Podcasts about Dyspareunia

Słuchając tego odcinka dowiesz się: ➡ jakie mogą być przyczyny bólu podczas stosunku➡ jaki wpływ na ochotę na seks ma życie w biegu➡ czy ochota na seks powinna się pojawiać tylko w okolicach owulacji➡ jak zaakceptować swoją seksualność i oswoić się ze swoim ciałem➡ co zrobić, kiedy nigdy nie miałaś orgazmu, albo nie miałaś przyjemności z seksu➡ skąd biorą się problemy z uprawianiem seksu➡ czy masturbacja jest zdrowa➡  od czego zacząć i do kogo się zgłosić jeśli odczuwasz ból podczas współżyciaO MNIE: Mam na imię Kasia i jestem autorką podcastu Kasia o hormonach. Jeśli chcesz dowiedzieć się więcej na mój temat, zajrzyj tutaj ➡ https://wiecejnizhormony.pl/o-mnie/INSTAGRAM ➡ https://www.instagram.com/wiecejnizhormony/YOUTUBE ➡ https://www.youtube.com/@wiecejnizhormonyZapisz się na Hormonalny Newsletter, gdzie otrzymasz w prezencie bezpłatnego e-booka na temat badań jakie warto wykonać, by uregulować hormony ➡ https://wiecejnizhormony.pl/badania/LINKI, O KTÓRYCH WSPOMINAMY W TYM ODCINKU:Mój post na Instagramie o przyczynach niskiego libido:➡ https://www.instagram.com/p/C0ynKjULsOG/?img_index=1 Konto Karoliny na Instagramie:➡ https://www.instagram.com/karolina_fizjowoman/Strona Karoliny:➡ https://www.karolinaleja.pl/ Wersja tego odcinka na YT:➡ https://youtu.be/x04ceCQrTJU

Here at Sex on Call, our personal expert on menopause is Maddie. She has her certification with North American Menopause Society and she is deeply passionate about all things menopause.Today, we are focusing on pain with sex in connection to menopause. As women can spend up to 40% of their life in menopause, many experience side effects from the declining estrogen and androgen specifically in our vaginal tissues. The lack of these hormones can often lead to discomfort and pain with intercourse including dyspareunia.The unfortunate reality is that 50% of women experiencing issues with their sexual function related to menopause never seek treatment or utilize therapy. Some common symptoms include irritation of the vulva, inadequate vaginal lubrication, burning, urinary urgency, decreased sexual sensation/pleasure, and more.In a survey of women, this has led to a negative effect on their lives, adverse effects on sexual intimacy, feeling less sexual, feeling old, negative consequences on marriage/relationships, negative effects on self-esteem, and lower quality of life.During our discussion, we share treatment options, why menopause doesn't have to include sexual discomfort, how often treatments usually take to be effective, and why estrogen is considered a safe and effective options for many patients.We hope this conversation is valuable for you!

On this episode we're focusing on dyspareunia in the postpartum period, which means pain with sex or penetration after birth. It's important to remember that this condition can be really difficult given it is also associated with a life transition of welcoming home a newborn and navigating your relationship with your partner during this time.We'll cover the difference between generalized pain in postpartum and pain with sex, risk factors of dyspareunia in postpartum, and treatment options. (A variety of treatment options are available including use of lubricants, estrogen cream to replenish lack of estrogen especially for breastfeeding patients, pelvic floor physical therapy, and even counseling may be beneficial if the women's physical response is related to her emotional response or trauma from birth.)Larisa also discusses things that she incorporates into her practice as a midwife to help decrease the amount of trauma to the pelvic floor, pelvic muscles, and vaginal tissue during birth.We hope you find this episode helpful and share with any of your friends navigating postpartum!

How often do you think about your pelvic floor?  If you're like most women, probably not until you feel pain or discomfort. Even though pelvic floor health is essential for basic every day functions like going to the bathroom and ease and enjoyment in everything from sex to squatting in the gym. Dr. Marie Fernandez, PT, DPT shares common pelvic floor issues we might overlook or ignore and helpful tips on how to prevent problems for the future. We're stripping away the shame around this important women's health area and giving you answers. In this women's health episode we talk: Common pelvic floor issues Pelvic rehabilitation (from incontinence to dyspareunia) Why we need to think about more than kegels Exercises & practices to boost pelvic health How to find support   For more on this episode and to connect with Dr. Marie Fernandez: https://feelgoodnakd.com/pelvic-floor-health/ Instagram: @mariesmovement Website: https://www.movemeantpt.com/   RESOURCES Book: www.feelgoodnakd.com/7steps Rio Plan: www.corpaofitness.com  Podcast: www.feelgoodnakd.com

Plain and simple: Sexual activity should not hurt. With over 40% of women experiencing pain with sex (known as dyspareunia), this topic is an important one.In this episode, we talk through what a diagnosis of dyspareunia includes, how we assess for this, what other things have to be ruled out, and how this affects far more than just your sex life. And to close, we'll talk through the variety of treatment options available and what options are available to help sexual activity (whatever that looks like) feel pleasurable.  We hope this episode helps you feel seen, supported, and empowered to seek any help you need.

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Link to full article https://www.vaginacoach.com/blog/vaginal-estrogen-and-other-helpful-therapies-for-vaginal-dryness*******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.com

Hey Love, This is the end of the series on pain with intercourse or Dyspareunia and inside this weeks episode I switch it up and let you all in on my own personal journey with pelvic pain. Dyspareunia is a common condition especially women who are postpartum, had tearing/scarring, have history of pelvic/abdominal procedures, have a history of trauma or sexual abuse (even from a papsmear), have any underlying conditions like interstitial cystitis, vaginismus, constipation, endometriosis, cysts, prolapse and as we will learn in this episode, pelvic congestion syndrome.  Pelvic Congestion Syndrome is a widely underdiagnosed condition that can affect many women, especially mommas who have had multiple babies.  Despite my knowledge with this condition and having treated it before, getting diagnosed with it has been surprising to say the least.  Inside this week's episode I will take you through my own personal journey with this condition and pelvic pain so that you can better understand your symptoms and how to advocate for yourself.   While we can have many things contributing to pelvic pain, there is still so much we can do to relieve and resolve symptoms and bring you back to not only a pain-free relationship with sex but a pleasurable one. So stay tuned and let me know what you think and if you would like any more support in achieving any goals around pleasure, intimacy and pelvic pain! As always, if you are experiencing any pelvic floor/women's health issue like urinary incontinence/leaking, pelvic pain, pain with sex, urgency, heaviness/prolapse or any other back/hip/joint pain let's get you booked for a virtual coaching session or in person physical therapy session for a more individualized plan and one-on-one instructions so you can feel confident in your body and start healing today!!  Make Sure to reach out for a coaching session or any questions> PTDes@balancedmomtality.com  AND/OR Join my FREE Facebook community for ACCOUNTABILITY and a safe and supportive place to share and support each other!> https://www.facebook.com/groups/1696216757461633/    Join my VIP Insider group and receive my Newsletter full of great tips and tricks and upcoming resources! > https://newsletter.balancedmomtality.com/   Follow and get tips/tricks on:  Facebook> @thebalancedmomtality Instagram> @the_balanced_momtality   Learn > www.balancedmomtality.com  

On this episode, Dr. Sadaf wraps up a month-long focus on sex health 101, with a look at pain during intercourse, aka dyspareunia. Learn about the various causes of dyspareunia such as hormonal imbalances, nerve injuries, and pelvic floor dysfunction. Also, Dr. Sadaf sheds light on the crucial role of proper diagnosis, treatment, and emotional support when it comes to dealing with pain during sex. Get ready to go from the root causes all the way to strategies to address this common sexual health issue!Disclaimer: Anything discussed on the show should not be taken as official medical advice. If you have any concerns about your health, please speak to your medical provider. If you have any questions about your religion, please ask your friendly neighborhood religious leader. It's the Muslim Sex Podcast because I just happen to be a Muslim woman who talks about sex.To learn more about Dr. Sadaf's practice and to become a patient visit DrSadaf.comLike and subscribe to our YouTube channel where you can watch all episodes of the podcast!Feel free to leave a review on Apple Podcasts and share the show!Follow us on Social Media...Instagram: DrSadafobgynTikTok: DrSadafobgyn

Hey Love! Today on the show I have special guest Cat Fite, who is a certified sex and couples therapist and also a local therapist in Los Alamos, New Mexico.  We are diving into the mental aspects that affect Dyspareunia and pain with intercourse, everything from pain, trauma and libido! She gives great insight on how sex therapy can help improve your pleasure and help you heal, as well as how we can re-define what type of sex we want to experience.  This is obviously a taboo topic and so I am thrilled that we are spilling all the juicy goodness in this episode to help you have the best sex of your life! We discuss issues with postpartum and (peri) menopausal hormone drops and normalize the reality that despite those changes in your body, sex should still NOT hurt! Pain with intercourse or intimacy is common and wildly normalized, especially women who are postpartum, had tearing/scarring, have history of pelvic/abdominal procedures, have a history of trauma or sexual abuse (even from a papsmear), have any underlying conditions like interstitial cystitis, vaginismus, constipation, endometriosis, cysts, prolapse and even women who are just chronically stressed.  While we can have many things contributing to this pain, there is still so much we can do to relieve and resolve symptoms and bring you back to not only a pain-free relationship with sex but a pleasurable one. Cat is an amazing human and we had so much fun in this interview! So stay tuned and let me know what you think and if you would like any more support in achieving any goals around pleasure, intimacy and pelvic pain! (Cat's info and mentioned references below)    As always, if you are experiencing any pelvic floor/women's health issue like urinary incontinence/leaking, pelvic pain, pain with sex, urgency, heaviness/prolapse or any other back/hip/joint pain let's get you booked for a virtual coaching session or in person physical therapy session for a more individualized plan and one-on-one instructions so you can feel confident in your body and start healing today!!  Make Sure to reach out to> PTDes@balancedmomtality.com  AND/OR Join my FREE Facebook community for ACCOUNTABILITY and a safe and supportive place to share and support each other!> https://www.facebook.com/groups/1696216757461633/    Join my VIP Insider group and receive my Newsletter full of great tips and tricks and upcoming resources! > https://newsletter.balancedmomtality.com/   Follow and get tips/tricks on:  Facebook> @thebalancedmomtality Instagram> @the_balanced_momtality   Learn > www.balancedmomtality.com   Cat Fite, LPCC, CST  Couples/Sex Therapist and Sex/Body Positive Educator www.hilltopcounselingnm.com IG: @catfitecst FB: @hilltopcounselingnm    Resources mentioned in this episode: OMG Yes https://start.omgyes.com/join   Self Serve Sex Resource Center https://www.selfservetoys.com/

Hey Girl! If the thought of being intimate makes you cringe because you haven't been able to enjoy intimacy, then this episode is for you! This month, because of Valentines Day, I am diving into all things Dyspareunia, or pain with intercourse.  This is a common condition especially women who are postpartum, had tearing/scarring, have history of pelvic/abdominal procedures, have a history of trauma or sexual abuse (even from a papsmear), have any underlying conditions like interstitial cystitis, vaginismus, constipation, endometriosis, cysts, prolapse and even women who are just chronically stressed.  While we can have many things contributing to this pain, there is still so much we can do to relieve and resolve symptoms and bring you back to not only a pain-free relationship with sex but a pleasurable one. Inside this weeks episode I am diving into WHAT you can do to help improve your connection and pleasure and reduce and heal from pain, everything from exercises, breathwork, creams, dilators and mindset! My goal is to get you the best orgasm of your life! So stay tuned and let me know what you think and if you would like any more support in achieving any goals around pleasure, intimacy and pelvic pain! As always, if you are experiencing any pelvic floor/women's health issue like urinary incontinence/leaking, pelvic pain, pain with sex, urgency, heaviness/prolapse or any other back/hip/joint pain let's get you booked for a virtual coaching session or in person physical therapy session for a more individualized plan and one-on-one instructions so you can feel confident in your body and start healing today!! (link for tools and discount code below) Make Sure to reach out to> PTDes@balancedmomtality.com  AND/OR Join my FREE Facebook community for ACCOUNTABILITY and a safe and supportive place to share and support each other!> https://www.facebook.com/groups/1696216757461633/    Join my VIP Insider group and receive my Newsletter full of great tips and tricks and upcoming resources! > https://newsletter.balancedmomtality.com/   Follow and get tips/tricks on:  Facebook> @thebalancedmomtality Instagram> @the_balanced_momtality   Learn > www.balancedmomtality.com   Intimate Rose Pelvic Wands/Dilators/Vaginal Creams  www.intimaterose.com USE CODE: DESIREE2 For $5 OFF!   

Hey Girl! Valentines Day is right around the corner and so I decided to chat about all things intimacy, sex and pleasure and how pelvic pain can impact all of those areas! If the thought of being intimate makes you cringe because you haven't been able to enjoy intimacy, then this episode is for you! I am diving into a condition I treat regularly called Dyspareunia, or pain with intercourse.  This is a common condition especially women who are postpartum, had tearing/scarring, have history of pelvic/abdominal procedures, have a history of trauma or sexual abuse (even from a papsmear), have any underlying conditions like interstitial cystitis, vaginismus, constipation, endometriosis, cysts, prolapse and even women who are just chronically stressed.  While we can have many things contributing to this pain, there is still so much we can do to relieve and resolve symptoms and bring you back to not only a pain-free relationship with sex but a pleasurable one. My goal is to get you the best orgasm of your life! So stay tuned and let me know what you think and if you would like any more support in achieving any goals around pleasure, intimacy and pelvic pain!  As always, if you are experiencing any pelvic floor/women's health issue like urinary incontinence/leaking, pelvic pain, pain with sex, urgency, heaviness/prolapse or any other back/hip/joint pain let's get you booked for a virtual coaching session or in person physical therapy session for a more individualized plan and one-on-one instructions so you can feel confident in your body and start healing today!!  Make Sure to reach out to> PTDes@balancedmomtality.com  AND/OR Join my FREE Facebook community for ACCOUNTABILITY and a safe and supportive place to share and support each other!> https://www.facebook.com/groups/1696216757461633/    Join my VIP Insider group and receive my Newsletter full of great tips and tricks and upcoming resources! > https://newsletter.balancedmomtality.com/   Follow and get tips/tricks on:  Facebook> @thebalancedmomtality Instagram> @the_balanced_momtality Learn > www.balancedmomtality.com

Today, I had the wonderful Coach Brittany (who is also a doula) on the podcast to chat about pelvic floor changes in perimenopause and menopause. We covered: -What the pelvic floor is -Pelvic floor changes and symptoms in menopause -Solutions -Exercises for the pelvic floor -Potential supplements to try To access our free pelvic floor strengthening guide (with exercises) head to: https://www.vitalityoet.com/pelvicfloorandmenopause-9702 To learn how to get access to ALL our free resources, watch this video: https://www.loom.com/share/3fe69b67790a4fbc9de22d64a486cb28?sid=6e14b006-7fbf-40b1-9ccf-5c9b5d7870fa Now, let's get into the episode! WATCH this episode on YouTube: https://youtu.be/wTjG8U3-5_I TIMESTAMPS: (00:00) — Introduction (01:06) — Today's topic: the pelvic floor and menopause (02:19) — What is the pelvic floor? (05:02) — Common pelvic floor issues during perimenopause & menopause (09:11) — 1) Incontinence (11:49) — 2) Constipation (13:41) — 3) Urethral irritation (15:21) — 4) Dyspareunia (18:24) — 5) Pelvic organ prolapse (21:04) — Things that can help improve pelvic floor health (24:54) — The connection between fight-or-flight & the pelvic floor (& what you can do about it) (28:52) — Exercises for your pelvic floor (34:15) — Helpful herbs & supplements (35:53) — Wrap-up PREVIOUS EPISODES MENTIONED: ‣ Hysterectomies, Surgical Menopause, & Pelvic Prolapse (feat. Coach Brittany) - https://podcasts.apple.com/ca/podcast/hysterectomies-surgical-menopause-pelvic-prolapse-feat/id1683220450?i=1000629043987 ‣ Insulin Resistance & Menopause - https://podcasts.apple.com/ca/podcast/insulin-resistance-menopause-mmp-ep-3/id1683220450?i=1000611282522 ‣ Menopause, Cortisol, & Adrenal Fatigue - https://podcasts.apple.com/ca/podcast/menopause-cortisol-adrenal-fatigue-mmp-ep-19/id1683220450?i=1000624361638 ‣ Alcohol, Fat Loss, and Menopause - https://podcasts.apple.com/ca/podcast/alcohol-fat-loss-and-menopause-mmp-ep-14/id1683220450?i=1000620473251 CONNECT WITH ME ONLINE: ‣ Check out our BRAND NEW workout subscription: https://www.trainerize.me/profile/vitalityoet/?planGUID=b020a7cf27f6453b9d29ca3dc9bbaf37&mode=checkout ‣ Join our community! Metabolism and Menopause by Vitality - Secrets for Fat Loss: https://m.facebook.com/groups/969761266958379 ‣ Schedule a FREE consultation call - https://calendly.com/d/2p8-mxx-dgf/free-consultation-call-zoom ‣ Apply for coaching with us! - https://calendly.com/d/386-k9q-4cg/coaching-application-call-zoom ‣ Learn more about DUTCH hormone testing with VitalityOET - https://www.loom.com/share/a567d01c12b44aaf855dcf3d9049d537 ‣ Menopause supplements (use code VITALITY10 for 10% off your order) - https://shop.nutritiondynamic.com/collections/all ‣ Instagram: https://www.instagram.com/vitalityoet.stephanie ‣ WATCH the podcast on YouTube: https://www.youtube.com/@metabolismandmenopausepodcast ‣ All other links: https://stan.store/vitalityoetstephanie ‣ Email: stephanie@vitalityoet.com ---- Post-Production by: David Margittai | In Post Media Website: https://www.inpostmedia.com Email: david@inpostmedia.com © 2023 Stephanie Fusnik & VitalityOET

DISCLAIMER: Before embarking on any treatment options always best to check in with a medical advisor.In this episode, Sex therapist Cate Campbell and son Diggory Waite talk about some of the reasons why sex can be painful, the affect that can have on your relationships and what you can do about it. Going through a rogue's gallery of sex's greatest villains, they discuss Dyspareunia, Vaginismus, Vestibulodynia, Vulvodynia, Endometriosis, Fremosis, Balantis, Chronic pelvic pain, Inflamatory bowel syndrome, Anal fissures, Haemorrhoids and many more. Want your sex or relationship question answered by our accredited therapist Cate? You can send them into:- Our anonymous Google Forms: https://forms.gle/HkCB68f11gDaCYLW7- Our email: podcasts@hattrick.com- DMing us on Instagram, TikTok or X – we're @thersepodDid you enjoy this episode? Then do subscribe to this podcast and leave us a review wherever you're listening or watching.The Real Sex Education is a Hat Trick Podcast Hosted on Acast. See acast.com/privacy for more information.

Please join me for this entertaining discussion with Dr Lauren Streicher, an international expert in menopause and sexual medicine. We discussed her landmark paper on dyspareunia in menopause, as well as orgasm dysfunction in the menopause. We also discussed her favorite examples of misinformation about menopause. A subject extensively covered at the annual meeting of The Menopause SocietyShow Notes:https://drive.google.com/drive/folders/1UuhM3L19WeCNgN4OX9kmGplMudG5snvm?usp=sharingDr Streicher's Podcast "Dr Streicher's Inside Information"Dr Streicher's Books: Slip Sliding Away; Hot Flash Hell; Sex Rx; The Essential Guide to HysterectomyPlease follow our Facebook page for all podcast updates and relevant information.https://www.facebook.com/profile.php?id=100091994367829Please follow our Instagram page for all podcast updates and relevant information.https://www.instagram.com/sexmedpod/

Dr Sarah Ashton joins us to discuss the collective trauma experienced by LGBTIQA+ women contributed to dyspareunia (painful sex). Sarah is the director and founder of Sexual Healthy and Intimacy Psychological Services (SHIPS) and is passionate about challenging public discourse around sex. Jack and Jacinta also discuss with her how the experiences of queer women can be pathologised as problems. Dr Ashton will be delivering a workshop on this topic at the upcoming LGBTIQ+ Women's Health Conference. Find out more here. Check out our other JOY Podcasts for more on LGBTIQ+ health & wellbeing. If there's something you'd like us to explore on the show, send through ideas or questions at wellwellwell@joy.org.au Find out more about LGBTIQ+ services and events in Victoria at Thorne Harbour Health and in South Australia at SAMESH.

