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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.shopTimeline00:30 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

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/NEJMoa054208https://pubmed.ncbi.nlm.nih.gov/24408744/https://pubmed.ncbi.nlm.nih.gov/36300551/Timeline:00:30 Introduction to Urinary Incontinence Risks00:59 Hysterectomy and Urinary Incontinence04:17 Prolapse Repairs and Bladder Leaking06:15 Hip Replacement and Bladder Function08:59 Conclusion and Key Takeaways

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 matterThe crucial role of estrogen—and how vaginal estrogen can improve symptoms like dysuria and urge incontinenceHow 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 controlThe power of pelvic floor training (yes, it works—and I'll explain how)A clear overview of treatment options for both stress and urgency incontinenceWhether 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.aspxb. 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 Incontinence00:50 Understanding the Prevalence and Types of Incontinence01:24 Role of Estrogen in Managing Incontinence02:47 Vaginal Estrogen: Benefits and Usage05:21 Impact of Weight on Urinary Incontinence07:42 Medications and Surgeries Affecting Incontinence08:46 Diagnosing Types of Incontinence09:09 Pelvic Floor Muscle Training11:33 Advanced Treatments for Incontinence12:19 Conclusion and Encouragement

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/fullTimeline: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 Benefits06:41 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

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.govwww.cdc.govhttps://pubmed.ncbi.nlm.nih.gov/38383092/https://www.nia.nih.gov/Timeline:00:28 Introduction to Aging Gracefully01:34 Key Recommendations for Healthy Aging02:56 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

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 DPThttps://www.buzzsprout.com/2112419/episodes/13143516S2E9: The Path to Aging Gracefully with Chantale Dumoulinhttps://www.buzzsprout.com/2112419/episodes/14653291For information on Prof. Dumoulin: https://www.womenhealthaging.ca/S2E19: Empowering Women Through Pelvic Floor Strength with Dr. Kari Bohttps://www.buzzsprout.com/2112419/episodes/15087635Timeline:00:28 Introduction to Pelvic Floor Physical Therapy01:13 Interview with MJ Strauhal: First Visit Insights04:48 Interview with Prof. Chantale Dumoulin: Research and Group Training 15:39 Interview with Dr. Kari Bo: Strength Training and High-Impact Exercises23:50 Conclusion and Encouragement

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 Pulliamhttps://www.buzzsprout.com/2112419/episodes/14690011S2E40: Uresta CEO Lauren Barker on the Transition to Over-the-Counter Availabilityhttps://www.buzzsprout.com/2112419/episodes/16185663S2E38: Innovating Women's Health: The Story Behind Yoni Fithttps://www.buzzsprout.com/2112419/episodes/16093774S2E13: Jane's Decision - The Urethral Bulking Procedurehttps://www.buzzsprout.com/2112419/episodes/14799586Timeline:00:28 Introduction to Stress Urinary Incontinence01:06 Overview of the Episode Structure02:21 Interview with Mandy Pulliam on Leva Health08:08 Interview with Lauren Barker on Uresta 113:17 Interview with Allison Watkins on YoniFit19:54 Personal Experience with Urethral Bulking28:07 Conclusion and Encouragement

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

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 daysPracticing urge suppression techniquesConsulting a physician about short-acting bladder medicationsFor 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 Issues01:18 Understanding Your Type of Incontinence01:30 Tips for Managing Urge Incontinence06:20 Tips for Managing Stress Incontinence07:25 General Travel Preparation Tips09:05 Conclusion and Final Thoughts

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.comInstagram @myurestaFacebook: UrestaPinterest: My UrestaTikTok: myurestaTimeline:00:28 Introduction to Uresta and Guest Lauren Barker00:57 Transition to Over-the-Counter Availability01:46 Safety and Clinical Studies04:12 Target Audience and Usage07:32 Purchasing and Fitting Uresta10:10 Customer Feedback and Effectiveness13:45 Future Developments and Conclusion

