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TitlePub. DateDuration
From Pain to Peace: Callie Krajcir's Journey with Interstitial Cystitis07 Jul 202500:32:48

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

For more information on Callie:

Callie K Nutrition

@callieknutrition


Timeline:

00:30 Introduction 

00:46 Callie's Journey with Interstitial Cystitis 

02:15 Becoming an IC Dietician 

03:19 Helping Others: Programs and Platforms 

05:17 Common Symptoms of IC 

07:49 College Struggles and Athletic Challenges 

10:12 Pelvic Floor and Physical Therapy Insights 

12:51 Diagnosis and Treatment Experiences 

24:14 The Importance of Support and Positive Mindset 

29:19 Final Thoughts and Encouragement

Nocturia: Why You're Waking to Pee at Night (and What You Can Do About It)30 Jun 202500:12:24

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

Timeline:

00:30 Introduction to Nighttime Urination Issues 

01:06 Understanding Nocturia

 02:58 Common Causes of Frequent Nighttime Urination 

03:23 Bladder Issues and Treatments 

05:19 Evaluating Fluid Intake 

06:26 Medical Conditions Affecting Urine Production 

07:41 Importance of Accurate Voiding Diaries 

08:21 Conclusion and Key Takeaways 

08:58 Sleep Apnea and Its Impact on Nocturia 

11:14 Recent Studies and Treatments 

11:59 Final Thoughts and Recommendations

The Truth About Overactive Bladder Medications: Benefits, Risks, and Alternatives23 Jun 202500:12:37

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

For more information on this topic: 

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

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


Timeline

00:30 Introduction to Overactive Bladder 

00:48 Behavioral Treatments for Overactive Bladder 

00:57 Medications for Overactive Bladder 

01:18 Anticholinergic Medications and Memory Concerns 

01:37 Types of Medications for Overactive Bladder 

03:55 Studies on Anticholinergics and Cognitive Impairment 

03:23 Clinical Guidelines and Recommendations 

04:26 Prevalence and Types of Overactive Bladder 

05:00 Side Effects and Risk Factors 

05:38 Research Findings on Anticholinergics 

08:32 Considerations for Prescribing Medications 

10:38 Alternative Treatments and Final Thoughts

Understanding GSM: What Every Woman Needs to Know About Genitourinary Syndrome of Menopause16 Jun 202500:15:57

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

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

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

In this episode, I also cover:

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

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

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


Timeline:

00:30 Introduction to Genital Urinary Syndrome of Menopause 

01:25 Understanding the Symptoms and Diagnosis 

03:15 Guidelines for Treatment 

06:09 Hormonal Treatments and Recommendations 

07:43 Non-Hormonal Treatments and Considerations 

08:49 Energy-Based Treatments and Their Efficacy 

10:36 Cancer Concerns and Hormonal Treatments 

13:14 Follow-Up and Long-Term Management 

14:04 Conclusion and Future Research

Advances in Overactive Bladder Treatment with Dr. Suzette Sutherland09 Jun 202500:48:40

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

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


Timeline:

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



Understanding Tibial Nerve Stimulation for Overactive Bladder02 Jun 202500:17:50

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

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

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

Timeline

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

Your Pelvic Health Questions: Answered26 May 202500:19:27

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

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

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

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

Understanding Prolapse: Real Questions, Real Answers with Jeanice Mitchell19 May 202500:15:53

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

https://thewomensbladderdoctor.com/


Timeline:

00:30 Introduction to Prolapse Discussion 

01:02 Understanding Rectocele and Postpartum Recovery 

02:39 Non-Surgical Options for Prolapse Management 

03:46 Physical Therapy Techniques for Prolapse 

05:26 Innovative Tools and Devices for Prolapse 

07:06 Prolapse Surgery: Expectations and Outcomes 

08:04 The Mesh Controversy in Prolapse Surgery 

10:17 Pessaries: Types and Usage 

12:48 Choosing the Right Urogynecologist 

14:34 Final Thoughts and Q&A

When UTIs Keep Coming Back—What You Need to Know12 May 202500:20:32

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

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

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

Together with Janice, we cover:

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

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

mypfm.com


Timeline:

00:30 Introduction and Overview

01:19 Understanding UTIs: Causes and Symptoms

05:01 Diagnosing UTIs: Tests and Procedures

09:03 Treatment Options for UTIs

09:43 Vaginal Estrogen: Benefits and Usage

15:17 Preventing UTIs: Tips and Recommendations

18:04 Addressing Bleeding During or After Sex



Exploring the Pelvic Bra: A Revolutionary Support for Pelvic Floor Health 05 May 202500:32:58