Discover natural alternatives for dyspareunia and learn more about an interesting potential cause of this condition. DATA: https://www.thevpfoundation.org/ https://justmeat.co/wiki/oxalates/

Have you been told to just push through the pain in hopes that it will eventually go away? Here is the harsh reality: enduring that pain without finding relief is not the answer. Listen up honey, if you are having painful sex I am here to tell you there is hope for you! It's time to acknowledge the discomfort you're experiencing and explore the underlying causes in order to find effective solutions. Let's get into it! In this episode, you will be able to:Discover the comprehensive guide to pelvic floor health and vaginal wellness for all women.Gain an understanding of vulvodynia and acquire strategies for its effective management.Learn how pelvic floor muscles can contribute to painful sex and ways to alleviate it.Uncover the realities of Vaginismus, including mitigation of fear and anxiety associated with it.Identify avenues for seeking support and guidance regarding painful sex.The key moments in this episode are:00:00:00 - Introduction & Importance of Accessibility to Vaginal Health Information,00:02:04 - Understanding Dysparenia, Vaginismus, and Vulvodynia,00:03:24 - Identifying Vulvodynia Symptoms and Seeking Help,00:06:02 - The Role of Pelvic Floor Muscles in Painful Sex,00:14:22 - Understanding DyspareniaPainful 2 Pleasurable Sex Masterclasshttps://the-vagina-rehab-academy.sellfy.store/p/painful-2-pleasurable-sex-masterclass-p2p-pxq91k/Vagina CEO Release E Guidehttps://the-vagina-rehab-academy.sellfy.store/p/the-vagina-ceo-release-e-guide/I CUM First Vag Stretch Lab & the Breathwork Vag Stretch labhttps://the-vagina-rehab-academy.sellfy.storeMy Amazon Store with Dilators and Pelvic Wands for Tight Pelvic Floor Muscles & Painful Sexclick HEREWant 1 on 1 coaching to help you cancel sexual pain? Schedule a complimentary call with me by clicking here below!https://calendly.com/vaginarehabdoctor/discovery Shop my Vag Stretch Labs, E-guides, and Masterclasses for your vaginal health & fitnesshttps://vagina-rehab-doctor-boutique.myshopify.com/ Follow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

Surabhi Veitch interviews fellow pelvic/ortho physiotherapist, Jane Bai, who knows all too well that asking for help isn't easy. During her 20s, Jane had pelvic floor health issues, including dyspareunia, UTIs, and bladder pain symptoms. Despite being in school to become a physiotherapist, she didn't get help right away. Find out in this episode how Jane got the help she needed and is using her experience to advocate for others..We discuss:—Jane's pelvic health issues during physiotherapy school—Dyspareunia and relationship challenges—Shame around sexual dysfunction—Barriers to seeking help—Patience and motherhood—Prioritizing self-care .Connect with Jane & Important Links:Follow Jane on Instagram @pelvicproFind Jane at: https://www.pelvicpro.ca/ or at Step Up Massage and Rehab in downtown TorontoVideo Library: Movements for Better Bowel Movement https://www.pelvicpro.ca/products/video-library-movements-for-a-better-bowel-movement.Connect with Surabhi:—Find Surabhi on Instagram or Facebook @thepassionatephysio—Website: https://www.thepassionatephysio.ca

Dr. Jennifer Santamaria is the founder and owner of Femme Strong Physical Therapy- a specialized pelvic floor and orthopedic physical therapy practice for women throughout different stages of womanhood. She discusses what dyspareunia is, along with how it can occur and ways to treat it. www.femme-strong.comJennifer@femme-strong.comIG: @femmestrongpt-Dyspareunia treatment- Dyspareunia symptoms - Dyspareunia care- Dyspareunia postpartum- Dyspareunia postpartum symptoms - Dyspareunia pelvic floor exercises- Dyspareunia pelvic floor physical therapy - Dyspareunia postpartum physical therapy - Dyspareunia pelvic floor health- pelvic floor postpartum- pelvic floor health postpartum- pelvic floor physical therapy postpartum - pelvic floor postpartum supportwww.mamawearsathleisure.comIG: @mamawearsathleisureYouTube: @mamawearsathleisuremamawearsathleisure@gmail.comInterested in being a guest? Shoot us an email!- best parenting podcast- best new mom podcast- best podcasts for new moms- best pregnancy podcast- best podcast for expecting moms- best podcast for moms- best podcast for postpartum- best prenatal podcast- best postnatal podcast- best podcast for postnatal moms- best podcast for pregnancy moms

Postpartum Dyspareunia With up to 40% of individuals experiencing dyspareunia at the 2 month mark, this is a conversation that we need to nurture, especially since symptoms can and should be treated. In this episode I speak about 3 common contributors to pain with penetration in the postpartum period, how they may present and potential treatment options. My hope is to reduce stigma and fear through information sharing and improve comfort and confidence when communicating about this topic, whether that's with a partner, friend or health care provider. Solo episode:Candice Langford, pelvic and sexual health physiotherapist.More from Candice IG: @nurtureyourvagina NurturePelvicHealth.com Use the code NURTUREPOD for a 20% discount on any course.Todays Sponsor: Lil-Lets Incontinence RangeDetails Lil-Lets incontinence range now available in store!Disclaimer: Material and content discussed on the Nurture Pod are intended as general information only and should not be substituted for medical advice Thank you and as always, stay curious!Candice

Let's talk about sex, baby! Or in this case, dyspareunia or painful sex. We go over:1. Find out what dyspareuia is and the different types and categories (superficial vs deep, primary vs secondary)2. How common is dyspareunia and how many people are impacted by painful intercourse postpartum3. How dyspareunia impacts mental, physical and sexual health4. Learn why you do not need to rush to have sex at 6 weeks postpartum5. How postpartum sexual health declines across all domains6. Why painful sex is not just the responsibility of the woman or vulva-owner7. Purchase the replay for my Reclaim your Pleasure workshop to help you release tension, pain and welcome in more pleasure (even if you deal with painful intercourse!).Links & Resources:—Reclaim your Pleasure workshop replay: https://www.thepassionatephysio.ca/reclaim-your-pleasure-workshop —Need help managing pelvic floor symptoms? Book your virtual consultation: https://www.thepassionatephysio.ca/book-with-surabhi.Connect with Surabhi:—Find Surabhi on Instagram or Facebook @thepassionatephysio—Website: https://www.thepassionatephysio.ca

Dyspareunia and low libido are incredibly common concerns brought to any women's health provider. Being equipped with language and tools to support these concerns is very important. Today we discuss some recent research on tools to support dyspareunia in endometriosis. Research DiscussedTajik, M., Shahali, S., & Shadjoo, K. (2022). The co-effect of sensate focus technique and sexual position changing on sexual function of women who use medical treatment for endometriosis. Journal of Obstetrics and Gynaecology. https://doi.org/10.1080/01443615.2022.2158316Join our Programs! Advanced Women's Therapeutics Starts May 2023: Click HereThe Insulin Intensive: Click Here Learn More about the Certified Women's Health Practitioner! Click Here Stay in touch! Naturopathic Clinical Mentorship Site | https://naturopathicmentorship.com NCM Learning Platform | https://learning.naturopathicmentorship.com Advanced Women's Health website | https://www.advancedwomenshealth.ca/Finally Lose It Book | https://sarahwilsonnd.com/finallyloseitInstagram | https://www.instagram.com/drsarah_nd/ Facebook | https://facebook.com/sarahwilsonnd Live in Ontario? Book an appointment In Person or Virtual! Book Here One on One profession...

Dnešná epizóda je venovaná jednej z mnohých ešte stále tabuizovaných tém, bolestivého pohlavného styku. Do epizódy som si pozvala i na krátky vstup fyzioterapeutku Mgr. Klárku Vomáčkovú (@fitandtasty), ktorá k téme pridala pohľad tohto oboru. Dúfame, že táto epizóda prispeje k zlepšeniu tvojho intímneho života, pretože bolesť nie je normálna, žiaľ bežná. Riešenie existuje, poďme ho hľadať. V epizóda je spomenutá pomôcka Ohnut, ktorá je už aktuálne dostupná na e-shop Bagniaristore.cz | @bagniaristore 

In this episode Dr. Katie Schubert (Sex Therapist) and Dr. Molly Hart (Pelvic Floor PT) dive into the reasons men seek out care for sexual concerns and pelvic health improvements from both a psychological and physiological level. Such as erectile dysfunction, premature ejaculation, partner libido issues, sexual dissatisfaction, sexual paraphilias that get in the way with their sexual life, anxiety related to sexual function, pain in the gentiles, pain with ejaculation, pain after intercourse, feelings of "tightness" in the pelvic region, bladder frequency, bowel concerns and more....!Grab some wine or a beer and let's talk about the penis!Dr. Molly Hart, Pelvic Floor PT, Owner of Pelvic Balance Physical TherapyDr. Katie Schubert, Sex Therapist, Owner of Cypress Wellness CenterDISCLAIMER: Please remember that this information is not meant to diagnose or treat any medical conditions. Please speak with your medical provider for ALL things related to your health care. Dr. Molly Hart, Pelvic Floor PT, Owner of Pelvic Balance Physical Therapy Dr. Katie Schubert, Sex Therapist, Owner of Cypress Wellness Center Email any questions to: info.sexonthefloor@gmail.com Follow Us on IG: https://www.instagram.com/cypress_wellness_center/https://www.instagram.com/pelvicbalance/ DISCLAIMER: Please remember that this information is not meant to diagnose or treat any medical conditions. Please speak with your medical provider for ALL things related to your health care.

Studies show that 20-50% of men and women will experience unwanted pain with intimacy at some point in their lives. So many things factor into this complicated dysfunction but research shows pelvic floor physical therapy can often be used to treat it. Callie and Rachel discuss things that contribute the various types of pain with intimacy and offer some wisdom on how to overcome it.

In this episode we discuss pelvic pain with intercourse (Dyspareunia) and when it should be concerning and when it should not be concerning.  Possible pathological issues such as Endometriosis, Vaginismus, Vestibulitis, and Interstitial cystitis could be the cause of the discomfort with intercourse. 

Laura is a 24-year-old film-school student with Dyspareunia. This is a classic Turn Me On episode featuring a long-time TMO listener and a conversation about something that affects over half of the population with vulvas at some point in their lives! The hosts chat with Laura about her sexual debut at 22 and where that lead her in her journey of sex education.Thank you endlessly to all the Patrons of the podcast at patreon.com/turnmeonpodcast. See acast.com/privacy for privacy and opt-out information.

In this episode of Adult Bedtime Stories, we are continuing a mini-series on resolving sexual issues.  Our topic is dyspareunia or painful sex.  We cover many of the causes and how to resolve the issue.Links for the websites we discussed in the show include:  https://www.ravenslairleather.comhttps://www.ladyboytemple.comhttps://ggwilbur.comPatreon Page at:  https://www.patreon.com/LadyboyGigiEmail Ladyboy Gigi:  admin@ggwilbur.com Support this podcast at — https://redcircle.com/adult-bedtime-stories/exclusive-contentAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

One in five women worldwide has had the major abdominal surgery commonly known as C-section- the word major is no hyperbole. Seven layers of tissue (both abdomen and uterus) are cut through, to deliver the baby. Traditionally C-sections were only used in emergencies where either the mother's or baby's life/health was at risk. In modern-day society, they have become a regular pre-elected surgery.  Today on the podcast, Tahnee talks to C-section Recovery Coach, Doula, and specialised Massage Therapist, Nicole Alfred about all things C-section trauma, recovery, and post-surgery care. Working in this field for over 15 years and having experienced C-section herself, Nicole brings much depth of knowledge and awareness to the lack of C-section rehabilitative care available to women within the healthcare system globally. Nicole's work focuses on changing the current narrative about C-sections, not to promote them like they're better or safer than vaginal birth, but rather something to be avoided where possible. Nicole also works passionately to bring awareness to the lack of preparation and follow-up care that would routinely happen with any other major surgery. Through her multi-layered healing programme (The C-Section Recovery Method), Nicole guides women back to a place of connection within their bodies on every level- physical, mental, emotional, and spiritual.    Tahnee and Nicole discuss the untold realities of what happens during and after C-section, the trauma women carry (physically and emotionally) post-C-section, why women need to be advocates for themselves and the care they receive no matter how they birth, and so much more. Make sure you tune in for this beautiful, eye-opening conversation.   "I tell patients, "This is where you gave birth. In this area that I'm working on, I don't just dig right into scar tissue like I would with a muscle that was tight, I respect it. Post birth body acceptance is really important, but it's also really hard. It is hard because what your body was before you had a baby; was just your body. But now you've had a baby and there are all these changes that have happened. And now you have this permanent line across you that may or may not hurt sometimes. And so, it's a lot to integrate. And unfortunately our medical systems are failing. They're failing women by not having the right information available".   - Nicole Alfred   Tahnee and Nicole discuss:   -C-section trauma -What happens in a C-section? -Massage for C-section scarring. -Body acceptance post C-section. -Bacterial infections post C-section. -Urinary incontinence post C-section. -Subsequent pregnancies and VBAC. -Healing the pelvic floor post C-section. -The damaging 'bounce back' ideology. -REST - why it's so important post ALL birth. -Dyspareunia (painful intercourse) post C-section. -The feeling of failure many women experience post C-section. -Corsets/belly binding - when and how we should be using them.   Who Nicole Alfred? CEO of Fully Alive Wellness and creator of the C-section Recovery Method. Nicole Alfred is a trained doula and has been a Registered Massage Therapist in Oakville, Ontario Canada for the past 15 years. Nicole also co-owns a continuing education program called Perinatal Massage Therapy Education. Nicole helps C-section Mamas who have experienced an emergency cesarean recover from birth and contributes globally to education and healing protocols for C-section recovery.     Resources:   Nicole's Instagram C-section recovery Facebook group  C-section recovery method website Nicole's massage- Fully Alive Wellness Diastasis Recti book- Katy Bowman   Check Out The Transcript Here: https://www.superfeast.com.au/blogs/articles/nicole-alfred-ep-157  

LIKE AND SUBSCRIBE In today's episode of Winging It, Hunter and Max sit down with Anna from Entwined Dating. We cover a lot in this episode from dating with sexual dysfunction (like erectile dysfunction aka ED, Peyronie's Disease, Dyspareunia, and others), how dating apps are made, being a wingman, and much more. Anna is truly a Wingman! Be sure to check Anna and Entwine Dating below! https://www.entwinedating.com/ https://www.instagram.com/entwine_dating/ Special Thanks To Clap Cleats! www.clapcleats.com PROMO CODE: WINGMAN For 15% off your order Let's Wing It!!! Enjoy, and don't forget to Like and SUBSCRIBE Follow Us Instagram: WOTY: https://www.instagram.com/wotyofficial/ Winging It: https://www.instagram.com/wingingitpod/ Twitter: https://twitter.com/wotyofficial --- Send in a voice message: https://anchor.fm/wingingit/message

It is one thing to not be able to orgasm when your partner is not trying. It is another issue altogether when nothing helps. Women have difficulty having orgasms due to a variety of reasons ranging from hormones to normal aging to past trauma, and more. What if a woman has low libido? What if she cannot get turned on even if she wants to have sex? Why does sex hurt? What do Psoriasis and Eczema have to do with sex? Listen to this episode to learn about Female Sexual Arousal Disorder, Female Orgasmic Disorder, Dyspareunia and Genital Size Mismatch. I will also discuss some of the most effective types of vaginal rejuvenation options available to women today from the famous O-Shot to vaginal lasers to acoustic wave therapy and more.   Dr. Kanwal Bawa is Cleveland Clinic trained and a pioneer in the field of skin rejuvenation, hair restoration and sexual wellness. She has a state-of-the-art practice in Boca Raton, Florida called Bawa Medical. She earned the moniker Dr. Sex Fairy due to her incredible advances in the fields of both intimate and sexual wellness.   Her patients fly to her from all over the world for vaginal rejuvenation, penis enlargement, Erectile Dysfunction, enhanced performance, increased libido and more. She also provides virtual consultations for those who are unable to travel to her for in-office treatments.   To schedule a virtual or in-office consultation: https://www.bawamedical.com/contact/     To learn more about sexual wellness: https://www.bawamedical.com/sexual-health/ Instagram: https://www.instagram.com/therealdrsexfairy/ Facebook: https://www.facebook.com/doctorsexfairy Clubhouse: https://www.clubhouse.com/@drsexfairy  

In today's episode, we are discussing pelvic health and chatting with Dr. Sutton about her career and what women need to know about working with a pelvic health physical therapist. Stacy Sutton, PT, DPT, is a Licensed Physical Therapist (PT) in Texas and is the founder of Sutton Health Advocacy LLC in Plano, TX. She is a board-certified Women's Health Clinical Specialist (WCS) through the American Physical Therapy Association. Dr. Stacy Sutton,began her journey towards becoming a physical therapist because she wanted to help other women who experience pain and discomfort find real solutions without feeling alone in their health journey. Her clinic, Sutton Health Advocacy, makes its mission to empower women to heal themselves.Dr. Sutton specializes in and has a passion for treating people with a variety of diagnoses including dyspareunia (pain with intercourse), pelvic floor dysfunction, pelvic pain, pelvic organ prolapse, pregnancy-related pain, postpartum pain, voiding dysfunction, pre-and post- mastectomy musculoskeletal pain, and those with osteoporosis.Her favorite part about being a women's pelvic health physical therapist is the connections she builds with other women and that she gets to help them get their lives back when they are going through a difficult time. Guest info-Website: https://suttonhealthadvocacy.com/Facebook: https://www.facebook.com/SuttonHealthAdvocacyInstagram: https://www.instagram.com/suttonhealthadvocacy/Resources:Diaphragmatic Breathing: https://youtu.be/WmqD9caYwH8Pelvic Floor Muscle Relaxation: https://youtu.be/VIqZScgpi8wKegels: https://youtu.be/iNQqBXRyDCgPosture Reset: https://youtu.be/X-9M40JcTKUSpinal Mobility #1: https://youtu.be/lz2egV_PZ58Spinal Mobility #2: https://youtu.be/mbn8uqNP_Dk This episode is sponsored by SimplePractice. Get your first $100 towards your first month of SimplePractice when you sign up for an account today. This exclusive offer is valid for new customers only. Go to https://www.simplepractice.com/partners/hersexualspace to learn more.  Her Sexual Space is an independent podcast created and hosted by Janice Leonard. Produced by Vibez Productionz