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 Stover01:02 Rachel Bartholomew's Journey and the Birth of HYIVY02:11 Understanding Pelvic Health Challenges03:02 The Problem with Traditional Dilators07:04 Innovative Solutions by HYIVY11:11 The Floora Device: Features and Benefits17:38 Future Prospects and Clinical Trials23:24 How to Get Involved and Final Thoughts

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_supportFacebook: Yōni.Fit Bladder SupportTimeline: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

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 Bladder00:32 Study 1: Overactive Bladder and Depression02:25 Study 1: Findings and Implications05:19 Study 2: Overactive Bladder and Cardiovascular Health07:14 Study 2: Findings and Implications08:43 Conclusion and Final Thoughts

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/Timeline00:28 Introduction to Vaginal Estrogen00:33 When to Use Vaginal Estrogen01:09 Forms of Vaginal Estrogen01:27 Benefits and Safety of Vaginal Estrogen01:50 Different Methods of Administration02:21 Cost Considerations03:44 Detailed Overview of Creams08:24 Suppositories and Pills10:46 Vaginal Rings12:42 Comparing Dosages and Efficacy13:46 Conclusion and Recommendations

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

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.careInstagram: @cosm.medicalFacebook: Cosm.medicalTimeline: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 Process04:21 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

In this podcast episode, my guest is Allison Watkins, the developer of Yoni Fit, an innovative device designed to aid women suffering from stress incontinence. Allison shares her personal journey with incontinence, exacerbated by the childbirth experience, which inspired her to create a product that addresses the condition's impact on mental health and body image. We explore the challenges of accessing effective treatments, such as pelvic floor rehabilitation, and introduce Yoni Fit as a viable alternative. The device, resembling a menstrual cup with design enhancements, offers support and comfort for women while being prescription-based and covered by insurance. Allison emphasizes the importance of awareness around stress incontinence, particularly affecting young, active women, and discusses the device's development process, clinical trials, and market launch. For more information, be sure to check out her website at: https://yonifit.com/Instagram: @yoni.fit_bladder_supportFacebook: Yōni.Fit Bladder SupportTimeLine00:28 Introduction and Guest Introduction 00:15 Allison's Personal Story with Incontinence 02:01 Challenges and Solutions for Incontinence 05:50 Development of the Yoni Fit Device 12:43 Clinical Trials and Efficacy 20:50 Market Launch and Future Plans 21:59 Conclusion and Contact Information

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: drsarahTimeline:00:28 Introduction to Holly Mozak's Story00:56 Discovering CrossFit and Empowerment03:39 The Embarrassing Incident06:08 Seeking Solutions and Developing a Product12:26 Challenges and Feedback22:13 Future Plans and Final Thoughts

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/aboutInstagram @postpartum_pop_ptTimeline: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

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/bluewindmedicalInstagram @bluewindmedicalTimeline00:28 Introduction and Guest Introduction00:49 Disclosure of Conflicts of Interest01:59 Overview of Overactive Bladder Treatments02:57 Introduction to the Revi Device04:36 Implantation Procedure Details06:48 Device Features and Patient Experience11:18 Availability and Insurance Considerations15:26 Final Thoughts and Conclusion

 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

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/Timeline00:28 Guest Introduction00:46 The Origin Story of Lady Patch02:38 Cindy's Journey with Lady Patch04:55 Clinical Feedback and Challenges11:01 Product Details and User Experience 16:00 Recognition and Future Plans22:59 Conclusion and Final Thoughts

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 HERETimeline00:28 Introduction00:35 Understanding Overactive Bladder01:03 How Vivally Works01:39 Challenges with Current Treatments02:03 Innovations in Neuromodulation04:18 Vivally's Unique Features07:19 Patient Experience and Feedback16:32 Clinical Studies and Effectiveness19:29 Future Research and Real-World Data22:09 How to Access Vivally23:30 Conclusion and Final Thoughts

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 WearTimeline00:28 Introduction and Guest Welcome00:51 Lauren's Journey to Founding Hem Apparel01:38 Challenges and Solutions in Pelvic Health04:15 Exploring External and Internal Support Options07:23 Target Audience and Product Benefits12:18 Building Community and Raising Awareness15:30 Future Plans and Final Thoughts