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

mypelvicbra.shop


Timeline

00:30 Introduction and Guest Welcome 

01:40 Understanding the Pelvic Bra 

04:03 Anatomy and Prolapse Explained 

06:15 Benefits and Use Cases of the Pelvic Bra 

07:42 Target Audience and Design Insights 

17:10 Feedback and Real-Life Experiences 

28:21 Sizing, Return Policy, and Availability 

33:28 Conclusion and Future Plans

Understanding Urinary Incontinence Risks Post-Surgery28 Apr 202500:09:19

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

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

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

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

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



Timeline:

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



Menopause & Bladder Leaks—What's Really Going On?21 Apr 202500:12:36

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

I'll walk through:

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

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

Tune in and get the clarity and confidence you deserve.

 

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

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




Timeline:

00:28 Introduction to Menopause and Urinary Incontinence

00:50 Understanding the Prevalence and Types of Incontinence

01:24 Role of Estrogen in Managing Incontinence

02:47 Vaginal Estrogen: Benefits and Usage

05:21 Impact of Weight on Urinary Incontinence

07:42 Medications and Surgeries Affecting Incontinence

08:46 Diagnosing Types of Incontinence

09:09 Pelvic Floor Muscle Training

11:33 Advanced Treatments for Incontinence

12:19 Conclusion and Encouragement



Managing Urinary Incontinence After Childbirth14 Apr 202500:11:50

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

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


Timeline:

00:28 Introduction and Podcast Series Overview 

00:43 Understanding Urinary Incontinence Post-Delivery 

01:03 Pelvic Floor Muscle Training: Evidence and Benefits 

02:41 How Pelvic Floor Muscle Training Works 

03:45 Theories Behind Pelvic Floor Muscle Training Benefits

06:41 Risk Factors for Postpartum Urinary Incontinence 

07:35 Prevention and Management Strategies 

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

11:04 Conclusion and Key Takeaways

Aging Gracefully: Tips from a Physician07 Apr 202500:17:42

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

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

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

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




Timeline:

00:28 Introduction to Aging Gracefully

01:34 Key Recommendations for Healthy Aging

02:56 The Importance of Staying Active 

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

13:31 Social Connections and Mental Health 

14:47 Proactive Healthcare and Final Thoughts 

15:54 The Impact of Bladder Health on Aging



Insights on Pelvic Floor Therapy: Interviews with Leading Experts30 Dec 202400:25:42

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

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

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

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


Timeline:

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



Exploring Non-Surgical Treatments for Stress Urinary Incontinence23 Dec 202400:29:05

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

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

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

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

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


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

Innovative Solutions for Overactive Bladder: Neuromodulation Devices16 Dec 202400:35:29

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

Timeline:

00:28 Introduction to Overactive Bladder 

01:46 Exploring Vivally: A Wearable Solution 

08:31 ZIDA Device: Simplifying Bladder Control 

14:59 Revi: Implantable Tibial Nerve Stimulator 

20:14 E Coin: Long-Term Implantable Solution 

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

34:25 Conclusion and Further Resources

Traveling with Bladder Issues: Tips for Stress and Urge Incontinence09 Dec 202400:09:59

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

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

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


Timeline:

00:28 Introduction to Traveling with Bladder Issues

01:18 Understanding Your Type of Incontinence

01:30 Tips for Managing Urge Incontinence

06:20 Tips for Managing Stress Incontinence

07:25 General Travel Preparation Tips

09:05 Conclusion and Final Thoughts



Uresta CEO Lauren Barker on the Transition to Over-the-Counter Availability 02 Dec 202400:15:40

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

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


Timeline:

00:28 Introduction to Uresta and Guest Lauren Barker

00:57 Transition to Over-the-Counter Availability

01:46 Safety and Clinical Studies

04:12 Target Audience and Usage

07:32 Purchasing and Fitting Uresta

10:10 Customer Feedback and Effectiveness

13:45 Future Developments and Conclusion



Innovating Women's Health: Addressing Pelvic Pain with HYIVY's Floora Device25 Nov 202400:26:09

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

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


Timeline:

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

Innovating Women's Health: The Story Behind Yoni Fit18 Nov 202400:20:05

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

For more information, be sure to check out her 

website at: https://yonifit.com/

Instagram: @yoni.fit_bladder_support

Facebook: Yōni.Fit Bladder Support



Timeline:

