Dr. Nan Wise, a neuroscientist and sex therapist, discusses her journey into the field of neuroscience and the importance of understanding the brain in relation to sex and pleasure. She explains the different emotional circuits in the brain and how they impact our sexual experiences.  Dr. Wise also talks about the importance of pleasure and the challenges women face in feeling safe and comfortable in their bodies.   She emphasizes the need for comprehensive sex education and the role of parents in being sex educators.  The conversation also touches on fMRI studies on orgasm and the power of the brain in experiencing pleasure.  In this conversation, Nan Wise and Kristen Parise discuss the importance of exploring and understanding one's own body, the role of masturbation in sexual pleasure and communication with partners, the power of breathwork in promoting relaxation and pleasure, the concept of erotic fingerprints and different sexual styles, and the importance of balancing core emotions for a fulfilling sex life.  Nan Wise also shares practical exercises for connecting with the body and enhancing pleasure.  

For more information check out:

 www.blueberrytherapy.ca

For more about Dr. Nan Wise

www.askdoctornan.com

 

 

 

Summary

Dr. Lori Brotto discusses mindfulness and its role in improving sexual desire and function. She shares her background in animal and human research, the lack of pharmaceutical treatments for female sexual problems, and the importance of addressing distressing low desire. Dr. Brotto explains the use of cognitive behavioral therapy and mindfulness as effective treatments for low desire. She also discusses her research on virtual reality exposure therapy for sexual pain and the benefits of mindfulness in managing pain. Dr. Brotto emphasizes the holistic nature of sexual health and the need for multidisciplinary approaches.

Takeaways

Mindfulness and cognitive behavioral therapy are effective treatments for low desire.
Virtual reality exposure therapy shows promise in treating sexual pain.
Mindfulness can help manage pain and improve sexual function.
Sexual health is a holistic concept that involves the mind, body, and spirit.
A multidisciplinary approach is important in addressing sexual health issues.

Chapters

00:00 Introduction and Background
03:11 Animal Research and Transition to Human Research
05:29 Understanding Low Desire
10:19 Effective Treatments for Low Desire
14:19 Mindfulness and Pain Management
16:44 Mindfulness Practice and Customization
20:04 Virtual Reality Exposure Therapy for Sexual Pain
27:31 Future Directions and Research
33:26 Dr. Brotto's Personal Mindfulness Practice
36:35 The Holistic Nature of Sexual Health
39:14 Staying Connected with Dr. Brotto

For more information or to work with Kristen Parise

https://www.blueberrytherapy.ca/general-7

For more information about Dr. Lori Brotto

https://brottolab.med.ubc.ca/about/dr-lori-brotto/

Summary   In this engaging conversation, Dr. Maureen Slattery, an obstetrician and gynecologist, shares her journey into sexual health counseling and discusses the complexities of menopause and its impact on sexual health. She emphasizes the importance of education, communication, and understanding the physiological and psychological aspects of sexual health. The discussion covers various topics including perimenopause, vaginal dryness, the role of estrogen therapy, and practical tips for enhancing sexual well-being. Dr. Slattery advocates for open conversations about sexual health and encourages women to seek help and support during this natural phase of life. takeaways

• Dr. Slattery transitioned from obstetrics to sexual health counseling due to her interest in sexual health.
• Perimenopause can last several years and is characterized by hormonal chaos and various symptoms.
• Many women experience sexual health issues during menopause, including pain during intercourse and low libido.
• Vaginal dryness is a common issue that can be treated with topical estrogen therapy.
• Recent studies show that vaginal estrogen is safe for women with a history of breast cancer.
• Low sexual desire is a complex issue influenced by biological, psychological, and social factors.
• Communication with partners about sexual health is often lacking but essential for intimacy.
• Engaging in self-care and hobbies can enhance sexual well-being.
• Resources and education about menopause and sexual health are crucial for women.
• Women should seek healthcare providers who listen and validate their experiences.

  Chapters 00:00Introduction to Dr. Maureen Slattery 02:30Journey from Obstetrics to Sexual Health Counseling 08:50Understanding Perimenopause and Menopause 12:44Sexual Health Issues During Menopause 20:49Addressing Vaginal Dryness and Discomfort 26:10Vaginal Estrogen and Breast Cancer Concerns 31:05Exploring Low Sexual Desire 40:22Practical Tips for Enhancing Sexual Health 44:39Resources for Menopause and Sexual Health 49:39Final Thoughts and Encouragement  

For more information or to work with Kristen Parise

https://www.blueberrytherapy.ca/general-7

Dr. Tina Fetner, author of Sex and Canada, discusses her research on Canadian sexuality and the importance of studying sexual behavior. She explains how she became interested in the sociology of sexualities and the lack of data on Canadian sexual behavior. Dr. Fetner also explores topics such as sexual identity, the frequency of sex, pleasure, pain, and the gender gap in orgasms. She highlights the need to break down social norms and taboos around sex, especially when it comes to discussing topics like anal sex, sex toys, and sexual consent. Dr. Fetner emphasizes the importance of open conversations about sexuality and the need for comprehensive sexual education. keywordssexuality, Canadian sexuality, sexual behavior, sociology, sexual identity, frequency of sex, pleasure, pain, gender gap in orgasms, social norms, taboos, anal sex, sex toys, sexual consent, sexual education takeaways

• Dr. Tina Fetner conducted a survey on Canadian sexual behavior and wrote the book Sex and Canada to provide a comprehensive overview of Canadian sexuality.
• There is a lack of data on Canadian sexual behavior, which motivated Dr. Fetner to conduct her own survey and fill this gap.
• Social norms and taboos around sex, especially in relation to topics like anal sex, sex toys, and sexual consent, need to be broken down to promote open and honest conversations about sexuality.
• There is a gender gap in orgasms, particularly in heterosexual relationships, which is influenced by societal norms and expectations.
• Comprehensive sexual education is crucial in addressing issues related to sexual pleasure, consent, and sexual health.
• Parents and couples with children actually have slightly more sex than those without children, challenging the myth that parenthood negatively impacts sexual activity.
• The frequency of sex has decreased in recent years, particularly among young people, possibly due to increased time spent on video games and social media.
• There is a need for more research and conversation around the gray areas of sexual consent and the complexities of sexual encounters.
• Monogamy continues to be the dominant relationship structure, with most Canadians organizing their sexual relationships according to monogamy.
• There is a need to address the sexual needs and experiences of older adults, as well as provide resources and support for sexual pleasure and satisfaction in this population.

  Sound Bites

• "Sex in Canada, the who, why, when, and how of getting down up north"
• "Sexuality is just a regular, everyday part of our lives"
• "I think that the thing that I would say related to this study in my book is that sexuality is just a regular, everyday part of our lives"

Chapters 00:00Introduction and Background 03:10The Importance of Open Conversations about Sexuality 06:15Exploring the Gender Gap in Orgasms 10:08Breaking Down Taboos: Anal Sex, Sex Toys, and Sexual Consent 16:46Parenthood and Sexual Activity 19:04The Impact of Video Games and Social Media on Sexual Frequency 22:48Navigating the Gray Areas of Sexual Consent 27:00Monogamy and Alternative Relationship Structures 32:01Addressing the Sexual Needs of Older Adults   For more information on Blueberry Therapy check out www.blueberrytherapy.ca   To purchase Damiva Cleo use discount code shebang15 on the Blueberry Therapy Shop https://blueberrytherapyshop.ca/  

summaryIn this enlightening conversation, Dr. Meghan O'Leary discusses the complexities of endometriosis, a condition affecting many women. She shares her journey into the field, the importance of recognizing symptoms, and the need for better advocacy and understanding within the healthcare system. The discussion debunks common myths surrounding endometriosis, including misconceptions about fertility, pregnancy, and the role of surgery. Dr. O'Leary emphasizes the importance of individualized care and the need for patients to advocate for their health, while also highlighting the evolving landscape of endometriosis treatment and diagnosis. takeaways

• Endometriosis is often misunderstood and misdiagnosed.
• Patients experience a long journey to diagnosis, often taking years.
• Pain associated with endometriosis is subjective and varies greatly.
• Advocacy is crucial for patients experiencing symptoms.
• Fertility issues are common but not guaranteed with endometriosis.
• Pregnancy does not cure endometriosis; it may only alleviate symptoms temporarily.
• Surgery can help but is not a definitive cure for endometriosis.
• The healthcare system needs to improve in recognizing and treating endometriosis.
• Pelvic physiotherapy can be beneficial for managing symptoms.
• Future research is needed to enhance diagnosis and treatment options.

  Chapters 00:00Introduction to Endometriosis and Its Importance 03:01Megan O'Leary's Journey and Expertise 06:10Understanding Endometriosis: Myths and Realities 09:09Identifying Symptoms of Endometriosis 12:01Navigating the Healthcare System for Diagnosis 14:50The Role of Pelvic Physiotherapy 18:05Fertility and Endometriosis: Debunking Myths 20:56Pregnancy and Menopause: Misconceptions 24:13Surgery for Endometriosis: What to Expect 27:02The Pathway to Diagnosis and Treatment 29:55Future Directions in Endometriosis Care    If you are interested in learning more about Blueberry Therapy check out www.blueberrytherapy.ca.

summaryIn this conversation, Dr. Christina Prevett discusses the importance of exercise during pregnancy, addressing common misconceptions and emphasizing the need for strength maintenance. She highlights the 2019 Canadian Physical Activity Guidelines, the implications of heavy lifting, and the significance of mental health in postpartum recovery. The discussion also covers pelvic floor health, the realities of C-sections, and the empowerment of women to make informed decisions about their fitness during pregnancy. takeaways

• Exercise should be encouraged until there's a reason to stop.
• Being postpartum is hard. Being postpartum weaker is harder.
• Heavy is in the eye of the beholder.
• Your fitness will come back.
• We need to remove unnecessary barriers to exercise.
• It's okay to be sad about changes in fitness.
• Strength training does not lead to bad heart outcomes.
• You can be too strong during pregnancy?
• Movement can help with anxiety and depression.
• The messaging has to be clear about exercise in pregnancy.