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 Diaries01:11 Understanding Voiding Diaries02:34 Tracking Your Bladder Habits03:09 Measuring Progress with Voiding Diaries05:43 How to Keep a Voiding Diary09:45 Analyzing Your Voiding Diary12:46 Identifying Bladder Irritants16:17 Using a Food Trigger Diary18:17 Conclusion and Resources

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 Infections01:34 Prevalence and Impact of UTIs02:32 Challenges with Urgent Care Treatment03:04 Defining Recurrent UTIs04:38 Exploring Non-Bacterial Causes06:58 Holistic Evaluation and Treatment07:34 Advanced Diagnostic Procedures08:41 Preventative Measures and Treatments11:05 Alternative and Emerging Treatments12:01 Conclusion and Final Thoughts

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:AUA Guidelines on Overactive BladderUrinary Incontinence in Women - FPMRSPubMed Study on Urge SuppressionTune in to this episode for a blend of expert insights and practical advice, all designed to empower you to live confidently and comfortably.Timeline00:28 Introduction to Bladder Training and Urge Suppression00:56 Understanding Urgency Urinary Incontinence and Overactive Bladder01:29 Guidelines and Initial Recommendations02:24 Techniques for Urge Suppression04:32 Steps to Manage Urge Suppression06:25 Timed Voiding Explained07:09 Implementing Timed Voiding09:06 Additional Tips and Conclusion

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=knack00:28 Introduction to KNACK00:54 Understanding Stress Urinary Incontinence01:38 The Knac Technique Explained04:58 Scientific Validation of the Knac05:20 Paper Towel Test Demonstration06:32 Effectiveness in Pregnant and Non-Pregnant Women07:41 Challenges and Considerations09:07 Additional Resources and Final Thoughts

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-Goettler00:52 Holistic Approach to Weight Loss01:56 Peer Support and Exercise06:38 Personalized Nutrition Plans08:15 Emotional and Spiritual Wellness10:44 Medications and Hormone Replacement13:16 Challenges and Solutions in Weight Loss20:29 Insurance and Accessibility22:29 Conclusion and Contact Information

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.Timeline00:00 Introduction to the Healthy Healing After Delivery Program00:39 Origins and Impact of the Program04:20 Challenges and Successes in Referral and Acceptance06:18 Clinic Operations and Patient Care Process07:15 Educational Approach and Physical Therapy Integration11:26 Research, Outcomes, and Future Directions19:48 Expanding the Conversation on Pelvic Floor Health23:55 Closing Thoughts and the Importance of Awareness

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 Therapy01:43 The Importance and Effectiveness of Pelvic Floor Muscle Training02:03 Challenges and Misconceptions Around Pelvic Floor Training03:45 Optimizing Pelvic Floor Training: Techniques and Maintenance06:25 Incorporating Pelvic Floor Training into Regular Exercise Routines15:00 Addressing Pelvic Floor Training Post-Vaginal Delivery18:17 Exercise Classes and Pelvic Floor Strengthening: A Personal Approach23:05 Aging Gracefully: Lifestyle, Exercise, and Nutrition25:44 Cultural Differences in Diet and Portion Sizes28:43 Closing Thoughts and Goodbye

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: @rebecasegravesFB: @rebecasegravesLinkedin: @rebecasegraves00:28 Introduction to Rebeca Segraves and Her Mission00:53 The Journey to Women's Health Physical Therapy01:48 Collaboration and Early Intervention at Duke03:20 Expanding Early Recovery Programs Beyond Duke04:57 The Importance of Education in Post-Surgery Recovery12:30 Challenging Traditional Post-Delivery Care Practices23:17 Scaling Up Birth Recovery Services29:17 Advocacy and Future Directions 