We talk a lot about oestrogen on this show, and so today, I want to give you a complete low down on oestrogen – what it does, how it benefits you and how it can affect you when things go wrong.  Now, before we go ahead, I just want to share a trigger warning – I talk about reproduction and pregnancy in this episode. It's not a huge part of it, but it's there, so please feel free to skip this episode if you need to. Another trigger warning in this episode is that I talk about the connection between oestrogen dominance and obesity. If this feels triggering for you, please skip! It is the final point on the causes of excess oestrogen/oestrogen dominance, and comes after the point on endocrine disruptors. So, let's start with what oestrogen does in the body… Oestrogen is what fuels the growth of hips, breasts, the start of the menstrual cycle and in short, the onset of puberty. Oestrogen is responsible for fertile cervical fluid, thickening the uterine lining and kicking off ovulation, and it boosts serotonin production, which is not just crucial for cognitive function, but also helps us to feel more energised, sociable and positive. Oestrogen, alongside testosterone, increases libido - oestrogen actually increases blood flow to the pelvic area, and this heightens sensation and arousal.  Basically, this combination of feeling more energised, more positive, more lubricated, having heighten sensations, etc. – all of these changes, are ultimately an attempt to get us pregnant. This is why, if you have a partner, you may overlook certain issues or see your relationship in a really positive light, only to find them irritating or to have those issues resurfacing in your luteal phase. Now of course, you might want to get pregnant, but that's oestrogen's intention. Additionally, oestrogen is crucial for bone density, heart health and cognitive function, not to mention a huge list of other organs and roles in the body. Now, if the above doesn't sound like your experience of oestrogen, I get it. The phases of the cycle we're going to cover today, are normally when people who don't have endo, have more energy, feel more outgoing, more optimistic, etc. But for some of us with endo, we're worn out from our period in the first half of our follicular phase, and then as we reach ovulation, we get pain. I know clients whose worst endo flares are around ovulation, so I understand if this doesn't resonate with you – but I'm at this stage, just sharing the purpose of oestrogen.  In a little while, I'll briefly touch on why you may be struggling with oestrogen, but first, let's talk about what's happening with oestrogen in your cycle.   Oestrogen and the menstrual cycle Oestrogen is at its lowest point during menstruation and tends to stay low for the first 1-2 days but begins slowly rising around day 3.  This rise occurs because oestrogen is made from maturing follicles in the ovaries, think of follicles like water balloons with an egg in the middle. A couple of these are picked to begin maturing, and then by days 5 to 7, one of these follicles is picked and will eventually go on to release the one egg that bursts through the ovary during ovulation.  As these follicles develop, they begin to make testosterone, which is largely converted into oestrogen. You'll tend to feel a change in mood and energy around day 3 as that handful of follicles slowly begin to produce oestrogen, and then at about day 7-ish once the queen follicle has been chosen, you'll get a real surge of oestrogen and you'll move into the second half of your follicular phase. The oestrogen production really gets underway here and continues to climb right up until ovulation.  During this process, oestrogen is working on thickening the uterine lining, but it is also supporting lubrication and helping to create fertile cervical fluid. Initially, just after your period you'll likely still feel dry, but as oestrogen rises, you'll begin getting a pasty, lotion type fluid in your underwear, and you may feel a little lubricated from time to time, but not noticeably so.  Now, as I mentioned, oestrogen continues to rise in increasing levels, thanks to the queen follicle growing and maturing, and as we get closer to ovulation, we'll begin getting a sticky, almost clear, egg-white like fluid, and we'll feel very lubricated. This is fertile cervical fluid.  Once oestrogen reaches its peak, this peak triggers a cascade of hormonal shifts which trigger ovulation. Without this peak, ovulation cannot occur. After this peak, oestrogen drops, ovulation occurs and progesterone then dominates over oestrogen. Oestrogen is still present but it's lower than progesterone and continues to decrease.  However, shortly before your period begins, we get another brief surge in oestrogen. This occurs to support possible implantation of a fertilised egg, and you'll notice similar cervical fluid that you had before and around ovulation, it's no longer fertile cervical fluid, but it looks the same. Of course, if you are pregnant, then further changes will occur, if not, oestrogen drops down again to its lowest point in your cycle and menstruation begins. Now, a side note, which is really a whole episode in itself – if you're feeling depleted when oestrogen is rising, we need to look at why. It could be that you lost too much iron and magnesium due to heavy bleeding, so we need to work on lightening that (and actually we'll talk about why you may have heavy bleeding later on). It could be that you had horrendous endo pain on your period that wiped you out, so we need to look at lowering inflammation and using other tools and practices to lower that pain. It could be that you have low cortisol levels or HPA axis dysregulation, which is common in endo, and leaves you feeling constantly fatigued or fatigued in the mornings. If you're having pain towards ovulation, we need to consider whether you're sensitive to histamines, which rise with rising oestrogen or whether you have too high levels of inflammation, which is naturally part of the ovulatory process, but can cause pain in excess. Or perhaps you have an adhesion from surgery, tugging on your ovary, so that makes ovulation particularly painful. Or of course, you might have an endometrioma. So, these are some considerations to make and everything I've listed can be helped, addressed, reduced or even entirely resolved depending on your body and circumstance and what the issue is. Now of course, that's what my work is all about, so scroll through my episodes to see which ones might help you with your personal issues during this phase. Now, back to oestrogen specifically, a few things can go wrong. Let's look at the first part of the cycle. We know we want oestrogen to reach its peak, but one possible scenario is that it doesn't get there, because your oestrogen levels are low. Low levels of oestrogen can occur from: The pill or other forms of hormonal treatment or birth control designed to lower oestrogen or stop ovulation. Stress – stress can lower sex hormones because reproduction is not a priority to the body in times of stress, and if you look at it from an evolutionary standpoint, stress back in caveman days was literally famine, or wild animals, or exclusion from our tribe; real life or death situations, so the priority was survival not reproduction. In many cases, it wouldn't be safe to raise a baby in those kind of scenarios. Additionally, the stress response requires a lot of energy and resources from the body, the stress response literally diverts blood, glucose, etc. away from non-essential functions like reproduction and redirects them to the brain, heart and muscles. A one off acute bought of stress probably won't do much damage, because the body was designed to cope with acute moments of stress, but chronic or prolonged stress can end up delaying or stopping ovulation entirely. Low calorie or nutrient intake Over-exercising The follicles require energy and nutrients to mature and to reach the point where ovulation can occur, so depriving the body of these nutrients and calories can end up slowing their growth, preventing enough oestrogen from being made and ultimately, delaying ovulation or stopping it. Additionally, under eating and/or over exercising is a stressor on the body, so again, resources and energy are preserved for the stress response and directed away from the menstrual cycle process. Now here's the thing. You may be thinking that low oestrogen isn't a problem for you because you're having a period still. That's not true. You can STILL have a period if you haven't ovulated or if you have low oestrogen, this is because whether it got to the thickness it needed or not, you still have some uterine lining to shed and eventually, the oestrogen is going to drop, and that will kick off a shedding of the lining.  Symptoms of low oestrogen include: Dyspareunia or painful sex, of course we need to consider that painful sex may also be from endometriosis or a tight pelvic floor in our case. Night sweats Low levels of cervical mucus or vaginal dryness Low to non-existent libido Joint pain Low mood Brain fog and low energy Infrequent periods or no period at all, or a prolonged cycle Dry eyes Dry skin  Low oestrogen is linked with heart disease and a lack bone density, so it's important to get it addressed if this seems to be an issue for you. So now let's look at the other scenario. High oestrogen levels or oestrogen dominance. This can look like a few different scenarios – Low oestrogen but even lower levels of progesterone in the second half of the cycle, which means oestrogen is dominating over progesterone in this phase, when it should be the other way round. High oestrogen and normal progesterone, again, oestrogen is dominating over progesterone but is actually also high High oestrogen and low progesterone Normal oestrogen and low progesterone  A few things can create these scenarios: Low progesterone, in which case, we need to look at why that's low, and that tends to be lack of ovulation, caused by stress, dysregulated blood sugar, etc. An overburdened liver. Your liver processes and packages up used oestrogen, it then filters it into the gut, for removal in your daily bowel movements. When the liver is overwhelmed by environmental toxins, excess alcohol and sugar, caffeine, smoking, or even everyday chemicals from your beauty and body products, it will prioritise getting rid of those, because they're more harmful than oestrogen. As a result, your oestrogen levels stack up in the blood stream. Additionally, it's worth mentioning here that alcohol actually raises oestrogen levels.  Blood sugar dysregulation, which increases oestrogen levels in the body. Endocrine disruptors, which are chemicals and toxins which affect or mimic hormones, some of the most disruptive being xeno-oestrogens, which mimic oestrogen in the body and are now showing to be the reason young girls are getting their periods so early. Just as a side note – if you get your hormone levels tested, these won't show up in the test because the test is measuring oestrogen, which these toxins are not, they just mimic it. Excess fat cells – now I want to be really clear here, this isn't about being sizest or fat shaming, but I am just reporting on what we know from the research. Fat cells can also raise oestrogen and so the more we have, the higher the levels of oestrogen in the body. That doesn't mean we need to have no body fat at all, that would actually stop ovulation! But generally, the research is showing that obesity is linked to oestrogen dominance. You can do whatever you like with this information, and I do not recommend you start focusing on dramatic weight loss! But it's important to share all of the information and not just provide you with selective info, so you at least have it all and can decide what's relevant to you. Symptoms of oestrogen dominance or high oestrogen levels include: Worsening endometriosis symptoms Swollen and tender breasts, and maybe breast cysts Worsening PMS or PMDD symptoms Heavy periods  Clotty periods Painful periods Mood swings  Ovulation pain Brain fog  Bloating and water retention, especially in the second half of your cycle Now, this is where the connection to endometriosis comes in. Oestrogen thickens the uterine lining, largely through proliferation, which is the process of cells growing and dividing to make more cells. So, cells that have oestrogen receptors, can also grow too, which is how oestrogen forms breasts. But we know that many endometriosis cells contain oestrogen receptors (though not all of them, as we've come to learn), and so having high levels of excess oestrogen could potentially worsen the endometriosis.  However, this isn't a call to go straight on the pill to lower oestrogen. Why? Well, you've already heard the risks of low oestrogen, but the pill won't necessarily stop endometriosis growth because endometriosis doesn't just rely on oestrogen to grow. In fact, if some of your endo cells don't have oestrogen receptors, it won't be a contributing factor. Endo also uses histamines, prostaglandins, excess iron and other chemicals to grow. Additionally, endometriosis makes its own oestrogen supply, so cutting oestrogen production off at the ovaries, doesn't actually solve the oestrogen problem. Often, what doctors are doing with the pill, is suppressing symptoms, but they cannot guarantee growth suppression and the pill only works for a portion of endo patients. Now, everyone has to do what works for them, so please, please, please do what is right for you – if it's working for you, great, but I just wanted to briefly raise this.  A quick side note on this, curcumin in animal studies has been shown to reduce levels of oestrogen directly in the endometriosis cells, so whilst we don't have the same evidence in humans yet, it's a really exciting development.  Now of course, having oestrogen dominance or excess oestrogen not only creates a set of symptoms that look a lot like endo symptoms – like heavy bleeding, cramps, fatigue, ovulation pain, etc. but it also exacerbates endo symptoms too. So, what can you do if you suspect you have an oestrogen imbalance? Well, it of course depends on whether you have low oestrogen or excess oestrogen or oestrogen dominance.  Either way, working to support your overall hormone health will help with both scenarios – so everything we cover on the podcast, such as nutrition, blood sugar balance, stress management, sleep, supporting the liver, etc. These may all sound like the foundations of a general healthy lifestyle, and that's exactly right – you need a healthy lifestyle for your hormones to thrive.  If you want to test your levels, you can get a simple blood test on Day 3 of your period for oestrogen and day 21 of your cycle for progesterone. Now these are only going to give you a snapshot of what your cycle is doing during this time. Your oestrogen might look fine on Day 3, but by 21 it may be way higher than your progesterone or your body might be struggling to filter it out. So, if you do want to go a bit further, a DUTCH test will give you an in-depth look at your hormones, with the most comprehensive being a DUTCH Cycle Mapping Test. Often, testing is not necessary at first. I prefer to go through the foundational changes with my clients first, and then if they're still not responding, we test.  So where to get started? One of the most foundational changes you can make for your hormones is balancing your blood sugar, and this is almost where I start with nearly every client who shows signs of hormonal problems. I have several episodes and articles on balancing blood sugar, and I also of course cover it in my courses and masterclasses, so you can pick whatever suits you best!  So, I hope that this has given you a deeper insight into the wonders of oestrogen, and as you can see, the ideal is healthy levels of oestrogen, rather than demonizing it and wanting to get rid of it completely! Let's get social! Come say hello on Instagram or sign up to my newsletter. Sign up to my free Ease Endo Tea Challenge here. Sign up to the wait list for my course, Live and Thrive with Endo here. My new Nutrition for Endo Masterclasses are out now and are on special offer for Black Friday. Get one masterclass for £29.99 (full price £40) or both for £50. Find out more here. My cookbook This EndoLife, It Starts with Breakfast is out now! Get 28 anti-inflammatory, hormone friendly recipes for living and thriving with endometriosis. Order your copy here. If you feel like you need more support with managing endometriosis, you can join Your EndoLife Coaching Programme. A 1-to-1 three month health and life coaching programme to help you thrive with endometriosis. To find out more about the programme and to discuss whether it could be right for you, email me at hello@thisendolife.com or visit my website. This episode is sponsored by The Pod Farm. Learn all about how to start your own podcast with the complete course from The Pod Farm. Aimed at beginners, this course takes a simple and straightforward approach to planning, equipment buying, setting up, recording, editing and hosting your own podcast. With hours of audio and video materials, and downloadable guides and useful links, this multimedia approach aims to have something for every kind of learner. From now until April 15, newsletter subscribers get 20% off the course price. Visit www.thepodfarm.com to enroll or find out more This episode is sponsored by BeYou. Soothe period cramps the natural way with these 100% natural and discreet menthol and eucalyptus oil stick on patches and CBD range. Click here to find out more and to shop: https://beyouonline.co.uk This episode is sponsored by Semaine. Try their supplement for period pain and daily supplement for hormonal balance and PMS prevention with code ENDOLIFE to get 20% off your first order. Show Notes Oestrogen and the menstrual cycle https://www.ncbi.nlm.nih.gov/books/NBK279054/#female_the-normal-menstrual-cycle-and-the-control-of-ovulation.REF.1 Oestrogen and bone density https://pubmed.ncbi.nlm.nih.gov/8865143/ https://pubmed.ncbi.nlm.nih.gov/29962257/ Oestrogen and brain https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743731/ https://jnnp.bmj.com/content/jnnp/74/7/837.full.pdf Oestrogen and heart https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709037/ Causes of hormone dysregulation https://pubmed.ncbi.nlm.nih.gov/22115162/ https://www.ncbi.nlm.nih.gov/books/NBK279054/#female_the-normal-menstrual-cycle-and-the-control-of-ovulation.REF.1 https://link.springer.com/article/10.1007/s40750-014-0004-2 https://pubmed.ncbi.nlm.nih.gov/10397281/ https://onlinelibrary.wiley.com/doi/abs/10.1111/jne.12179 https://academic.oup.com/endo/article/145/3/1314/2878187 https://pubmed.ncbi.nlm.nih.gov/11511861/ Hormone testing https://nicolejardim.com/hormone-testing-cheat-sheet/ https://nicolejardim.com/the-best-way-to-test-hormones/ https://drbrighten.com/when-is-the-best-time-to-test-hormone-levels/ Oestrogen and endo https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215544/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4077338/

❗️ ‘เจ็บ' ตอนมีเซ็กส์..❗️ .

This episode is from a mini IG Live answering your questions about painful sex with endo (which turned out not to be mini, more like 40 mins). Here's the three most common questions I answered: Is there anything that will make sex with endo eventually not painful/how do I fix it? I've tried everything but still get pain, is surgery the next option? How to navigate painful sex without killing the mood? In this IG Live I talk about inflammation, adhesions, having a hypertonic pelvic floor, pain science and share lots of tools, resources and books to help you on your way to having less pain (hopefully pain free) sex. I really hope you find this useful! Let's get social! Come say hello on Instagram or sign up to my newsletter. Sign up to the wait list for my course, Live and Thrive with Endo here. My cookbook This EndoLife, It Starts with Breakfast is out now! Get 28 anti-inflammatory, hormone friendly recipes for living and thriving with endometriosis. Order your copy here. If you feel like you need more support with managing endometriosis, you can join Your EndoLife Coaching Programme. A 1-to-1 three month health and life coaching programme to help you thrive with endometriosis. To find out more about the programme and to discuss whether it could be right for you, email me at hello@thisendolife.com or visit my website. This episode is sponsored by The Pod Farm. Learn all about how to start your own podcast with the complete course from The Pod Farm. Aimed at beginners, this course takes a simple and straightforward approach to planning, equipment buying, setting up, recording, editing and hosting your own podcast. With hours of audio and video materials, and downloadable guides and useful links, this multimedia approach aims to have something for every kind of learner. From now until April 15, newsletter subscribers get 20% off the course price. Visit www.thepodfarm.com to enroll or find out more This episode is sponsored by BeYou. Soothe period cramps the natural way with these 100% natural and discreet menthol and eucalyptus oil stick on patches and CBD range. Click here to find out more and to shop: https://beyouonline.co.uk

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:  Whitney: Hi Dr. Cabral, I have had a strange condition for several years that no one and no doctor can solve. In 2017, I had breast implants placed due to breast abnormalities from breast feeding. Three months after surgery, I stopped producing my own saliva. ENT placed me on pilocarpine to initiate saliva production. Fast forward two years, I moved into a house with black mold. The environment in my mouth/nose became extremely sticky and glue - like. The only relief I get from this is taking an anti fungal lozenge, clomitrazole. I am taking an astonishing 600 lozenges a month that are coupled with the 200 pilocarpine pills a month. *side note* was also exposed to heavy metals (unknown type) in 2018. ANY info on this or ways I could improve would be greatly appreciated. It's getting worse, and the needs for these prescriptions are becoming increasingly alarming and monetarily taxing. submitted earlier,  I also had an explant/ capsulectomy this past March 2021 due to concerns that my breast implants were causing my lack of saliva and sticky glue like issues. It has not eased and possibly gotten worse. I'm also blowing my nose up to 100 times a day with black debri coming out. Was on itraconazole in 2020 for six months due to possible systemic fungal infection. Just trying to give you as many facts as possible so you can help me figure out this miserable and horrible puzzle. Thank you so much, Dr Cabral!!!! Christina: Hi there. I have suffered with interstitial cystitis since 2018. I am a 31 year old woman who is a school teacher and mother of 2. I am hoping you can answer what good supplements are great for IC also what is the root cause? Thank you! Anonymous: When someone has bad smelling flatulence almost immediately (within 5-10 mins) after eating processed foods (bakery sweets for example), what could be going on for it to occur so fast? Karim: Hi Dr Cabral! Thank you for showing up everyday for your community. You are extraordinary. I recently bought an Oura ring and I'm trying to understand it as much as I can. The main reason that I bought it was to track my sleep and HRV. I wear a fitbit at the same time and the sleep data in my fitbit is very different to the oura ring (fitbit always says less deep & rem sleep funnily enough) so not sure which one to trust. I'm guessing the oura ring? haha My second question is about HRV. And yes, I did listen to conversations with Dr Cabral on this topic but I'm just having a hard time understanding where to look at. Since the HRV is based on the previous night, whenever I see a lower HRV, what day do I need to look at? Would it be the factors (lack of sleep, poor diet, stress, etc) on the previous day? Sorry, I know my question is a little confusing and I hope it makes sense. I just want to know what period I need to look at when trying to identify why my HRV was lower than usual. This will allow me to work on it better by figuring out what specific factor caused this decrease. Karim: Sorry I forgot to ask you in my previous question if a lower HRV is always a bad thing? Is it true that when your HRV drops, it indicates that one branch of your autonomic nervous system (ANS) is becoming more dominant, either your rest-and-digest or fight-or-flight side? So actually, if my PNS increases, my HRV will drop and so it's actually a good thing right? If that's the case, I'm confused as to why everyone is focusing on increasing HRV… Anonymous: What can help with dyspareunia - a symptom of vulvar and vaginal atrophy, due to menopause. My wife had a hysterectomy years ago. She is using a prescription product- Intrarosa Prasterone , but this gives her headaches and other negative symptoms.   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!  - - - Show Notes & Resources: http://StephenCabral.com/2066 - - - Get Your Question Answered: http://StephenCabral.com/askcabral   - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - -  Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Stress, Sleep & Hormones Test (Run your adrenal & hormone levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > View all Functional Medicine lab tests (View all Functional Medicine lab tests you can do right at home for you and your family)

Ohnut is changing the conversation about pain and discomfort during sex with its unique wearable device that customizes penetration depth during intimacy.Listen along as we talk with CEO and founder, Emily Sauer about how to use Ohnut products; her personal experience with painful intercourse; and the wonderful wellness resources she has for our listeners!Guest Speaker BioEmily Sauer is a spritely entrepreneur who has always been passionate about creating catalysts that spark human connection. While developing Ohnut (an intimate wearable designed to help women and couples who experience deep dyspareunia) she co- founded the Lady Bits League, founded the Pain Perception Project, and is now launching Pelvic Gym to connect people and professionals f rom all over the sexual and pelvic health world, through education and story.Connect with Emily on LinkedInAbout Ohnut CoOhnut is the revolutionary wearable that allows couples to explore comfortable penetration depths. Available in the United States and 195 countries abroad, the product can be purchased online through the website at Ohnut Co.Follow @OhnutCo on Facebook, Instagram, TwitterAdditional ResourcesLady Bits LeaguePelvic GymPain Perception ProjectJust the Tip (blog)#justASK is a healthcare platform that is dedicated to providing evidence-based information by a multidisciplinary team of sexual health experts in order for individuals to make informed and optimal sexual health decisions. Support the show (https://www.paypal.com/biz/fund?id=EBS8AD46RVKRW)

In Episode 10 we unpack the mysteries behind internal pelvic floor treatment with Heidi Barlow, Women's Pelvic Floor Physiotherapist from Flow Physio Co. in the Sutherland Shire, Sydney. We discuss what is internal pelvic floor treatment, what training is required to practice internal pelvic floor treatment and who would benefit. We delve into what conditions can be treated including painful periods, Endometriosis, Adenomyosis, Vaginismus, Dyspareunia and Menopause. Also discussing the role the pelvic floor has from preconception care, pregnancy through to postnatal care.For more information head to The Dao Health. Follow us on Instagram @thedao. See acast.com/privacy for privacy and opt-out information.

In this episode, I share my personal story of overcoming painful sex with the help of my pelvic floor physical therapist Dr. Shoshanna Lewis.Overcoming Painful Sex (Vaginismus, Dyspareunia)  Reach out to Dr. Shoshanna Lewis: https://www.meruucorechoice.com/abouthttps://www.instagram.com/meruu_core_choice/?hl=enLearn more about coaching:www.ambergrubenmann.com/coachingGet the free guide Copy And Paste Texts For When He Is Pulling Away Or Acting Flaky:https://www.ambergrubenmann.com/copy-and-paste-texts-for-when-he-is-pulling-away-or-acting-flaky

Join V.&Me in conversation with the wonderful Emily Sauer, who is a spreader of joy and the inventor of Ohnut*.  After years of experiencing pain with deep penetration, her world changed with one crazy (brilliant) idea: What if you put a pink frosted donut on a penis to make it shorter? This is an episode full of heart, honesty and openness where Emily shares her journey of how years of blame brought her to creating change and awareness for so many others like herself who suffer from painful sex. She started with the creation of Ohnut. So make yourself  comfortable and join Emily and I for another amazing chat about our V's and more.*What is Ohnut you ask? Ohnut is a soft compressible buffer made from 4 rings, that can be used together or individually to adjust when penetration feels too deep, without sacrificing sensation.  Please find link below  for more information. **mentioned in podcasthttps://ohnut.co/https://www.painperceptionproject.com/https://www.pelvicgym.co/Don't forget to subscribe & rate where possible.  Find V.&Me on Instagram on  @letcallherv 

Female Sexual Health Treatment is an episode where we dive into discussing what treatments can be used to help with sexual health concerns that a sex therapist and a pelvic floor physical encounter. If you are having sexual health concerns as a female this is a great episode to learn from! Dr. Molly Hart, Pelvic Floor PT, Owner of Pelvic Balance Physical Therapy Dr. Katie Schubert, Sex Therapist, Owner of Cypress Wellness Center Email any questions to: info.sexonthefloor@gmail.com Follow Us on IG: https://www.instagram.com/cypress_wellness_center/https://www.instagram.com/pelvicbalance/ DISCLAIMER: Please remember that this information is not meant to diagnose or treat any medical conditions. Please speak with your medical provider for ALL things related to your health care.