Chapters 00:00Introduction to Exercise and Pregnancy 05:04Understanding Exercise Guidelines During Pregnancy 10:28The Importance of Strength Maintenance 15:22Heavy Lifting and Its Implications 22:45Running During Pregnancy: What You Need to Know 28:35Mental Health and Exercise in Pregnancy 31:43Debunking Myths Around Postpartum Recovery 35:41Empowerment vs. Fear in Pregnancy 40:12Pelvic Floor Health and Strength Training 49:35C-Sections and Exercise: Myths and Realities   For more information about Dr. Christina Prevett check out https://thebarbellmamas.com/about-us/    For more information about Blueberry Therapy check out https://www.blueberrytherapy.ca/   To read the Canadian Physical Activity Guidelines throughout pregnancy click here https://csepguidelines.ca/wp-content/uploads/2020/11/4208_CSEP_Pregnancy_Guidelines_En_HR.pdf

Summary In this conversation, Kristen Parise speaks with Stephanie Singh, a holistic nutritionist and menstrual coach, about the importance of understanding women's health, particularly in relation to hormonal balance and menstrual health. Stephanie shares her personal journey from experiencing severe menstrual issues to becoming a coach who helps women navigate their health challenges. They discuss the role of nutrition, the significance of gut health, and the need for personalized approaches to treatment. The conversation emphasizes the importance of patience, self-advocacy, and taking ownership of one's health journey. takeaways

• Stephanie's journey into holistic nutrition was driven by her own health struggles.
• Many women experience hormonal dysregulation, leading to various health issues.
• Nutrition plays a critical role in balancing hormones and overall health.
• Testing is essential for understanding individual health needs and creating personalized protocols.
• Healing the gut is a foundational step in addressing hormonal issues.
• Patience is key in the healing process; changes take time.
• Women must take ownership of their health and advocate for themselves.
• There is no one-size-fits-all approach to health; personalized care is crucial.
• Understanding the interconnectedness of health systems is vital for holistic care.
• Education and guidance from knowledgeable practitioners can empower individuals.

  Chapters 00:00Introduction to Holistic Nutrition and Menstrual Health 05:20Stephanie's Journey: From Corporate to Coaching 11:29Understanding Hormonal Dysregulation 18:52The Role of Nutrition in Hormonal Health 25:58Testing and Personalized Protocols 32:12Healing the Gut: A Comprehensive Approach 38:13The Importance of Patience in Healing 42:34Taking Ownership of Your Health Journey 45:16Final Thoughts and Resources   For more information about this podcast please check out https://www.blueberrytherapy.ca/general-7

In this conversation, Elisa Kurylowicz shares her journey from being a high-performance athlete to a wellness mentor. She discusses her struggles with identity after missing the Olympics, her path to mindfulness, and the importance of self-discovery. Elisa emphasizes the need to break down limiting beliefs, particularly around finances, and shares her personal experiences with fertility and growth. The conversation highlights the significance of mindfulness and intuitive awareness in achieving personal and professional success. In this conversation, Elisa Kurylowicz shares her deeply personal journey through infertility, exploring the challenges of navigating the medical system, the emotional toll of IVF and IUI, and the stigma surrounding these experiences. She discusses her radical health changes, the importance of community support, and the transformative power of grounding and connecting with nature. Elisa emphasizes the need for open conversations about women's health and the empowerment that comes from sharing these experiences with others.   Takeaways

• Elisa competed for Team Canada in high-performance sports.
• Missing the Olympics led to a downward spiral in her life.
• She gained almost a hundred pounds and faced severe challenges.
• Alisa emphasizes the importance of taking back one's power.
• Mindfulness is a crucial aspect of her teachings.
• Intuitive awareness helps in self-discovery and growth.
• Many people are conditioned to have a poor mindset about money.
• Money can contribute to happiness and opportunities.
• Alisa's fertility journey has been transformative.
• Personal growth often requires breaking down societal constructs. Elisa had a 5.8% chance of getting pregnant naturally due to her age.
• The medical system often overlooks personal factors like stress and diet in fertility treatments.
• IVF can be a deeply invasive and emotional process.
• Many women feel ashamed to share their IVF experiences due to societal stigma.
• Elisa's partner took accountability for his health, improving his sperm motility significantly.
• Grounding and connecting with nature can enhance overall health and well-being.
• Elisa emphasizes the importance of radical honesty in health journeys.
• Community support plays a crucial role in navigating fertility challenges.
• Women often avoid hard conversations, which can hinder personal growth.
• Elisa's journey highlights the need for holistic approaches to health and fertility.

Chapters 00:00The Journey of Elisa Kurylowicz 08:40Mindfulness and Its Importance 13:27Intuitive Awareness and Self-Discovery 19:20Breaking Down Beliefs and Mindsets 25:04The Financial Mindset and Its Impact 36:58Fertility Journey and Personal Growth 40:29The Journey Begins: Understanding Infertility 43:01Navigating the Medical System: A Personal Experience 49:45Breaking the Silence: The Stigma of IVF 53:10The Emotional Rollercoaster of IVF and IUI 01:01:52Radical Health Changes: A New Approach to Fertility 01:09:06Grounding and Healing: Connecting with Nature 01:16:19Empowerment Through Community: Joining the Sisterhood

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

Summary   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

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

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

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

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

Summary 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

Summary 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

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

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

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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

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

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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.

 

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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.

 

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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.

 

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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.

 

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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.

 

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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

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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.

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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.

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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

For more information on The Pleasure Principle Conference https://www.blueberrytherapy.ca/sexualhealth Episode Summary

In this eye-opening conversation, naturopathic doctor Rachel Corradetti-Sargeant takes us on her personal and professional fertility journey. From experiencing an ectopic pregnancy to discovering her own premature ovarian insufficiency, Rachel's path led her to become a fertility-focused naturopathic doctor at Conceive Health. She shares powerful insights about the often-overlooked aspects of fertility health—from the impact of environmental toxins to the crucial role of vitamin D. Rachel explains why fertility patients are "the ultimate bodybuilders" (they're literally building another human!) and why preconception planning deserves as much attention as wedding planning. This episode bridges the gap between conventional and naturopathic approaches to fertility, offering practical wisdom for anyone on their conception journey.

Key Takeaways

• Rachel's own fertility struggles with ectopic pregnancy and premature ovarian insufficiency (POI) shaped her specialized practice
• The 3-6 month preconception window is crucial yet often overlooked by couples eager to conceive
• Understanding your body's fertility signals (particularly cervical mucus changes) is more reliable than apps alone
• Sperm health is dramatically underemphasized but equally important as egg health
• Environmental toxins in everyday products significantly impact fertility outcomes
• Nearly all patients Rachel tests are vitamin D deficient, affecting both egg and sperm quality
• 75% of Rachel's patients have PCOS, which is frequently misunderstood as simply "cysts on ovaries"
• An integrated approach between conventional fertility treatments and naturopathic medicine provides optimal results

Chapters

1. 00:00-02:49 - Introduction to Pelvic Health and Fertility
2. 02:50-05:47 - Rachel's Journey into Naturopathic Medicine
3. 05:48-08:55 - Understanding Premature Ovarian Insufficiency (POI)
4. 08:56-12:10 - Why Preconception Planning Should Be Like Wedding Planning
5. 12:11-14:54 - The Underestimated Impact of Sperm Health
6. 14:55-17:50 - Decoding Your Body's Fertility Signals (Cervical Mucus & Basal Temperature)
7. 17:51-20:49 - Inside a Naturopathic Fertility Consultation
8. 20:50-26:07 - The Hidden Culprits: Environmental Toxins & Vitamin D Deficiency
9. 26:08-27:31 - Blood Sugar Control: The Fertility Factor You're Missing
10. 27:32-31:23 - PCOS Demystified: Beyond the Misleading Name
11. 31:24-34:36 - Advanced Fertility Support: When You've Been Trying for a While
12. 34:37-38:34 - The Integration of Naturopathic & Conventional Fertility Medicine
13. 38:35-41:57 - Three Essential Steps to Start Your Fertility Journey Today
14. 41:58-45:34 - Fertility Myths Busted: Pineapples, Marijuana & Lubricants
15. 45:35-48:14 - Rachel's Theme Song: "Started From the Bottom" & How to Connect

Memorable Quotes

• "We really should be preparing for our pregnancies like we prepare for our weddings." - Dr. Rachel on preconception planning
• "So much of that impact comes from the sperm." - On the overlooked male factor in fertility
• "You are the ultimate bodybuilders - you're literally growing a whole other human body!" - Dr. Rachel's unique perspective on fertility patients
• "I'm usually Dr. Killjoy for a lot of people. I just take away all their fun... for a short period of time so they can have more fun later." - On lifestyle modifications for fertility

Resources Mentioned

• Fertility Signs Masterclass: Available on Dr. Rachel's website to help women understand their body's fertility signals
• Free Email Series: Sign up on Dr. Rachel's website for information on the "pillars of preconception health"
• Conceive Health Clinic: Where Rachel practices, affiliated with fertility centers across Ontario
• TRIO Fertility Centers: Fertility clinics that partner with naturopathic doctors for integrated care
• Niagara Fertility Clinic: Where Rachel currently practices
• Fertility-Safe Lubricants: Mentioned as important for couples trying to conceive
• Ovulation Predictor Kits & Progesterone Testing Kits: Tools that can complement body awareness

Connect with Dr. Rachel Corradetti-Sargeant

• Instagram: @dr_rachel_nd
• Website: Sign up for her bimonthly newsletter featuring fertility research, recipes, and tips https://www.rachelcorradetti.com/
• Practice Location: Conceive Health at Niagara Fertility Clinic in Stoney Creek, Ontario

About Dr. Rachel

Rachel Corradetti-Sargeant is a naturopathic doctor specializing in fertility and preconception care. After experiencing her own fertility challenges including an ectopic pregnancy and discovering her premature ovarian insufficiency, she became passionate about helping others optimize their fertility health. Coming from a family where her grandmother and aunt also experienced early menopause, Rachel understands both the genetic and lifestyle factors that impact reproductive health. Her background in a family of bodybuilders gives her a unique perspective on fertility—seeing her patients as "the ultimate bodybuilders" who are creating an entirely new human being.

