here Ever Glow Sleep Consulting
9: Understanding Severe Maternal Morbidity with Dr. Giulia Muraca08 Nov 202400:52:29
In this conversation, Dr. Giulia Muraca discusses her journey into perinatal epidemiology, focusing on the rising rates of cesarean deliveries and the implications of severe maternal morbidity. She highlights the importance of understanding obstetric trauma, the risks associated with various delivery interventions, and the need for informed discussions between healthcare providers and expectant mothers. Dr. Muraca emphasizes the significance of addressing postpartum mental health and the role of pelvic floor health in maternal care. takeaways
  • Dr. Muraca was inspired by a perinatal epidemiologist during her studies.
  • The cesarean delivery rate has been increasing globally.
  • Severe maternal morbidity is a composite outcome of various complications.
  • Obstetric trauma is often not included in severe maternal morbidity definitions.
  • One in four first-time mothers may require an intervention during delivery.
  • The risk of obstetric trauma is significantly high with forceps and vacuum deliveries.
  • Episiotomy should not be routinely performed in spontaneous vaginal deliveries.
  • Informed conversations about delivery options are crucial for first-time moms.
  • Postpartum mental health is significantly impacted by obstetric injuries.
  • Preventative care and pelvic floor health are essential for maternal well-being.
  Chapters 00:00 Introduction to Dr. Giulia Muraca 04:15 Rising Cesarean Delivery Rates 08:43 Understanding Severe Maternal Morbidity 12:01 Defining Obstetric Trauma 14:07 Interventions in Labor: Forceps and Vacuum Deliveries 20:15 The Risks of Multiple Interventions 22:27 Informed Conversations for First-Time Moms 27:02 The Importance of Discussing Obstetric Trauma 32:16 Episiotomy Practices and Their Implications 39:41 Comparing International Guidelines 44:27 Future Research Directions 52:37 Connecting with Dr. Muraca   For more information about this podcast please check out The Hole Shebang Podcast
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