00:28 Introduction to the Podcast and Guest 

00:52 Allison's Personal Journey with Incontinence 

02:08 Challenges and Initial Solutions 

03:17 The Birth of Yoni Fit 

05:46 Development and Testing of Yoni Fit 

08:26 Efficacy and Comfort of Yoni Fit 

15:18 Target Audience and Availability 

18:52 Conclusion and Final Thoughts

Exploring Overactive Bladder: Mental Health and Cardiovascular Connections11 Nov 202400:09:50

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

For more information on these studies:

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

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



Timeline:

00:00 Introduction to Overactive Bladder

00:32 Study 1: Overactive Bladder and Depression

02:25 Study 1: Findings and Implications

05:19 Study 2: Overactive Bladder and Cardiovascular Health

07:14 Study 2: Findings and Implications

08:43 Conclusion and Final Thoughts

Understanding Vaginal Estrogen: Types, Uses, and Costs04 Nov 202400:15:20

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

Additional information can be found at the following links:

https://www.premarin.com/

https://www.estring.com/

https://www.vagifem.com/

https://www.imvexxy.com/

https://www.goodrx.com/




Timeline

00:28 Introduction to Vaginal Estrogen

00:33 When to Use Vaginal Estrogen

01:09 Forms of Vaginal Estrogen

01:27 Benefits and Safety of Vaginal Estrogen

01:50 Different Methods of Administration

02:21 Cost Considerations

03:44 Detailed Overview of Creams

08:24 Suppositories and Pills

10:46 Vaginal Rings

12:42 Comparing Dosages and Efficacy

13:46 Conclusion and Recommendations



Innovations in Overactive Bladder Solutions with Isaac Oppenheim 28 Oct 202400:29:36

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

TimeLine:

00:28 Introduction to Overactive Bladder 

00:59 Isaac Oppenheim's Background and Inspiration 

02:21 Developing the Zida Control Sock 

09:12 Clinical Trials and Success Rates 

11:43 User Experience and Practicality 

13:46 Innovative Technology in Textiles 

16:10 Understanding the Fit and Sizing 

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

17:19 The Importance of Doctor-Patient Communication 

18:17 Challenges with Overactive Bladder Treatments 

20:46 Insurance Coverage and Costs 

25:06 How the Zida Control Device Works 

27:09 Future Goals and Research 

29:04 Conclusion and Final Thoughts

Innovating Pelvic Health: Personalized Pessaries and AI Solutions with Dr. Goli Ameri 21 Oct 202400:26:05

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

Website: https://www.cosm.care

Instagram: @cosm.medical

Facebook: Cosm.medical


Timeline:

00:00 Introduction to Golia Ameri and Cosm 

00:04 The Problem with Traditional Pessaries 

01:03 COSM's Innovative Solution 

02:05 Custom Pessary Fitting Process

04:21 Challenges and Measurements 

09:27 Provider and Patient Support 

13:27 Future Developments and Products 

13:36 Future Innovations in Personalized Pastries 

13:58 Postpartum and Post-Surgery Recovery Solutions 

14:41 Clinical Trials and Studies 

15:09 Personalized Devices for Different Needs 

16:06 Stabilizing Tissue for Better Healing 

17:37 Collaborations and Innovations 

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

20:15 Advanced Measurement Tools 

22:41 Challenges and Future Directions 

23:32 Connecting with Cosm 

24:57 Conclusion and Gratitude

Empowering Women: Holly Mozak's Journey to Leak-Proof Activewear07 Oct 202400:27:50

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

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



Timeline:

00:28 Introduction to Holly Mozak's Story

00:56 Discovering CrossFit and Empowerment

03:39 The Embarrassing Incident

06:08 Seeking Solutions and Developing a Product

12:26 Challenges and Feedback

22:13 Future Plans and Final Thoughts

Overcoming Prolapse: A Physical Therapist's Journey and Support for Others 30 Sep 202400:31:19

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

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

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

Instagram @postpartum_pop_pt


Timeline:

00:28 Introduction and Guest Introduction 

00:55 Margo's Background and Initial Prolapse Diagnosis 

02:41 Challenges and Symptoms Post-Delivery 

05:36 Mental Health and Support Systems 

08:55 Treatment and Recovery Journey 

10:00 Pessary and Estrogen Therapy 

13:32 Prolapse Staging and Long-Term Outlook 

16:13 Understanding Prolapse Dynamics 

16:31 Second Delivery Experience 

16:59 Decision for Elective C-Section 

18:53 Postpartum Recovery and Prolapse Management 

19:39 Living with Prolapse: Symptoms and Surgery 

21:26 Support and Advocacy for Women with Prolapse 

22:19 Creating a Prolapse Support Community 

23:20 Educational Resources and Visual Aids 

29:19 Joining the Prolapse Support Group 

30:10 Final Thoughts and Gratitude

Exploring the Revi Device for Overactive Bladder with Dr. Rebecca McCrery23 Sep 202400:18:33

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

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

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

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

Instagram @bluewindmedical

Timeline

00:28 Introduction and Guest Introduction

00:49 Disclosure of Conflicts of Interest

01:59 Overview of Overactive Bladder Treatments

02:57 Introduction to the Revi Device

04:36 Implantation Procedure Details

06:48 Device Features and Patient Experience

11:18 Availability and Insurance Considerations

15:26 Final Thoughts and Conclusion

The Femme Flexor: Revolutionizing Pelvic Floor Health with Wanda Cotie16 Sep 202400:30:08

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

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

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

TimeLine:

00:28 Introduction and Guest Welcome 

00:46 Wanda's Background and Journey 

02:24 Personal Health Struggles 

06:00 Discovering Alternative Therapies 

09:37 Developing the FemFlexor 

16:36 Using the FemFlexor 

24:45 Future Plans and Final Thoughts

Innovative Solutions: Cindy Santa Cruz and the Lady Patch Journey09 Sep 202400:23:44

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

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


Timeline

00:28 Guest Introduction

00:46 The Origin Story of Lady Patch

02:38 Cindy's Journey with Lady Patch

04:55 Clinical Feedback and Challenges

11:01 Product Details and User Experience 1

6:00 Recognition and Future Plans

22:59 Conclusion and Final Thoughts



Vivally - Innovative Solution for Overactive Bladder with Jill Schiaparelli 15 Jul 202400:25:00

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

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

For more information, visit Avation website HERE



Timeline

00:28 Introduction

00:35 Understanding Overactive Bladder

01:03 How Vivally Works

01:39 Challenges with Current Treatments

02:03 Innovations in Neuromodulation

04:18 Vivally's Unique Features

07:19 Patient Experience and Feedback

16:32 Clinical Studies and Effectiveness

19:29 Future Research and Real-World Data

22:09 How to Access Vivally

23:30 Conclusion and Final Thoughts

Revolutionizing Postpartum Care: Interview with HEM Support Wear Founder Lauren Fleming08 Jul 202400:19:48

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

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

Find Lauren IG: @hemsupportwear

                      Facebook: Hem Support Wear


Timeline

00:28 Introduction and Guest Welcome

00:51 Lauren's Journey to Founding Hem Apparel

01:38 Challenges and Solutions in Pelvic Health

04:15 Exploring External and Internal Support Options

07:23 Target Audience and Product Benefits

12:18 Building Community and Raising Awareness

15:30 Future Plans and Final Thoughts

Understanding and Utilizing Voiding Diaries for Better Bladder Health01 Jul 202400:19:18

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

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

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

Get your FREE VOIDING & fOOD TRIGGER DIARY HERE


Timeline:
00:28 Introduction to Voiding Diaries

01:11 Understanding Voiding Diaries

02:34 Tracking Your Bladder Habits

03:09 Measuring Progress with Voiding Diaries

05:43 How to Keep a Voiding Diary

09:45 Analyzing Your Voiding Diary

12:46 Identifying Bladder Irritants

16:17 Using a Food Trigger Diary

18:17 Conclusion and Resources

Addressing Recurrent Urinary Tract Infections: Causes, Diagnosis, and Treatments24 Jun 202400:13:54

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

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

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

00:28 Introduction to Recurrent Urinary Tract Infections

01:34 Prevalence and Impact of UTIs

02:32 Challenges with Urgent Care Treatment

03:04 Defining Recurrent UTIs

04:38 Exploring Non-Bacterial Causes

06:58 Holistic Evaluation and Treatment

07:34 Advanced Diagnostic Procedures

08:41 Preventative Measures and Treatments

11:05 Alternative and Emerging Treatments

12:01 Conclusion and Final Thoughts

Mastering Urge Suppression and Bladder Training17 Jun 202400:11:22

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

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

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

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

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

Additional References:

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


Timeline

00:28 Introduction to Bladder Training and Urge Suppression

00:56 Understanding Urgency Urinary Incontinence and Overactive Bladder

01:29 Guidelines and Initial Recommendations

02:24 Techniques for Urge Suppression

04:32 Steps to Manage Urge Suppression

06:25 Timed Voiding Explained

07:09 Implementing Timed Voiding

09:06 Additional Tips and Conclusion

Mastering the KNACK: A Technique for Minimizing Stress Urinary Incontinence10 Jun 202400:11:11