Introduction!Sex On The Floor Podcast was created to help educate the public about problems with sex & intimacy and how this is tied to BOTH physical and mental aspects. Hosted by Dr. Molly Hart, PT, DPT (owner of Pelvic Balance Physical Therapy) and Dr. Katie Schubert, PhD, LMHC, CST (owner of Cypress Wellness Center). Dr. Molly is a pelvic floor physical therapist who specializes in treating women and men with chronic pelvic pain who suffer from pain with intercourse. She is the creator of TheHappyV Formula which teaches women how to safely heal their pelvic pain and integrate back into intimacy and sex without the fear of pain. Dr. Katie is a Certified Sex Therapist who works with clients who have issues with their sexual or gender identity, sexual functioning, or who have sexually compulsive behaviors. She helps couples communicate about sex and have happier sex lives. She is also a Registered Yoga Teacher and incorporates mindfulness when teaching about sexual functioning and/or arousal. We are here to have a good time, keep it real, and educate along the way! Excited for you to join us! We strive to help many relationships prosper in fun, safe, and healthy intimacy! Dr. Molly Hart, Pelvic Floor PT, Owner of Pelvic Balance Physical Therapy Dr. Katie Schubert, Sex Therapist, Owner of Cypress Wellness Center Email any questions to: info.sexonthefloor@gmail.com Follow Us on IG: https://www.instagram.com/cypress_wellness_center/https://www.instagram.com/pelvicbalance/ DISCLAIMER: Please remember that this information is not meant to diagnose or treat any medical conditions. Please speak with your medical provider for ALL things related to your health care.

Female Sexual Health Concerns is an episode where we dive into discuss what sexual health concerns a sex therapist and a pelvic floor physical therapist typically treat and address. If you are having sexual health concerns as a female this is a great episode to learn from! Dr. Molly Hart, Pelvic Floor PT, Owner of Pelvic Balance Physical Therapy Dr. Katie Schubert, Sex Therapist, Owner of Cypress Wellness Center Email any questions to: info.sexonthefloor@gmail.com Follow Us on IG: https://www.instagram.com/cypress_wellness_center/https://www.instagram.com/pelvicbalance/ DISCLAIMER: Please remember that this information is not meant to diagnose or treat any medical conditions. Please speak with your medical provider for ALL things related to your health care.

And why can't Jennie pronounce it? This week, we’re talking pain with intercourse (that's what Dyspareunia means, besties). Like everything else involving our uterus, the causes are varied. Most of the time, the solution is usually the same and an easy fix (hint: it’s Abby’s favorite word). Other times, we have to get our OBGYN involved. Join us as we explore the many causes of Dyspareunia. And remember these wise words: Stay moist, besties!

W tym odcinku dowiecie się jakie są możliwe przyczyny odczuwanego bólu podczas kontaktów seksualnych, jakie kroki należy podjąć jeśli ten problem nas dotyczy, czym różnią się od siebie pochwica, dyspareunia, wulwodynia i westibulodynia, jakie są psychologiczne aspekty odczuwanego bólu oraz jak może wyglądać terapia.Na koniec odpowiadam na Wasze pytania związane z tym tematem.

Dysmenorrhrea = ปวดประจำเดือน วันนี้ พ.แพร์ เอาคำศัพท์ ที่ขึ้นต้นด้วย dys- มาเล่าให้ฟังเพิ่มค่ะ มาลองดูกันว่า Dys- อื่นๆที่จะเอามาเล่าวันนี้ คือปวดที่ไหนบ้างน้า Porpear แปลให้ EP.6 ชวนฟัง “ศัพท์แพทย์” เกี่ยวกับ “เจ็บ/ปวด” ..กับ คำว่า “Dysuria”, “Dyspareunia”, “Dyschezia”, “Dyspnea” ค่ะ ฝากติดตามฟัง “Porpear” ได้ที่ Youtube : https://youtu.be/asxNpaGJfCE Spotify : https://spoti.fi/2Y9JGBt Apple podcast: https://apple.co/2O0ocVM Facebook : https://www.facebook.com/porpearchannel Blockdit : https://www.blockdit.com/porpearchannel . . . #porpear #porpearpodcast #porpearchannel #porpearพแพร์แคร์เรื่องหญิง #เรื่องผู้หญิง #porpearแปลให้ #ศัพท์แพทย์ #Dys #Dysuria #Dyspareunia #Dyschezia #Dyspnea

What is dyspareunia? Thanks for asking!Most people associate sex with pleasure but research suggests that 60% of women have already experienced pain during sex without daring to tell their partner. Dyspareunia is the medical term for pain which occurs before, during or after intercourse. The problem can affect men, but is far more common in women. Dyspareunia may be persistent or recurrent, sometimes leading to a loss of libibdo or forms of sexual dysfunction like vaginismus. What does this pain feel like?There are two main types of dyspareunia: superficial and deep. Superficial pain can affect the clitoris, vulva or at the opening of the vagina. It may come on as soon as penetration begins, or even before. Deeper pain is generally felt in the vault of the vagina or within the pelvis upon penetration. It may be more acute in certain sexual positions.So what are the causes of dyspareunia? Is there any hope for those suffering with dyspareunia? What can they do to stop? In under 3 minutes, we answer your questions!To listen to the last episodes, you can click here: What is the Gamestop short squeeze?What is a coup d'etat?What is Diogenes Syndrome?A podcast written and realised by Joseph Chance. See acast.com/privacy for privacy and opt-out information.

If you have vulvar pain, you are not alone, in fact, it's very common. Stephanie Prendergast, MPT, who cofounded the Pelvic Health and Rehabilitation Center, which now has 9 offices around the country, specializes in pelvic floor dysfunction. Today, Stephanie joins Wendy to talk about basic pelvic floor function on a daily basis and during pregnancy and menopause. Listen in to learn how people with vulvar pain can work with their doctors to alleviate discomfort.

  به اپیزود شماره 14 پادکست فارسی سکسولوژی خوش آمدید. پادکست های سکسولوژی در دو بخش فارسی و انگلیسی در پادگیر ها در دسترس شماست. در این اپیزود به پرسش و پاسخ در زمینه مسائل جنسی و پاسخ به سوالاتی که شما در اینستاگرام و پادکست های قبلی پرسیده بودید، پرداخته ام.    در این اپیزود، شما خواهید شنید: آیا سکس در زمان پریود مجاز است؟ تحریک جنسی و رابطه آن با دوران قاعدگی چگونه بر سکس دردناک و درد های ناشی از دخول غلبه کنیم؟ علل Dyspareuniaشامل مسائل هورمونی و جسمی و موارد روانی موثر در این مورد اثرات درمان های بیماری های ضمینه ای نظیر سرطان در دردناکی رابطه جنسی اعتیاد جنسی، خود ارضایی و احساس گناه در آقایان و خانم ها و باورهای غلط در این مورد تفاوت های اعتیاد جنسی و سایر اعتیادها در تحقیقات دانشگاه یو سی ال ای رفتارهای جنسی از کنترل خارج شده مغز ابتدایی و مغز تکامل یافته عوامل بیرونی، مخدرها، تراماها، اختلاهای بیش فعالی و تاثرات آن ها بر رفتارهای جنسی   درباره دکتر نازنین معالی: دکتر نازنین معالی ، روانشناس بالینی و پژوهشگر روابط جنسی، دارای بورد فوق تخصص در بیمارستان کایزر هستند. هم اکنون مطب ایشان در شهر لس آنجلس به صورت ویدئو تراپی پذیرای درمان مدد جویان می باشد. دکتر معالی با مطالعات و تحقیقاتی گسترده در زمینه های گوناگون روانشناسی، فرهنگی و ساختارهای اجتماعی، مشتاقانه در پی نشر تجربیات و دانسته های خود از طریق رسانه های اجتماعی برای عموم مخاطبین فارسی زبان هستند.   ما را در اینستاگرام دنبال کنید: https://www.instagram.com/sexologypodcast/ صفحه پادکست انگلیسی: http://www.sexologypodcast.com   ما را در صفحات اجتماعی دنبال کنید: https://www.instagram.com/sexologypodcast https://www.facebook.com/oasis2care   لینک دریافت وقت مشاوره ویدئویی با دکتر نازنین معالی: https://oasis2care.com/contact-nazanin-moali-psychologist                                                                                                 