 

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

• Clinic: Healthy Balance Physiotherapy & Wellness, Oakville, Ontario
• Instagram: @endotogether, @endometriosis360, @oakvillephysio
• Websites: endotogether.com, endometriosis360.ca, hbpw.ca

Connect with The Hole Shebang

• Instagram: @blueberrytherapypelvichealth
• Website: blueberrytherapy.ca/podcast

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

• Host: Kristen Parise, Pelvic Health Physiotherapist
• Clinic: Blueberry Therapy Pelvic Health and Pediatrics
• Website: The Hole Shebang
• Instagram: @blueberrytherapypelvichealth

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.

In this episode of The Hole Shebang, host Kristen Parise welcomes Alyssa Howard, a registered psychotherapist specializing in helping individuals reconnect with their authentic selves. Together, they explore the complex interplay between strict religious upbringings and sexual development, offering practical insights for individuals and couples looking to redefine their relationship with pleasure.

About Our Guest

Alyssa Howard is a registered psychotherapist who transitioned from an 8.5-year career in education tech to focus on mental health. She works with clients throughout Ontario, both virtually and in-person, specializing in supporting:

• Racialized individuals, particularly Black women
• Members of the queer community
• People navigating the intersection of these identities
• Adults from early adulthood to midlife (approximately ages 18-50)

Alyssa helps clients develop healthy relationships with work, authentic identity, and living according to their true values.

Exciting News

Catch Alyssa Howard at the Pleasure Principle Conference on May 30th, where she'll be diving deeper into the themes discussed in this episode!

Episode Chapters 00:00 - Introduction to Alyssa Howard

Meet Alyssa Howard, a registered psychotherapist who found her calling after transitioning from a career in education technology. Alyssa shares her passion for helping others reconnect with their authentic selves.

02:46 - Navigating Identity and Values

Alyssa discusses her work with racialized individuals and members of the queer community, helping them explore what it means to "live authentically through values" and develop healthy engagement with their careers and identities.

05:50 - The Impact of Strict Upbringings on Sexuality

Exploring how religious and strict backgrounds can create tension between taught beliefs and personal experiences, particularly around sexuality and sensuality. Alyssa notes how these environments often enforce specific "core tenants" around physical modesty and sexual engagement.

09:00 - Understanding Sexual Shame and Guilt

Alyssa reveals how sexual shame develops when sex becomes a taboo topic: "When you don't speak about something... that creates very easily a sense of shame." She explains how this shame can manifest as anxiety, tension, and negative self-talk.

12:01 - Communication and Relationship Dynamics

"Communication is super key" when working through sexual issues as a couple. Alyssa emphasizes the importance of acknowledging discomfort and creating safe spaces to discuss sexuality openly.

14:50 - Education and Exploration in Sexuality

Many clients lack basic knowledge about sexual anatomy. Alyssa shares how she provides fundamental education: "Do you know what we're referencing when we're saying vagina? Do you know that there's actually an external portion, the vulva?" This education builds a foundation for healthier sexual experiences.

18:11 - Therapeutic Techniques for Redefining Sexuality

Alyssa outlines techniques for challenging negative core beliefs about sexuality, helping clients identify self-talk patterns, understand their origins, and develop healthier alternatives.

20:59 - Working with Couples on Shared Beliefs

When working with couples, Alyssa helps them identify individual beliefs, compare them side by side, and determine "what are the beliefs as a unit that we want to carry forward in our relationship."

24:04 - Mindfulness and Somatic Practices

The importance of being present in the moment during sexual experiences. Alyssa explains how mindfulness practices help people "understand what you're experiencing mentally and physically" and respond accordingly to increase pleasure.

27:07 - Practical Steps for Overcoming Sexual Pain

Alyssa discusses how addressing psychological components of sexual pain can complement physical treatments, helping clients recognize anxiety cues and develop strategies to reduce tension.

30:08 - Cultivating Sensuality and Pleasure

For those who never explored sensuality growing up, Alyssa recommends three key approaches:

1. Self-compassion and kindness around what you don't know
2. Education through books, movies, and other resources
3. Personal exploration to discover "what feels good for you"

32:50 - Recommended Resources for Sexual Education

Top book recommendations from Alyssa:

• "Come As You Are" by Emily Nagoski - "Fantastic book, really goes into depth about sex, sexuality, sensuality, the physiology of the body"
• "Sex Talks: Five Conversations That Will Transform Your Love Life" by Vanessa Marin and Xander Marin - An accessible guide to conversations about sexuality

35:59 - Conclusion and Connection

Alyssa shares that her personal theme song is "i" by Kendrick Lamar, which speaks to "resilience and just sort of the durability of the human spirit." Find Alyssa at groundingplacetherapy.ca.

Key Takeaways

• Religious teachings often create mixed messages about sex that can lead to shame, anxiety, and even physical pain during sexual experiences
• Communication is the foundation for healthy sexual relationships, especially for those overcoming restrictive beliefs
• Education about sexual anatomy and physiology is crucial but often lacking for those from strict backgrounds
• Mindfulness helps reconnect mind and body during sexual experiences, leading to greater pleasure and reduced pain
• Self-compassion is essential when exploring sexuality after years of restrictive beliefs

Practical Tips from Alyssa

• For better communication: Schedule dedicated 10-15 minute check-ins about sex with your partner
• For mindfulness: Practice simple breathing exercises - breathe in through your nose, out through your mouth
• For couples: Practice reflective listening where you repeat back not just what your partner said, but the emotions behind it
• For self-exploration: Approach learning about your own pleasure with curiosity rather than judgment

Don't miss Alyssa Howard at the Pleasure Principle Conference on May 30th. For more information about her practice, visit groundingplacetherapy.ca.

The Hole Shebang is a production of Blueberry Therapy Pelvic Health and Pediatrics, providing multidisciplinary care for people with bladder, bowel, or sexual dysfunction.

 

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

• Website: Bonita Medical Aesthetics and Wellness
• Instagram: @youare.bonita
• Email: info@bonita.com
• Location: New facility in St. Jacob's

Connect with The Hole Shebang

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

Jessica's Theme Song for Her Career

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

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:

• Email: grivers@assante.com
• LinkedIn: Gillian Stovel Rivers
• Instagram: @AdventureGillian and @GillianStovelOfficial

Resources Mentioned

• Tax-Free Savings Account (TFSA) - Learn more about this powerful tax-sheltered investment vehicle
• Registered Retirement Savings Plan (RRSP) - Information about Canada's registered retirement savings plan
• CrossFit - The fitness methodology Gillian references in her investment framework
• Britney Spears - "Work Bitch" - Gillian's motivational theme song (explicit content)

Connect with Kristen

• Website: Blueberry Therapy
• Instagram: @blueberrytherapyca

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.

"The art of receiving is everything. It's not another thing to do. It actually creates more easefulness in your life." — Haley Bowler

Episode Summary

Bestselling author Haley Bowler shares her journey from physiotherapy to becoming a channel for profound wisdom. She introduces "the art of receiving"—a practice that helps high-achieving women balance feminine and masculine energies. Through personal stories, including her near-death experience, Haley offers practical guidance on accessing "the dimension of openness" where manifestation becomes instantaneous and healing is profound.

Key Insights From Physiotherapy to Psychic Channel

• Trained in kinesiology before discovering her psychic gifts
• Wrote "Unfuckwithable" through channeled wisdom

The Art of Receiving

• Balance of receptivity with empowered action
• Learning to receive while giving transforms everyday experiences

The Vulnerability Breakthrough

• Near-death experience in 2024 taught her to receive help
• "It was the best gift I could have ever asked for"

Holistic Success

• Success in just one area never creates true fulfillment
• "We have evidence through quantum physics that shows there's no separation"

Practical Tools

• Breathe Like You're Playing Hide and Seek: Slow, quiet breathing
• Lie on the Floor: Simple practice to attune to joy
• Radical Responsibility: The power of saying "I chose this"
• Thank You More Please: Shifting from extraction to reception

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

Resources & Mentions

• Unfuckwithable – Haley's book
• Uplift Lifestyle – Haley's website
• The Pleasure Principle – Upcoming event
• Treat You Better by Rufus Du Sol – Haley's theme song

Connect with Haley

• Website: upliftlifestyle.ca
• Instagram: @uplift_lifestyle
• Email: workwithme@upliftlifestyle.ca

Connect with The Hole Shebang

• Host: Kristen Parise, Pelvic Health Physiotherapist
• Blueberry Therapy
• The Pleasure Principle Conference

The Hole Shebang explores themes of personal empowerment, holistic wellness, and embodied wisdom.

 

"We have to do better for our patients." – Alex Hill

Episode Summary

In this enlightening conversation, Kristen Parise speaks with Alex Hill, a specialized pelvic health and oncology physiotherapist, about the critical yet often overlooked connection between cancer treatment and pelvic health. Alex shares her journey into this specialized field, the importance of lymphedema management, why exercise during cancer treatment is essential, and how healthcare providers can better serve cancer survivors through improved education and collaborative care. This episode offers valuable insights for healthcare professionals, cancer survivors, and anyone interested in comprehensive cancer care.

Chapters

• 00:00 - Introduction to Pelvic Health and Oncology
• 02:18 - Alex's Journey into Pelvic Health and Oncology
• 05:24 - Understanding Lymphedema and Its Treatment
• 10:45 - The Importance of Exercise During Cancer Treatment
• 14:32 - Addressing Hormonal Changes and Pelvic Health
• 19:45 - Education and Collaboration in Oncology Rehabilitation
• 24:40 - Late Effects of Cancer Treatment
• 30:24 - Connecting with Alex Hill

Alex's Path to Pelvic Health & Oncology

Alex's journey into this specialized field combines professional curiosity with personal experience:

• Discovered pelvic health and oncology during PT school clinical rotations
• Minimal formal education on these specialties (only a few hours in a 3-year doctoral program)
• Personal history with misdiagnosis fueled her passion for patient advocacy
• Currently practices in both hospital and private settings through OncoPelvic PT
• Focused on validating patient experiences that are often dismissed

"I had one orthopedic surgeon tell me that it was in my head and it ended up being an actual labral tear... I have felt not heard when I was in pain and I knew something was wrong with my body."