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 Prevention04:03 Vitamin D Deficiency: Impacts and Solutions05:59 The Role of Vaginal Estrogen in Urinary Health06:45 Addressing Asymptomatic UTIs: To Treat or Not to Treat?08:27 Distinguishing Between Urine Leaks and Sweat09:44 Bladder Issues vs. Pelvic Floor Problems11:52 Postpartum Physical Therapy: Is It Ever Too Late?14:22 Managing Bladder Symptoms During Late Pregnancy15:18 Closing Remarks and Invitation for More Questions

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 Matters01:10 Understanding the Impact of Bladder Leaking02:05 Types of Bladder Leaking and Why Diagnosis is Key04:15 Navigating Treatment Options and Overcoming Barriers06:23 Introducing Bladder 101: A Comprehensive Course10:43 Deep Dive into Bladder 101 Course Modules18:13 The Benefits of Addressing Bladder Leaking Early

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 - 0:28I discuss my personal experience with breast cancer diagnosis.Preoperative Education - 1:41Emphasizes the significance of understanding surgical procedures and anesthesia options.Training for Surgery - 8:55Advises listeners on the benefits of physical conditioning and maintaining optimal nutrition before surgery.Diet and Nutrition - 10:18The importance of good nutrition and proper amount of protein before surgery for optimal healing.Stress Reduction and Well-being - 11:14The 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 - 14:24Advice on post-operative care, including pain management, bladder and bowel function, and contacting the surgical team if needed.Conclusion - 17:28Discussing the importance of trust in the surgical team and understanding the recovery process for optimal outcomes.

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."

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.

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.

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 AdvocacySher 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 ResponseSher'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 APOPSRealization 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 GroupsAddressing 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 EmpowermentEmphasizes 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 CampaignsAdvocacy work to raise awareness about pelvic organ prolapseLaunching APOPS' first Women's Public Health Expo to educate and empower women. Educating Teens and Addressing Taboos Around Vaginal HealthDiscussion 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 DirectionsCher 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.

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.

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.

 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.

In this episode, we dive into three ways you can help improve your (SUI) stress urinary incontinence (urine leakage during activities such as coughing, sneezing, or laughing). Managing your SUI can be complex, so many women are looking for effective solutions tailored specifically to their needs. Our expert guests guide listeners through three innovative approaches to address SUI, offering insights into their unique devices, benefits, and effectiveness. From the Leva pelvic health system's app-based exercises to the Inovo shorts' neuromuscular electrical stimulation and the Uresta incontinence pessary's discreet and adjustable design, each solution presents a unique path toward regaining bladder control. Introduction to Stress Urinary Incontinence (SUI):Definition: Leakage during activities like coughing, sneezing, or laughing.Common problem with various available solutions.Leva Pelvic Health System:Description: App-based system with a wand for pelvic floor exercises.Features: Real-time exercise feedback, personalized coaching.Benefits: Improved muscle strength and control.Prescription device requiring healthcare provider consultation.Long-term effectiveness backed by credible research.Inovo Shorts:Description: Neuromuscular electrical stimulation shorts.Features: Eight embedded electrodes, smart algorithm programming.Benefits: Maximized muscle contraction, reduced fatigue.Usage: 30 minutes, 5 days a week for 12 weeks.Early improvements weseen within two to four weeks.Uresta Incontinence Pessary:Description: Self-managed and self-fitted solution.Features: Easy insertion, comfortable wear, adjustable sizing.Starter kit includes sizes 3, 4, and 5 for initial fitting.Adjustments based on leakage, comfort, and ease of urination.Over-the-counter availability in Canada, prescription in the US.Conclusion:Recap of discussed solutions and their potential benefits.Encouragement to explore different options and seek improvement.Acknowledgment of initial skepticism and the importance of trying new solutions.Full Episodes:How to strengthen your pelvic floor with the Leva Pelvic Health System and Dr. Mandy Pullium: Season 1, Episode 9    https://www.buzzsprout.com/2112419/12426039Inovo Shorts: Season 1, Episode 26   https://www.buzzsprout.com/2112419/13186182Uresta- a self-managed tool for stress incontinence: Season 1, Episode 32   https://www.buzzsprout.com/2112419/13360159Final Thoughts:Discover empowering solutions for managing stress urinary incontinence with our in-depth exploration of innovative products. From personalized coaching to advanced stimulation techniques, there's something for everyone seeking relief from SUI. Tune in and take the first step toward reclaiming control and confidence in your daily life.