Tahnee's back on the Women's Series today, with returning guest Dr. Amanda Waaldyk talking female reproductive health, with a spotlight on endometriosis (endo). Recent figures on the  Endometriosis Australia page show approximately 1 in 9 women worldwide suffer from this at times debilitating disease, that's around 200 million. These are pretty alarming statistics, considering it takes (on average) 7-10 years for endo diagnosis. Amanda has so much knowledge in this space; she is the founder/director of Angea Women's Health Clinic (Melbourne), doctor of Chinese Medicine, acupuncturist, yoga teacher, and energy healer. Being diagnosed and living with endo herself, Dr. Amanda's personal experience has deepened her holistic approach to treating this disease and is helping so many women on their journey of healing. This episode is a must for all women; the ladies get into pertinent aspects of the menstrual cycle, pregnancy, the contraceptive pill, and how they're affected by endometriosis.    Tahnee and Dr. Amanda discuss: What is endometriosis, why is it so painful? Endometriosis and the vital role of the liver.  Chinese herbs for treating gynecological issues.  Treating endometriosis holistically. Adenomyosis vs endometriosis, what's the difference? Dyspareunia (painful intercourse) and dysmenorrhea (painful menstruation), as common symptoms of endometriosis.  Why painful menstruation is not normal. The genetic link with endometriosis; looking at paternal and maternal family history.  Why is endometriosis often misdiagnosed as IBS?  The DUTCH test (advanced hormone testing) and why it's essential when diagnosing endometriosis.  The benefits of abdominal, Mayan, and womb massage for the female reproductive system.  Understanding endometriosis as an inflammatory condition and foods to avoid.  Yoni steaming.   Who is Dr. Amanda Waaldyk? Amanda is the founder and director of Angea Women’s Health Clinic, an integrative Chinese medicine practice that focuses on fertility, female endocrinology, and supporting women through every phase of life. With extensive experience in reproductive/hormonal conditions, menopausal concerns, endometriosis, and PCOS, Angea clinic is truly a haven for women. Amanda’s practice is soul meets science, guiding her patients to ultimate health by providing a whole-body approach. Amanda is a Doctor of Chinese medicine, yoga and meditation teacher, acupuncturist, hormone expert, and energy healer. Amanda empowers and educates her clients to reconnect with their inherent body wisdom, navigate their way back to balance (naturally), and live the happiest and most thriving version of their lives.    Resources: Angea Clinic Angea Instagram Angea Facebook  Women's Yoga Training Holistic Fertility with Dr. Amanda Waaldyk (EP#35) I Am Gaia (the SuperFeast Nourishing Women's Blend) read about it here   Q: How Can I Support The SuperFeast Podcast? A: Tell all your friends and family and share online! We’d also love it if you could subscribe and review this podcast on iTunes. Or  check us out on Stitcher, CastBox, iHeart RADIO:)! Plus  we're on Spotify!   Check Out The Transcript Here:   Tahnee: (00:00) Okay. Hi everyone, and welcome to the SuperFeast podcast. Today I am here with Dr. Amanda Waaldyk from Angea, which is this incredible space down in Melbourne, and I can't wait to go there as soon as I'm allowed. She's the founder and director of Angea Women's Health Clinic and she has an integrative Chinese medicine practise that also weaves in traditions like yoga and abdominal massage, which I hope we get to touch on a little bit today. And she works a lot with fertility and female reproductive health.   Tahnee: (00:34) So, we're here to talk about endometriosis today, which I'm really excited about, but I wanted to welcome Amanda back, because we have had her on the podcast before and she was very, very popular amongst our community. So thank you for coming back again, Amanda.   Dr. Amanda: (00:48) Oh, thank you for having me. I've been so excited to chat about this today.   Tahnee: (00:52) Yeah. Such a great topic, and I mean, such a relevant one right now. Something we're hearing a lot through our communication channels at SuperFeast. It's one that women are really enduring. So I wonder, could you tell us a little bit about how you got to be working in women's fertility, and your journey toward becoming this expert on endometriosis?   Dr. Amanda: (01:14) Well interestingly, I am an adenomyosis and endo as well myself. So it's something that I've been really interested in back in my university days. I did an assignment on liver function and looking at endometriosis and the role of the liver and endo together. So that sparked a little bit of an interest. And then also, to just with the magnificence of Chinese herbs, how well herbs can actually treat gynaecological issues for women. And I did study four years of Chinese medicine, specifically herbs, and then did two years after with an acupuncture degree.   Dr. Amanda: (01:55) So, I was always into sports, I think, and when I finished university I went over to China and lived in China and studied in China for a year. Did a lot of gynaecological training over there. And was going to come back and set up a sports clinic, but of course, the universe had other things in store. And women just kept appearing at my door. So from there it's just organically grown, and I think because I've had so much trauma in my life, how much that actually I can support on a holistic perspective, not only physically, but also through the use of acupuncture, but also emotionally as well.   Tahnee: (02:38) Yeah, because we were first connected by Farley who's one of our staff, and that was her experience, being treated by you was not just about receiving Chinese medicine treatment, it was on this multi-dimensional level that you were really supporting her. And she still raves about that experience, and I think she's still looking for someone like you up here.   Tahnee: (02:59) But yeah, I think it's like you were saying before we jumped on, a huge amount of women coming through your clinic are suffering from endometriosis. So do you know anything around the statistics of how many people are suffering from the condition in general? Or is that hard to gauge?   Dr. Amanda: (03:17) Yeah, it's an epidemic. Statistically worldwide there's 176 million women been diagnosed with endometriosis. So if we think about those numbers, there's probably a higher amount as well, considering the ones that go undiagnosed. Because unfortunately it takes around seven to 10 years for women to be diagnosed. A lot of women often go misdiagnosed as irritable bowel or just heavy periods.   Dr. Amanda: (03:43) It's just part of the female normal existence, and that's part of, I think, where this podcast is so important, because it's creating an education piece for women to really understand their bodies more, but also their menstrual cycles. I think in Australia it's about 600,000 women have been diagnosed with endometriosis, and one in 10 women have endo.   Tahnee: (04:08) Wow.   Dr. Amanda: (04:10) And also too, the statistics now are that 42% of women that have been diagnosed with adenomyosis are also diagnosed with endometriosis. So it's huge, and for some women it can be a very debilitating condition that they're living with, not only daily but monthly. And having those constant reminders of being in excruciating pain and then being told that, sorry, there's nothing that we can do for your pain, I think is extremely frustrating. Because women are so intuitive, and we know when there's something wrong in our bodies, don't we?   Dr. Amanda: (04:45) So when we notice that something's wrong, we seek out answers. And then we'll go and see our GP or our healthcare provider. And if those symptoms are dismissed, then the dialogue starts to create of, "What's actually wrong with me? What's wrong with myself and my body?"   Dr. Amanda: (05:06) A lot of common symptoms that we see with women with endometriosis is dyspareunia. Dyspareunia is painful intercourse. Dysmenorrhea which is painful periods. And we have a rating at work, we often have a scale of one to ten. So if any women are experiencing pain up around the eight, nine, ten mark, that requires an investigative process. Because if you're having to take days off school or having to take time off work when you're having your period, we just want to assure you that that's actually not normal, and painful periods are not normal.   Dr. Amanda: (05:42) Then also, too, menorrhagia which is heavy bleeding. And also too pelvic pain is part of that presentation. Abdominal bloating. Nausea, vomiting, clotting. So you can see it's quite an extensive list, and if I've missed something all, I think I've managed to catch it all.   Tahnee: (06:04) Well, it's something that when you say that, that sounds like what a lot of people endure just with periods. And one of your big topics is always around painful periods aren't normal. I appreciate your social media so much for flying that flag all the time. It's your right to have a healthy menstrual cycle.   Tahnee: (06:22) So if you're saying it takes seven to ten years to be diagnosed, are you saying that women are suffering for seven to ten years waiting to find someone who can diagnose them? Is that basically the problem? It's common?   Dr. Amanda: (06:34) Yeah, yeah.   Tahnee: (06:34) Yeah. Okay.   Dr. Amanda: (06:37) I guess what happens is, I mean, it is an invisible condition in the sense that if you were to go and see your GP, you were complaining of painful periods, and they sent you off for a pelvic ultrasound, and that pelvic ultrasound showed that there was no endometriomas or no endometriotic tissue then that would come back and they'd say, "Well, you're fine. There's nothing there."   Dr. Amanda: (07:02) Also, too, it's genetically linked, so it's really important, and I think this is what's great about the Chinese medicine, is that when we go back to the history of what was your mother's menstrual cycle like? What was your grandmother's menstrual cycle like? Because it can come from both the genetic link of paternal and maternal sides.   Dr. Amanda: (07:20) For young women that are going through puberty, it's that if their mothers had a hysterectomy or if they had endo, because a lot of it went misdiagnosed back in our parents' generation, because they were all having children younger, and that's why it's called the career women's disease because now we're forging on our careers and having children later, is that painful periods will often start for those pubescent girls when they have their first menstrual cycle.   Dr. Amanda: (07:47) So, for all our young listeners out there, if you're having painful periods and heavy periods and you're needing to take time off school, and your mother's had a history of heavy periods, then please find someone that you can actually work with. A GP or a healthcare provider, that can offer you some support. Because sometimes women have to have laparoscopic surgery in their teenage years because their periods are so debilitating.   Tahnee: (08:15) Yep. Just if people don't know exactly what we're talking about, one of the main things that occurs with endometriosis is that the lining of the uterus, the endometrium, actually exists outside of its normal habitat, right? Is that the diagnosis?   Dr. Amanda: (08:34) Yeah. You're exactly right, but it's so interesting, because there's a lot of women out there now, I guess, that are celebrities, that are actually creating a greater awareness for endometriosis. But the actual definition is, it's not actually the endometrium that lines our uterus that we shed each month. It's a different type of tissue. It's called epithelial glands, and the endometrial stroma, that basically it migrates to areas within our uterus, to essentially the pelvic organs, the pelvic reproductive organs.   Dr. Amanda: (09:16) So the tissue will migrate, it'll implant around the ovaries, it could implant into the fallopian tubes. It can also go into the muscle layer of the bowels. It can be found in our pouch of Douglas, our uterine ligaments, and then also, too, in extreme cases, lungs and liver, and it can also migrate to our bladder. So you can just get that constant irritation when you're having your period of feeling like your bladder's full all the time and that you need to go.   Dr. Amanda: (09:48) The issue is, is that the tissue still responds to the same hormonal fluctuations that our menstrual cycle relates to, so your oestrogen and progesterone. So the tissue still responds in that way, so every time you're about to get your bleed, is that tissue will start to respond because it's got prostaglandins. Prostaglandins line endometrium, and so if we've got endometriosis, we know that it's an inflammatory condition, and the research also shows that prostaglandins are actually elevated for endometriosis.   Dr. Amanda: (10:26) I've done so much study into the endometrium. I love it, because it's its own endocrine gland, and it forms in spirals. I always like to say you imagine a DNA helix. Endometrium forms in spirals. It has prostaglandins. The prostaglandins' role is to essentially create a gentle uterine cramp, so as the oestrogen and the progesterone drop, it signals the endometrium to start to shed, to start to bleed. So it creates this gentle, mild cramping so the lining can start to shed.   Dr. Amanda: (10:57) Can you imagine, if we've got endometriosis, we've got high amounts of inflammation, is that that tissue has a wringing. Imagine a towel wringing out, right? And that's going to cause extreme amounts of pain, because I'll go on a divergent here. In Chinese medicine we know that the liver meridian comes up through the medial aspect, it circulates around our reproductive organs, finishes at our breast tissue. You know the liver, the liver's role is to ensure the smooth flow of chi and blood.   Dr. Amanda: (11:25) So the heart being the empress at the time of the period says to the liver, "Okay, General," which it should be a woman, "It's time to release the blood. So let that blood flow." And so when the liver is impacted, which we know that it is, because endometriosis is an oestrogen-dominant condition, and the liver's role within Western medicine is to be able to metabolise our estrogens through the right pathways. So that chi and blood then becomes impeded, and starts to form pockets of blood stagnation, because the blood can't empty properly.   Dr. Amanda: (12:17) Because the first thing that we're taught in Chinese medicine in our gynaecological classes is that the period has to empty completely so you can start afresh with a new cycle, new, fresh blood flows, and endometriosis is called [foreign language 00:12:33] in Chinese medicine which essentially means big stagnation.   Tahnee: (12:36) So there's pain as well, when you have stagnation.   Dr. Amanda: (12:43) Yeah. All that pathology.   Tahnee: (12:46) Yep. Because one of the things blood stagnation causes is pain, because it's a bruise or something, right? You touch it and it hurts. Is it throughout the cycle that there's that stagnation feeling as well?   Dr. Amanda: (13:00) Yeah, absolutely.   Tahnee: (13:01) Yeah.   Dr. Amanda: (13:02) Yeah. Because the liver attacks the spleen, so you've got an inflammatory response condition happening the whole time. And some women experience, throughout their entire cycle, that pain and stagnation. Because also, too, if their bowels involved, most of the time it gets diagnosed as irritable bowel, is that when they're trying to have a bowel movement is that they're getting a lot of constipation. So that whole peristalsis action becomes impeded as well, so you get blocked bowels. You're alternating from constipation sometimes to diarrhoea.   Dr. Amanda: (13:42) So when you've got that pressure... Because if we think anatomically, girls, if you imagine that you've got your bladder and then you have your vagina next to your bladder, and then at the back you've got your rectum. And then in between the rectum and your vagina you have the pouch of Douglas. And the pouch of Douglas is where a lot of endo tends to hide, goes into this... It's like a deep, dark crevice, right? And so that then pushes onto the bowel. So that's where you get even more stagnation. So you just think, because [foreign language 00:14:20] as we know, what's the role of the [foreign language 00:14:23] 00:14:24] it's that water element.   Tahnee: (14:25) Exactly.   Dr. Amanda: (14:26) To keep everything in flow. So nothing's in flow. The liver's not in flow. Everything's becoming stagnant, tight, and so blocked, and then you just start to get all this pathology.   Tahnee: (14:40) So I'm thinking immediately we've got spleen and liver involved and then kidney, because you're sounding like there's this genetic link as well. Is that where you're looking mostly when you're treating women? It's a combination of those organs that you tend to see dysfunctional? Or is there more going on? Because I've also heard it's positive as an autoimmune kind of thing, but is that more the inflammatory response, that the tissue's in the wrong place and the body's attacking it? Would that be more what that would be pointing to?   Dr. Amanda: (15:13) No. You're absolutely right. There is an immune condition as well, from the research they've found that there is an immune response which is also linked to that inflammatory response. So you have multiple organs involved. But it's also too, so much of that is the liver.   Dr. Amanda: (15:34) That's why I always recommend my endo patients to have the Dutch test, and the reason being, because if they have to go and have a surgery, because once they've had excision surgery, and we'll come back to that, is that you want to make sure that the endometriosis is being completely removed with the scissors and cut out. Because that way, it reduces the chances of that endometriotic tissue growing back. And so, by doing the Dutch test, we can see which pathway is our liver metabolising the estradiol properly. Because then we know we've got the 2-OH pathway, and that's the way that we can metabolise that oestrogen out properly, and then with endometriosis sometimes we can have high amounts of estrone, which is the 16-OH pathway, and then estriol, which does the 4-OH.   Dr. Amanda: (16:23) They're the ones that are more prone to breast cancers, to ovarian cancers, so this is where it's really important to find out that whole history of your family. So when I did my Dutch test, I found out mum's got breast cancer, ovarian cancer, so I was very high on that estrone. So my liver wasn't metabolising my oestrogen properly. So by finding that out, then you can support it, supplement foods, to make sure that you're able to metabolise it. And of course your gut health as well, to metabolise your excess estrogens and make sure you're getting the conversion into estradiol that can then be metabolised out through your liver correctly.   Dr. Amanda: (17:06) I think there's actually, if anyone's out there, just putting it out there if anyone's up for doing a study on that, I actually think it would be great research.   Tahnee: (17:19) For sure. Well, because I think that's the thing, like we were talking before we turned on the recording, but about how people are prescribed the Pill. I'm thinking if you've already got a liver that's not functioning well and then you're putting a synthetic oestrogen or a progesterone or something in there, that's going to make the liver suffer more. It seems like you're just building up for more problems later on down the track, right? Is that what you see?   Dr. Amanda: (17:47) Babe, yes, you're so right there. Because I would actually love the medical community to go, "Okay, we've got a young girl who's Stage Four endometriosis, and if she's had surgery I need to make sure this grows back quite quickly." There sometimes these women are candidates for the contraceptive pill in terms of just management, because sometimes these are the options that are available, particularly for those really difficult cases.   Dr. Amanda: (18:22) But then, to see if they did go on the contraceptive pill, to perhaps go back and do a surgery in two years to actually see if the endometriosis had grown back. Or had the pill actually stopped the growth of endometriosis? Because we know that women that go on the Pill that come off the Pill then have to have laparoscopic surgery. The endo's still there. And then like you said, because if your whole liver pathway's this synthetic oestrogen, I see it as synthetic oestrogen liver can't metabolise, you're therefore then increasing that estradiol which is then going to amplify the endo anyway.   Tahnee: (19:07) Which sounds like maybe a band-aid solution for short-term results. So, I mean, I've heard of people having improvements with pregnancy. Is that something you see clinically as well, or is that more of an anecdotal thing?   Dr. Amanda: (19:22) What was that? Say that again. It cut out a bit.   Tahnee: (19:24) I've heard of people having improvements with pregnancy. Is that something you see clinically?   Dr. Amanda: (19:34) Doctors will be like... I had a patient the other did, she said, "The doctor said to me after my surgery that I should get pregnant, because pregnancy essentially cures endometriosis."   Tahnee: (19:43) Yeah, but then you have a child.   Dr. Amanda: (19:45) I thought that was...   Tahnee: (19:49) Oh, my dear.   Dr. Amanda: (19:52) No. So in terms of, absolutely, it's like a Band-Aid, isn't it? It solves a problem for a short period of time. But I think that's where we absolutely have control of being able to support our health by doing all the right things to minimise that endometriosis from growing back, which is diet, nutrition, all your lifestyle factors, and then your supplements, acupuncture, exercise, pelvic floor, physiotherapist. So having a real holistic approach to it.   Tahnee: (20:33) Because you offer abdominal massage in the clinic, and is that something? Because I often think with these inflammatory things, is it beneficial to manipulate that tissue, or do you have any experience with that in terms of women doing self-massage and those kinds of things? Because I mean, I'm always an advocate for it just in terms of connecting to your body. It's such a great way, I think, to get in touch with learning where all the bits are and all that kind of thing. But yeah, I'm just wondering as a clinical treatment, I imagine it would help relieve some of the stagnation and pain.   Dr. Amanda: (21:06) Yeah. Absolutely. Like you said, it's the best way to be able to reconnect into your body and develop a loving relationship. Because for a lot of women that have endo, you hate your body. You hate it, because you're experiencing so much pain. Because tissues have issues, as we know. Tissues have imprints of everything. They hold our whole life story. It's a web. So by doing abdominal massage, absolutely. Because then, you're starting to create healthy blood flow through your reproductive organs and through your abdomen. So then you start to break out some of that tissue as well.   Dr. Amanda: (21:51) We know that for women that have had laparoscopic surgery, or haven't, is scar tissue. So what does scar tissue look like? When tissue meshes, it meshes in together like there's a synergy, where it just folds in together. But with scar tissue, it's all just hacky. Hacky tissue, that's formed together in these weird, web-like structures. So by doing gentle abdominal massage, we're starting to create a beautiful flow. And we know that when tissue's in flow that it brings in chi, it brings in energy, allows the blood to flow.   Dr. Amanda: (22:26) So absolutely, abdominal massage, Mayan massage, womb massage. Because you're going deeply into the layers of that connected tissue and the reproductive organs are part of the fascial planes, as we know, embryonically that form when we're embryos. And there's a body of research that says that endometriosis is formed actually when we're in utero.   Tahnee: (22:51) Wow. Okay. Is that pointing to then something genetic? Or is it pointing to something going on in an epigenetic sense? Do you have any sense of what that might be?   Dr. Amanda: (23:04) I would say genetic, absolutely. And then also too epigenetic, isn't it? Because when we're an egg in our grandmother's womb, forming in our mothers, so you think about that.   Tahnee: (23:16) Wow.   Dr. Amanda: (23:19) And trauma. Trauma. So much trauma. I mean, I got only diagnosed with endo at 41. I'd never had painful periods. I've had multiple traumas. I was raped a couple of times, and I think that that definitely... It's our sacred chakra. It's our pleasure centre. So if someone has entered without permission, that causes a stagnation and a trauma, and that then develops into a pathology. So I think there's so much stuff around trauma, and I see a lot of women in clinic with a link between sexual abuse experiences. First-time sexual experience trauma, whether that's physical abuse, emotional abuse, even women working in male-dominated industries where they've not been able to be their expressive selves.   Tahnee: (24:22) Well, that ties into what you're saying about that idea of being a career woman, too, and almost in a more masculine setting. It could be some suppression of that feminine, creative expression. Because you really think about that lower area as that Shakti, it's that feminine, creative space, and so if it's not fully expressed then yeah, you're going to see stagnation of that energy. And over time, that's one of the things Chinese medicine teaches us, is over time that energetic stagnation causes a physical transformation or changes a tissue in some way. That's how we end up with the disease process.   Tahnee: (24:57) I mean, it's sounding like if someone's got endo, it's a bit more complicated, I guess, than just focus on one thing. So you're normally getting people to do Dutch tests and I guess, working with herbs, and acupuncture, and emotionally. Are there other areas people should look at if they've been diagnosed and they're not sure how to go forward? Is healing possible? Is it something you see where women can really transform this?   Dr. Amanda: (25:23) Yeah, absolutely. And I think it's also, to put a point in there, is it's really important to know as a provider ourselves, is that we're limited to what we can do. I always say, if women come in and they have no relief from Chinese medicine, acupuncture, womb healing, Moksa, and being on the correct diet, Dutch test, is that that's when we know that they actually need to have surgery.   Dr. Amanda: (25:51) Then it's being able to work with a surgeon, and I would say, ladies, do your research here. Really important to find an endometriosis specialist surgeon. Not just a gynaecologist, gynaecology, fertility specialist, an endo surgeon, because they've dedicated their life to mastering how to be able to excise the tissue. Because that will therefore then, it extends your anatomy, your fertility as well, and then you're not having to go back for repeated surgeries. And I think I'm a good test case.   Tahnee: (26:33) Of course you are.   Dr. Amanda: (26:33) Look, I'm hoping. I've got adenomyosis, which is even... You know, they're just as bad as each other. Adenomyosis is endo's mean stepsister. Mean sister, mean cousin.   Tahnee: (26:49) She's a bitch, that's what she is.   Dr. Amanda: (26:50) She is a bitch.   Tahnee: (26:54) Would you want to touch a little bit on that? Because if you're saying 40% of people have both of these conditions, what's going on there? What's the causality, do you think? Or what's the relationship between them?   Dr. Amanda: (27:08) They say it's retrograde menstruation where the blood goes outside the reproductive organs. So the tissue essentially migrates into your myometrium. So I always use the analogy in clinic is that our uterus is a beautiful garden. Underneath we have our irrigation, which is all the uterine arteries and veins. We need to have a beautiful, healthy vascular blood flow through there as well to help create a nice soil, a fertile soil, an endometrium. And then we have the myometrium, which is the muscle layer. That's the terrain that supports our garden.   Dr. Amanda: (27:42) So when we've got endometriosis, it's a weed. The endometriosis grows in and around, so essentially it's disease tissue. If we've got fibroids, fibroids move into the myometrium. They're like a boulder. So endometriotic tissue migrates into the myometrium, which is the muscle layer of our uterus. So then you've got tissue migrating into this muscle layer, and you imagine that's a smooth muscle.   Dr. Amanda: (28:09) So when we have our babies, that muscle grows and grows and grows, and we have an expansion of our uterus. It also releases oxytocin at the time of birth. So the myometrium, you've got this endometriotic tissue migrating, and it starts to change the shape of the uterus because you've got this heavy cramping into smooth muscle each month when you're bleeding. So over time, this starts to change the shape of your uterus. So when you go for a pelvic ultrasound, it can be seen on a pelvic ultrasound, and it's normally described as a bulky uterus.   Dr. Amanda: (28:42) With that, you get lots of diaphragmatic pain up in your upper rib cage. Heavy bloating, feeling like you're distended, feeling like you're six months pregnant. Really heavy periods or just periods that just don't bleed properly, like really lots of stagnation, clots. And then issues with your bowels as well. So that one's hysterectomy. You need to have a hysterectomy. So there's no way I'm having a hysterectomy. I'm not on the Mirena. I'm just dealing by doing Chinese herbs and all the things that I know to best support the health of my liver, and my uterus, and my menstrual cycle.   Tahnee: (29:25) Well, coming back to the Chinese medicine question, because if you think about the spleen too, it's keeping the blood in the right place, right? That's one of the functions of the spleen. And if you're thinking of soil as well, that soil function is what the spleen provides for the blood. That nutritive function. So I mean, there's got to be a spleen component too. So, diet you were saying before is super effective. What do you see as... Are there dietary themes? Or is it really individualised? Or is there anything you can speak to there?   Dr. Amanda: (29:57) Absolutely. I think looking at the earth, what is the earth element? The earth is our centre. It's ability to be able to digest, transform and separate the turbid from the pure. So in order to make sure that the body and the spleen function and the stomach's able to separate the pure from the turbid, then you're actually able to absorb all your nutrients through your gut. And interestingly enough, there's been a link between estrobolome and estrobolome is... Okay, I'm just going to read.   Dr. Amanda: (30:32) Basically, of course, gut health being the spleen is really important, so we know how much a healthy microbiome influences our digestive function. So with endometriosis, there's been research that shows we are lacking in lactobacillus. We're lactobacillus deficient. And also, our vagina has its own ecosystem as well. And women who have endo have lactobacillus deficiency. Particularly women over 40 as well. So really important that we have a healthy microbiome.   Dr. Amanda: (31:04) So new research has emerged indicating that the gut microbiome, of course, plays an integral role in the regulation of our oestrogen levels. So metabolism is really important when it comes to endo so we can metabolise (as you were saying), those estrogens out.   Dr. Amanda: (31:20) So essentially, when there's too much inflammation in our gut it causes a gut dyssymbiosis, and that starts to wreak havoc, creating more of an inflammatory response in through our gut. So when we have that, the body can't metabolise the oestrogen out properly. So we just have more oestrogen circulating through our bloodstream. So, what it does is the estrobolome comes in. Estrobolome is a term used to describe the collection of enteric gut bacterial microbes. Their job is to essentially metabolise the oestrogen. And these microbes, the estrobolome, produce beta-glucuronidase, sorry about the pronunciation there. This enzyme alters oestrogen into its active form which binds to oestrogen receptors and influences oestrogen-dependent physiological processes.   Dr. Amanda: (32:12) Essentially, basically, the more your gut is out of balance, the more beta-glucanase is produced and the less oestrogen is excreted out of your body. So the research has shown that women that have high amounts of beta-glutinase bacteria leads to higher amounts of oestrogen circulating, in a roundabout way. Sorry about that.   Tahnee: (32:32) No, yeah. So basically, gut dysbiosis is leading to higher circulating estrogens in the body, and that's effectively on account of, for whatever reason, from a TCM perspective, the spleen function isn't there. From a Western perspective, it's going to be maybe intolerances and things like that, or an inappropriate diet.   Dr. Amanda: (32:54) Your sugars, blood sugar. And interestingly enough, what's the flavour of the spleen? The spleen loves sweet.   Tahnee: (33:01) Yeah. Not too much.   Dr. Amanda: (33:05) Yeah. Don't kill it with sweet. So you've got that whole gut thing going on. And some research that I found out was, the body's essentially designed to procreate, right? So when we don't conceive, is the endometrial changes into glucose secretions. So that's why we also, too, as we're losing our blood, the chi and blood come out, we're losing energy. You know when we get into that second half of our cycle and we're like, "Just give me the sugars, give me the carbs." That's because there's actually a physiological function that's taking place with the change in the spiral arteries of the endometrium.   Dr. Amanda: (33:44) Then, that's the spleen, isn't it? The spleen function comes in. We just want those things that are nurturing, like the earth, to support us. Give us all those sweet foods. But it's a perpetuating washing machine, isn't it?   Tahnee: (33:58) Yep. And I mean, I guess our culture's definition of sweet versus a traditional Chinese definition of sweet, which was more your grains and your root vegetables and starchy kind of things, whereas we're talking-   Dr. Amanda: (34:11) Barleys.   Tahnee: (34:12) Yeah. We're talking Mars bars, and that's not really going to be particularly helpful.   Dr. Amanda: (34:19) Sure. And then you think about the liver. What's the emotion of the liver? The liver's anger, frustration, stress. So women that have endo and adeno, how stressed are we? How angry do we become because we're frustrated that no one's listening to us? Our symptoms are being dismissed? That then causes tightness through the actual liver meridian. And what's the pathology? The fascia becomes tight. The fascia becomes restricted.   Dr. Amanda: (34:48) And then you've got the kidneys. If you're losing a lot of amount of blood as well, you become anaemic. So that then therefore affects the spleen, which is production of iron. The kidney function, as women, us being in that male dominant Yang type, living our life out in the Yang, the adrenals then become deficient, don't they? Which then affects the kidneys. And we know how much the kidneys support the reproductive function in Chinese medicine. So it's just this whole cycle. So it's really looking at so much of that holistic approach to supporting endo, through all the organ bodies, through your supplements, to make sure you're getting all your nutrients. Through your nutrition as well, because our nutrition doesn't deliver everything that we need, that our body needs.   Dr. Amanda: (35:41) And then of course, wanting to teach our tissue to love our tissue again. And having a pelvic floor specialist physio to be able to teach you how to switch off your pelvic floor. Because of course, Yang women, hypertonic pelvic floor.   Tahnee: (35:57) Yeah. That is a good visual for people.   Dr. Amanda: (36:03) Sounds [crosstalk 00:36:04]   Tahnee: (36:05) Well, people have been taught, again having done some Taoist study, we're taught to relax as much as we're taught to strengthen. But you go and talk to a Western-trained physio and it's Kegels and all these squeezy-squeezy-squeezies. And it's like, well, no, we need that to be like a diaphragm. It needs to be able to be soft, and it needs to be able to be supple, and it needs to be able to spread, and also to contract when required. So yeah, I think it's that tonus, that ability to be flexibility that we lose.   Tahnee: (36:32) But again, you're looking at the liver, that makes so much sense if there's that rigidity in the tissue, there's going to be that rigidity and that stress in the mind as well. Right?   Dr. Amanda: (36:41) You're so right. It is. It's teaching women how to come back into the essence of being women, isn't it? It's slowing down and really honouring that Yin aspect, which is nurturing and nourishing, because we're very good at having the opposite of that, of constantly doing or overachieving in our careers. Which is a great thing as well, but where's that other half? Where's the duality of bringing the Yin and Yang back in and finding that balance?   Dr. Amanda: (37:10) So self-care, babe, like you were saying. Self-care is so important. Your little rituals, when you're bleeding you might want to bleed into a menstrual cup and then look at your blood when you bleed and honour her. Honour your bleed. And then maybe find a tree and put your blood into that tree, so you're nourishing back into Mother Earth as well with your bleed, rather than looking at your bleed like it's the worst thing possible, as starting to cultivate a really healthy relationship with parts of our body that we don't like. Because when we can start to disassociate from the pain, like in yoga. A witness. We can start to change the neuroplasticity of our brain to our pain. That's so important, too.   Tahnee: (38:01) I can even imagine that fear of the cycle coming would impact the kidney as well, and then you get these perpetual cycles of fear of the pain, the pain itself, and then this... Yeah, must be an ordeal, I can imagine.   Dr. Amanda: (38:16) Yes.   Tahnee: (38:18) Yes, yes. She's like, "Yes, it is an ordeal." So yeah, I mean, if someone's wanting to avoid... Is it the worst-case scenario, hysterectomy is where it goes? Is that the last resort for these kinds of things?   Dr. Amanda: (38:38) Yeah. It is, yes. For some women, one of our patients, she's had a hysterectomy and she said it was the most liberating thing that she ever did. She also had ovarian cancer as well. So for her she said, actually, having not to go through that every month, the pain, to have that liberation, and then to be able to feel like she can function as a woman every month. So she didn't have her ovaries removed, just her uterus removed. So she's still got her reproductive-   Tahnee: (39:15) Cycle.   Dr. Amanda: (39:15) Yeah.   Tahnee: (39:15) Yeah, because that's something I'm curious about, even, because I know that the uterus itself is an endocrine organ and I think you just mentioned that before, with the endometrium having that function as well. And even, I was talking to another integrative doctor the other day and we were talking about how the menstrual blood is actually different to the blood in our veins. Do you know much about that?   Dr. Amanda: (39:44) Yeah. I do.   Tahnee: (39:46) It's cool. I was like, "This is cool. These are cool."   Dr. Amanda: (39:53) Yes. It's so amazing. You're so right. It's just phenomenal how our bodies operate. That whole evolution, isn't it? I still think about when babies formed in utero, how incredibly, highly intelligent that is. There's no science-   Tahnee: (40:10) It's wild. Yeah. It's just like, "Make a human, go." And you're just eating your, I was eating my tamari almonds like, "I'm making a baby right now."   Dr. Amanda: (40:22) I know.   Tahnee: (40:26) It's wacky.   Dr. Amanda: (40:30) It's wild. "I'm growing a heart today. I'm growing the skeletal system." There's 386 different proteins. The endometrial lining is made up of vaginal secretions, the endometrial stroma, the epithelial cells, and then 356 different proteins that help to form that endometrial lining. So it's totally different to the blood that circulates through our veins. So essentially, when we are bleeding each month, and this is what I love, is that it's that whole thing of releasing. They say it's, when we're having a period, that we're releasing the debris. So medical, isn't it? Just releasing the debris.   Dr. Amanda: (41:19) Well, we're releasing cytokines, so if we don't conceive it releases inflammation. We're releasing cytokines, the vaginal fluid. And so that's the process women, of honouring that letting go, we're releasing the old, essentially. The old blood, to make way for the new. So that is that process of releasing, letting go, and then bringing in the new. So when we go into our menstrual cycle, we're going into winter. We're going into that time to slow down, to honour ourselves as women, honour the letting go, looking at those psychological things of potentially what we wanted to let go of through that last cycle so then that way we can bring in the evolution of the new.   Tahnee: (42:05) We were talking about trauma before, and about this stagnation that occurs. Is there a sense of holding on? Is that one of the themes that you see with people? I mean, I guess that's something you need to work through with a therapist, but is there a sense of resisting life in some way? Or I don't want to be rude or anything, but I'm just feeling into that, and it's like, yeah, I could feel like if there was a trauma or something you couldn't handle and you couldn't share, then you would store that in the body and that would manifest.   Dr. Amanda: (42:43) Yes. So every month that's coming up, and it's a reminder as well. So even just deep, cleansing breaths. Using all your tonal sounds when you are bleeding, to soften through all that connective tissue. And then it's also an opportunity to practise the physicality of letting go. I always like to use... And go deep to then where you're softening through your diaphragm, that whole jellyfish analogy, soft through your diaphragm, and allow the blood to release and let it go. So when you're sitting on the toilet, if you're at home and you've got a really heavy cramp, instead of bending over and holding your stomach, you could take a nice deep breath in. And then as you feel the blood pass, and you go... It's no different to giving birth.   Tahnee: (43:38) Like birth. Yeah. It makes a roar.   Dr. Amanda: (43:46) Get your lion out. Women that have, we've got a lot of tight jaws, that connection of tight jaws. So you can soften through. And then when you do that, you can actually feel the blood passing, and the whole pelvis starts to soften, and the whole connected tissue starts to release. And you're like, "Ah." And you can feel the physical body releasing that stress in that moment. So breath, major part of treatments.   Tahnee: (44:15) Yeah. Yeah. And I mean I am curious about things like steams and things. Do you have any experience with those? Because I personally haven't had endo but I've used them for things like, a little bit later than just having given birth, but in my postpartum stage I used them. And yeah, I'm just curious as to whether you've got any evidence of whether they're useful for helping... Because I imagine warmth would really help, something I can imagine.   Dr. Amanda: (44:45) Yeah. Well, no, you know, because in that post-partum period, our uterus is vacious and in Chinese medicine, everything's prone to exogenous, external factors. So when we're losing our blood, the period, the whole menstrual bleed is emptying our uterus, and it's the same after we've given birth. So by doing steams, you've got medicinal herbs that are helping to promote healthy blood flow, warming the uterus, protecting the uterus as well from any external factors from coming in. Because if cold comes in, that's why you should never swim on your period, particularly in Melbourne, because it's so bloody freezing, the uterus contracts.   Dr. Amanda: (45:25) You don't want anything to be causing a contraction, because more contraction leads to more blood stagnation, which leads to more pain, more inflammation. So yeah. And I think as women, we want to explore all the different options that we can. And yoni steaming is one of those. I actually haven't personally tried it myself. Can you share to me, how does it feel? Yeah.   Tahnee: (45:48) I love it. I mean, I don't do it much at the moment really, but I used to do it a lot for self-care before my daughter. I just think it's this really... I usually do it when I'm not bleeding, so just the week before. For me, I guess I'm quite a livery type of person anyway, so it's that pause. It's an intentional pause. You're sitting there for a period of time with all the yummy herbs. I will often use rose and quite beautiful herbs, because I don't have any medicinal problems. Medical problems, I mean. But yeah, and for me that warmth in my lower abdomen is just a really nourishing feeling. It's something that I just find very comforting.   Tahnee: (46:33) And my experience has been, post-partum, that it helps to clear blood. I had some dark, stringy blood at the first bleed, after I finished breastfeeding, so about 18 months. So did steams for the next two or three months after that, and it just seemed to clear it out. The blood became fresh and bright again. It just seemed to clear out any of that lingering stuff that maybe hadn't moved through well after birth, or was remaining from after birth.   Tahnee: (46:59) And I mean, I've had my teacher, she said she passed a mass, a big... She said it was almost a placenta, a big alien clump. I've heard some wild stories. But I think yeah, just as a general thing to try, it's definitely worth it. You've got to be careful not to burn yourself. But it's beautiful. It's a really beautiful therapeutic practise. I love saunas, I love heat anyway.   Dr. Amanda: (47:28) Me too.   Tahnee: (47:29) Yes. It's so nourishing.   Dr. Amanda: (47:31) It is so nourishing.   Tahnee: (47:33) Yeah, yeah. So I just imagine that would be beneficial. And I mean, from an internal perspective, obviously great to see a clinician and work on that level, and I know you've got some things pending which is exciting. So yeah, in general, if people were looking for supplements or herbs or things, are there things that you see working, or again should they just seek individual care? Is there any general things we can talk about? I'm imagining DIM, an estro-block kind of a product? Do you know that product?   Dr. Amanda: (48:03) Yes. I think that's where it's good to do the Dutch test, because sometimes DIM can actually have the opposing effect and it can cause more oestrogen dominance. So I guess, if you are experiencing all that breast tenderness, yeah, all your cruciferous vegetables as we know, because they help to block the oestrogen receptors and to be able to metabolise oestrogen through your stools. And psyllium husks also are a great one to use. Curcumin, there's been some great research there to help reduce inflammation. And also evening primrose oil, evening primrose helps with the elevation of prostaglandins. It also helps with reducing inflammation. So all our essential fatty acids. Basically, no sugar. Definitely no gluten and wheat, are huge proponents for increasing more inflammation, particularly noting if you've got any celiac in your family, because then you'll definitely have a gluten sensitivity.   Dr. Amanda: (49:01) Dairy as well. If you think about what's happening when cows are constantly being milked, in terms of they have to be milked regularly otherwise they get mastitis, they've just given birth. They've got oestrogen circulating, producing hormones, that's going into the milk. So it's just no dairy. Also, too, because dairy creates an inflammatory response through your gut. So if you notice that you're sensitive to dairy, cut dairy out. Farm to plate. Your blend, I love your women's blend. The Gaia.   Tahnee: (49:36) Yeah. Yes.   Dr. Amanda: (49:38) She is beautiful because she's got the [foreign language 00:49:39] and the [foreign language 00:49:41] helps to warm. It also nourishes blood. So after you've had your bleed take your Mother Gaia, because that helps, then you've got your goji berries, so the goji berries are really good because we know that they go to the liver meridian. They also help to support the spleen function as well, and they're red in colour. And they're delicious.   Tahnee: (50:03) Something that's tasty [crosstalk 00:50:06] thank you so much for your time, Amanda. I will create a list of show notes for everybody to access your site, your book, all of your resources, your training, opportunities to work with you, and yeah, I really appreciate everything you've shared. It's been really enlightening and nourishing conversation. So thank you.   Dr. Amanda: (50:24) Thanks, beautiful. Thank you so much.