Understanding Lymphedema: Beyond Cancer

Lymphedema is one of the most common yet misunderstood side effects in cancer care:

What It Is

• Buildup of protein-rich lymphatic fluid that doesn't resolve without treatment
• Different from typical swelling (like a sprained ankle)
• Can affect specific body areas based on lymphatic system damage

Common Causes

• Lymph node removal during cancer surgeries
• Radiation therapy damage to lymphatic vessels
• Some cases develop from congenital lymphatic system issues

Treatment Approach

• Complete Decongestive Therapy (gold standard treatment):
  • Compression bandaging and garments
  • Manual lymphatic drainage massage techniques
  • Specific therapeutic exercises
  • Comprehensive skincare regimen to prevent infection

Access Challenges

• Approximately one certified lymphedema therapist per 1,000 patients who need treatment
• Even fewer therapists specialize in genital lymphedema

Exercise During Cancer: Myth-Busting

Alex passionately advocates for appropriate physical activity throughout cancer treatment:

Old Misconception

• Cancer patients should rest and avoid physical activity

Current Evidence

• Exercise improves treatment outcomes
• Helps manage treatment-related fatigue
• May reduce cancer recurrence rates
• Safe even for patients with metastatic cancer (with proper modifications)

Clinical Considerations

• Timing matters (avoid 2 hours before/after radiation or chemotherapy)
• Monitor blood counts and adjust intensity accordingly
• Telehealth options for high-fatigue days
• Individualized programming based on specific needs

"If we as providers under-dose exercise, we are part of the problem. We have to really look at what our patient needs who's in front of us and individualize their plan of care."

Hormonal Changes & Pelvic Health

Cancer treatments frequently cause significant hormonal disruptions with profound pelvic health impacts:

Common Triggers

• Tamoxifen and other hormone therapies
• Chemotherapy-induced menopause
• Surgical removal of ovaries or testes

Resulting Pelvic Health Issues

• Vaginal dryness and atrophy
• Pain with intercourse
• Tissue fibrosis (especially after radiation)
• Pelvic floor muscle dysfunction

Therapeutic Approaches

• Dilator Therapy
  • Medical devices in graduated sizes
  • Maintains vaginal tissue flexibility
  • Enables comfortable pelvic examinations
  • Supports sexual function recovery
• Pelvic Floor Rehabilitation
  • Often focuses on relaxation rather than strengthening
  • Addresses trauma responses in the nervous system
  • Retrains coordination and function

"A lot of times we'll need to work on relaxing the pelvic floor, getting it more coordinated before we then start strengthening if we do need to do that."

Understanding Radiation Fibrosis

Alex provided a clear explanation of how radiation affects tissues:

• Radiation can be delivered externally or internally (brachytherapy)
• Creates a "scattering effect" that impacts surrounding tissues
• Results in scarring, hardening and thickening of tissue (fibrosis)
• Reduces tissue flexibility and elasticity
• Can cause pain with movement, urination, bowel movements, and sexual activity
• Early intervention helps minimize progression

Timeline of Treatment Effects

Cancer treatment effects follow distinct patterns that patients should understand:

Acute Effects

• Occur during active treatment
• Often anticipated and addressed in treatment plans

Long-Term Effects

• Continue beyond the treatment period
• Example: Persistent fatigue or neuropathy

Late Effects

• Develop months or years after treatment ends
• Often unexpected and psychologically challenging
• Examples:
  • Lymphedema (can appear up to 15-20 years post-treatment)
  • Progressive fibrosis
  • Cardiac or pulmonary toxicity
  • Sexual dysfunction

"It just kind of kicks you when you're down. You're out from treatment, you're done, you're maybe going to the oncologist just for your yearly checkup and then like, bam... It's still coming back for you with these other late side effects."

Healthcare Provider Education & Collaboration

Alex emphasizes the importance of improved education and team approaches:

Current Gaps

• Minimal pelvic health and oncology training in most medical and rehabilitation programs
• Lack of automatic referral pathways for pelvic cancers (compared to breast cancer)
• Providers often uncomfortable discussing intimate health concerns

Progress Being Made

• Rehab specialists now included in tumor board meetings at some hospitals
• Increasing integration of rehabilitation into cancer centers
• More evidence supporting early intervention

Ideal Approach

• Baseline assessments at diagnosis
• Ongoing monitoring throughout treatment
• Regular follow-up to catch late effects early
• Collaborative care among oncology, primary care, and rehabilitation specialists

"We as healthcare providers have to do better for our patients besides only focusing on, for example, like the scar tissue or the lymphedema or the shoulders."

Resources & Mentions

• OncoPelvic PT - Alex Hill's practice and educational platform
  • Resources for cancer survivors
  • Blog with evidence-based information
  • Continuing education courses for clinicians
• Complete Decongestive Therapy (CDT) - Gold standard treatment for lymphedema
  • Lymphology Association of North America - Certification and information
• Vaginal Dilators - Medical devices for maintaining vaginal health
  • Intimate Rose (widely recommended brand)
  • Soul Source (silicone options)
• Professional Organizations:
  • Academy of Pelvic Health Physical Therapy
  • APTA Oncology
  • Lymphology Association of North America
• Alex's Theme Song: "Get Back Up Again" from Trolls - Representing her optimistic approach to challenges

Connect with Alex Hill:

• Website: OncoPelvic PT
• Social Media: @OncoPelvicPT on all platforms
• Monthly newsletters available for both healthcare providers and patients

For more episodes of The Hole Shebang podcast with Kristen Parise, visit The Hole Shebang or subscribe wherever you get your podcasts.

 

Get ready for a conversation that pulls no punches! In this episode, we dive deep with Dr. Rachel Gelman, a pelvic floor physical therapist and certified sexuality counselor who's making waves in San Francisco's sexual health scene. From painful sex to leaky laughs, Rachel breaks down everything you've wondered about but were afraid to ask.

About Dr. Rachel Gelman

Dr. Rachel Gelman is a Doctor of Physical Therapy and AASECT-certified sexuality counselor based in San Francisco. She's the owner and founder of Pelvic Wellness & Physical Therapy, where she specializes in treating pelvic pain, bowel, bladder, and sexual dysfunction across all gender identities. With over 15,000 clinical hours and extensive training from the University of Michigan's sexuality counseling program, Rachel is also an adjunct instructor at Samuel Merritt University and works with companies in the sex tech and femtech space.

Contact Info:

• Website: www.pelvicwellpt.com
• Instagram: @pelvichealthsf
• Email: rachel@pelvicwellpt.com

Episode Highlights

🔥 Why Rachel prescribes vibrators more than Kegels - spoiler alert: your pelvic floor might need the opposite of what you think

💡 The chocolate cake technique for rediscovering pleasure when sex has been painful

🚽 How your bathroom habits are sabotaging your sex life (and the simple $15 fix that could change everything)

⚡ The clitoris vs. penis truth bomb that explains why most sex education gets it wrong

Chapter Breakdown

[00:00] From Biology Student to Pelvic Health Pioneer How Rachel fought university pushback to specialize in the "taboo" field of pelvic health

[05:30] Solo Sex as Self-Care
Why masturbation isn't just about pleasure—it's essential healthcare

[12:15] The Great Orgasm Education Gap Breaking down the clitoris-penis connection and why anatomy education is failing us

[18:45] When Your Tailbone Ruins Your Sex Life The surprising connection between tailbone pain and sexual dysfunction

[24:00] Breathing Your Way to Better Sex Simple techniques that calm your nervous system and unlock pleasure

[29:30] Creating Your Sexual Menu Rachel's game-changing approach to moving beyond vanilla penetration scripts

[35:15] The Leaky Sex Dilemma Addressing incontinence during intimacy (spoiler: it might not be what you think)

[41:00] Painful Erections Aren't Normal What's happening when erections hurt and how pelvic floor dysfunction affects all genders

[46:30] Sex Tech Recommendations Rachel's favorite brands and why your vibrator should look like modern art

Resources Mentioned Sex Toy Brands Rachel Recommends:

• Unbound - Women-owned, versatile products (try the "Bender")
• Maude - Sleek, modern art aesthetic
• Mystery Vibe - Research-backed products for people with pelvic pain

Tools & Techniques:

• Squatty Potty or toilet stool for better bowel movements
• Yes/No/Maybe lists for sexual communication
• Romance novels and audio erotica as pleasure research
• Child's pose and happy baby positions for pelvic floor relaxation

Professional Resources:

• AASECT (American Association of Sexuality Educators, Counselors & Therapists)
• International Society for Sexual Medicine
• International Society for the Study of Women's Sexual Health

Why You Need to Listen

This isn't your typical health podcast episode. Rachel doesn't just talk about pelvic floors—she revolutionizes how we think about pleasure, pain, and the connection between our bodies and our sex lives. Whether you're dealing with painful sex, curious about pelvic health, or just want to understand your body better, this conversation will leave you with actionable insights and a completely new perspective on sexual wellness.

Warning: This episode contains frank discussions about sex, anatomy, and bodily functions. Perfect for anyone ready to have real conversations about real bodies.

Subscribe to The Hole Shebang wherever you get your podcasts, and don't forget to follow us for more taboo-breaking conversations about pelvic health and sexual wellness.

 

  Episode Overview

Join Kristen Parise as she dives into the often-overlooked world of pediatric pelvic health with Clare Bourne, a London-based pelvic health physiotherapist and author. From bedwetting misconceptions to constipation crises, Clare shares her expertise on helping children and families navigate pelvic floor challenges while breaking down the shame and taboos that often surround these essential bodily functions.