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

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

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



00:28 Introduction to KNACK

00:54 Understanding Stress Urinary Incontinence

01:38 The Knac Technique Explained

04:58 Scientific Validation of the Knac

05:20 Paper Towel Test Demonstration

06:32 Effectiveness in Pregnant and Non-Pregnant Women

07:41 Challenges and Considerations

09:07 Additional Resources and Final Thoughts

Holistic Weight Loss with Dr. Leslie Sanchez-Goettler03 Jun 202400:24:00

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

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


00:00 Introduction to Dr. Leslie Sanchez-Goettler

00:52 Holistic Approach to Weight Loss

01:56 Peer Support and Exercise

06:38 Personalized Nutrition Plans

08:15 Emotional and Spiritual Wellness

10:44 Medications and Hormone Replacement

13:16 Challenges and Solutions in Weight Loss

20:29 Insurance and Accessibility

22:29 Conclusion and Contact Information

Healing and Empowerment: Revolutionizing Postpartum Care with Peyton Schmidt27 May 202400:25:25

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

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

Timeline

00:00 Introduction to the Healthy Healing After Delivery Program

00:39 Origins and Impact of the Program

04:20 Challenges and Successes in Referral and Acceptance

06:18 Clinic Operations and Patient Care Process

07:15 Educational Approach and Physical Therapy Integration

11:26 Research, Outcomes, and Future Directions

19:48 Expanding the Conversation on Pelvic Floor Health

23:55 Closing Thoughts and the Importance of Awareness

Empowering Women Through Pelvic Floor Strength with Dr. Kari Bo20 May 202400:29:16

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

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

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


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

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

02:03 Challenges and Misconceptions Around Pelvic Floor Training

03:45 Optimizing Pelvic Floor Training: Techniques and Maintenance

06:25 Incorporating Pelvic Floor Training into Regular Exercise Routines

15:00 Addressing Pelvic Floor Training Post-Vaginal Delivery

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

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

25:44 Cultural Differences in Diet and Portion Sizes

28:43 Closing Thoughts and Goodbye



Empowering Post-Surgery Recovery with Rebeca Segraves13 May 202400:33:53

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

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

You can find more information on Rebeca Segraves  at:

IG: @rebecasegraves_

X: @rebecasegraves

FB: @rebecasegraves

Linkedin: @rebecasegraves



00:28 Introduction to Rebeca Segraves and Her Mission

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

01:48 Collaboration and Early Intervention at Duke

03:20 Expanding Early Recovery Programs Beyond Duke

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

12:30 Challenging Traditional Post-Delivery Care Practices

23:17 Scaling Up Birth Recovery Services

29:17 Advocacy and Future Directions 



Addressing Common Urinary Health Questions06 May 202400:16:21

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

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



00:00 Welcome to the Q&A Session!

00:55 Exploring D Mannose and UTI Prevention

04:03 Vitamin D Deficiency: Impacts and Solutions

05:59 The Role of Vaginal Estrogen in Urinary Health

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

08:27 Distinguishing Between Urine Leaks and Sweat

09:44 Bladder Issues vs. Pelvic Floor Problems

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

14:22 Managing Bladder Symptoms During Late Pregnancy

15:18 Closing Remarks and Invitation for More Questions



Understanding and Treating Bladder Leaking: A Comprehensive Guide29 Apr 202400:19:06

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

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

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

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



00:28 Introduction to Bladder Leaking: Why It Matters

01:10 Understanding the Impact of Bladder Leaking

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

04:15 Navigating Treatment Options and Overcoming Barriers

06:23 Introducing Bladder 101: A Comprehensive Course

10:43 Deep Dive into Bladder 101 Course Modules

18:13 The Benefits of Addressing Bladder Leaking Early



Unlocking Surgical Success: Expert Tips for a Smoother Recovery22 Apr 202400:18:25

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

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

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

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

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

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




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



Making Progress While You Wait15 Apr 202400:13:09

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

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


  • Introduction: This section addresses the challenges of increased wait times for clinic visits and my temporary absence due to medical leave.
  • Navigating Wait Times: Despite delays, progress can still be made in managing pelvic floor concerns, emphasizing the importance of proactive steps.
  •  Empowering Patients: With the support of nurse practitioners and physician assistants, patients can initiate the evaluation process and receive guidance on treatment options, even without direct physician consultation.
  •  Embracing Vulnerability: Share a powerful interview with a woman who bravely underwent a urethral bulking procedure. Her story illuminates the transformative power of vulnerability in addressing bladder leakage.
  • Taking Action: Emphasizing the importance of listeners documenting their symptoms, triggers, and treatment preferences. This proactive step empowers them to actively participate in their healthcare journey.
  •  Understanding Treatment Options: From pelvic floor strengthening exercises to medications and surgical procedures, I provide valuable insights into the diverse approaches available for managing pelvic floor disorders.
  • Preparation and Research: Prior to clinic visits, patients are advised to journal symptoms, explore pelvic floor physical therapy options, and familiarize themselves with potential treatment modalities, ensuring informed decision-making and effective collaboration with healthcare providers.
  •  Conclusion: Reiterating the importance of proactive steps in achieving pelvic health, promising more empowering insights and practical guidance on future episodes of "while you wait."
Jane's Decision - The Urethral Bulking Procedure08 Apr 202400:24:32

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


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


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



  • 0:27 - Introduction: Introducing Jane and discussing the topic of stress incontinence.
  • 1:12 - Symptoms and Early Experiences: Jane shares her early experiences with stress incontinence, which began in childhood and affected her daily activities.
  • 3:42 - Seeking Help and Support: Jane discusses the challenges of seeking help for her condition and the lack of awareness among peers.
  • 5:57 - Treatment Approaches: Jane explores her journey through various treatment options, including pelvic floor therapy, before deciding on the urethral bulking procedure.
  • 8:47 - Procedure Experience: Jane describes her experience undergoing the urethral bulking procedure, including preparation, anesthesia, and post-procedure discomfort.
  • 12:27 - Recovery and Results: Jane reflects on her recovery process and the significant improvement in her symptoms following the procedure.
  • 15:12- Impact on Daily Life: Jane discusses how the procedure has positively impacted her confidence, activity levels, and overall quality of life.
  • 17:57 - Follow-Up and Future Plans: Jane shares her plans for follow-up appointments and discusses the importance of ongoing care and maintenance.
  • 20:27 - Closing Thoughts: Emphasize the importance of raising awareness about women's health issues and encouraging others to seek support and treatment.
Finding Freedom with Sacral Nerve Stimulation 01 Apr 202400:29:49

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

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


  •  - Introduction: Welcome to a special episode where we dive into the world of Sacral Nerve Stimulation with our guest, Jane.
  •  - Jane's Journey Begins: Jane's lifelong struggle with incontinence, from childhood bedwetting to managing the challenges of motherhood.
  •  - Exploring Treatment Options: Learn about the different therapies Jane explored before discovering Sacral Nerve Stimulation and her initial encounters with healthcare professionals.
  •  - Understanding Sacral Nerve Stimulation: Dive into the details of this third-line therapy for incontinence and its profound impact on Jane's life.
  • —Choosing Axonics: Explore the factors that led Jane to select the Axonics neurostimulator, including its innovative features and compatibility.
  •  - The Implantation Process: Jane's experience during the implantation procedure and its immediate effects on her symptoms.
  •  - Living with the Device: Incorporating a neurostimulator into daily life, from charging routines to airport security.
  •  - Managing Expectations: Hear Jane's perspective on the outcomes of Sacral Nerve Stimulation and the ongoing journey towards improved quality of life.
  • —Addressing Common Concerns: Jane addresses common questions and misconceptions about neurostimulators and offers valuable insights into their functionality and limitations.
  • —Empowering Others: Learn about Jane's role as an advocate and educator as she helps individuals navigate their paths to healing and empowerment.
  •  - Conclusion: Join us in celebrating Jane's resilience, courage, and commitment to raising awareness about Sacral Nerve Stimulation.
Sher Palm Women’s Health Empowerment Advocate25 Mar 202400:31:35

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

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

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

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


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






Leva Device with Mandy Pulliam18 Mar 202400:24:56

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

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

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

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



Introduction & Background:

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

Understanding the Leva System :

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

Effectiveness of the Leva System:

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

Setting Expectations & Goals :

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

Integration into Daily Life :

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

Future Directions & Research :

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

Conclusion & Final Thoughts :

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



The Path to Aging Gracefully with Chantale Dumoulin11 Mar 202400:31:13

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

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

 

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

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


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



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




Effective Treatments for Urgency Urinary Incontinence04 Mar 202400:19:39

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

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

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

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




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



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