Many women are living with symptoms of pelvic pain and dyspareunia (pain with sex). There are many reasons associated with these symptoms, as well as many therapy options. Tune in to hear Dr. Marjorie Mamsaang, a trained Doctor of Osteopathic Medicine as she breaks down all you need to know about pelvic pain and dyspareunia.

In this episode of Michelle's series on pelvic health Lindsey Kaupp, Occupational Therapist explains what painful sex is, what can be done to alleviate or change that, and what is normal versus common and what that difference really is. Together they stress why creating psychological safety is the very first step of addressing painful sex. Lindsey shares red flags to look for that alert someone when to seek out the help of a pelvic floor therapist. "So my very first step, it doesn't matter what client I'm working with, any of the conditions or if it is just a single or a couple of isolated incidents of painful sex, we talk about psychological safety. Until we have psychological safety, we do not have the opportunity to go further. Because our brain is going to still perceive a threat."—Lindsey Kaupp Medical Terms:Dyspareunia is the term for recurring pain in the genital area or within the pelvis during sexual intercourse. The pain can be sharp or intense. It can occur before, during, or after sexual intercourse.Endometriosis is an often painful disorder in which tissue similar to the tissue that normally lines the inside of the uterus — the endometrium — grows outside the uterus. Endometriosis most commonly involves the ovaries, fallopian tubes and the tissue lining the pelvis.Adenomyosis is a condition in which endometrial tissue exists within and grows into the uterine wall. It occurs most often late in the childbearing years and typically disappears after menopause. Sometimes, adenomyosis may cause heavy or prolonged menstrual bleeding, severe cramping, pain during intercourse, or blood clots that pass during a period.Vulvodynia is chronic, unexplained pain in the area around the opening of the vagina. It can be so uncomfortable that some activities can feel unbearable, such as sitting for long periods of time or having sex.Vestibulodynia refers to pain in the entrance of the vagina, known as the vestibule. This is the area where the outside portion of a woman's genitals (the vulva) meets the internal portion (the vagina). The vestibule contains glands that provide vaginal lubrication during sexual arousal. For a woman with generalized vestibulodynia, the pain is constant. A woman with provoked vestibulodynia (PVD) has pain when the area is touched. This may occur when she inserts a tampon, has a pelvic exam with her gynecologist, or engages in sexual activity. Pain intensity and type can vary from woman to woman. The area may be sore or tender when touched. There might be a sharp or burning pain. Some women are able to have intercourse. For others, the pain is too severe.Vaginismus is a condition involving a muscle spasm in the pelvic floor muscles. It can make it painful, difficult, or impossible to have sexual intercourse, to undergo a gynecological exam, and to insert a tampon.Interstitial cystitis is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The pain ranges from mild discomfort to severe pain. The condition is a part of a spectrum of diseases known as painful bladder syndrome. Resources:https://www.nva.org/what-is-vulvodynia/ Books:  "Better Sex through Mindfulness" by Lori Brotto"Come as You Are" by Emily Nagoski, PhD "Reviving Your Sex Life After Childbirth" by Kathe WallaceProducts:YESOlive & BeeGood Clean LoveOHNUT About Lindsey Kaupp: Lindsey Kaupp is a registered occupational therapist residing in Alberta, Canada. As an Occupational Therapist, she can address the vast majority of the factors that impact a person's pelvic health and daily life, such as physical function, psychological factors, and environmental influences, which enables a truly holistic and individual approach.Lindsey's journey in women's health has come about in a non-conventional way, through her lived experience with pelvic health dysfunction, and her unexpected career in mental health. She is an anatomy and movement geek at heart, so employment in mental health was never a goal of hers, until it happened. Her years working in mental health has been the most rewarding time of her career thus far and has prepared her to work with women from all walks of life, with all different issues and solutions.​E-Motion Therapy was created out of her recognition of a gap, not only regarding women's health services in rural Alberta, but within women's health services themselves. As an occupational therapist, she can address the vast majority of the factors that impact a woman's pelvic health and daily life, such as physical function, psychological factors and environmental influences, which enables a truly holistic and individual approach. Lindsey is comfortable asking the hard questions around topics that we are working hard to de-stigmatize such as sexual function or maternal mental health. Connect with Lindsey Kaupp: Website: https://e-motiontherapy.com/Email:   lindsey@e-motiontherapy.comFacebook: E-Motion TherapyInstagram:  @motherfunction.ca,  @emotiontherapy Connect with Michelle Smith:Website:  BirthEaseServices.comFacebook:   Birth Ease,   The Birth Ease Podcast,  Birth Ease Baby Loss SupportInstagram:    @birtheasemichellesmith,  @birtheaselossssupportYouTube:    Birth EaseLinkedIn:  Birth Ease Michelle SmithShow:  Birth Ease

I wanted to do an episode on the back of my 9 Root Causes of Painful Sex with Endometriosis episode, as I talk about bloating, bladder pain, brain fog and fatigue a lot, but I haven’t covered painful sex much lately.  This episode contains a range of strategies, some long-term, some more short-term and this list certainly isn’t exhaustive. Many of the changes you make to improve your endometriosis in general, such as healing the gut, are not covered here but will certainly make a difference to the pain you feel during sex. You don’t have to try all of these and you certainly don’t have to try them all at the same time, but see which ones resonate for you. TRIGGER WARNING: This podcast contains brief references to sexual trauma.  Reduce chronic inflammation - Nutrition is one of the most effective ways to reduce inflammation. Foods that cause inflammation include sugar, alcohol, trans fats, processed conventional meats, processed foods and for some; gluten, dairy and caffeine, as well as other foods groups you may personally be sensitive to, even if they seem healthy (eggs, nightshades, etc.). A four-week elimination diet is one of the best ways to identify what personally inflames your body and causes irritation. You remove certain foods for this period of time and then return them to your diet one by one and look for symptoms. This is best done with the support of a health practitioner or at least following a protocol from a patient book or course. If a full-on elimination diet feels daunting of triggering to you, a smaller version where you just remove some of the key inflammatories like sugar, may be more doable. Regardless of your choice, filling your diet with anti-inflammatory foods will be incredibly beneficial - aiming for 8 servings of veggies, 2 portions of fruit, healthy fats, organic clean proteins and gluten free wholegrains (as long as you’re not sensitive to them). Balancing blood sugar is also key to lowering inflammation. Some of the basics of balancing blood sugar are keeping refined carbs and simple sugars to special occasions and ensuring you have a plate ratio of 50% low starch veggies, 25% protein and the final 25% split between healthy fats and complex carbohydrates. Pelvic floor physiotherapy - Arguably one of the most important when it comes to healing painful sex! Pelvic floor physiotherapy can release the tension and tightness in the muscles and ease nerve sensitivity in the area, as well as relaxing the vaginal canal. You want to look for a pelvic floor physio specifically - not just any physio - and one who is familiar with endo and pelvic pain conditions. Don’t worry, they won’t go internal straight away if you’re uncomfortable, but if you’re willing, they’ll do an internal examination in the first session to identify what’s happening. If not, they’ll work externally to reduce your pain until you feel ready for an external examination. If you can’t afford a physiotherapist, there are courses, free videos and paid for videos which are all incredible resources and are linked below. The Ohnut - The Ohnut is a wearable non-toxic rubber-like ring which stacks on to the penis or whatever form of penetration you’re using and allows you to control penetration depth. The tool comes with several rings so you can customise depth to your comfort. The tool was designed by Emily Sauer who has suffered with painful sex for years and designed the product in her kitchen!  It has changed the sex lives of countless people with painful sex and partners enjoy it too! Swap perfumed and toxic products for non-toxic, vagina friendly products (and get some lube!) - Did you know that the chemicals and perfumes found in everyday body products can cause reproductive health issues, fertility problems and hormonal imbalances, and have been directly linked to endometriosis? These products can also irritate the skin and inflame the sensitive vaginal area, which is made of very absorbent tissue. Instead, try swapping to organic and non-toxic based products that are perfume free and suitable for the vagina and sensitive skin, especially focus on your period products, wipes if you use them, body wash and most definitely, lubricant!  I’ve linked to some of my favourite products below. Don’t rush and jump into penetration before you’re ready - If your body isn’t ready for sex and well lubricated, whether naturally or with lubricant, the friction of sex may cause tiny tears in the vaginal wall, leading to irritation, swelling and inflammation. Equally, if you’re not ready your vagina may not be open and relaxed enough, and therefore may more easily tense up and experience pain upon penetration. Help your brain to feel safe - This isn’t something you have to do during or before sex, but more generally on a daily basis, is to help the brain feel safe by flooding it with safety signals. When we have an upregulated nervous system, it can be hard to tell the brain to quiet those danger signals, so the aim is to calm the brain down by reassuring it with safety signals instead. We want to train the brain to move out of flight or fight and spend more time in the rest and digest mode, by repeatedly lowering cortisol. Proven methods of lowering cortisol include connecting with your own support network, walking in nature, yoga, breathwork and meditation. Self-massage (potentially using a yoni wand) - You can use self-massage to identify your pain points (known as triggers) in your vaginal canal and use massage to ease tension and release these tighter areas. If you’re not comfortable with using your hands, you could use a tool called a yoni wand, which you can insert into the vagina and move in a clockwise manner to ‘map’ the pain points within your vagina, and then carefully use massage to release these. This is best done following instructions, which I’ve linked to below in the show notes. Identify and work on tensions in your relationship - Do you feel comfortable in your relationship? Do you feel pressured or guilty about sex, or have you not really been able to share how you feel during sex? Does your partner not support you around endo, or are there other tensions unrelated to endo that need to be addressed? This is an area that can take a long time to work on and explore but can make a huge difference. If there are tensions in your relationship, this will put your brain in flight or fight mode and signal to your body that it’s not safe, potentially creating tensing and pain during sex. Couples therapy could be an option for those who are ready, but even listening to podcasts or reading books on healthy relationships can help, or even just having a difficult conversation. Address trauma and any discomfort around sexuality - If you’ve experienced sexual trauma, you may likely benefit from some kind of therapy that helps you to process that trauma. There are various types of therapy for trauma from EDMR to Somatic Experiencing. If you’re not ready for talking, there are a number of books, podcasts and resources available online to help you begin the process. If you haven’t experienced trauma but you’re uncomfortable with your sexuality or sex in general for whatever reason, therapy could also be helpful, as could reading books, taking courses and workshops and listening to podcasts on sexuality.  I’ve linked to resources for both below. Visceral manipulation - Visceral manipulation can help free up the pelvis and organs that have become ‘frozen’ from scar tissue and adhesions. Clear Passage has lots of research behind it and is one of the most effective for pelvic pain, endometriosis, SIBO and infertility, but is expensive. Another wonderful option is Mercier Therapy, which is specifically designed for gynaecological conditions and pelvic pain, but you can also find general visceral manipulation therapists too! A good pelvic floor physiotherapist may also be able to do visceral manipulation on adhesions as well. For more info on where to find these support resources, scroll down to the show notes. Listen and subscribe on iTunes, Stitcher, listen directly/download MP3 here or just listen below! Let's get social! Come say hello on Instagram, Twitter and Facebook or sign up to my newsletter. This episode is sponsored by my free guide ‘A Natural Pain Relief Tool Kit for Endometriosis’. This four page guide includes evidence based and effective remedies which you can use at home to reduce your pain with endo. Download your copy here. My cookbook This EndoLife, It Starts with Breakfast is out now! Get 28 anti-inflammatory, hormone friendly recipes for living and thriving with endometriosis. Order your copy here. If you feel like you need more support with managing endometriosis, you can join Your EndoLife Coaching Programme. A 1-to-1 three month health and life coaching programme to help you thrive with endometriosis. To find out more about the programme and to discuss whether it could be right for you, email me at hello@thisendolife.com or visit my website. This episode is sponsored by The Pod Farm. Learn all about how to start your own podcast with the complete course from The Pod Farm. Aimed at beginners, this course takes a simple and straightforward approach to planning, equipment buying, setting up, recording, editing and hosting your own podcast. With hours of audio and video materials, and downloadable guides and useful links, this multimedia approach aims to have something for every kind of learner. From now until April 15, newsletter subscribers get 20% off the course price. Visit www.thepodfarm.com to enroll or find out more This episode is sponsored by BeYou. Soothe period cramps the natural way with these 100% natural and discreet menthol and eucalyptus oil stick on patches and CBD range. Click here to find out more and to shop: https://beyouonline.co.uk This episode is sponsored by Semaine Health, the anti-inflammatory, plant-based pain relieving supplement. Now priced at $28.99 for subscription. Shop here. Show Notes Reduce chronic inflammation Outsmart Endometriosis: The Elimination 'Undiet' for Endometriosis with Dr Jessica Drummond Antioxidants for Endometriosis Anti-inflammatory Living for Endometriosis What is The Endometriosis Diet with Henrietta Norton of Wild Nutrition Six Tips for Reducing Endometriosis Pain in The Week Before Your Period Reduce Fatigue, Endometriosis Symptoms and Oestrogen Dominance with A Better Breakfast Pelvic Floor Physiotherapy Equal Treatment for Black Endometriosis Patients and Pelvic Floor Physiotherapy for Painful Sex, Interstitial Cystitis and Endometriosis with Dr. Juan Michelle Martin Your Brain on Pain - How Your Nervous System Affects Interstitial Cystitis and Endo Pain with Dr. Nicole Cozean Pelvic Floor Therapy for Endometriosis with Heba Shaheed of The Pelvic Expert Yoga for Endometriosis Yoga for Vulvodynia Relieving Pelvic Pain yoga video Pelvic Sanity You Tube Ohnut Ohnut website How Ohnut is Easing Painful Sex with Emily Sauer Non-toxic products Yes Yes Yes Into the Wylde Foria Wellness Womanology Urtekram SIMS Headspace Yoga for Endometriosis Yoga for Vulvodynia Relieving Pelvic Pain yoga video Frequency breath work Self-massage Healing Endometriosis-Associated Dyspareunia and Rediscovering Pleasure with Elena of The Yoni Empire Yoni mapping blog post Yoni massage blog post CURVE yoni mapping toy Healing Endometriosis-Associated Dyspareunia and Rediscovering Pleasure with Elena of The Yoni Empire Relationships Communication, Relationships and Endometriosis with Melanie Cox Relate How We Cope with Endometriosis as a Couple - A Conversation with My Boyfriend The Gottman Institute for relationships The Zim-Zum of Love Addressing trauma and getting comfortable with your sexuality Mind charity EDMR therapy Trauma Recovery + The Epigenetics Of Stress + Rewiring The Survival Brain With Elizabeth Stanley, PhD The Sex Doctor Come as You Are: The Surprising New Science That Will Transform Your Sex Life OMG Yes Eat. Play.Sex. Podcast Visceral Manipulation Mercier Therapy for Pelvic Related Conditions with Dr. Jennifer Mercier The Healthy Gut Podcast Ep.25: Adhesions And SIBO With Larry And Belinda Wurn The Healthy Gut Podcast Ep.33: Visceral Mobilisation With Alyssa Tait Visceral manipulation practitioner directory  