What You'll Learn

• Why potty training should be viewed as a developmental process, not a quick fix
• The surprising connection between constipation and bedwetting in children
• How pediatric pelvic assessments differ dramatically from adult evaluations
• Why education and communication are more powerful than hands-on treatment for kids
• The rising rates of pediatric constipation and what's really behind them
• How childhood pelvic issues can impact menstrual health and sexual function later in life

Episode Highlights Clare's Journey: From Adult to Pediatric Pelvic Health

Clare shares her unique career path as someone who's been in pelvic health for her entire career, rather than transitioning from other areas. Her journey into pediatric work was reignited by her own children's potty training experiences and her realization that many adult pelvic issues trace back to childhood patterns that were never properly addressed.

The Detective Work of Pediatric Assessment

Unlike adult pelvic health where physical examination is central, Clare explains how pediatric assessment is primarily about education, understanding, and "unpicking" what's happening. She describes feeling like a detective, gathering clues about bowel habits, bladder patterns, and family dynamics rather than relying on internal examinations.

Bedwetting: Breaking Down the Biggest Misconceptions

Clare tackles the widespread misunderstanding that once a child is potty trained, they should automatically be dry at night. She explains the hormonal maturity, bladder capacity, and sleep factors that make nighttime dryness a completely different process, emphasizing that bedwetting isn't a problem until age 7 or later.

The Constipation Crisis: More Than Just Diet

Moving beyond the oversimplified "eat more fiber" narrative, Clare reveals the complex factors contributing to rising pediatric constipation rates. From lack of parental support to bathroom access issues at schools, from stress impacts to inappropriate potty training pressures, she paints a comprehensive picture of this growing problem.

The Mind-Body Connection in Little Bodies

Clare and Kristen explore how children's pelvic health issues often arise during life transitions—new siblings, starting school, family moves—as children exert control over what they can: their eating, peeing, and pooping. This leads to a discussion about the importance of multidisciplinary care including play therapy.

From Tampons to Intercourse: The Long-Term Impact

In a particularly enlightening segment, Clare traces how childhood constipation and holding patterns can lead to increased pelvic floor tension, making tampon insertion painful in adolescence and potentially contributing to painful intercourse later. She emphasizes how 30 years of pelvic health history matters long before someone gives birth.

Episode Chapters

• 00:00-02:30: Introduction to Clare and Her Pelvic Health Journey – A career-long specialist shares her path
• 02:30-05:17: The Connection Between Pelvic Floor and Continence – How children learn bladder and bowel control
• 05:17-08:25: Pediatric vs. Adult Assessment Approaches – Why education trumps examination with kids
• 08:25-11:23: Common Pediatric Pelvic Issues – Bedwetting, constipation, and beyond
• 11:23-16:41: The Importance of Education and Breaking Shame – Teaching kids proper anatomy and function
• 16:41-21:09: Practical First Steps for Parents – What to try before seeking professional help
• 21:09-24:47: Understanding the Pediatric Constipation Epidemic – Statistics and contributing factors
• 24:47-28:22: The Role of Stress and Family Support – How global events impact children's health
• 28:22-30:21: Medication Management and Treatment Approaches – Why "long enough" matters
• 30:21-34:32: The Unique Challenges of Pediatric Treatment – Growth, development, and family dynamics
• 34:32-38:13: The Connection Between Childhood Issues and Adult Health – From constipation to sexual function
• 38:13-End: Empowering Through Education and Resources – Making pelvic health accessible to all

Key Takeaways

• Start monitoring your child's bowel habits regularly - knowledge is power
• Create an environment where talking about bodily functions is normalized and shame-free
• Potty training timelines vary enormously and shouldn't be rushed
• Many adult pelvic health issues have roots in childhood experiences
• Bedwetting before age 7 is completely normal
• Constipation management requires sustained, thorough treatment
• Multiple factors beyond diet contribute to pediatric constipation

Sound Bites

• "Start with monitoring that bowel"
• "It's almost like a checklist, isn't it?"
• "The kid's not being naughty"
• "We need to improve perinatal care, but we also need to give them the 24 hours before"
• "Kids don't have shame, we create the shame for them"

Connect with Clare

• Website: Clare-Bourne.com
• Instagram: @clarebournephysio
• Book: "Strong Foundations: Why Pelvic Health Matters"
• Also on: TikTok and LinkedIn
• Resources: Webinars, eBooks, and educational materials for all financial situations

Connect with The Hole Shebang

• Website: Blueberry Therapy Pelvic Health and Pediatrics
• Instagram: @blueberrytherapypelvichealth
• Upcoming Event: The Pleasure Principle Conference - May 8th, 2026

Clare's Theme Song

"There She Goes" - A go-getter anthem that captures her approach to tackling taboo topics in pelvic health with determination and joy!

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.

Episode Summary

In this final installment of our three-part financial wellness series, Kristen and Gillian dive deep into retirement planning—but not in the way you'd expect. While we cover the essential numbers (spoiler: Canadians need $1.5-1.7 million for comfortable retirement), this conversation explores the profound connection between financial security and mental wellbeing in your golden years.

From understanding why social isolation hits retirees as hard as smoking and obesity, to discovering how whole life insurance can become a tax-free investment vehicle, this episode challenges every assumption you have about what retirement really means. Gillian shares her revolutionary "Five Good Adventures" program and explains why "retirement means stopping" is one of the most dangerous misconceptions Canadians hold.

Warning: This episode may cause you to completely rethink your definition of wealth.

Key Takeaways That Will Change How You Think About Retirement

✨ The Magic Number Revealed: Current retirement goals for Canadians ($1.5-1.7 million) and why millennials need even more ($2-2.5 million)

✨ The Love Language Strategy: How understanding your emotional drivers can create the perfect retirement transition plan

✨ Social Isolation = Health Crisis: Research shows loneliness impacts health as severely as smoking and obesity

✨ Money ≠ Wealth: Gillian's powerful manifesto point that will shift your entire perspective on financial planning

✨ The Tax Blend Method: Smart strategies for drawing from RRSPs, TFSAs, and other accounts to minimize tax burden

✨ Whole Life Insurance Secrets: How to create a tax-sheltered investment vehicle that grows at 6%+ tax-free

Chapter Breakdown

[00:00] The Retirement Reality Check

• Current economic climate and recommended savings amounts
• Why the "magic number" keeps growing for younger generations
• Understanding the building blocks: CPP, OAS, pensions, and personal savings

[03:01] The Legacy vs. Living Balance

• How early planning increases your chances of leaving something behind
• Strategies for enjoying retirement while preserving wealth
• The luxury conversation: when legacy planning becomes possible

[06:00] Tax Strategy Masterclass

• The RRSP to RIF conversion at age 71 (5.28% mandatory withdrawal)
• Blending tax-free and taxable income sources
• Why drawing down everything tax-free first can backfire

[09:13] Beating Inflation While Living Longer

• Planning for 45-50 years of expenses in retirement
• Real return expectations: 4-5% after inflation
• Why that $300,000 kitchen renovation needs to happen while you're working

[12:09] The Mental Health Crisis No One Talks About

• Research on social isolation and health impacts
• Identity loss when leaving career behind
• The "first 100 days" retirement strategy

[14:59] Building a Retirement That Flourishes

• Gillian's "Five Good Adventures" 12-week program
• Using love languages to design your ideal retirement
• Case study: The retired physician who found purpose in insurance consulting

[17:50] Busting Dangerous Retirement Myths

• Why retirement isn't a "holding pattern"
• The all-or-nothing work misconception
• Finding the conversation partners you need for this transition

[20:56] Planning for Long-Term Care Reality

• Home equity as the primary funding source for most Canadians
• Memory care costs: up to $20,000-25,000 monthly
• The trade-off conversations every couple needs to have

[23:58] Whole Life Insurance as Investment Vehicle

• How to create tax-sheltered growth at 6%+ annually
• Borrowing strategies for long-term care funding
• Why Gillian finally got her own policy after 15 years of recommending them

Resources & References Gillian's Contact Information

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

Canadian Government Resources

• Canada Pension Plan (CPP): canada.ca/en/services/benefits/publicpensions/cpp
• Old Age Security (OAS): canada.ca/en/services/benefits/publicpensions/cpp/old-age-security
• Tax-Free Savings Account (TFSA): canada.ca/en/revenue-agency/services/tax/individuals/topics/tax-free-savings-account
• Registered Retirement Savings Plan (RRSP): canada.ca/en/revenue-agency/services/tax/individuals/topics/rrsps-related-plans

Research References

• Social Isolation & Health: Robert Putnam & Julianne Holt-Lunstad's research on social isolation impacts
• Art Reference: "Precipice" by Diane Twombly (Hamilton artist)

Theme Song

🎵 "Suddenly I See" by KT Tunstall - "There are moments in your life where you feel like you're digging through murkiness... then one day you wake up and it all feels clear."

Why This Episode Matters

If you've been putting off retirement planning because the numbers feel overwhelming, or if you're approaching retirement and feeling anxious about what comes next, this episode offers a completely different framework. Gillian doesn't just talk about money—she talks about flourishing, about creating a life of meaning and connection that happens to be financially secure.

This isn't your typical retirement planning conversation. It's a masterclass in designing a life worth living, with the financial foundation to support it.

Catch Up on the Series

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

Ready to transform your relationship with money and retirement planning? This episode will change everything you thought you knew about what it means to plan for your future.

 

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.

Episode Highlights 🌟

🧬 The Science Behind Midlife Changes: Discover why vaginal tissue goes from 20+ layers to just 2 post-menopause—and what you can do about it

💡 Lubes vs. Moisturizers Decoded: Finally understand the difference between "lubes for love" and "moisturizers for maintenance"

🌱 From Clinician to Entrepreneur: How a pelvic health physio created FemSense Balm after struggling to find effective products for her clients

🔬 pH Balance Matters: Learn the exact pH range (3.5-5.0) your vulvar area needs to stay healthy and infection-free

🩺 Beyond Menopause: Why postpartum, post-cancer, and incontinence patients also need to know about vaginal moisturizers

🎵 Theme Song: "Don't Stop Believing" by Journey (because innovation in women's health never stops!)