Let's explore online pelvic floor courses designed to empower and strengthen women's pelvic health. In this episode, we delve into interviews with three remarkable women - Betsy Petri-Johnson of Mama Made Strong, Kim Vopni of The Vagina Coach, and Jeanice Mitchell of MyPFM. Each offers unique insights and programs aimed at enhancing pelvic floor strength and addressing common concerns.First, we hear from Betsy Petri-Johnson, a physical therapist and mother of triplets, who shares her journey and the inspiration behind her virtual program.Next, Kim Vopni, an athletic trainer and founder of The Vagina Coach, discusses her innovative online programs, including the 28-day challenge aimed at optimizing pelvic floor function through whole-body movement. Kim's approach emphasizes education, dynamic exercises, and community support to empower women to reclaim their pelvic health.Finally, Jeanice Mitchell, a pelvic floor therapist and founder of MyPFM, highlights the importance of virtual resources in promoting pelvic health awareness and accessibility. With their diverse backgrounds and expertise, these women offer valuable resources for women seeking to strengthen their pelvic floor from the comfort of their homes. Tune in to discover which program resonates with you and take the first step towards a stronger, healthier pelvic floor.Introduction to three leading experts in online pelvic floor courses: Betsy Petri-Johnson, Kim Vopni, and Jeanice Mitchell.Insights from Betsy Petri-Johnson's virtual program, Mama Made Strong, emphasizing flexibility and accessibility for pelvic floor wellness.Kim Vopni's approach with The Vagina Coach, including the 28-day challenge and emphasis on whole-body movement and community support.Jeanice Mitchell's group coaching program, MyPFM, focuses on education, support, and accountability for women experiencing leaks and prolapse.Discussion on the importance of virtual resources in promoting pelvic health awareness and accessibility.Guidance for listeners on choosing the right online pelvic floor course based on individual needs and preferences.Encouragement to take the first step towards pelvic health empowerment from the comfort of home.

Revisiting what to do before you come into the officeStart the new year right by taking charge of your bladder health! In this episode of "While You Wait...", I revisit essential tips for managing bladder symptoms before your appointment. Whether you're dealing with leaks or constant urges, I'll provide actionable steps to empower you on your journey to wellness. Tune in to discover expert advice and practical strategies that can make a difference in your daily life.Show Note Timeline:Introduction:Reintroducing essential strategies for managing bladder symptoms before your appointment.Addressing common questions and concerns about bladder health.Managing Bladder Symptoms:Importance of using the right products: highlighting the difference between menstrual pads and incontinence pads, emphasizing the need for effective leakage control.Keeping a bladder diary: Learn how journaling your symptoms can help identify triggers and patterns, providing valuable insights for better management.Understanding your diagnosis: learn the different types of urinary incontinence in women and the importance of recognizing your specific symptoms.Strengthening the pelvic floor: Discover simple exercises and techniques to strengthen pelvic muscles, essential for managing urinary incontinence.Taking Action Before Your Appointment:Practical tips for implementing these strategies in your daily routine.Guidance on gradually progressing with pelvic floor exercises for optimal results.Empowering individuals to take proactive steps towards bladder wellness.Don't wait to take control of your bladder health! Join me as I share invaluable advice to help you navigate the journey towards improved bladder function and overall well-being.

I recorded this episode of "While You Wait" on January 1st, 2024, where I discussed my resolution for 2024. I'll passionately challenge the stigma around bladder symptoms, emphasizing that leaking urine is not just common but deserves attention and proactive management.Discover courses I've created to help women on this journey. They range from a free video collection guiding women in understanding and addressing different types of leaking and practical steps for managing stress and urgency incontinence to my most comprehensive offering, which provides in-depth knowledge about anatomy, terminology, and factors influencing bladder health. Empower yourself to choose a treatment that aligns with your lifestyle confidently.Whether you're a woman seeking solutions or a healthcare professional, this episode offers valuable insights and resources to defy the notion of accepting bladder symptoms as an inevitable part of life. Tune in for a roadmap to improved bladder health and graceful aging.TimelineIntroduction:Dr. [Host's Last Name]'s commitment to liberating women from living with bladder symptoms.Addressing societal shame and the normalization of bladder issues with age.Bladder Starter Series:Overview of the free video series for women starting their journey to understand and address bladder issues.Diagnosing different types of leaking and practical steps for managing stress and urgency incontinence.Masterclass - How to Find the Right Way to Strengthen Your Pelvic Floor:Exploring various methods, from Kegel exercises to professional coaching, to strengthen the pelvic floor.Creating a personalized treatment blueprint for successful and sustainable outcomes.Comprehensive Course - Bladder 101:In-depth insights into anatomy, terminology, and factors influencing bladder health.Empowering women to choose a treatment aligned with their lifestyle confidently.Tune in, be inspired, and take proactive steps toward improving bladder health on "While You Wait."

Discover the innovative solution revolutionizing postpartum and surgical care on today's episode with Dr. Teresa Mahon. Join the conversation as Dr. Mann unveils her groundbreaking creation, Pip's Panty. This thoughtfully designed boy short panty addresses the specific needs of postpartum women. Driven by her observations of undignified postpartum care, Dr. Mann embarked on a mission to enhance the recovery experience for new mothers as well as surgical patients. Dr. Mann shares insightful details about the product's design, addressing common challenges women face during postpartum and surgical recovery. With heartwarming anecdotes and positive feedback from users, this episode sheds light on a transformative solution for a traditionally underserved aspect of women's health.Whether you're a healthcare professional, a new mom, or someone interested in innovative medical solutions, this episode offers a glimpse into the intersection of healthcare and entrepreneurship. Tune in to explore the story behind Pip's Panty and gain valuable insights into the challenges and triumphs of introducing a game-changing product to the market.For more informaiton on Dr. Mahon you can find her:IG: pips4momsFB: Pips Comfort CareWebsite: https://pipscomfortcare. Com Show Notes Time Line:00:34 Introduction:00:53 Dr. Teresa Mahon's background and transition to becoming a hospitalist.01:10 The challenges of private practice and the decision to prioritize patient care.02:18 Pip's Panty: A Revolutionary Solution:02:27 The inspiration behind creating Pip's Panty.05:57 Addressing the needs of postpartum women and surgical patients.07:38 User Feedback and Impact:08:23 Heartwarming stories from users, including relief for postpartum discomfort and surgical recovery.08:47 Creation of Pip's Pantys09:45 Challenges in bringing the product to market and the importance of fair-wage manufacturing.11:50 Anatomically Designed 11:58 Detailed explanation of the anatomically correct design and functionality.12:42 Dr. Mahon's vision for expanding the application of Pip's Panty to benefit a broader audience.13:30 Get your Pip's Pantys13:37 What's included13: Where to find Pip's PantysFuture Endeavors:Dr. Mahon's reflections on the business side of healthcare and the learning curve.

In today's episode, we talk about urinary incontinence. Following the initial diagnosis and treatments, then taking the mystery out of some complex medical procedures. Beginning with a thorough understanding of the body's signals, we break down the initial steps in diagnosis—discussing the importance of identifying triggers, symptom assessment, and the overall health context. Then, transition into stress incontinence. We dive into personalized care and programs, coaching benefits, as well as virtual group sessions as alternatives.Beyond the basics, we explore various solutions, from user-friendly devices to non-invasive procedures. Then, it extends to advanced treatments, like surgery, and the developments in stem cell therapies. We'll address urgency incontinence through behavioral adjustments, dietary considerations, and medication.Tune in for a comprehensive exploration of urinary incontinence, offering insights, hope, and a roadmap to empower those navigating this journey.  Podcast Show Notes Timeline:Introduction:Overview of the episode's focus on the initial workup and treatment of urinary incontinence.Mention of guidelines from the American Urogynecology Society and the International Continence Society.Patient Consultation:Importance of patient history in understanding leakage triggers and overall health.Screening for factors like previous treatments, pain association, voiding symptoms, and pelvic conditions.Symptom Assessment:Detailed exploration of bladder diaries, questionnaires, and quality-of-life evaluations.Utilization of urinalysis and ultrasound to assess bladder function.Examination for estrogen status, muscle strength, and potential pelvic floor issues.Stress Incontinence Treatment:Focus on pelvic floor muscle training as the gold standard.Individualized programs, coaching, and reinforcement in physical therapy.Exploration of virtual group options and recommended online resources.Alternative Treatments:Introduction to peritrainers and devices like the Leva for pelvic floor strengthening.Insights into bulking procedures as non-invasive options.Advanced Treatments:Overview of surgeries, including mesh slings and emerging stem cell therapies.Discussion on ongoing research, including a phase three clinical trial on stem cell therapy.Urgency Incontinence:Emphasis on pelvic floor muscle training, behavioral modifications, and dietary considerations.Exploration of medications and their potential side effects.Insights into third-line therapies, including Botox injections and nerve stimulations.Note: The information provided is educational and does not substitute personalized medical advice. Consult with healthcare professionals for tailored recommendations.

Welcome to Season 2, Episode 1 of "While You Wait..."! In this compelling episode, I'll dive into a crucial aspect of women's health—bladder leakage. Drawing from a recent talk in Portland titled "Doctor, My Bladder Leaks, How Can You Help Me?" aimed at primary care colleagues, I emphasize the significance of addressing incontinence.Discover why bladder leakage is a prevalent and impactful issue affecting women of all ages. This episode is a detailed exploration of the talk's key points, highlighting the societal and personal implications of this often-overlooked concern.From the staggering statistics revealing the commonality of bladder leakage to its profound impact on quality of life, our host breaks down the reasons healthcare providers should prioritize addressing this issue. The episode also touches upon the associated risks, both medical and financial, making a compelling case for proactive intervention.The central message? Validation matters. I talk about the importance of healthcare providers validating women's symptoms, offering insights into why this seemingly simple step can be a game-changer. The conversation extends to the duration of time women endure symptoms in silence and the associated challenges in discussing a topic that still carries a degree of taboo.But that's not all. Practical solutions are provided, including knowing local resources and introducing the "Bladder Starter Series," a valuable resource on my website, thewomensbladderdoctor.com. This series aims to empower women and guide healthcare providers in initiating conversations around bladder health.Tune in for an insightful start to Season 2, where healthcare meets empathy, and the journey to destigmatize and address bladder leakage begins.Podcast timeline:Importance of Addressing Bladder Leakage: Unpack the prevalence and impact of bladder leakage on women's lives, exploring the societal, quality-of-life, and health implications.Statistics and Data: Dive into eye-opening statistics, including a study from Norway, shedding light on the widespread occurrence of bladder leakage across age groups.Emotional and Physical Toll: Explore the emotional and physical toll of bladder leakage, from body image issues to its association with sexual dysfunction.Medical Risks: Understand the medical risks associated with bladder leakage, including increased risks of depression, hospitalization, falls, and fractures.Financial Impact: Delve into the economic aspect, as a recent study reveals the substantial annual expenditure on bladder leakage, emphasizing the financial burden on affected individuals.The Role of Validation: Emphasize the importance of healthcare providers validating women's symptoms as the crucial first step in addressing bladder leakage.Local Resources and Bladder Starter Series: Encourage healthcare providers to be aware of local resources and introduce the "Bladder Starter Series" as a free and accessible educational tool.For more resources and information, visit thewomensbladderdoctor.com.Note: The information provided is educational and does not substitute personalized medical advice. Consult with healthcare professionals for tailored recommendations.

 Breaking from our usual educational format, we sit down with a woman, who I'll refer to as Jane, who has firsthand experience of urgency incontinence. Jane takes us through her transformative journey, offering insights into her challenges, decisions, and the life-changing impact of the eCoin Tibial Implant. Tune in for a Personal Perspective: Whether you're navigating your healthcare journey or curious about innovative solutions, Jane's candid story provides a valuable and relatable perspective. Join us for this intimate episode, delving into the human side of healthcare. Highlights:Bladder Challenges Unveiled: Jane shares the origins of her bladder issues, triggered by extensive overseas work travel and recurrent infections.Treatment Evolution: As symptoms progressed, Jane walks us through her experience with medications and PTNS (Percutaneous Tibial Nerve Stimulation) before discovering the eCoin Tibial Implant.Decision-Making Process: Understand the considerations that led Jane to choose the eCoin Tibial Implant over other options, marking a shift from traditional treatments. Procedure Deep Dive:Outpatient Experience: Gain insights into the outpatient surgery performed under local anesthesia and Jane's perspective on the procedure.Postoperative Phase: Learn about postoperative care, including using a compressive sock and Jane's experience during the healing process. Life After eCoin:Travel Triumphs: Discover how the eCoin Tibial Implant has transformed Jane's experience during long airplane trips, previously marred by bladder pressure.Symptom Relief: Delve into Jane's reflections on the remarkable relief from pain and leakage issues, bringing a sense of normalcy back to her life. Future Considerations:Battery Life and Replacements: Explore the anticipated battery life of the eCoin Tibial Implant and Jane's plans for future replacements.Upcoming Advancements:  a glimpse into potential advancements in the next iterations, including MRI compatibility and extended battery life. Reflections and Gratitude:Scar Minimalism: Understand Jane's perspective on the minimal scarring resulting from the procedure and her overall satisfaction.Encouragement to Others: Jane shares her thoughts on the procedure's impact, expressing gratitude for the positive changes and offering encouragement to those on a similar healthcare journey. Disclaimer: The shared information reflects personal experiences and does not replace individualized medical advice. Consult with healthcare professionals for tailored recommendations.

Join me as we discuss the ever-growing popularity of surgery centers with our special guest, Dr. Anand Jain, the Medical Director of the East Pavilion Surgery Center in Portland, Oregon. In this episode, we dive into the intricacies of outpatient surgeries, discussing the unique features that distinguish surgery centers from hospital operating rooms. Gain insights into the patient-centric approach of surgery centers, addressing safety concerns, patient selection criteria, and the crucial post-op care that ensures a smooth recovery. Discover the nuances of building a positive culture within a surgery center, and learn how these centers are poised to play a more prominent role in the evolving healthcare landscape.Please note that the information shared is for educational purposes and does not substitute personalized medical advice. Consult with your healthcare provider for tailored recommendations.Key Differences: Dr. Jain highlights the distinctions between surgery centers and hospital operating rooms, emphasizing the patient-centric focus and efficiency of outpatient care.Safety Concerns: Addressing the perception of surgery centers as "surgery factories," Dr. Jain discusses the stringent safety protocols, accreditation, and collaborative efforts that ensure patient safety.Patient Selection Rules: Explore the criteria, including BMI limits, that determine patient eligibility for surgery center procedures, emphasizing the individualized and collaborative nature of decision-making.Ensuring Patient Comfort: Learn about measures taken to ensure physical and mental comfort for patients throughout their surgical experience, enhancing the overall patient journey.Post-Op Care and Recovery: Dr. Jain sheds light on the collaborative efforts and patient-centric approach that facilitate a smooth transition for patients from surgery to recovery, focusing on safety and well-being.Building a Positive Culture: Discover the factors contributing to a positive workplace culture at the East Pavilion Surgery Center, including strong leadership, effective communication, and a commitment to shared values.Looking Ahead: Dr. Jain shares insights into the future role of surgery centers in the healthcare landscape, discussing their efficiency, cost-effectiveness, and the evolving preferences of patients.