Today’s episode is another in the root causes series and I’m talking about the root causes of painful sex with endometriosis. 92% of you voted for this episode, so I’m assuming that if you voted, you likely struggle with this symptom. But having painful sex isn’t just part and parcel of having endometriosis - there are things that can be done, and it begins with identifying why you’re experiencing pain in the first place. Endo is complex and the stress it puts on the body can lead to other conditions and complications developing, so we’re going to explore some of these here. If you can begin identifying even just one root cause, the road ahead to healing pain will become clearer.  Again, this is about shining a light on the root causes so you’re no longer in the dark about your health. You don’t have to deal with them all and it’s unlikely you’ll have them all, just begin with one area and take baby steps there.  As I’ve mentioned with all these episodes, this list isn’t exhaustive, but it does include some of the most common conditions associated with painful sex and associated with endometriosis. TRIGGER warning: This episode briefly discusses sexual trauma. Vulvodynia - Vulvodynia is a condition of chronic pain in the vulva area, that is usually worsened by sitting, sex, going to the toilet and movement. You may not have the pain all the time, but it is reoccurring, though some can experience the pain constantly. Many report the pain as a burning/stinging/itching/aching/throbbing sensation. Causes can include untreated or resistant infections like candida, nerve hypersensitivity, damage or trauma to the area, pelvic floor dysfunction and chronic inflammation. In the case of developing vulvodynia with endometriosis, I would argue that the amount of inflammation and an upregulated nervous system from years of chronic pain could in time affect the vulva area, as well as having a tight pelvic floor, which is common with endo patients. Vaginismus - Vaginismus is a condition where the vaginal canal involuntarily spasms and closes, usually in response to some kind of penetration, though I’ve spoken to many people with vaginismus and they report this spasming to eventually happen all the time. This is thought to occur as the body’s response to fear of penetration, even if you don’t mentally feel scared. Vaginismus can be caused by multiple issues. It could be that endo has created so much pain internally that your body now has a fear of sex hurting and so essentially closes up shop. Constant painful, traumatic, invasive and embarrassing medical examinations that you may have endured whilst trying to get an endo diagnosis, or following one, may have triggered the onset of vaginismus as well. Uncomfortable or distressing feelings about sex like shame, guilt or trauma can also cause the condition too. Adhesions or distorted fascia - Adhesions are web like scar tissue structures that do not show up on scans as they’re made of collagen. They grow in response to a wound or trauma and attempt to ‘knit’ an area back together, but can often continue to grow and extend, attaching to organs, wrapping around organs and sticking to surfaces. Adhesions are VERY strong and will cause pain and discomfort, and can pull and tug on organs, restricting their movement and even function. Fascia is a thin sheet of tissue which covers the entire body, sits below the skin and encases the muscles, bones and organs. Endo can grow on the fascia and cause puckering in the surface of it, and excisions form surgery can also cause the fascia to pucker from scar tissue. This puckering pulls the fascia out of shape and can distort the fascia across the rest of the body - think of what happens when you pinch a nice neat bed sheet. If you have adhesions or your fascia is tight and distorted, this could result in painful sex. There may be pulling on your vagina or uterus, they may be putting pressure or causing pain on surrounding organs, which could then impact sex as the organs in the pelvic area are so closely packed together. Don’t forget, your bladder sits in front of your uterus and vaginal canal and your bowel sits directly behind. If any of these are tethered to each other and/or the pelvic wall, this could cause a lot of tension, tugging and pain during sex. Pelvic Floor Dysfunction - Many people with endometriosis have a tight pelvic floor. Think of your pelvic floor as a bowl made of nerves and muscle and in the bowl sits your bladder, vagina and uterus, and colon. These muscles and nerves help to control the function and sensitivity of these organs. When you live in chronic pain due to endo, these nerves in the pelvis get used to sending out distress signals and receiving pain signals, and over time, the nervous system becomes upregulated and this path of distress becomes the default option for your nerves. They become easily triggered, even by something that wouldn’t normally cause pain. Equally, as your muscles continuously react to chronic pain, they begin to tighten. This tightening occurs to both protect you but also as a result of the positions we often adopt when we’re in pain, like curling into a ball. The tightness causes tension, irritates the nerves and distorts the way the organs are sitting and functioning. Vaginitis - Vaginitis is a sort of blanket term for inflammation and irritation caused by, most commonly, some kind of infection. Symptoms include swelling, itchiness, pain and sometimes unusual discharge or some bleeding. Vaginitis isn’t common within the endo population specifically, but it is common in general. Causes include STIs, candida overgrowth, allergic responses to chemicals in contraception, lubricants, body washes, etc., and changes in hormones.  Endo lesions - Endo lesions cause pain, swelling and scar tissue on both the surface their attached to and the surrounding area, and can cause cramping as they shed with the hormone cycle. Endo lesions can be found on the bowel, pouch of Douglas (between the uterus and the bowel) and bladder, amongst of course other areas such as the pelvic cavity and ovaries. These are all very close to vaginal canal, especially if the endo is in the pouch of Douglas, as penetration may be almost directly irritating these endo lesions.  Chronic inflammation - Endo is an inflammatory disease. It creates its own inflammation, it uses inflammatory chemicals in its development and growth, and it triggers the immune system to send inflammation to the area. Inflammation causes pain and swelling, and as the endo lesions are chronic, this swelling and pain can spread throughout the pelvis as the body attempts to get our attention. Meaning that even if you’re vaginal canal or surrounding area isn’t directly being affected by endo, you may experience pain there. IBS - Many people with endo experience IBS like symptoms, which can include bloating, gas, constipation and diarrhea. All of these can make the abdomen and pelvic area tight, swollen, painful and uncomfortable. Your intestines sit right above your uterus and your colon is right behind the vagina and uterus, so if your intestines are inflamed and swollen, the chances are that these are going to be putting pressure on surrounding organs and the inflammation and pain signals will also likely spread to these as well. Equally, IBS problems cause leaky gut. Leaky gut allows allergens and particles to flow through the gut barrier, causing an immune reaction which releases inflammation into the body. Toxins from infections and problems like SIBO can also pass through the barrier and end up in the pelvic cavity, creating further inflammation.  Upregulated nervous system - The brain is designed to protect us from threats. If you have experienced chronic pain, this may have created a loop where the nerves are signalling distress signals to the brain, which then registers with pain to alert us to the problem, inflammation is released but the endo lesions don’t heal, so more distress signals are released and so on. Eventually, over time, this becomes your nervous system’s default pattern - it associates the pelvic areas with danger. This is made worse if you’re experiencing chronic stress or acute moments of stress, if you feel unsafe in your body, your home or with your sexual partner. This stress is telling the brain it’s right to feel unsafe and the danger signals are heightened.  Of course, if you’ve experienced sexual trauma this is likely to have had an impact on your brain’s perception of safety in your pelvis and pain may be the brain’s way of alerting you to that trauma, whether past or present. Scroll to my show notes to learn more about diagnosing these conditions or getting help identifying these issues, and for references and further reading/listening. Listen and subscribe on iTunes, Stitcher, listen directly/download MP3 here or just listen below! Let's get social! Come say hello on Instagram, Twitter and Facebook or sign up to my newsletter. This episode is sponsored by my free guide ‘A Natural Pain Relief Tool Kit for Endometriosis’. This four page guide includes evidence based and effective remedies which you can use at home to reduce your pain with endo. Download your copy here. My cookbook This EndoLife, It Starts with Breakfast is out now! Get 28 anti-inflammatory, hormone friendly recipes for living and thriving with endometriosis. Order your copy here. If you feel like you need more support with managing endometriosis, you can join Your EndoLife Coaching Programme. A 1-to-1 three month health and life coaching programme to help you thrive with endometriosis. To find out more about the programme and to discuss whether it could be right for you, email me at hello@thisendolife.com or visit my website. This episode is sponsored by The Pod Farm. Learn all about how to start your own podcast with the complete course from The Pod Farm. Aimed at beginners, this course takes a simple and straightforward approach to planning, equipment buying, setting up, recording, editing and hosting your own podcast. With hours of audio and video materials, and downloadable guides and useful links, this multimedia approach aims to have something for every kind of learner. From now until April 15, newsletter subscribers get 20% off the course price. Visit www.thepodfarm.com to enroll or find out more This episode is sponsored by BeYou. Soothe period cramps the natural way with these 100% natural and discreet menthol and eucalyptus oil stick on patches and CBD range. Click here to find out more and to shop: https://beyouonline.co.uk This episode is sponsored by Semaine Health, the anti-inflammatory, plant-based pain relieving supplement. Now priced at $28.99 for subscription. Shop here. Show Notes Vulvodynia National Vulvodynia Association Functional Nutrition Treatment of Vulvodynia, Irritable Bowel Syndrome, and Depression: A Case Report NHS vulvodynia page An Integrative Approach to Healing Vulvodynia w/Hannah Matluck of the V Hive The Changing Landscape of Sexual Health In Medicine w/Dr. Heather Quaile Vaginismus Vaginismus And The Overlaps Between Pelvic Pain Conditions With Shelby Hadden of Tightly Wound Self-Love And Reclaiming Womanhood With Oliwia Drzymuchowska Of Womanology The Vaginismus Network NHS vaginismus Adhesions and distorted fascia The Healthy Gut Podcast Ep.25: Adhesions And SIBO With Larry And Belinda Wurn The Healthy Gut Podcast Ep.33: Visceral Mobilisation With Alyssa Tait The Period Party Podcast: Mercier Therapy for Conditions with Dr. Jennifer Mercier The Best Surgery for Endometriosis with Dr. Andrew Cook Pelvic Floor Dysfunction Equal Treatment for Black Endometriosis Patients and Pelvic Floor Physiotherapy for Painful Sex, Interstitial Cystitis and Endometriosis with Dr. Juan Michelle Martin Your Brain on Pain - How Your Nervous System Affects Interstitial Cystitis and Endo Pain with Dr. Nicole Cozean Pelvic Floor Therapy for Endometriosis with Heba Shaheed of The Pelvic Expert Vaginitis NHS vaginitis Endo lesions The Best Surgery for Endometriosis with Dr. Andrew Cook Six Tips for Reducing Endometriosis Pain in The Week Before Your Period Inflammation Outsmart Endometriosis: The Elimination 'Undiet' for Endometriosis with Dr Jessica Drummond Antioxidants for Endometriosis Anti-inflammatory Living for Endometriosis What is The Endometriosis Diet with Henrietta Norton of Wild Nutrition IBS Dr. Ruscio How To Heal Leaky Gut Understanding The Endometriosis Belly, Part 1 Understanding The Endometriosis Belly, Part 2 Understanding The Endometriosis Belly, Part 3: SIBO Symptoms “Leaky Gut” and Pelvic Pain Dr. Jessica Drummond The SIBO, Endometriosis and Interstitial Cystitis Connection wth Dr. Allison Siebecker How To Treat SIBO with Dr Allison Siebecker How Do You Know When to Test for SIBO? How to Test for SIBO at Home Upregulated Nervous System Your Brain on Pain - How Your Nervous System Affects Interstitial Cystitis and Endo Pain with Dr. Nicole Cozean Taking An Integrative Approach to Endometriosis with Jessica Drummond of The IWHI Anti-inflammatory Living for Endometriosis Healing Endometriosis-Associated Dyspareunia and Rediscovering Pleasure with Elena of The Yoni Empire Communication, Relationships and Endometriosis with Melanie Cox Endometriosis and Energy Healing with Aubree Deimler of Peace with Endo

In this episode I interview Dr. Tayyaba Ahmed an Osteopathic Doctor about painful sex and we even delve into persistent genital arousal disorder (PGAD). We talk about why women should seek help with sexual pain, why sexual pain can happen, medical management of painful sex and so much more. Website Www.pelvicrehabilitation.com Instagram @drtayahmed Facebook https://www.facebook.com/804267583107989/

In this episode I interview Dr. Tayyaba Ahmed an Osteopathic Doctor about painful sex and we even delve into persistent genital arousal disorder (PGAD). We talk about why women should seek help with sexual pain, why sexual pain can happen, medical management of painful sex and so much more. Website Www.pelvicrehabilitation.com Instagram @drtayahmed Facebook https://www.facebook.com/804267583107989/

In this episode I interview Dr. Tayyaba Ahmed an Osteopathic Doctor about painful sex and we even delve into persistent genital arousal disorder (PGAD). We talk about why women should seek help with sexual pain, why sexual pain can happen, medical management of painful sex and so much more. Website Www.pelvicrehabilitation.com Instagram @drtayahmed Facebook https://www.facebook.com/804267583107989/

Track 1: Introduction to Robin Thomson Importance of Sex -good for heart -important for hormone balance -important for Alzheimer’s Brain Health -if fatigue is the issue - what is the reason All for “Sleepy Sex” (sex while you’re  tired) Waning Libido - do new things together Pain Relief -looking at your partner can lessen pain even a picture of your partner Can Help prevent prostate cancer ejaculation of 21 times per month compared to 4-7 times per month were 20% less likely to develop prostate cancer Improves sleep as well- discussed further in Track 2 Start Track 2: 21:15 Track 2: Recap of show so far Good for the immune system Better sleep Libido:  Erectile Disfunction with higher testosterone Low Testosterone - but sexual desire what are possible reasons why not thinking about sex Meds: -Antidepressants -Allergy Medications -Blood Pressure Meds Wellbutrin does not affect libido -Statin Drugs Jacobus starts the topic on why are there frustrations regarded to sex Lolita book from the 50’s Theory of Who’s offspring is who’s - so property can be passed down… lead to marriage aspect as well Sex is part of health and important to the healthy lifestyle Call about sex as a “drug” and the addiction to sex Start Track 3: 43:55 www.Trilliumclinic.net  Track 3: Healthy sex life boosts/supports immune health -more antibodies -less sick days -helps women with bladder health -UTI/Chronic from sex usually low in estrogen in tissue D Mannose Estriol topically/vaginally or topical vitamin E -Relationship Attitude Making time Enough privacy Testosterone deficiency - can be a  big player sometimes after ovary removed -Blood ranges are off -Free T is more important than Call with lots of comments and questions Start Track 4: 1:04:12 Track 4: Europe vs USA Nude Beaches Sexual revolutions - has affected Calls about sex in Hedonism Start Track 5: 1:26:04 Track 5: Call about difficult ejaculation when getting older what to do? Positives & Negatives about testosterone Hemoglobin & hematocrit levels are elevated - adult acne -irritability Another call about blood work for hormone levels Start Track 6: 1:46:30 Track 6: The importance of masturbation -tissue health Peyronie’s disease -what are the reasons -what is it Dyspareunia -what is it The effects of sexual revolution Dysfunctional Ejaculation -premature ejaculation practice with masturbation topical lidocaine -retrograde ejaculation

I have a patient who has __________......IC. Endo. Vulvodynia. Pudendal Neuralgia. Vaginismus. Dyspareunia. Chronic Prostatitis.Why do all of our patient descriptions start off like this?Do we really care about their medical diagnosis? Do we treat patients any differently if they are diagnosed with IC or with vulvodynia?In this episode, we explore medical diagnoses and what they mean (and don't mean) for how we treat patients.Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online continuing education course, you can always check it out at www.pelvicptrising.com/essentials.Shout Out and Get in Touch!If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt). Or send us an email at Nicole@PelvicSanity.com with your thoughts, questions or ideas. We'd love to hear from you!About UsNicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country. They believe every pelvic physical therapist should find a position they love and feel confident in treating even the most complex patients. They started Pelvic PT Rising to provide clinical and business resources to pelvic PTs to raise the level of our profession.

In today's podcast, Dr. Ghozland sits down with Carol, one of his many successful Intimate Renewal Patients treated for painful intercourse. Together they talk about her background, the progression of events that lead to her seeking help, and how the condition affected her confidence and relationship. From there she talks about her experience with Dr. Ghozland during the procedure, what it was like, and her experiences in recovery. From there, she discusses her newfound confidence and her happiness being free from pain.To learn more about the Intimate Renewal, visit our website at: https://www.davidghozland.com/cosmetic-gyn/vaginal-loosening/

LET'S GET WITCHY

``My goal in working with any of my clients or patients is to support them with what I call a healing dialogue with their body to increase awareness of their breath and some habits that may have posturally and educate them in the core musculoskeletal so they kind of understand why it's not just about pelvic floor ``. – Lynne Odom Our guest is Karen Lynne Odom, PT, MOMT. Lynne has been practicing Physical Therapy since 1993 (UT-Memphis) and completed her Masters of Orthopedic Manual Therapy (MOMT) through the Ola Grimsby Institute in 1997. Following advanced training in Pelvic Health in 1998, she introduced Pelvic Floor Physical Therapy to the Nashville area. After working in corporate environments, she opened her private practice, Core Solutions Physical Therapy, LLC, in 2006, to devote more time to individuals who have Pelvic Health issues ranging from Incontinence, Organ Prolapse, Dyspareunia, Pelvic Floor Dysfunction, Vulvodynia, Vestibulitis, Vaginismus, Proctalgia, Pre-and Postpartum pain, Genital Pain, Constipation, Pelvic/Abdominal/Tailbone Pain in addition to other Orthopedic issues. What will you learn: • Lynne's story and career • Making pelvic health known to the public and doctors • Types of conditions treated by a Pelvic Health specialist • How to approach and treat patients with pelvic floor dysfunction • Relationship between pelvic floor, breathing, and other musculoskeletal dysfunctions • Experience as a founding member of the Nashville Alliance for Sexual Health • Advice to clinicians that are starting their careers • How to become successful in Physical Therapy Lynne's favorite resource of information: Books: 1. Pathology Implications for the Physical Therapist. Fuller & Boissonnault 2. Women's Health Textbook for Physiotherapists by Sapsford, Bullock-Saxton, Markwell 3. Nonviolent Communication by Marshall Rosenberg, PhD 4. Any MBSR (Mindfulness-Based Stress Reduction) books by John Kabat-Zinn, PhD 5. Herman & Wallace courses 6. APTA Pelvic Health Courses Scientific articles: - Smith, M. Coppieters, W. Hodges, P (2006) Postural Activity of the Pelvic Floor Muscles is Delayed During Rapid Arm Movements in Women with Stress Urinary Incontinence. In. Urologynecol.J Pelvic Floor Dysfunction. 2007 Aug 18(8):90-11 - Smith, M. Coppieters, W. Hopdges, P (2006) Disorders of Breathing and Continence Have a Stronger Association with Back Pain than Obesity and Physical Activity. Aust J Physiothera. 200652(1): 11-6 Lynne`s contact information: Email: lynneodompt@coresolutionsphysicaltherapy.net Facebook Page: https://www.facebook.com/coresolutionsphysicaltherapy Office number: 615-292-0199 TN Alliance for Sexual Health: https://www.tnash.org/ Link to interview on Youtube: https://youtu.be/GEdG0J7asKQ Join our email list to receive podcast updates: https://www.ptprotalk.com/ Email: mariana@ptprotalk.com Instagram: https://www.instagram.com/ptprotalk/ Facebook: https://www.facebook.com/ptprotalk/

``My goal in working with any of my clients or patients is to support them with what I call a healing dialogue with their body to increase awareness of their breath and some habits that may have posturally and educate them in the core musculoskeletal so they kind of understand why it's not just about pelvic floor ``. – Lynne Odom Our guest is Karen Lynne Odom, PT, MOMT. Lynne has been practicing Physical Therapy since 1993 (UT-Memphis) and completed her Masters of Orthopedic Manual Therapy (MOMT) through the Ola Grimsby Institute in 1997. Following advanced training in Pelvic Health in 1998, she introduced Pelvic Floor Physical Therapy to the Nashville area. After working in corporate environments, she opened her private practice, Core Solutions Physical Therapy, LLC, in 2006, to devote more time to individuals who have Pelvic Health issues ranging from Incontinence, Organ Prolapse, Dyspareunia, Pelvic Floor Dysfunction, Vulvodynia, Vestibulitis, Vaginismus, Proctalgia, Pre-and Postpartum pain, Genital Pain, Constipation, Pelvic/Abdominal/Tailbone Pain in addition to other Orthopedic issues. What will you learn: • Lynne's story and career • Making pelvic health known to the public and doctors • Types of conditions treated by a Pelvic Health specialist • How to approach and treat patients with pelvic floor dysfunction • Relationship between pelvic floor, breathing, and other musculoskeletal dysfunctions • Experience as a founding member of the Nashville Alliance for Sexual Health • Advice to clinicians that are starting their careers • How to become successful in Physical Therapy Lynne's favorite resource of information: Books: 1. Pathology Implications for the Physical Therapist. Fuller & Boissonnault 2. Women's Health Textbook for Physiotherapists by Sapsford, Bullock-Saxton, Markwell 3. Nonviolent Communication by Marshall Rosenberg, PhD 4. Any MBSR (Mindfulness-Based Stress Reduction) books by John Kabat-Zinn, PhD 5. Herman & Wallace courses 6. APTA Pelvic Health Courses Scientific articles: - Smith, M. Coppieters, W. Hodges, P (2006) Postural Activity of the Pelvic Floor Muscles is Delayed During Rapid Arm Movements in Women with Stress Urinary Incontinence. In. Urologynecol.J Pelvic Floor Dysfunction. 2007 Aug 18(8):90-11 - Smith, M. Coppieters, W. Hopdges, P (2006) Disorders of Breathing and Continence Have a Stronger Association with Back Pain than Obesity and Physical Activity. Aust J Physiothera. 200652(1): 11-6 Lynne`s contact information: Email: lynneodompt@coresolutionsphysicaltherapy.net Facebook Page: https://www.facebook.com/coresolutionsphysicaltherapy Office number: 615-292-0199 TN Alliance for Sexual Health: https://www.tnash.org/ Link to interview on Youtube: https://youtu.be/GEdG0J7asKQ Join our email list to receive podcast updates: https://www.ptprotalk.com/ Email: mariana@ptprotalk.com Instagram: https://www.instagram.com/ptprotalk/ Facebook: https://www.facebook.com/ptprotalk/

In today's podcast, Dr. Ghozland talks with patients he previously treated with the Intimate Renewal procedure. They discuss what life was like before the treatment, their recovery after the procedure, and how their treatment helped change their intimate life for the better.To learn more about The Intimate Renewal with Dr. Ghozland, visit our website at: https://www.davidghozland.com/cosmetic-gyn/vaginal-loosening/

In today's podcast on the Intimate Renewal treatment, Dr. Ghozland discusses several causes of pain women can experience in the vaginal area known as dyspareunia ( painful intercourse), from fissure development to Vulval-Vaginal Pain, overactivity of the pelvic floor, and more. From there, he talks about lubricants he has found most useful for women suffering from pain, benefits of gradual application of vaginal dilators, and the development of his vaginal loosening treatment. To learn more about The Intimate Renewal with Dr. Ghozland, visit our website at: https://www.davidghozland.com/cosmetic-gyn/vaginal-loosening/

Dr. Melanie Howell grew up in Bergen County New Jersey. She received her medical degree from the University of Medicine and Dentistry-School of Osteopathic Medicine. She then completed a residency in Physical Medicine and Rehabilitation from NYU Langone Medical Center/Rusk Institute of Rehabilitation Medicine. Upon completion of her residency, she went on to pursue fellowship training in Cancer Rehabilitation Medicine at Memorial Sloan Kettering Cancer Center, where she focused on the treatment of pain, as well as the restoration of function during and after cancer treatment. Dr. Howell is board-certified by the American Board of Physical Medicine and Rehabilitation, a member of the New York Society of Physical Medicine and Rehabilitation, and a member of the American Osteopathic Association. She is also an active member of the American Academy of Physical Medicine and Rehabilitation. In addition to participating in a research project emphasizing the prevalence of pelvic girdle pain, she has published peer-reviewed articles in both musculoskeletal medicine and acupuncture. Dr. Howell also co-authored a pelvic pain chapter in a pain management manual. Dr. Howell joined Pelvic Rehabilitation Medicine because she is both passionate and determined to manage the discomfort and dysfunction associated with pelvic pain. During her medical training and as an attending, she saw firsthand how debilitating this pain could be. She remains dedicated to providing this very deserving patient population with options and improved quality of life. In her spare time, Dr. Howell enjoys cooking nutritious meals and spending quality time with her husband, toddler and newborn son. Visit: DrLauraBrayton.com for show notes and available downloads. © 2020 Dr. Laura Brayton

Greetings Everyone, In this episode we cover the causes and treatments of dyspareunia or painful intercourse. Be Well Alexander Audette TCMP, R.Ac.