Episode Summary

In this enlightening conversation, host Kristen Parise sits down with fellow pelvic health physiotherapist Angelique Montana-Breslin to dive deep into a topic that's often overlooked but desperately needed: vaginal moisturizers. From the entrepreneurial journey of creating FemmeSense Balm to the science behind vulvar health, this episode is packed with practical insights that could be life-changing for many listeners.

Meet Our Guest

Angelique Montano-Bresolin, PT, BSc PT, HBA Kin

• Registered Physiotherapist and Clinic Director at Proactive Pelvic Health Centre in Toronto
• Adjunct Lecturer at University of Toronto
• Creator of FemmeSense Balm and founder of Pelvic Health Hub
• Treating all genders and ages for pelvic health concerns since 2009

Angelique's journey into pelvic health began through treating low back pain, where she discovered the strong correlation between pelvic floor dysfunction and spinal issues—a discovery that changed her career trajectory forever.

Key Takeaways That Will Change How You Think About Intimate Care

The Lube vs. Moisturizer Revelation

• Lubricants: "Lubes for love" - fast-acting, short-term friction relief for sexual activity
• Moisturizers: "Moisturizers for maintenance" - ongoing skin support, just like face cream for your vulva

The Midlife Reality Check One powerful visualization shared: pre-menopause vaginal tissue has approximately 20 layers of skin cells, while post-menopause may have only 2. This dramatic change explains why so many experience that "razor blade" sensation during intimacy.

Beyond Menopause: Who Else Needs to Know This

• Postpartum individuals (especially those breastfeeding)
• Post-cancer treatment patients
• Anyone with urinary incontinence
• Those with vulvar dermatological conditions like lichen sclerosus

What Makes a Good Vaginal Moisturizer?

Angelique breaks down the science-backed essentials:

1. pH Balance: 3.5-5.0 range to maintain healthy microbiome
2. Emollient Properties: Softens and lubricates skin
3. Occlusive Properties: Creates barrier to prevent moisture loss
4. Humectant Properties: Draws and retains water in skin

Chapter Breakdown

• 00:00 - Introduction to Pelvic Health and Angelique's Journey
• 02:58 - The Creation of FemmeSense Balm (From idea to market reality)
• 05:51 - Understanding Vaginal Moisturizers vs. Lubricants
• 09:03 - Key Considerations for Choosing a Vaginal Moisturizer
• 11:52 - The Importance of Moisturizers in Midlife
• 14:49 - Vulvar Vaginal Dryness Across Different Life Stages
• 18:06 - Lichen Sclerosus and Its Impact
• 20:47 - FemmeSense Balm: A Solution for Sensitive Skin
• 24:05 - Where to Find FemmeSense Balm and Closing Thoughts

Resources Mentioned

Where to Find FemmeSense Balm:

• Pelvic Health Hub (Direct from manufacturer)
• Amazon
• Well.ca (Canada)
• Blueberry Therapy and other select pelvic health clinics

Connect with Angelique:

• Instagram: @proactivepelvichealth
• Facebook: @proactivepelvichealth
• Pelvic Health Hub: @pelvichealthhub

Why This Episode Matters

This isn't just another product discussion—it's about filling a critical gap in women's healthcare knowledge. As Angelique reveals, many people suffering from vulvar discomfort have never even heard that moisturizers exist for intimate care. For some clients, discovering this solution has been "life-changing."

Whether you're approaching midlife, navigating postpartum changes, or supporting clients in your practice, this episode provides the science-backed information needed to make informed decisions about intimate skincare.

Theme Song Spotlight: Angelique's choice? "Don't Stop Believing" by Journey—perfectly capturing her entrepreneurial spirit and dedication to advancing pelvic health care.

Ready to transform your understanding of intimate wellness? Press play and discover why this conversation is resonating with healthcare professionals and patients alike.

 

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!

Episode Overview

Get ready for one of the most fascinating origin stories you'll ever hear! Join Kristen Parise as she sits down with Dr. Bruce Crawford, the maverick urogynecologist who went from drumming in rock bands to revolutionizing pelvic floor health worldwide. This isn't your typical medical journey—it's the story of a surgeon who discovered that "It's a fitness problem, not a surgical problem" and completely transformed how we approach bladder control, prolapse, and pelvic health.

From playing drums in successful rock bands to becoming the ONLY urogynecologist in the United States to develop a comprehensive pelvic floor fitness program, Dr. Crawford's path proves that sometimes the most unconventional routes lead to the most groundbreaking discoveries.

What You'll Discover

• The Email That Changed Everything: How one random email in 2003 led Dr. Crawford to West Africa and completely transformed his medical philosophy
• The Pfilates Revolution: The fascinating EMG research behind 120 movement studies that identified the 10 most effective pelvic floor exercises
• Why Traditional Medicine Gets It Wrong: The eye-opening revelation that pelvic floor disorders are fitness problems being treated as surgical ones
• The Power of Co-Recruitment: How your glutes, inner thighs, and deep abdominals can save your pelvic floor (without you even thinking about it!)
• Real Results: Why 80% of clients see 50% improvement in bladder function in just 28 days
• Global Impact: Stories from training 7,000+ instructors worldwide, including 1,700 in Japan alone

Episode Highlights From Janitor to Rock Star to Surgeon: The Most Unlikely Medical Journey Ever

Dr. Crawford opens up about his unconventional path—from being an 18-year-old hospital janitor with no college plans, to touring Europe as a drummer, to acing the MCAT and attending NYU School of Medicine. His greatest childhood fear? Being bored at work. Spoiler alert: that never happened!

"My greatest childhood fear was being bored in my work. Kids are scared of the boogeyman—I was afraid of being bored as an adult."

The Life-Changing Email: When Destiny Calls from West Africa

In 2003, Dr. Crawford opened what seemed like a routine email. Next thing he knew, he was performing life-changing fistula repairs in Niger and Rwanda. This humanitarian work became the catalyst for his revolutionary discovery that would challenge everything he thought he knew about pelvic floor treatment.

"You just never know which email it's gonna be. You never know what interaction is gonna totally change the path of your life."

The Great Medical Revelation: "They're Not Surgical Problems!"

After years of performing successful surgeries and watching the same problems return, Dr. Crawford had a professional existential crisis. His work with women suffering from obstetric fistulas in Africa made him realize that most pelvic floor disorders aren't surgical problems—they're fitness problems that deserve fitness solutions.

The Science Behind the Magic: EMG Research That Changed Everything

Discover how Dr. Crawford and his team used groundbreaking video EMG synchronization technology to study 120 different movements from Pilates, yoga, and personal training routines. The result? Ten specific movements that passively engage the pelvic floor through reflex relationships with other muscle groups.

"75-80% of people are glute dominant. That's their best co-recruiter. But we didn't know that before the research."

Why Your Stride Length Might Predict Your Sex Life

In a fascinating tangent, Dr. Crawford shares a Japanese study showing that men with longer natural stride lengths had less erectile dysfunction. The reason? Hip extension engages glutes, which are the dominant pelvic floor recruiters. Mind = blown!

Breaking the Incontinence Silence: "How's Your Bladder Working?"

Learn Dr. Crawford's direct, no-nonsense approach to breaking down barriers around embarrassing health topics. His secret? Unwavering eye contact, matter-of-fact delivery, and understanding that if you're uncomfortable, your patient will be too.

"You need to coax it gently and with kindness. You can't feel fear and shame and embarrassment."

The Fitness Revolution vs. The Medical Machine

Dr. Crawford doesn't hold back about the medical industry's relationship with Big Pharma and the profit motives that keep surgical solutions at the forefront. His controversial take: we've got it completely backwards, treating exercise and nutrition as "radical therapy" instead of first-line treatment.

"There might be exploitation taking place here. We put everyone on a med. If that doesn't work, we operate. And if that doesn't work, we try radical therapy like exercise and nutrition. This might be completely upside down."

The Lonely Road of Medical Innovation

Discover what it's like to be a pioneer in a field resistant to change, especially when that change threatens income streams. Dr. Crawford's honest reflection on choosing to "effectively put himself out of business" rather than continue the status quo.

Episode Chapters

00:00-07:17: Introduction to Dr. Bruce Crawford – Meet the rock star turned revolutionary surgeon

07:17-15:39: Bruce's Unique Journey to Medicine – From drummer to janitor to medical maverick

15:39-21:32: The Importance of Movement in Pelvic Health – The science behind functional movement and pelvic floor recruitment

21:32-28:28: Breaking the Stigma of Incontinence – How to have those difficult conversations with confidence

28:28-36:29: The Role of Exercise in Health – Why fitness should be first-line treatment for almost everything

36:29-40:16: Reflections on Global Health Work – Life-changing experiences in Niger and Rwanda

40:16-End: The Future of Pelvic Floor Rehabilitation – Where Pfilates is headed and how to get involved

Transformative Quotes That Will Change How You Think

"It's a fitness problem, not a surgical problem."

"You should be working your pelvic floor muscles all your life, just like you work your biceps."

"It's never too late to work on muscles."

"The answer is always to exercise."

"Instead of 28 days, you need to think 90 days for prolapse—but it CAN be done."

"We sell more pads for bladder control problems than for menstruating women. And we don't talk about it."

Ready to Transform Your Approach to Pelvic Health?

Whether you're a healthcare provider looking to offer better solutions to your patients, someone struggling with pelvic floor issues, or just fascinated by medical innovation, this episode will completely shift your perspective on what's possible with the right approach.

Learn More About Pfilates: Visit Pfilates.com to explore programs for women, men, prolapse coaching, and instructor certification.

Dr. Crawford's Challenge to You: Before considering surgery, give fitness a chance. Five minutes in the morning, five minutes in the evening. What do you have to lose?

Connect with The Hole Shebang

Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference May 8th 2026

Dr. Crawford's Theme Song for His Career

"Don't Back Down" by Tom Petty – perfectly capturing his refusal to compromise on doing what's right for patients, even when it meant going against the medical establishment.

Close second: "Wheels on the Bus Go Round and Round" because "it's just been a lot of repetition over and over again."

Ready to have your mind blown about pelvic health? This episode proves that sometimes the most revolutionary ideas come from the most unexpected places. Dr. Crawford's journey from rock stages to operating rooms to fitness studios is proof that creative expression and medical innovation can change the world—one pelvic floor at a time.

 

Episode Overview

Are you tired of feeling exhausted all the time as a mom? Wondering if you'll ever feel like yourself again? This episode is your wake-up call! Join Kristen Parise as she chats with Laura Lima, a holistic nutritionist and soon-to-be mom of four, who's cracking the code on how busy moms can ditch the fatigue and reclaim their energy—without complicated meal plans or impossible routines.

Laura brings real-world wisdom from the trenches of motherhood, sharing practical strategies that actually work when you're sleep-deprived, overwhelmed, and just trying to keep everyone fed (including yourself!). If you've ever eaten a protein bar for breakfast while standing in your kitchen, this conversation is for YOU.

What You'll Learn

The Energy-Boosting Essentials That Actually Matter:

• Why that water bottle needs to become your new best friend (and the simple trick to drink more)
• The power of protein and fat combinations that keep you satisfied for hours
• How to avoid the blood sugar roller coaster that's making you feel like garbage

Meal Prep Hacks for Real Life:

• The slow cooker strategy that will save your sanity
• Why boiled eggs in the fridge are a game-changer
• Laura's "anything goes" approach to the newborn phase (because perfectionism can take a hike!)

Breaking the Snack Attack Cycle:

• The truth about why you're craving sugar all day long
• How to eat three solid meals without feeling deprived
• The mindset shift that transforms your relationship with food

Staying Consistent When Life is Chaos:

• Laura's morning ritual that sets the tone for success
• The "future self" technique that stops bad decisions in their tracks
• Why asking "How do I want to feel when my head hits the pillow?" changes everything

Episode Highlights

From Spa Days to Mom Life Laura's journey from aesthetician to holistic nutritionist wasn't planned, but when her then-boyfriend (now husband) spotted an opportunity at the Institute of Holistic Nutrition, she knew she'd found her calling. Now as a busy mom expecting her fourth baby, she's living proof that you can feel vibrant even in the thick of motherhood chaos.

The Water Bottle Revolution It sounds basic, but Laura's passionate about this: always have water with you. At your nursing station, in your car, on your nightstand. "When you bring your water with you, you will automatically drink more water," she explains. It's the foundation that makes everything else work.

The Almond Butter Nightstand Strategy Sometimes you need easy wins. Laura's honest about bringing a jar of almond butter and a spoon to her nightstand during the newborn phase. "That's a snack. That's just some extra booster protein that will help get me through the night." No judgment, just nourishment.

The Blood Sugar Truth Bomb "When we rely on things like bars... they just make our blood sugar spike. And when it goes up, it goes down fast. And when it goes down fast, we're feeling tired, lethargic, probably mood swingy." Laura breaks down why those convenient snacks are actually working against you.

The Cravings Mind Shift This is where it gets deep. Laura's approach to emotional eating isn't about willpower—it's about recognizing that "food will not actually make this better. I will not actually feel happier when I eat that food." It's a game-changing perspective that addresses the real root of cravings.

Episode Chapters

00:00-02:22: Laura's Origin Story - From spa life to nutrition passion 02:22-04:05: The Energy Crisis - Why new moms don't have to suffer 04:05-08:04: The Hydration Foundation - Water as your secret weapon
08:04-11:35: Smart Snacking Strategies - Protein and fat combinations that work 11:35-16:55: Blood Sugar Mastery - Three meals, better choices, lasting energy 16:55-21:29: Meal Prep Reality Check - Slow cookers, leftovers, and homemade dressings 21:29-24:42: The Snacking Spiral - How to break free from constant grazing 24:42-28:17: Craving Control - Physical vs emotional hunger 28:17-30:54: Consistency Secrets - Morning rituals and future-self thinking 30:54-32:32: Laura's Practice - Virtual support through the New Mama Nutrition Manual 32:32-35:28: Real Life Moments - Playroom disasters and lived-in houses 35:28-35:42: Theme Song - "Happy Together" by The Turtles

Laura's Top Tips for Busy Moms

1. Always carry water - If it's with you, you'll drink it
2. Stock boiled eggs - Perfect grab-and-go protein
3. Make extra dinner - Leftovers are your friend
4. Keep homemade salad dressing ready - You'll actually eat the salad
5. Add almond butter to everything - Yogurt, smoothies, fruit
6. Use your slow cooker - 20 minutes of prep = dinner done
7. Ask yourself: "How do I want to feel tonight?" - Let your future self guide your choices

Connect with Laura Lima

Instagram: @lauraannlima - Follow for real-life mom nutrition tips, behind-the-scenes motherhood moments, and practical recipes

Online Course: New Mama Nutrition Manual - Get all of Laura's strategies in one comprehensive program at newmamanation.com/courses

Website: newmamanation.com

Connect with The Hole Shebang

Ready for more honest conversations about women's health?

Follow us on Instagram: @blueberytherapypelvichealth for more episodes of The Hole Shebang and pelvic health insights

Upcoming Event: The Pleasure Principle Conference returns May 8th, 2026 - Don't miss this groundbreaking event!

Website: Blueberry Therapy Pelvic Health and Pediatrics

Laura's Theme Song

"Happy Together" by The Turtles - Because as Laura says, "As long as we're together, whatever we do, it's gonna be fun today." Family first, always.

This episode is a must-listen for any mom who's tired of feeling tired. Laura's approach is refreshingly honest, beautifully practical, and proof that small changes can create massive shifts in how you feel every single day.

 

Episode Overview

Join Kristen Parise as she sits down with Dr. Laura Katz, a health, rehabilitation, and clinical psychologist who's revolutionizing how we understand and treat chronic pelvic pain and endometriosis. From the evolutionary biology of pain signals to groundbreaking interdisciplinary treatment approaches, Dr. Katz shares her expertise on helping women reclaim their lives from chronic pain through the power of pain science and neuroplasticity.

What You'll Learn

• Why our pain signals haven't evolved past the "velociraptor era" and how this impacts chronic conditions
• The critical difference between acute and chronic pain in the nervous system
• How pain sensitization works and why chronic pain isn't always a sign of tissue damage
• The revolutionary science behind neuroplasticity and pain rewiring
• Why cognitive behavioral therapy is a game-changer for chronic pain management
• The innovative Endometriosis360 program combining psychology, physiotherapy, and nutrition
• Practical tools and homework assignments that create lasting change

Episode Highlights Dr. Katz's Journey: From Pain Lab to Patient Care

Dr. Katz describes her path from clinical psychology training in a specialized pain lab focusing on bladder pain syndrome and pelvic pain conditions to becoming a registered health psychologist. Her unique background combines traditional clinical psychology with specialized expertise in chronic health conditions, pain management, and helping patients stick to treatment plans.

The Evolutionary Mismatch: Why Our Pain System is Outdated

Learn why our nervous system's danger detection mechanisms, perfectly designed for escaping predators, can become problematic in modern life. Dr. Katz explains how chronic pain conditions like endometriosis involve a sensitized nervous system that sends danger signals even when there's no actual tissue damage, creating a cycle of fear and avoidance.

The Science of Pain: Acute vs. Chronic

Discover the critical 12-week transition point where acute pain can become chronic, and understand how the nervous system becomes "sensitized" over time. Dr. Katz breaks down complex neurobiology into understandable concepts, explaining how chronic pain involves mixed-up chemical messengers rather than ongoing tissue damage.

Cognitive Behavioral Therapy: Rewiring Your Pain Response

Explore how CBT helps patients examine and change their relationship with pain-related thoughts and beliefs. From "pain equals danger" to "pain is uncomfortable but not dangerous," learn how shifting these core beliefs can dramatically impact functioning and quality of life.

The Endometriosis360 Revolution: Interdisciplinary Care at Its Best

Get an inside look at this innovative 6-week virtual program that combines the expertise of Dr. Katz (psychology), Jill Mueller (physiotherapy), Dr. Matthew Leonardi (gynecological surgery), and Emily Arthur (nutrition). Discover how this "master class" approach addresses endometriosis from multiple angles simultaneously, leading to profound transformations in just six weeks.

Beyond Pain Relief: Identity Transformation

Learn about the surprising "identity crisis" many patients experience when they're no longer defined by their pain. Dr. Katz shares how successful treatment can lead to profound questions about purpose, relationships, and life goals when chronic pain no longer dominates daily existence.

Episode Chapters

00:00-11:00: Introduction and Dr. Katz's Background – From pain lab research to clinical practice
11:01-24:00: Understanding Pain Science – Evolutionary biology meets modern neuroscience
24:01-32:00: The Acute to Chronic Pain Transition – When protective mechanisms go wrong
32:01-45:00: Cognitive Behavioral Therapy for Pain – Changing thoughts to change outcomes
45:01-58:00: The Endometriosis360 Program – Revolutionary interdisciplinary care
58:01-68:00: Practical Tools and Home Practice – What patients do between sessions
68:01-75:00: Success Stories and Transformations – From pain patient to empowered individual

Connect with Dr. Laura Katz

Endometriosis360 Program: @endometriosis360 on Instagram
Private Practice: MindFit (Director of Health Psychology)
Academic Role: Assistant Professor at McMaster University
Clinical Work: Michael G. DeGroote Pain Clinic at McMaster University

Connect with The Hole Shebang

Website: Blueberry Therapy Pelvic Health and Pediatrics
Instagram: @blueberrytherapyepelvichealth

Dr. Katz's Theme Song for Her Life and Career

"Shake It Off" by Taylor Swift – representing the resilience needed in trauma work, parenting young children, and innovating in healthcare. As Dr. Katz explains, "Part of resiliency is just being able to shake it off" whether dealing with challenging patient sessions, demanding toddlers, or healthcare system obstacles.

Key Resources Mentioned

• Bounce Back: Ontario's online CBT program with self-guided modules
• Mind Over Mood: CBT book by Padesky and Greenberg
• Pain-specific CBT books: (Available through Dr. Katz's recommendations)
• Endometriosis360 Assessment: 90-minute interdisciplinary virtual assessment
• Endometriosis360 Group Program: 6-week evidence-based virtual program

 

Special Listener Offer

Follow @pauzhealth on Instagram and DM "hole shebang" to receive:

• 3 months free of the PAUZ Health community
• Entry to win $50 off at the PAUZ Health marketplace

Episode Overview

Join Kristen Parise as she reconnects with her former McMaster University classmate, Dr. Natalie Perkins, who traded her VP role at a major telemedicine company to launch PAUZ Health, a revolutionary platform supporting women through perimenopause and menopause. From life-threatening health scares to marriage endings to career pivots, Natalie shares her raw, authentic journey of self-discovery and how it led her to create a much-needed resource for women navigating this life transition.

What You'll Learn

• How to recognize when perimenopause is calling you to pause and reassess your life
• Why "it's not selfish to be happy" and how to prioritize your own well-being
• The three pillars of PAUZ Health: education, clinical access, and curated products
• Essential health recommendations for perimenopausal women (spoiler: strength training tops the list)
• Why vaginal estrogen should be considered as routine as face cream
• How to advocate for yourself in healthcare settings when providers lack menopause expertise
• The importance of viewing perimenopause as "a gift" rather than a burden

Episode Highlights From Success to Soul-Searching: The Great Life Pivot

Natalie opens up about her "big kaboom" moments - realizing she was drowning in a 20-year marriage while climbing the corporate ladder, only to discover she didn't even know if she liked cheese, let alone what brought her joy. Her candid discussion about choosing happiness over societal expectations will resonate with anyone who's ever felt lost in their own life.

The Life-Threatening Wake-Up Call

During an Ironman race, Natalie experienced a cardiac episode that landed her in the hospital and fundamentally changed her perspective on life's finite nature. This brush with mortality became the catalyst for her complete life transformation and the eventual founding of PAUZ Health.

"Grab Life by the Ovaries": The PAUZ Philosophy

Learn why Natalie chose the name PAUZ - it's all about taking that crucial pause to reflect, educate yourself about your options, and then step boldly into the next phase of your life. The conversation explores how perimenopause can be reframed as an opportunity for course correction rather than something to endure.

The Healthcare Gap That Sparked a Business

With her digital health background, Natalie recognized that the lack of accessible, comprehensive menopause care could be solved through virtual platforms. She breaks down the three pillars of PAUZ Health: affordable education with world experts, access to specialized clinicians, and a curated marketplace of clean, effective products.

Top 5 Non-Negotiables for Perimenopausal Women

Natalie shares her evidence-based recommendations:

1. Strength training with heavy weights (8-12 rep range)
2. Protein first - make it the first thing you eat
3. Fiber focus for overall health benefits
4. Hormone therapy education - both systemic and vaginal estrogen
5. Sleep optimization - the foundation of everything else

Breaking the Taboo Around Women's Health

The conversation tackles the critical need for women to advocate for themselves, especially when healthcare providers lack specialized menopause training. Natalie emphasizes that women often know more about their bodies and available treatments than their doctors do.

Episode Chapters

00:00-05:58: Introduction and Natalie's Journey from Exercise Physiology to Healthcare Executive

05:58-09:07: The Birth of PAUZ Health and Its Three-Pillar Mission

09:07-11:53: The Challenges of Leaving Established Careers and Choosing Personal Happiness

11:53-14:52: Embracing Perimenopause as a Gift and Opportunity for Life Reset

14:52-18:05: The Intersection of Mental and Physical Health During Life Transitions

18:05-20:55: Navigating the Gray Areas of Life Decisions

20:55-23:54: Building Confidence and the Importance of Community Support

23:54-29:43: The Genesis of PAUZ Health and Its Core Philosophy

29:43-31:12: The Entrepreneurial Journey and Maintaining Joy in Business

31:12-32:49: Finding Balance Between Business Growth and Personal Well-being

32:49-34:52: Life-Changing Impact: Feedback from PAUZ Health Community Members

34:52-36:15: The Critical Importance of Education in Women's Health

36:15-39:16: Access to Care and the Need for Self-Advocacy

39:16-40:52: Shifting Mindset: Investing in Health vs. Managing Symptoms

40:52-45:14: The Power of Movement and Expert-Guided Exercise

45:14-49:22: Top Health Recommendations for Perimenopausal Women

49:22-50:33: Simplifying Health: Prioritizing What Matters Most

50:33-52:29: Exciting Developments at PAUZ Health

52:29-53:53: Understanding Non-PFA Products and Estrogen Disruptors

53:53-56:46: Connecting with PAUZ Health and Special Listener Offer

Connect with Dr. Natalie Perkins and PAUZ Health

Website: pauzhealth.shop
Instagram: @pauzhealth
Podcast: Available through PAUZ Health platform

Connect with The Hole Shebang

Website: BlueberryTherapy.ca
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference

Natalie's Theme Song for Her Life and Career

"Everything is Everything" by Lauryn Hill - embodying fierce female energy, resilience, growth, and trusting yourself through life's journey.

Key Takeaways

• Perimenopause is your body's alarm system telling you to pause and course correct
• It's not selfish to prioritize your happiness - everyone benefits when you're thriving
• Strength training and protein are non-negotiable for maintaining health through hormonal changes
• Vaginal estrogen should be considered preventive care, like face cream for your genitals
• You often know more about menopause than your healthcare provider - advocate for yourself
• Life exists in gray areas, and that's actually freeing once you accept it
• Small, consistent changes build confidence better than trying to overhaul everything at once

"Your happiness is worth it, and the price you pay to not listen and keep squashing that inner voice - it really is your health that you're compromising." - Dr. Natalie Perkins

 

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.

Episode Overview

Join Kristen Parise as she sits down with Laura Federico, an AASECT certified sex and couples therapist who co-authored The Cycle Book after discovering that virtually every client walking through her door had the same problem: nobody knew what the hell was happening in their own bodies. From secondary infertility struggles to breaking down the myths around "normal" period pain, Laura shares why understanding your hormonal cycle isn't just helpful—it's revolutionary.

What You'll Learn

• Why pain during your period is absolutely NOT normal (and what you should do about it)
• How to track your cycle without relying on apps that are wrong 80% of the time
• The connection between trauma and losing trust in your body
• Why PMDD isn't just "being a moody bitch"—it's a real condition with real solutions
• How to recognize your body's signals and become your own health advocate
• The power of tracking something positive (not just the crappy stuff)

Episode Highlights The Problem Every Therapist Sees

Laura describes her "this can't be how this is supposed to go" moment when she realized that both she and every client in her practice were dealing with the same issue: complete ignorance about their hormonal cycles. Nobody had been taught to understand their body's signals until it was way too late—like when struggling with secondary infertility in your mid-30s.

Pain Is NOT Normal

One of the most powerful takeaways from this conversation: we've been conditioned to accept period pain as "normal" when it absolutely isn't. Laura breaks down the difference between a little discomfort and the kind of pain that makes you miss work or school. If you're bleeding through products or experiencing frank pain, that needs investigation—not dismissal.

The Tracking Revolution (That Doesn't Involve Your Phone)

Forget the apps. Laura explains why period tracking apps are only 20% accurate at predicting ovulation and how relying on them can lead to months or years of mistimed efforts for those trying to conceive. Instead, she advocates for learning to read your own body's signals—the stretchy cervical fluid, basal body temperature changes, and all the other cues your body gives you.

Trauma and the Body Disconnect

Laura compassionately discusses how trauma can lead to dissociation from our bodies, making it difficult to tune into physical sensations. She offers gentle ways to reconnect, starting with tracking just one positive thing for a few cycles—because we're trained to notice crisis, not pleasure.

PMDD: More Than Just PMS

Learn about premenstrual dysphoric disorder (PMDD) and premenstrual exacerbation (PME)—conditions that go way beyond typical PMS symptoms. Laura explains how proper cycle tracking is actually key to getting a diagnosis and finding support for these real, treatable conditions.

The Power of Positive Tracking

Instead of only focusing on pain and problems, Laura encourages starting with something that feels good. Track your energy levels, arousal, clarity, or anything positive—because learning to notice pleasure and positive sensations in your body is just as important as identifying problems.

Episode Chapters

00:00-02:54: Introduction and Laura's Journey from Crisis to Clarity 02:54-06:02: Understanding What a "Normal" Menstrual Cycle Really Looks Like 06:02-09:02: The Power of Cycle Tracking (And Why Apps Aren't Cutting It) 09:02-12:12: PMDD, PCOS, and Other Hormonal Realities 12:12-15:07: Trauma, Dissociation, and Reconnecting with Your Body 15:07-18:07: Trusting Your Body's Wisdom (Even When Others Don't) 18:07-21:02: The Problem with Period Tracking Apps 21:02-23:53: Practical Tips for Getting Started with Body Awareness

Connect with Laura Federico

Website: thecyclebook.com
Instagram: @thecyclebook
Book: The Cycle Book: An Interactive Step-by-Step Guide to Tackling Hormones and Knowing Your Body
Workshops: Follow @thecyclebook for cycle tracking workshops and PMDD-specific sessions

Resources Mentioned

• IAPMD (International Association for Premenstrual Disorders)
• The Cycle Book - Available at all major booksellers
• The Pleasure Principle Conference - May 8, 2026

Connect with The Hole Shebang

Website: blueberrytherapy.ca
Instagram: @blueberrytherapypelvichealth
Upcoming Event: The Pleasure Principle Conference - May 8, 2026

Laura's Theme Song

"Work Bitch" by Britney Spears - because she's out there trying, really trying.

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