With the holidays in full swing, many will find ourselves with family members who we haven't seen most of the year - and sometimes by choice. As if boundary setting, in general, wasn't hard enough, try setting boundaries with family members! As an adult, many conversations with friends reveal dysfunctional family dynamics that lack boundaries altogether or very few in place. This realization then sparks the conversation: how does one go about implementing healthy boundaries when the life span of the relationship has been without them? Some may be asking - What is a boundary? Thomas Fischer, M.Div states “Personal boundaries define you as an individual, outlining your likes and dislikes, and setting the distances you allow others to approach. They include physical, mental, psychological and spiritual boundaries, involving beliefs, emotions, intuitions, and self-esteem.” SOURCE In this episode of The Loni Swain Show Podcast, my guest Dr. Pia Holec will help us navigating determining our boundaries and how to approach implementation with family and loved ones. Dr. Pia Holec is a psychotherapist at Resilience Psychological Services. Here she specializes in working with minority populations in the areas of sex therapy, relationship concerns, family of origin concerns, and trauma. Dr. Holec received her Doctorate of Clinical Psychology from The Chicago School of Professional Psychology. She completed her clinical internship at Mount Sinai St. Luke's and Roosevelt Hospitals in New York, New York. Here she received extensive training at the Addiction Institute of New York and the Center for The Intensive Treatment of Personality Disorders. Prior to this, Dr. Holec trained at Rush University Medical Center, Marital and Sex Therapy Department in Chicago, Illinois where she gained specialized training in working with couples and treating sexual dysfunctions. Dr. Holec has worked with individuals, couples, and families presenting with a variety of clinical concerns including anxiety, depression, mood disorders, personality disorders, psychosis, PTSD, complex trauma, and addictions. Dr. Holec specializes in the successful treatment of Female Hyposexual Arousal Disorder, Dyspareunia, Vaginismus, Premenstrual Dysphoric Disorder, Premature Ejaculation, Erectile Dysfunction, unconsummated marriages, gender dysphoria, and LGBTQ+ concerns. You can find Dr. Holec on Therapy Road, Therapy for Black Girls as well as: www.resiliencechicago.com drpiaholec@resiliencechicago.com @sexdrpia You can listen to the podcast on Spotify iTunes Google Play SoundCloud YouTube and Stitcher. Please subscribe, rate, review, and share with at least 3 friends who you think would enjoy and/or benefit from this episode and let me know what you think! Tag us on social media: @loniswain @loniswainshow #loniswainshow #loniswainshowpodcast

Marina Kessler is a Doctor of Physical Therapy, and has been practicing Physical Therapist for 25 years with a specialty in Pelvic Floor Health. Be sure to catch Episode #17 where Dr Kessler describes what the pelvic floor is, why giving attention to the pelvic floor is important, and ways to bring health to this region of the body. In this Episode #32, she dives deeper into pelvic floor issues with a focus on pelvic pain. Dr Kessler educates us on how Physical Therapy can help with Dyspareunia, which is a persistent or recurrent pelvic pain that occurs with intercourse. She discusses the complexity of this issue and gives women ideas to better connect with themselves and their partner. You don’t want to miss this valuable and enlightening episode! Resources Mentioned in Podcast: American Physical Therapy Association (APTA)- Section on Women’s Health International Pelvic Pain Society (IPPS) The National Vulvodynia Association (NVA) Follow Host Dr Beth Teran on Instagram: Balanced by Beth Special Thank You to @beseenco for collaboration to produce this podcast. --- Support this podcast: https://anchor.fm/balancedbybeth/support

This week we're hitting where it hurts…...in the vagina? Sometimes our love involves vaginas, but what happens when that love is...painful? Whose responsibility is it? Do we push through it? Avoid it at all costs? Denial? This week we talk about the often experienced but lesser validated ambiguity that is vaginal pain. Emily from OhNut joins us to share how she stumbled upon her calling and how a pink frosted donut changed her life. Find out why doctors are saying “Fuck Yes” to a solution created by a patient. For info and to purchase an OhNut: ohnut.co ------~ Follow us on social media ~------- The show: @isourlove_____ Lola Jean: @lolajeandotcom Classes & Instruction: lolajean.com Stephen Penta: @thereluctantsexpert This weeks' end of episode song is Sarah Vaughan "Make Yourself Comfortable" Our official theme songs are composed & recorded by our good friends at hyperballadmusic.com

Today’s episode is with the absolutely incredible Emily Sauer; founder of Ohnut and co-founder of Lady Bits League and the Sexual Wellness Summit. After years and years of enduring painful sex in silence, Emily made it her mission to find a way to make sex pleasurable again for her and people with vaginas all over the world. Ohnut was the result; a rubber wearable that allows you to be in control of penetration depths and is helping hundreds of women around the world to experience relief from dyspareunia. For those of us with endometriosis-associated dyspareunia, Ohnut could make a huge difference and provides a natural treatment option that allows us to not rely on pain killers or total avoidance. Whilst pelvic floor therapy is incredibly helpful for many with endometriosis and dyspareunia, it can sometimes be a long process, and so Ohnut allows couples to begin exploring sooner. In this episode, we talk about the huge and unspoken issue of dyspareunia, why and how Emily designed the Ohnut, the scientific support she’s received from specialists and how it’s changing the experience of painful sex for people with endometriosis. For 15% off your purchase of Ohnut, use the code JD2019 at checkout. Click here to shop. Come say hello on Instagram, Twitter and Facebook or sign up to my newsletter. If you liked this episode, might like my free guide ‘Managing Endometriosis Naturally’, click here to get your copy. This episode is sponsored by BeYou Cramp Relief Patches. Soothe period cramps the natural way with these 100% natural and discreet menthol and eucalyptus oil stick on patches. Click here to find out more and to shop: https://beyouonline.co.uk/pages/how-it-works Show Notes Ohnut - For 15% off your purchase of Ohnut, use the code JD2019 at checkout. Click here to shop. School Nurse Initiative Free Guides: Pain and Symptom Diary Managing Endometriosis Naturally   This page contains affiliate links which help me to cover the costs of running a podcast.

What can you (or someone you know) do about painful intercourse? Dr. Emily discusses this sensitive subject, its causes, and several possible solutions you can try.

Today I’m talking to the incredible Elena of Onna and The Yoni Empire, all about endometriosis-associated dyspareunia, otherwise known as painful sex, and how we can move from healing pain to finally experiencing pleasure. Elena lived with vaginal pain - specifically vaginismus - for seven years before beginning a journey that would lead her to not only heal her own experience of painful sex, but to make it her mission to help others living with dyspareunia. Like many of us, Elena experienced dismissal, misdiagnoses and unacceptable treatment options ranging from shrugs from the doctors to suggestions of cutting her pelvic nerves so she could have sex without any sensation whatsoever. Many of us experience strains on our relationships with endometriosis, especially when it comes to our romantic relationships - and sex is often one of the key areas of concerns. As someone living with endometriosis-associated dyspareunia, I’ve spent a long time trying to work out how to treat dyspareunia naturally - often as part of my overall approach to endometriosis, which involves the ‘endometriosis diet’, holistic therapies, movement and various other management tools. However, rarely have I actually head on tried to address the problem directly or even with my partner. Elena has helped me with this, through yoni mapping, yoni massage and facing fears and emotions associated with sex. In this episode, we discuss some of the common causes of pain with sex, Elena’s own journey from painful sex to pleasure and the various methods we can take to begin healing endometriosis-associated dyspareunia. Talking to Elena was such a revelation - this woman has no fear, shame or guilt associated with her own pleasure, and helps others to see they shouldn’t either. Hearing her remarkable experience has given me hope, and I believe this conversation will do the same for you too. P.S Elena has kindly given This EndoLife listeners 10% off with code ENDO on any Onna product. Just enter the code at checkout. Click here to shop: https://www.onnalifestyle.com/ This episode is sponsored by BeYou Cramp Relief Patches. Soothe period cramps the natural way with these 100% natural and discreet menthol and eucalyptus oil stick on patches. Click here to find out more and to shop: https://beyouonline.co.uk/pages/how-it-works This episode is also supported by The Know Your Endo Endo Toolkit, a practical programme for managing endometriosis by Jessica Murnane. Use the code JESSICA at check out for $15 early bird and standard pricing. Click here to get course info and to enrol: https://knowyourendo.com/program This episode is additionally supported by The Gluten Free Baking Academy. A four week online course teaching you the tools, recipes, and know-how to confidently bake in the comfort of your own kitchen. You’ll learn to make incredible flatbreads, quick breads, yeasted breads, and sourdough without dairy, gluten, eggs, or ingredients like gums and highly processed starches or flours. To take a free course tour or to enroll, click here. Links Onna website - use code ENDO for 10% off any Onna products. Elena’s Instagram CURVE yoni mapping toy - use code ENDO for 10% off any Onna products. Tantric Orgasm for Women by Diana Richardson The Wild Feminine by Tami Lynn Kent The Art of Sexual Ecstasy by Margo Anand Yoni mapping blog post Yoni massage blog post Pleasure Mondays weekly newsletter

It is estimated that up to 21% of women worldwide experience significant pain during intercourse at some point in their lifetime. Research shows that most women suffer in silence for years before they obtain proper care. Pain during intercourse, or dyspareunia, can be classified into superficial dyspareunia (pain with entry affecting the vulvar vestibule or vaginal introitus) or deep dyspareunia (internal pain with vaginal penetration). Superficial dyspareunia can be associated with vaginal dermatosis, atrophic vaginitis, vulvovaginitis, and vulvodynia, whereas deep dyspareunia is commonly caused by endometriosis, adhesions, fibroids, and cervicitis. Dyspareunia can occur before, during, or following intercourse and can be found along with interstitial cystitis, irritable bowel syndrome, and/or sexual abuse. In spite of the negative impact it has on women’s lives, this condition often goes unrecognized, undiagnosed, and untreated. Many times patients have difficulty discussing this ‘private’ subject with their providers, and providers often do not know how to properly evaluate women for sexual pain. This lecture will discuss many of the myths associated with sexual pain and how sexual pain fits the biopsychosocial model of pain. Useful to all healthcare providers, a comprehensive guideline for the evaluation and management of this disorder will be formulated. (PAINWeek 2017)

Today we’re talking about empowering women that are suffering through pain in their lives.   Whether you’re having painful intercourse or a painful discourse with your partner, we have some important things to talk to you about. One thing to keep in mind is that whether pain is felt mentally, physically, spiritually, or so forth, it’s all interconnected. Gynecology and Obstetrics specialist and advocate of women’s health rights, Dr. Neysa Whiteman, works with women to help create happiness through a healthier body and life. She shares valuable information about genetic testing for breast cancer, hormonal changes, and Dyspareunia. Women’s Empowerment Mentor & Transformational Leader, Rosie Aiello, helps to empower women to take themselves and their children out of toxic relationships. After spending nearly 25 years trapped in an emotionally abusive relationship, she now shares how she engineered an international escape to save her and her daughter from domestic abuse.   We Discuss: Dealing with different levels and versions of pain in our lives Looking beneath the surface to find underlying reasons for pain Using genetic testing to identify women who have a higher risk of breast cancer Different options available for women to lower their risks of breast cancer Women suffering from Dyspareunia (persistent genital pain/painful intercourse) The importance of being vocal with doctors instead of sitting in silence Why some women suffer silently or unknowingly in toxic relationships for years Some common warning signs of narcissists, sociopaths, and psychopaths The cost of being too nice, playing small, and not setting boundaries Key strategies for reclaiming our voice, confidence, courage, and life   For the full show notes visit: www.ChangeItUpRadio.com

Dyspareunia is a common but poorly understood problem affecting around 7.5% of sexually active women. It is an important and neglected area of female health, associated with substantial morbidity and distress. Women may be seen by several clinicians before a diagnosis is reached, There are also specialist psychosexual clinics, where men and women can be referred for sexual problems. Little has been written on the holistic approach to care for women with dyspareunia, therefore, some of the advice here is based on expert experience. Joining us to talk about care are Leila Frodsham, consultant gynaecologist and lead for psychosexual medicine, and Nikki Lee, speciality trainee in obstetrics & gynaecology, both at King's College London. We're also joined by Poppy, who experienced dyspareunia and has undergone treatment. Read the full education article: https://www.bmj.com/content/361/bmj.k2341

Seriously, try pronouncing dyspareunia. I still can't-- but now I know what it means! PAINFUL SEX. On this episode we sit down with Talya, a nurse in training who guides us through the ins and outs of the vagina. We also discuss 'The Female Price of Male Pleasure'-- an article by TheWeek.com that comes on the heels of another viral article-- The Aziz Ansari piece from Babe.net.  I invited Emily Wilson, Comedian and Babe.net producer to guest co-host and discuss all of this with me!  Follow @Howcumpodcast & write in questions for us!  @remykassimir @charkasstic @therealemilywilson __      

Guest: Sheryl A. Kingsberg, PhD Dr. Sheryl Kingsberg demonstrates counseling strategies clinicians can use with their patient when discussing dyspareunia in post-menopausal women. Dr. Sheryl Kingsberg is Chief of the Division of Behavioral Medicine in the Department of OB/GYN at University Hospitals Cleveland Medical Center and Professor of Reproductive Biology and Psychiatry at Case Western Reserve University School of Medicine in Cleveland, Ohio.

Guest: David J. Portman, MD Dr. David J. Portman demonstrates how clinicians can begin the conversation of dyspareunia with patients, as well as how to discuss the available treatment options for managing this condition in post-menopausal women. Dr. Portman is Director Emeritus at Columbus Center for Women’s Health Research; and, Adjunct Instructor of Obstetrics and Gynecology at The Ohio State University, Columbus, OH.

Dr. Rosenblum Discusses the management and treatment of the Piriformis Syndrome PainExam Podcast For the Full version Subscribe to the premium subscription via our App  or Purchase our Full Lecture Library at PainExam.com   For Board Review and Practice Management Updates TEXT the word  PAINEXAM to the number 33444  Download our iphone App! Download our Android App! For more information on Pain Management Topics and keywords Go to PainExam.com David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com 718 436 7246 DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another's health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.    Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.   References      Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed. Copyright © 2008 Saunders, An Imprint of Elsevier Chapter 51

Dyspareunia (painful intercourse) refers to pain in the pelvic area during or after intercourse, and can occur in both women and men. Besides possible physical causes, pain may occur in association with psychological factors such as previous sexual trauma.A pelvic exam can confirm the diagnosis. A medical history and complete physical exam are needed to look for other causes of pain with sexual intercourse.Dr. Bonita Kolrud, a specialist in Obstetrics and Gynecology with Riverview Family Clinic in Wisconsin Rapids, is here to explain what can be done to help you with painful intercourse.

I read a comic strip once about pregnancy and childbirth that had the title “Help, my entertainment center is now a juice bar!" While it struck my funny bone, there is so much truth in that statement. We may think that adding our firstborn to the family will be all hunky-dory, fun and games, but the reality is it usually results in a DECREASE in marital quality. Navigating the relationship issues that transpire following the birth of a child can be tough! If you’re a young parent reading this today, know that you guys are awesome! You may not feel awesome most days, but keep going. Props to you for navigating these tough times while bringing a new generation into the world. So, what really goes on in our relationships and with our sexuality following the birth of a child? Let’s talk about some realistic expectations, and how to create resiliency in your marriage to make this as positive an experience as possible. The ‘New’ Norm It is no surprise that a woman’s sexual desire and the frequency of intercourse in the early postpartum period is reduced. What surprised me was that breastfeeding was the cause. Another thing that affects sexual intercourse during pregnancy and four months postpartum is the woman’s view of her changing roles. If the woman views her shift from the work role being primary to the mother role being primary in a positive light, there will be a greater frequency of sexual intercourse. If you’re in this stage of life, be sure to discuss, as a couple, how you’re feeling about moving from being in the workforce to becoming a mother. Talk about what is positive, what you’re going to miss, and what you expect to be challenging. Given that physical intimacy is reduced around the birth of a child, let us emphasize that having kids is NOT an ideal way to bring life or intimacy to your marriage. Rather than looking to baby to fulfill a need, bring your fullness to your baby. Use those first few years of marriage to focus on building a robust relationship, and from that healthy place, bring children into the family unit. Another normal complication, which may be quite unpleasant, is Dyspareunia - pain during intercourse for women. The research says that 3 months after delivery 58% of women experienced dyspareunia, 39% experienced vaginal dryness, and 44% suffered a loss of sexual desire. Those are high numbers! 8-9 months later 26% still experienced dyspareunia, 22% had vaginal dryness, and 35% still suffered a loss of sexual desire. The scary part is only 20% of women discussed postnatal sexual problems with a physician. You may think you are alone or unique, but you’re not! Talk to your doctor! You can’t have pleasurable sex if you’re in pain while your husband’s penis is in your vagina. It is such a common issue and nothing to be ashamed about. Again, make sure you talk to your doctor. I laughed at the results of the next study we looked at: they studied 768 first time parents and found that sexual desire is greater among fathers than mothers! Really… what a surprise! Unfortunately, though, the tension between the sexual desires of the couple can become a focus of attention rather than the baby. Add into the equation that men typically see sexuality as a way to intimacy, and women see intimacy as a way to sexuality, and it gets tricky. The husband can very quickly end up lonely and feeling emotional emptiness, but when Wife is experiencing pain and exhaustion, what are they to do? One idea is to place more of an emphasis on sensuality over sexuality – hugging, kissing and caressing. Couples that compensate with this are better able to stay connected because it confirms each other and the affection they have for one another. Another part for tired young moms to remember here is that you may have low desire because you are tired, but you can still be open to arousal. It’s the difference between going to bed wanting to do something versus going to bed willing to be open to something.

Guest: Sheryl A. Kingsberg, PhD Host: Maureen Whelihan, MD Pain is one of the most significant barriers to pleasurable sex— and very common, affecting 15 to 25 percent of women at some point during their lifetime. Dyspareunia and vaginismus are two of the most common pain disorders. What are the signs and symptoms, and what are the questions you can ask your patients in order to assess whether they're having pain and what type? Dr. Sheryl Kingsberg, chief of the division of behavioral medicine in the department of OB/GYN at Case Medical Center University Hospitals in Cleveland, Ohio, joins host Dr. Maureen Whelihan to talk about treating dyspareunia and vaginismus through medication, behavioral therapy and pelvic floor physical therapy.

In this episode of Adult Bedtime Stories, we are continuing a mini-series on resolving sexual issues.  Our topic is dyspareunia or painful sex.  We cover many of the causes and how to resolve the issue.Links for the websites we discussed in the show include:  https://www.ravenslairleather.comhttps://www.ladyboytemple.comhttps://ggwilbur.comPatreon Page at:  https://www.patreon.com/LadyboyGigiEmail Ladyboy Gigi:  admin@ggwilbur.com Support this podcast at — https://redcircle.com/adult-bedtime-stories/exclusive-contentAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy