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Meegan Daigler is the co-founder and CTO of Reia, a women's health company focused on improving the treatment experience for pelvic organ prolapse. Prior to Reia, Meegan worked as a product design engineer designing many household products from coffee makers to tampon applicators. reiahealth.comhttps://www.facebook.com/reiahealthhttps://www.instagram.com/reiahealth/?hl=en__________________________________________________________________________________________Buff Your Muffwww.buffmuff.com_________________________________________________________________________________________Moisturize Your Vaginahttps://www.feel-amazing.com/?ref=vaginacoachThank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************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.comGet your Feel Amazing Vaginal Moisturizer Here
Seeking kingdom and righteousness; Constructing doctrines; Missing the mark?; Government by force or by charity; What Jesus said; In, not of the "world"; Pilate's trial; Leaven of the Pharisees; Bondage of Egypt; Mark 1:15; The good news (gospel); Freewill offerings; Oaths?; "Idiotes"; Welfare systems; Accepting Jesus; Evidence in what you DO; Who is your salvation?; Cursing your children with debt; Daily ministration; Fleshpots?; Lowering debt; "Son of God"; Taking away the kingdom?; Following Jesus; Believing there is a God; Being God?; National Socialism; Grievous burdens; "Pessary"?; Moses stories; Wages/rewards of unrighteousness; Sharing vs force; Mt 6:33; Mt 7:7; Mt 28:5 Fear not!; Church government; Natural inclination to help others; Organized religion; Purposes of Christ; Coming out of the system?; Coming into the light; Understanding the kingdom; "Polity" for The Church; Ten Commandments; Are you (and your church) following Christ?; Elders?; Servant minister?; Free assemblies; Assembly of ministers; Ambrose the bishop; Sodom and Gomorrah; Was Jesus a socialist?; Constantine's "church"; Repentance; Family includes…; Responsibility of charity; Debt dependence; "Mammon"; Empowering choice to others; Chores; Altars of living stones; Understanding metaphors; Holy Spirit; Church FEMA?; Ex 20:24 Altar of earth?; Burnt offerings; Jews in the Early Church; Jesus king of Judea; Peace offerings?; Preparing for plagues; Saving others; Am I seeking the kingdom?; Wrath of God; Taking back your responsibilities; Seat of authority in The Church; Hearing God's voice; Born again?; Jubilee; Ministers separate from the world; Fealty/tribute; Saving yourself; The whole Jesus; The man behind the curtain; Meeting of elders; Sacrificing for others; "World"; Rom 12:5; Corporations of God; Inheritance tax; Property tax; Legal to seek His kingdom RIGHT NOW; 1 Cor 12:25; Ultimate happiness; 1 Cor 13:13; "Charity" = "Love"; Voluntarism; Pursuing The Way; Blessing or judging others; Eph 1:22; Grain shortages; Creating a network; Fleshpots; Biting one another; Mt 28:18; Lev 25:10; Returning every man unto family and possessions; Saving the whole world.
In this episode, we meet Dr. Margo Kwiatkowski, a physical therapist specializing in orthopedic and pelvic floor therapy, who shares her personal prolapse story after giving birth during the COVID-19 pandemic. Margo discusses the challenges of diagnosing and managing prolapse symptoms, including her experiences with bladder dysfunction, pelvic pain, and the emotional toll the condition took on her. She also highlights the importance of mental health support, the use of a pessary, and topical estrogen in her recovery. Margo has since founded a support group and created a tailored exercise program for women with prolapse, emphasizing the need for empathetic listening and factual information sharing. The conversation underscores the significance of community and professional support in navigating postpartum pelvic health issues. Want more information on Margo and her work, check out her:Website https://www.p4moms.com/aboutInstagram @postpartum_pop_ptTimeline:00:28 Introduction and Guest Introduction 00:55 Margo's Background and Initial Prolapse Diagnosis 02:41 Challenges and Symptoms Post-Delivery 05:36 Mental Health and Support Systems 08:55 Treatment and Recovery Journey 10:00 Pessary and Estrogen Therapy 13:32 Prolapse Staging and Long-Term Outlook 16:13 Understanding Prolapse Dynamics 16:31 Second Delivery Experience 16:59 Decision for Elective C-Section 18:53 Postpartum Recovery and Prolapse Management 19:39 Living with Prolapse: Symptoms and Surgery 21:26 Support and Advocacy for Women with Prolapse 22:19 Creating a Prolapse Support Community 23:20 Educational Resources and Visual Aids 29:19 Joining the Prolapse Support Group 30:10 Final Thoughts and Gratitude
Just because your class is called 'core' it might not be doing you as much good as you think! Why? Too many fitness professionals are still cueing the wrong muscle activation, meaning that we just do Ab work, not core! The result is more internal pressure and more dysfunction, often leading to pelvic floor weakness (even among young girls).In todays episode I deep dive into this issue and help you to identify if your core is actually just ab work! And here are those links from today's episode!: ***Grab your Early Bird Bonus Offer and Price Freeze Rate HERE before 23rd August 2024! www.FitFannyAdams.com/EARLYBIRD*** Check out last fortnights episode on Abdominal Separation AKA Diastasis: Find it HERE on Apple podcast or HERE on Spotify! connect with me at sarahjane@FitFannyAdams.com or say Hi on Insta! @FitFannyAdamsPlease please, take a moment to hit subscribe or follow and drop a 5* rating to help get this podcast out to that that need to hear it!
Inara is the Co-Founder & CEO of FemTherapeutics, a VC-backed medical device company that is leveraging AI and 3D printing to develop the first category of personalized prosthetics for women's health. Since inception, FemTherapeutics has gone on to be named as Canada's Top 20 Most Innovative Companies by CIX, been awarded Innovations for Equity by WIN: Women in Innovation alongside Planned Parenthood Federation of America and Taygerly Labs, and has ranked within the top start-ups internationally at Collision and WebSummit. The company has also been featured in BNN Bloomberg, Forbes, CityNews and more. Growing up, Inara moved around from country to country, including Pakistan, Singapore, Thailand, Indonesia, Poland, Qatar and Canada. Amidst the vibrancy and multiculturalism, she saw widespread socioeconomic inequalities that has since inspired her interest in social business. Inara is a visionary leader in women's health, having spoken about bridging the gender health innovation gap, women's entrepreneurship, and youth involvement in many panels, podcasts, and conferences globally. Prior to FemTherapeutics, Inara worked in technology consulting leading Fortune 500 companies through large-scale digital transformations and product launches. Inara holds a degree from McGill University in Information Systems, Surgical Innovation & Entrepreneurship. As CEO of FemTherapeutics, Inara has been accepted into numerous competitive accelerators including Creative Destruction Lab and Mayo Clinic Platform_Accelerate. Her dedication and work have earned her notable awards and recognitions, including Forbes 30 Under 30, Bay Street Bull's Women of the Year 2022 and J. Armand Bombardier Excellence Award.www.femtherapeutics.com__________________________________________________________________________________Feel Amazing Vagina Moisturizer https://www.feel-amazing.com/?ref=vaginacoachThank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************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.comGet your Feel Amazing Vaginal Moisturizer Here
May 10, 2024Mark and Scott discuss FAQs that came into the Urology Coding and Reimbursement Group.MRI fusion biopsy updateHi,Can you please help us with the below questions. Pessary Insertion – does it require a physician to be onsite? What about Pessary cleaning?Urodynamics – we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Biofeedback - we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Hi, a question regarding NCCI edit pls. When unbundling is not allowed between two CPT, due to an indicator "0", never billed together. If the secondary CPT has more work-RVU than primary CPT, i.e. 51705 (primary) wRVU 0.9; and 52000 (secondary) wRVU 1.53, Are there any rules that we must bill Primary 51705? VS Can we choose to bill 52000 instead, knowing that 52000 has more wRVU than 51705? Thank you, Urology Advanced Coding and Reimbursement VIRTUAL SEMINARRegister Now for the Urology Advanced Codingand Reimbursement Virtual SeminarJoin us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease.Click Here for Information and RegistrationPRS Billing and Other ServicesClick Here to Get More Information and Request a Quote The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com
Pelvic organ prolapse is a condition that affects many women, with up to 40% experiencing it in their lifetime. This podcast episode provides an in-depth discussion of pelvic organ prolapse, focusing on: The causes, symptoms, and risk factors for pelvic organ prolapse How pregnancy, genetics, and menopause may increase the risk of developing prolapse What lifestyle factors affect prolapse Common myths about sex and pelvic organ prolapse The use of pessaries as a non-surgical treatment option Surgical options, including reconstructive and obliterative surgery, and the considerations involved in choosing the right approach for person The importance of choosing a high-volume surgeon for successful outcomes Uncover everything about pelvic organ prolapse, from your two pelvic floor experts--Dr Jackson and Rosalind! Key moments in this episode are: 00:00 What is pelvic organ prolapse 00:46 Vaginal anatomy 01:30 Weakened fascia 02:41 What causes prolapse--pregnancy 03:36 What causes prolapse--genetics 04:10 What causes prolapse--aging and lifestyle 05:50 Symptoms of prolapse 07:10 Sex and prolapse 07:59 Layers of the vagina 09:51 Treatment with observation 10:59 Nonsurgical treatment with pessaries 11:08 Interesting history of pessaries 12:38 Getting the right fit 13:57 Pessary care 14:56 The craziest pessary I ever used 16:23 Can't I just do Kegels? 18:35 Removing the stigma of a pessary 19:52 Mucus with a pessary 21:03 Surgery for prolapse 23:31 The topic of vaginal mesh 27:27 Possible complications with vaginal mesh 29:31 Can mesh be removed? 30:20 Slings vs vaginal mesh 32:15 When to consider surgery for prolapse 33:07 Obliterative vaginal surgeries 36:35 Recurrence of prolapse after surgery 37:38 Non-mesh options for vaginal repair 40:32 Choosing a high volume pelvic surgeon Learn more about pelvic organ prolapse here: https://www.augs.org/assets/2/6/POP.pdf Learn about pessaries here:https://www.voicesforpfd.org/ Discover more about vaginal suspension surgery here: https://www.augs.org/Vaginal_Suspension_Surgery.pdf And learn about vaginal closure surgery (colpocleisis) here:https://www.augs.org/Colpocleisis.pdf Follow us! Instagram foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology Loved this episode? Share with a friend.
A majority of women with pelvic organ prolapse are asymptomatic and you may be able to relieve some symptoms without surgery however there are still surgical options. Join us for Part 2 as Dr. Allen Mehr discusses surgical options.
A majority of women with pelvic organ prolapse are asymptomatic and you may be able to relieve some symptoms without surgery. Dr. Allen Mehr discusses non- surgical treatment options for pelvic organ prolapse.
In episode 554, James and Mike go over a topic we have never covered in 553 previous podcasts. We invited Samantha Moe back to the podcast to talk about how effective are pelvic floor exercises or pessaries for stress urinary incontinence. We find that the magnitude of the benefits from pelvic floor exercises is fairly impressive. Tune in to find out what numbers we thought justified the phrase “fairly impressive” and see if you agree. Show notes Tools for Practice Stress Urinary Incontinence: Pelvic floor exercises or pessary?
In episode 554, James and Mike go over a topic we have never covered in 553 previous podcasts. We invited Samantha Moe back to the podcast to talk about how effective are pelvic floor exercises or pessaries for stress urinary incontinence. We find that the magnitude of the benefits from pelvic floor exercises is fairly […]
Founder & CEO of Cosm Medical and inspired to launch Cosm because of his grandmother's health. Previously launched 8+ medical devices in urology/gynecology/cardiology/gastroenterology including the most utilized urodynamics system in the world.https://www.cosm.care/https://www.linkedin.com/company/cosm-medical-corp/?viewAsMember=true*******************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
A pessary is like a sports bra for your vagina! Surabhi interviews Cara McDougall, a pelvic health physiotherapist specializing in pessary assessment and fitting. We discuss how pessaries support people with pelvic organ prolapse and stress urinary incontinence, who makes an ideal candidate, and the success rate. Let's debunk common myths and release the stigma around pessary use (it's been around forever!)..Specific Topics:—What is a Pessary?—History of Pessaries (it started in ancient Egypt!)—Helping Patients with Pessary Care → 0:03:32—Symptoms of Pelvic Organ Prolapse (POP)—Who is the ideal candidate & ideal timing for Pessary Use?—What are unsafe circumstances for Pessary Use?—Common Myths about Pessaries—Gaining relief of symptoms with a pessary—Trial Pessary—Sex & Pessary Use—Periods & Pessary Use—What are pessary fittings like?—Pregnancy & Pessary Use—Pessaries & Stress Urinary Incontinence (SUI).Today's episode is sponsored by Embodia https://www.embodiaapp.com/ - use code momstrength to save $20 off your first month's Tier 3 membership..Important Links:—Follow Toronto Pessary Clinic on Instagram @torontopessaryclinic—www.torontopessaryclinic.com www.saskatoonpessaryclinic.com —Want pelvic floor strength? Join my BASE fitness membership!—Read my Blog for more on Pessaries and Prolapse: https://www.thepassionatephysio.ca/blog/vagina-sports-bra-pessary-prolapse and https://www.thepassionatephysio.ca/blog/pelvic-organ-prolapse-top-questions-answered .Connect with Surabhi:—Find Surabhi on Instagram or Facebook @thepassionatephysio—Website: https://www.thepassionatephysio.ca
Single-use application to treat the molluscum contagiosum approved; Xdermvy has gotten the green light to treat demodex blepharitis; warfarin reversal treatment for use in urgent surgery; weight loss drug in short supply through 2023; cervical pessary assessed for reducing preterm birth.
Editor's Summary by Preeti N. Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for the July 25, 2023, issue. Related Content: Audio Highlights
Sherrie Palm carves the trail to de-stigmatize pelvic organ prolapse (POP), a common but rarely acknowledged women's health condition impacting an estimated 50% of women, as she educates and inspires to facilitate evolution of women's health directives.Sherrie Palm is the Founder/CEO of APOPS, Association for Pelvic Organ Prolapse Support, author of 3 editions of the award-winning book Pelvic Organ Prolapse: The Silent Epidemic, a pelvic organ prolapse patient advocate, vaginal and intimate health activist, internationally recognized speaker, POP key opinion leader, and prolific writer regarding POP physical, emotional, social, sexual, fitness, and employment quality of life impact. Sherrie has presented speeches nationally and internationally to physician, research, academic, corporate, government policy, and patient audiences since 2011. Her points of focus are raising awareness of the next significant evolution in women's health awareness, screening, practice, and policy, advancing global women's vaginal and intimate health empowerment, developing POP patient guidance and support structures, and bridge building within patient advocacy, white coat, and white collar sectors toward the advancement of women's pelvic health and POP best practice. Recognizing a need to shift the global view of the remaining stigmatized aspects of women's health, Sherrie Palm takes steps to pioneer change. Cognizant of the diverse and sensitive needs of her audience, Sherrie delicately places all the cards on the table to disclose aspects of vaginal health and intimate wellness rarely effectively discussed. Sherrie's capacity to respectfully and compassionately answer all questions posed during speaking engagements endears her to the audience. Sherrie's engagement in POP projects and protocol enables patient voice to be an integral part of women's health and wellness development. Additional information about APOPS, pelvic organ prolapse, or Ms. Palm's book or speaking presentations is available on the APOPS website.https://www.pelvicorganprolapsesupport.org/Sherrie on FacebookSherrie on IGSherrie on YouTube*******************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
Gaynor Morgan opened C&G Medicare Ltd in 2006 in loving memory of her mother Carole.Carole, suffered for years with stress incontinence despite having had 5 successful years post op TVT. Finding no adequate solution to the problem mother and daughter worked together using their nursing expertise to develop the first IncoStress prototype.Following Carole's tragic death in 2004 Gaynor continued the quest and focused on developing the pessary Incostress and IncoLite further to help women who suffer with stress incontinence and pelvic organ prolapse. The clinical trials showed 30% of women came off the waiting list for surgery and 84% of women had an improvement in incontinence issues. The incostress was further tested with Dr Bruce Crawford a board certified urogynaecologist and founder of Pfilates exercise program for incontinence and prolapse. The results showed a 98% improvement.With the efficacy of Incostress, Gaynor went on to open up her own pessary manufacturing company and also became Europe's largest pessary distributor. Here, IncoLite and Bellecup were further developed and produced.Gaynor is respected by key opinion leaders in the pelvic health field for her tenacity in continuing to raise awareness and signpost women to the right places to find the proper treatment for their needs.The turn of Brexit and the pandemic forced Gaynor to close her company, and gave way to new horizons, where is now focused on training. Combining her skills from the last 25 years, as a pessary expert, certified personal trainer, breathing coach, Science of stretching instructor and qualified teacher, she set out to create Pelvic Angel, and educational platform for both medical professionals and patients to find various courses run by herself and other leading professionals to bring about the best training and educational resources to those in the field of pelvic health.A leading pessary expert Gaynor works trains clinicians and physicians in pessaries from the basics to how to manage patients with sever complications involving pessary use.She is also and advisor to some of the worlds leading pessary manufacturers and is consults for the women's health side of a major medical company.Gaynor has created a pessary catalogue which features all pessaries and gives this out to the professionals who attend her courses. She has also created a condensed version for patients, so they can discuss options with their own medical advisors.Gaynor is vice president of European Women's Innovator and Inventors Network (EUWIIN) which is part of Global Women's Innovation and Invention Network (GWIIN) where she advises and speaks at events helping other inventors who are looking to bring products to market. https://pelvicangel.com/https://www.facebook.com/pelvicangelhttps://www.instagram.com/pelvicangel/Awards won2019 Double platinum awarded winner for the work carried out helping women with pelvic organ prolapse and incontinence issues. at the Global Women's Inventors & Innovators Network 2015 BIS (British Invention Show) Gold medal for best con*******************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
The 3 C's that frequently factor, when I'm talking to women with pelvic floor dysfunction are 1) Comfort - not only of prolapse, but of pessaries and general pelvic cavity comfort. 2) Conditioning - not only how exercise can trigger pelvic floor symptoms, but also how symptoms can be managed (and improved) with effective exercise practice! 3) Confidence - The biggie! Confidence, not only aesthetically, but also more generally. From exploring intimacy and new sexual partners, to confidence out socially, when you're not sure how your pelvic floor might behave (or not!)And the link to receive 20% off my next 6 Week: Transform Your Core & Pelvic Floor is www.FitFannyAdams.com/PODCASTVIP but Only until April 1st 2023!Which 'C' affects you most? Let me know at sarahjane@FitFannyAdams.com
Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the December 20, 2022, issue. Related Content: Audio Highlights
Coming out of her; Bondage of Egypt, Walled-in camp, Revelation; Interpreting Torah; "Called out"; In, but not of the "world"; Roman Offices; Republic -> Empire; "Temples"; Creatures; Kingdom of God; Ex 1; Genesis review of Israel; Taken by pirates; Egypt and slavery; "Corvee"; 20% tax; Reserve fund; Understanding history; Ex 1:8; Task masters = mem-semech; Tribute; Work projects for Pharaoh; Dearth salvation; Pharaoh's grain; Prosperity in Israel during bondage; Grain trade; Affliction; Service with "rigor"; v15 Midwives kill sons; "Charged" - statutory law; "One child" in China; Sold themselves (Gen 47:24); Civil membership; Moses; Abortion; Becoming savages; Missing covetousness; Natural Law; Forced payment; Acts 7:19; Moses; Trial of Stephan; Abortion; Population collapse; Lowering birthrate; "Brephos"; Pessary; Exceeding fair? "God of the city"; Public religion; vs Pure religion; Moses - rightful Pharaoh; Moses as prophet; Individuals vs groups; Balaam and Nicolaitans; Christian trials; "Let MY PEOPLE go"; Setting men free; Snared by welfare; Bondage in the whole world; Bible: Religion or Government?; Church = one form of government; PS 69:23; Ecc 2:14; Rom 11:10; Darkened eyes; John 3:19; Covetous practices; Christ forbade it; Ignoring Christ's teachings; Marcus Aurelius; Evil; Jn 8:12; Ac 26:17; Rom 13:11; Free bread?; Moses pulled from the water; Archeological evidence of Moses; Red heifer?; Emotional righteousness?; Providing for the way of Christ; Levites; Strengthening the poor; Repentance; Becoming doers of His word; Lessons of Exodus; Missing the Gospel; Charity; Lady Godiva; Hating leaders; Kingdome of God other form of government; Learn to be free souls under God.
In the latest episode of the Lexman Artificial Podcast, host Lexman welcomes Ben Goertzel of OpenAI to discuss his new book, Cartouche: The Lost Art of decentralized Cryptocurrency Mining. In this book, Ben lays out a new method for mining cryptocurrencies using a cartouche, or a unique piece of data that is used to make calls to dispersed exchanges. This allows for greater security and the ability to control your own mining process.
Derek Sham is an engineer turned general manager with successful PE-backed exit in 2016 of a urology diagnostic company- launched 8+ medical devices in urology, gynecology, gastroenterology and cardiology. Inspired to launch Cosm by a health episode with his grandmother. Cosm Medical is creating Personal Pelvic Health – a digital gynecology platform to personalize care for women affected by pelvic floor disorders such as pelvic organ prolapse and incontinence. Using emergent ultrasound, artificial intelligence and 3D printing, Gynethotics will personalize pelvic health devices so more women can live and age with dignity and grace.https://www.linkedin.com/in/derek-sham-87b1b114/www.cosm.care Podcast Link: https://link.chtbl.com/FemTechFocusSocial HandlesLinkedin: @FemTech Focus @Brittany BarretoTwitter: @Femtech_Focus @DrBrittBInstagram: @FemTechFocus @DrBrittanyBarretoFacebook: @FemTech Focus @Dr. Brittany BarretoFemTech Focus Bio:FemTech Focus is a 501c3 non-profit organization founded to bring awareness externally and internally for the FemTech industry and to empower the key stakeholders including entrepreneurs, investors, physicians, governments, and biopharma with resources and research to elevate women's health and wellness globally. Subscribe and Donate: www.femtechfocus.orgFemTech Focus Podcast Description:The FemTech Focus Podcast with Dr. Brittany Barreto is a meaningfully provocative conversational series that brings women's health experts - including doctors, scientists, inventors, and founders - on air to talk about the innovative technology, services, and products that are improving women, female, and girl's health and wellness, collectively known as FemTech. The podcast gives the host, Dr. Brittany Barreto, and guests an engaging, friendly environment to learn about the past, present, and future of women's health and wellness.
In this episode, gynecologist Dr. Paula Espino and I discuss:The SOGC guidelines for prolapse management What is a pessary?Different types of pessaryWays pessaries can be used and managedSymptoms of prolapseTypical course through the health care system for someone who has symptoms of prolapseWait times for seeing a gynecologist in CanadaWhat an assessment by a gynecologist entailsThe role of pelvic health physiotherapy The role of vaginal hormonesWhen surgery may be indicatedDr. Paula Espino is an OBGYN practicing in Kelowna, BC, Canada.Thanks for joining me! Here is where you can find more:my online course to walk you through pregnancy, birth prep and postpartum recovery: https://mommyberries.comWant more details on the small groups?Small GroupsFollow me on:InstagramFacebookYouTubeSupport the show
In episode 330 I interview Avril about her two birth experiences under private obstetric care. Her first baby was diagnosed with intrauterine growth restriction (IUGR) and after weekly ultrasounds from 30 weeks, she opted to be induced at 38 weeks. Following hours of posterior labour, she chose to have an epidural and because of her baby's posterior position and deflexed head, a forceps-assisted birth was necessary. Avril had a postpartum haemorrhage and was diagnosed with a prolapse, both of which contributed to birth trauma. Her second birth was a positive induction where she advocated for what she wanted; a slow release syntocinon drip and a light epidural so she had more awareness and control while birthing.
Physiotherapist Eryn Matheson joins us to talk all things pessary: what they are, how they can help with pelvic organ prolapse and stress urinary incontinence, and how to get fitted. We talk about recognizing the symptoms of pelvic organ prolapse and the percentage of people with a uterus who may experience this (spoiler alert: it's high). Eryn also drops a truth bomb on the ONE thing you can do to protect your pelvic floor health over the course of your lifetime, and it's not what you think!
Common knowledge among Christians?; "Community"; Defense of neighbor; Herman the German; Caesar and the Gauls; Aiding Ukraine; Slavery; Tribute; Bondage of Egypt; Socialism; "Church" form of government; Becoming merchandise; The Flood; Drowning fact-checkers; "The" truth; Hippocratic oath; Dentist death story; "Pessary"; Essenes; Duty to protect neighbors; Free grain from Pharaoh; Diet?; "No poison nor pessary"; Violating precepts - enforcement = cause/effect; two rivers = choice; Tower of Babel; Burning Bush Festival - August 21; Abortion; Power of Choice; Pharoah = Caesar = FDR = LBJ…; Options in Egypt; Choosing bondage; Neighbors who don't love you; One-earth language?; Gen 11 beit-shen-paya-hey (language - only 1 time); Ex 28:32 as "binding"; Zeph 3:9; Care by charity; Loving Christ; Governments of the gentiles; Offerings by consent - not force; Temple handouts; Social justice; "Apostasy"; Income tax; Public schools; Blind guides - even ministers; Choosing your river; Fitting stones together; Lawyers and politicians; Mt 22:35; Lk 7:30; Evidence of iniquity; The devil of John the Baptist; Story of the blind man cured; Real belief in Jesus; Iniquitous Pharisees; Ur and Haran; Changing OUR lives; Lk 11:45; Preaching the whole gospel; Jubile; Ways to love your neighbor; Righteousness required; Fraud?; Law "Nailed to the Cross"; Eschewing excuses; Repent of the world's persuasion.
Here we have some of our favourite extracts from Season 1 of The Skies We're Under podcast. We had to do a ‘best of' episode because we couldn't end on episode 19 -that would be all kinds of wrong. If you're wondering whether to listen to any of the episodes, here is a sneak peek at some of our truth telling, laughing and the things we're learning as we trundle along. Confessions of an optimistic parent Little white lies HELP! Self-care – what it is not Sex-ed Pessary gate Finishing with another entry for out poetry competition Thank you for coming back week on week. Please share the podcast with your friends, colleagues, or family as there are lots of great episodes for them to listen to. You can email us at TSWUpodcast@gmail.com or follow @bornatrighttime on Instagram and Facebook. As ever, it would be super helpful if you could rate, review and follow the podcast. That way you will know exactly when we are back – we will see you with season 2.
Aborting children in the bible; Pessary; Roe v Wade; Biblical constitutions; Entitlements; Worker abuse; Networking of Christianity; Living at others' expense; Moral decay of society; Politics of the bible; Limiting the power of government; Liberty; Righteous paths; Religion: threskia/religare and superstitio; Death by communism; Genesis 11; "Shinar" shen-nun-ayin-resh; Two trees/rivers; One-language Earth?; Extended meaning of words; Sudden Adult Death Syndrome; Knowing good and evil; Censorship; Science; God's truth; Gen 11; One: alef-hey-tav; Going the wrong way; Brick towers; Hebrew word analysis; Thomas Jefferson on slavery; Bricks in the tower of Babel; One purse; Socialism; Owning things common; Levites; "Go to" = choice; Firing clay bricks; Binding with "slime" (asphalt?); chet-mem-resh = troubled?; Limiting your own choices; Not understanding each other; Repentance - finding your way; Government by force; Inflation; Individuals? Or bricks stuck together?; Golden calf; Limiting YOU; Fascist anti-fascists; Confounded speech - pronouns?; Scattering by natural law; Allowing neighbor's rights; Finding your way back to liberty under God; Generations of Shem; "Ur"; Becoming bricks today; Gen 9; Setting others free; Believing Holy Spirit; Gen 10; Cities of blood; Willingness to see our mistakes; Weakening the poor; Abraham's new way; Melchizedek (Shem?); Are you a Canaanite?; Losing dominion; Gen 12; Birthing slaves; Power to contract; Christ wants to love you; Welfare snares; Be willing to bless others.
Kingdom = government, ruling authority in your life; Understanding what Kingdom and Righteousness look like; Deeds of the Nicolaitans; Error of Balaam; Bondage of Egypt; Pessary; God - giver of life; Vacant cities; Christ's free nation; "Gentile"; Careful criticism; "fake good news"; "Bishop"; Nicaean Council; Ambrose; Milan - command to become Christians; Humility; Lies accepted as truth; Threatened by opposing opinion; Twitter drama; Letting go of hate; Worshipping false images; Food shortages?; Fear and hate; Leaving judgement to God; God's pronouns?; Spiritual and physical realms; Diminishing individual value; Wrath of God; Standing for righteousness; Fear not!; Recognizing your void of Holy Spirit; Listening; Learning to follow Christ's "way"; Overseeing service; "World" power; Corporate church; "We the People"; Constitution = corporate charter; Wishful thinking; Who are you?; Knowing who you are; Remaining free; Constantine's "bishops"; Church rank in Christ's Church; Believing in symbols only; Have you gone back to the bondage of Egypt?; Lovers of darkness; "Born again"; Fruits of the Spirit; "Nicolaitans"; "Balaam"; Conquered people; Property ownership and Legal Title; Loving the light; Which spirit do you hear?; John 3:19; Filled with delusion - dysphoria about reality; Running from the Light of God; Doing truth; Redistributing wealth; Thanksgiving - happy to share; Freedom = right to choose; Sureties for debt; Welfare snare; Taxation - consequence of slothfulness; Charagma, identifying number, 666; Robbing widows and orphans; Finding true Christianity; "agape"; Do truth!
It's a big day in Helen's pessary saga! After a year-long wait to be fitted for a vaginal pessary, she's offered a private appointment with a specialist in London. In this episode, you'll hear what happens at a pessary fitting when Helen visits Tracey Matthews - a women's health physio, former British rower, strong woman, cross fitter and proud pessary wearer. She's passionate about the benefits of pessaries when it comes to helping women with pelvic organ prolapse or incontinence and walks Helen through an assessment. Helen leaves with a cube...but will her pelvic floor be up to the task?Tracey talks about the shock of discovering her own prolapse after the birth of her first child, her decision to specialise in pessaries and why it's so important to end the stigma around them:We've got to shout about it and make it so that it's not a taboo...and pessaries aren't a taboo. I fit more pessaries in postnatal and younger women than I do in anybody over 60.HUGE thanks to Tracey Matthews who is @prolapsestrength Instagram and part of the team at White Hart Clinic in LondonFor an easy guide to vaginal pessaries, read this blogFor more pessary chat listen to last seasons episode Vaginal Pessaries: A Deep Dive Check out the new UK guidelines for patients and clinicians, which were mentioned in this episodeFor more information about 3D printed pessaries of the future (!) go hereTo see a video of a pessary fitting with Tracey go here
Ever had a pelvic organ prolapse (POP) client ask you if she should wear her pessary during their 1:1 rehab appointments or pelvic floor exercise classes with you? Pessaries aren't something all FitPros are particularly versed in, but they can be extremely useful for clients who have POP. Did you know that pessaries come in very different shapes and sizes, and are designed for different uses too? Want to learn more about pessaries from the prolapse queen herself, Claire Mockridge? Well, strap yourself in, pop your earbuds in and enjoy. In this episode Claire highlights: 1) the different types of pessaries available and their specific uses, 2) a clear explanation of the varying grades of pelvic organ prolapse, and 3) what clients should do if they're unsure whether to wear their pessary when exercising with you. Support the Pelvicpreneur Podcast and buy me a beer! - https://www.buymeacoffee.com/clairemockridge Find out more about Your Pelvic Matters here - https://clairemockridge.com/viplist Links and resources: Gaynor Morgan - @pelvicangel - https://www.instagram.com/pelvicangel/ Episode 53: Gaynor Morgan - Pessaries + The Pelvic Floor Episode 84: Lifestyle Factors That Attribute To Pelvic Floor Dysfunction Are we Instagram friends yet? - https://instagram.com/clairemockridge/ Add your name to my my mailing list here - https://clairemockridge.com/newsletter Check out Claire's NEWLY improved course on Profit, Pricing + Productivity here - www.clairemockridge.com/profit
DESCRIPTION Are you one of those 50% of women suffering from pelvic organ prolapse (POP) looking for solutions to manage this condition through the use of pessaries? This conversation with Kaitlin Maier from REIA Health looks at this newly improved design and utilisation of pessaries for women suffering from pelvic organ prolapse (POP). REIA are hoping to achieve open availability of pessary for all women experiencing POP, worldwide distribution, with little to no practitioner intervention (following initial consultation) to enable women in remote locations self use of the pessary. This episode is for you if you want to know about; Pelvic Organ Prolapse POP Brief history of pessaries Intergenerational family discussions on women's health Women's health anatomy Clinical trials Inclusion for women with additional conditions Innovation with pessaries How to prepare for a pessary fitting LINKS FOR YOU Grab yourself a cuppa from Madame Flavour and use code: BRAVEDR to receive 20% off, plus a FREE gift box of tea. Sign up to the REIA Health Newsletter: www.reiahealth.com CREDITS Host - Stephanie Thompson Executive Producer & Editor - Dave Stokes Podcast logo artist - Khrystyna lukashchuk Brand Designer - Brodie-Rose Original Soundtrack - Steven Robinson Special thank you to Lyn for these show notes. Great job mum!
Dr. Lamia Gabal is a Urologist with a sub-specialty in Female Pelvic Medicine and Reconstructive Surgery. She talks about all kinds of concerns women bring to a Urologist, information about the treatment options, and how to go about it. Sexual issues that bring women to urologists Women come to urologists for various kinds of sexual concerns. While traditionally urologists were thought to be “Male gynecologists”, Dr Lamia says urologists deal with much more than that. Women come with issues of Urinary Incontinence, Urinary Tract Infection, orgasmic dysfunction, female sexual dysfunction, libido issues, and more. Many women who come with these concerns back away from having sex with their partners because of the embarrassment they feel around it. Sometimes fixing their medical problems also helps them with their sex lives. While male concerns around this subject are already well understood and treated, female sexual dysfunction has only received a “trash can diagnosis”, says Dr. Lamia. There are several types of female sexual dysfunctions and each needs to be treated accordingly. Urologists also deal with hormonal changes and core dysfunction. Thinning of vaginal tissue as women age can also lead to sexual dysfunction. Pelvic organs prolapse after childbirth can also lead to sexual dysfunction and can be painful. Medical concerns that drive women away from having sex There's an overlap of urologists and gynecologists in the sub-specialty of female pelvic medicine and reconstructive surgery, with each performing their roles. However, not all urologists or gynecologists specialize in the field Dr Lamia does. She categorizes the kinds of concerns patients come in by their age. While most of her patients are post-childbirth age, she also treats young women who come in with issues of painful sex which could be pelvic floor dysfunction or dyspareunia and is usually associated with sexual trauma or PTSD. Women who are of child-bearing age often come in with recurring Urinary Tract infections. Women who are getting older and are past having kids struggle with pelvic organ prolapse, urinary incontinence, and fecal incontinence. All the concerns Dr. Lamia mentioned can drive women away from having sex or from having a satisfying sex life. According to Dr. Lamia's advice, women who experience Urinary Tract Infections that have constipation, pelvic prolapse, and vaginal atrophy (thinning of vaginal tissues) should consult a urologist. Where does sex intersect in terms of conversations with patients? As a doctor, there's no training you get in medical school that prepares you to have these conversations about sex with your patients. It's often one's interest to seek out more information and awareness that leads to these conversations with patients. Dr Lamia says it's important to talk about sex with their patients to provide better health care, it aids in understanding how it affects their body and to make important decisions. However, most doctors don't have these conversations for reasons of not having enough time or not being comfortable enough. Sometimes because of the assumption that an older patient might not be sexually active, which should not be done. Pelvic Organ Prolapse – treatment options Pelvic Organ Prolapse commonly occurs after childbirth and is more common with vaginal deliveries. All of these factors put pressure on organs making them lean into the vaginal wall. It increases the risk of urinary incontinence, fecal incontinence, and UTIs, and the most severe case can cause kidney dysfunction. It can be treated by “Pessary” which delays or prevents the need for surgery. Surgeries like cystocele repair, rectocele repair, and slings for incontinence are also an option, but patients can expect them to be redone after 15-20 years. It can impede sexual intercourse when the patient is constipated or something else. The surgery fixes vaginal laxity caused by this which can benefit sexual intercourse for both partners. Treatment options for Urinary Tract Infections To treat Urinary Tract Infection, all the other causes of the infection has to be ruled out through either a physical exam, an ultrasound of the kidneys, or a cystoscopy. Dr. Gabal explains some treatments that could help such as maintaining good sexual hygiene, treating constipation, emptying bowels regularly, consuming fiber and a lot of water, peeing before and after sex, using plenty of lubrication that isn't “warmed or flavored” can help to reduce the infection. Using antibiotics after intercourse and using probiotics to normalize vaginal bacteria can also help. She suggests supplements like cranberry and D-mannose prevent certain types of UTIs. Conditions That Can Cause Sexual Pain Dr. Lamia talks about pelvic floor dysfunction as the most common cause of dyspareunia or painful sex. It causes mild pelvic floor muscle spasm to vaginismus where the vagina doesn't open and causes pain. To treat this, she suggests soaking in a tub, putting heat on the area, or taking muscle relaxant drugs prescribed by the doctor. Pelvic floor physical therapy is the most effective of all and is done by specially trained pelvic floor physical therapists. Post-menopausal vaginal atrophy could also be the cause. She talks about birth control as an understated cause that causes thinning of vaginal tissue and a change in PH levels causing painful sex. She recommends putting topical testosterone mixed with estrogen to treat it. Biography Dr. Lamia Gabal, MD, FPMRS, is a board-certified physician who specializes in several areas of medicine, including urology and restorative surgeries. Dr Gabal has more than 20 years of experience in the field of general medicine and urology. The doctor and her staff take great pride in offering many of the newest, cutting-edge treatment options and strive to continually provide the latest in technological advancements. She graduated from the University of California at San Diego Medical School in 1995 and performed two separate residencies at the UCSD Medical Center. She was the recipient of the “Patient's Choice Award” from 2011 to 2013. Currently, Dr Gabal serves residents of Southern California at Prestige Medical Group in Santa Ana, CA. Resources and Links: Website: https://www.drgabal.com/ Services: https://www.drgabal.com/services/ More info: Training video – https://jessazimmerman.mykajabi.com/video-choice Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: https://www.intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/177-urology-for-women-dr-lamia-gabalMore info and resources: How Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to make sex easy and fun for both of you: https://intimacywithease.com/masterclass Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcast Secret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcast
Dr. Lamia Gabal is a Urologist with a sub-specialty in Female Pelvic Medicine and Reconstructive Surgery. She talks about all kinds of concerns women bring to a Urologist, information about the treatment options, and how to go about it. Sexual issues that bring women to urologists Women come to urologists for various kinds of sexual concerns. While traditionally urologists were thought to be “Male gynecologists”, Dr Lamia says urologists deal with much more than that. Women come with issues of Urinary Incontinence, Urinary Tract Infection, orgasmic dysfunction, female sexual dysfunction, libido issues, and more. Many women who come with these concerns back away from having sex with their partners because of the embarrassment they feel around it. Sometimes fixing their medical problems also helps them with their sex lives. While male concerns around this subject are already well understood and treated, female sexual dysfunction has only received a “trash can diagnosis”, says Dr. Lamia. There are several types of female sexual dysfunctions and each needs to be treated accordingly. Urologists also deal with hormonal changes and core dysfunction. Thinning of vaginal tissue as women age can also lead to sexual dysfunction. Pelvic organs prolapse after childbirth can also lead to sexual dysfunction and can be painful. Medical concerns that drive women away from having sex There’s an overlap of urologists and gynecologists in the sub-specialty of female pelvic medicine and reconstructive surgery, with each performing their roles. However, not all urologists or gynecologists specialize in the field Dr Lamia does. She categorizes the kinds of concerns patients come in by their age. While most of her patients are post-childbirth age, she also treats young women who come in with issues of painful sex which could be pelvic floor dysfunction or dyspareunia and is usually associated with sexual trauma or PTSD. Women who are of child-bearing age often come in with recurring Urinary Tract infections. Women who are getting older and are past having kids struggle with pelvic organ prolapse, urinary incontinence, and fecal incontinence. All the concerns Dr. Lamia mentioned can drive women away from having sex or from having a satisfying sex life. According to Dr. Lamia’s advice, women who experience Urinary Tract Infections that have constipation, pelvic prolapse, and vaginal atrophy (thinning of vaginal tissues) should consult a urologist. Where does sex intersect in terms of conversations with patients? As a doctor, there’s no training you get in medical school that prepares you to have these conversations about sex with your patients. It’s often one’s interest to seek out more information and awareness that leads to these conversations with patients. Dr Lamia says it’s important to talk about sex with their patients to provide better health care, it aids in understanding how it affects their body and to make important decisions. However, most doctors don’t have these conversations for reasons of not having enough time or not being comfortable enough. Sometimes because of the assumption that an older patient might not be sexually active, which should not be done. Pelvic Organ Prolapse – treatment options Pelvic Organ Prolapse commonly occurs after childbirth and is more common with vaginal deliveries. All of these factors put pressure on organs making them lean into the vaginal wall. It increases the risk of urinary incontinence, fecal incontinence, and UTIs, and the most severe case can cause kidney dysfunction. It can be treated by “Pessary” which delays or prevents the need for surgery. Surgeries like cystocele repair, rectocele repair, and slings for incontinence are also an option, but patients can expect them to be redone after 15-20 years. It can impede sexual intercourse when the patient is constipated or something else. The surgery fixes vaginal laxity caused by this which can benefit sexual intercourse for both partners. Treatment options for Urinary Tract Infections To treat Urinary Tract Infection, all the other causes of the infection has to be ruled out through either a physical exam, an ultrasound of the kidneys, or a cystoscopy. Dr. Gabal explains some treatments that could help such as maintaining good sexual hygiene, treating constipation, emptying bowels regularly, consuming fiber and a lot of water, peeing before and after sex, using plenty of lubrication that isn’t “warmed or flavored” can help to reduce the infection. Using antibiotics after intercourse and using probiotics to normalize vaginal bacteria can also help. She suggests supplements like cranberry and D-mannose prevent certain types of UTIs. Conditions That Can Cause Sexual Pain Dr. Lamia talks about pelvic floor dysfunction as the most common cause of dyspareunia or painful sex. It causes mild pelvic floor muscle spasm to vaginismus where the vagina doesn’t open and causes pain. To treat this, she suggests soaking in a tub, putting heat on the area, or taking muscle relaxant drugs prescribed by the doctor. Pelvic floor physical therapy is the most effective of all and is done by specially trained pelvic floor physical therapists. Post-menopausal vaginal atrophy could also be the cause. She talks about birth control as an understated cause that causes thinning of vaginal tissue and a change in PH levels causing painful sex. She recommends putting topical testosterone mixed with estrogen to treat it. Biography Dr. Lamia Gabal, MD, FPMRS, is a board-certified physician who specializes in several areas of medicine, including urology and restorative surgeries. Dr Gabal has more than 20 years of experience in the field of general medicine and urology. The doctor and her staff take great pride in offering many of the newest, cutting-edge treatment options and strive to continually provide the latest in technological advancements. She graduated from the University of California at San Diego Medical School in 1995 and performed two separate residencies at the UCSD Medical Center. She was the recipient of the “Patient’s Choice Award” from 2011 to 2013. Currently, Dr Gabal serves residents of Southern California at Prestige Medical Group in Santa Ana, CA. Resources and Links: Website: https://www.drgabal.com/ Services: https://www.drgabal.com/services/ More info:Training video – https://jessazimmerman.mykajabi.com/video-choiceSex Health Quiz – https://www.sexhealthquiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: https://www.intimacywithease.com/masterclassBetter Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/177-urology-for-women-dr-lamia-gabal
Dr. Lamia Gabal is a Urologist with a sub-specialty in Female Pelvic Medicine and Reconstructive Surgery. She talks about all kinds of concerns women bring to a Urologist, information about the treatment options, and how to go about it. Sexual issues that bring women to urologists Women come to urologists for various kinds of sexual concerns. While traditionally urologists were thought to be “Male gynecologists”, Dr Lamia says urologists deal with much more than that. Women come with issues of Urinary Incontinence, Urinary Tract Infection, orgasmic dysfunction, female sexual dysfunction, libido issues, and more. Many women who come with these concerns back away from having sex with their partners because of the embarrassment they feel around it. Sometimes fixing their medical problems also helps them with their sex lives. While male concerns around this subject are already well understood and treated, female sexual dysfunction has only received a “trash can diagnosis”, says Dr. Lamia. There are several types of female sexual dysfunctions and each needs to be treated accordingly. Urologists also deal with hormonal changes and core dysfunction. Thinning of vaginal tissue as women age can also lead to sexual dysfunction. Pelvic organs prolapse after childbirth can also lead to sexual dysfunction and can be painful. Medical concerns that drive women away from having sex There’s an overlap of urologists and gynecologists in the sub-specialty of female pelvic medicine and reconstructive surgery, with each performing their roles. However, not all urologists or gynecologists specialize in the field Dr Lamia does. She categorizes the kinds of concerns patients come in by their age. While most of her patients are post-childbirth age, she also treats young women who come in with issues of painful sex which could be pelvic floor dysfunction or dyspareunia and is usually associated with sexual trauma or PTSD. Women who are of child-bearing age often come in with recurring Urinary Tract infections. Women who are getting older and are past having kids struggle with pelvic organ prolapse, urinary incontinence, and fecal incontinence. All the concerns Dr. Lamia mentioned can drive women away from having sex or from having a satisfying sex life. According to Dr. Lamia’s advice, women who experience Urinary Tract Infections that have constipation, pelvic prolapse, and vaginal atrophy (thinning of vaginal tissues) should consult a urologist. Where does sex intersect in terms of conversations with patients? As a doctor, there’s no training you get in medical school that prepares you to have these conversations about sex with your patients. It’s often one’s interest to seek out more information and awareness that leads to these conversations with patients. Dr Lamia says it’s important to talk about sex with their patients to provide better health care, it aids in understanding how it affects their body and to make important decisions. However, most doctors don’t have these conversations for reasons of not having enough time or not being comfortable enough. Sometimes because of the assumption that an older patient might not be sexually active, which should not be done. Pelvic Organ Prolapse – treatment options Pelvic Organ Prolapse commonly occurs after childbirth and is more common with vaginal deliveries. All of these factors put pressure on organs making them lean into the vaginal wall. It increases the risk of urinary incontinence, fecal incontinence, and UTIs, and the most severe case can cause kidney dysfunction. It can be treated by “Pessary” which delays or prevents the need for surgery. Surgeries like cystocele repair, rectocele repair, and slings for incontinence are also an option, but patients can expect them to be redone after 15-20 years. It can impede sexual intercourse when the patient is constipated or something else. The surgery fixes vaginal laxity caused by this which can benefit sexual intercourse for both partners. Treatment options for Urinary Tract Infections To treat Urinary Tract Infection, all the other causes of the infection has to be ruled out through either a physical exam, an ultrasound of the kidneys, or a cystoscopy. Dr. Gabal explains some treatments that could help such as maintaining good sexual hygiene, treating constipation, emptying bowels regularly, consuming fiber and a lot of water, peeing before and after sex, using plenty of lubrication that isn’t “warmed or flavored” can help to reduce the infection. Using antibiotics after intercourse and using probiotics to normalize vaginal bacteria can also help. She suggests supplements like cranberry and D-mannose prevent certain types of UTIs. Conditions That Can Cause Sexual Pain Dr. Lamia talks about pelvic floor dysfunction as the most common cause of dyspareunia or painful sex. It causes mild pelvic floor muscle spasm to vaginismus where the vagina doesn’t open and causes pain. To treat this, she suggests soaking in a tub, putting heat on the area, or taking muscle relaxant drugs prescribed by the doctor. Pelvic floor physical therapy is the most effective of all and is done by specially trained pelvic floor physical therapists. Post-menopausal vaginal atrophy could also be the cause. She talks about birth control as an understated cause that causes thinning of vaginal tissue and a change in PH levels causing painful sex. She recommends putting topical testosterone mixed with estrogen to treat it. Biography Dr. Lamia Gabal, MD, FPMRS, is a board-certified physician who specializes in several areas of medicine, including urology and restorative surgeries. Dr Gabal has more than 20 years of experience in the field of general medicine and urology. The doctor and her staff take great pride in offering many of the newest, cutting-edge treatment options and strive to continually provide the latest in technological advancements. She graduated from the University of California at San Diego Medical School in 1995 and performed two separate residencies at the UCSD Medical Center. She was the recipient of the “Patient’s Choice Award” from 2011 to 2013. Currently, Dr Gabal serves residents of Southern California at Prestige Medical Group in Santa Ana, CA. Resources and Links: Website: https://www.drgabal.com/ Services: https://www.drgabal.com/services/ More info:Training video – https://jessazimmerman.mykajabi.com/video-choiceSex Health Quiz – https://www.sexhealthquiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: https://www.intimacywithease.com/masterclassBetter Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/177-urology-for-women-dr-lamia-gabal
Welcome all to IS PHARMACOLOGY DIFFICULT Podcast! I am Dr Radhika Vijay.Are we starting with news solid dosage forms today? Yes, we are! Today's highlights of the verbal episode are granules, pellets, lozenges and much more to discover, keep your patience and listening abilities alive for upcoming few minutes.I will start the talk with discussions of granules, these are simply dry powdered particles taken after dissolving them in water, making a solution or suspension.Then I will be making you recollect the sweet cooling taste of lozenges, their main feature being inclusion of gum, some sweetening or flavoring agent.Next, I will comment on Pellets, again their shape, their composition, their features, mechanism and examples.Next one more set of good great information is regarding suppositories, pessary and bougies, what are their similarities, and what are their minute differences and the matter of concern is what are their apt examples, all this with some of my heart held talk will be covered all in today's episode, hope you all will be able to connect with all these verbal speeches, I am sure you would.. For all the updates and latest episodes of my podcast, please visit www.ispharmacologydifficult.com where you can also sign up for a free monthly newsletter of mine. It actually contains lot of updates about the medical sciences, drug information and my podcast updates also. You can follow me on different social media handles like twitter, insta, facebook and linkedin. They all are with same name "IS PHARMACOLOGY DIFFICULT". If you are listening for the first time, do follow me here, whatever platform you are consuming this episode, stay tuned, do rate and review on ITunes, Apple podcasts, stay safe, stay happy, stay enlightened, Thank you!!
If you don’t know what a pessary is, let’s start by saying it’s a quality-of-life-saving device, and in this episode of Fit2B Radio, we interview the maker of one: Gaynor Morgan started out as a nurse and invented a leading pessary called “Incostress” that stops incontinence and helps strengthen the pelvic floor muscles. Gaynor’s original [...]
If you don’t know what a pessary is, let’s start by saying it’s a quality-of-life-saving device, and in this episode of Fit2B Radio, we interview the maker of one: Gaynor Morgan started out as a nurse and invented a leading pessary called “Incostress” that stops incontinence and helps strengthen the pelvic floor muscles. Gaynor’s original [...]
Meet Dr. Lubahn – Mom, entrepreneur, urologist and creator of https://ondrwear.com/ Learn about both of our crazy stories about becoming urologists. Incontinence is very common. 50% of women!!! There are common reasons that people leak. Stress incontinence – increase in abdominal pressure – leaking with cough, sneeze, laugh. It is a pelvic support problem. Urge incontinence – “I gotta go now!!” It is a bladder problem. Overflow incontinence – the bladder can't empty well, so it overflows with urine. The myth of “incontinence is normal when we get older”. Lifestyle changes – watch the amount of fluids you take in. Avoid or decrease caffeine and alcohol. Strengthen your pelvic floor with physical therapy. Use a Pessary or Poise Impressa. Surgery for Stress Incontinence – urethral bulking agents, midurethral slings Learn how Dr. Lubahn's quest for baby diapering solutions lead her to make the perfect underwear for women. Listen to what advice she has for other people with a great idea sitting in their brain. --- Send in a voice message: https://anchor.fm/kj-casperson/message
In this episode, I speak with mother-of-one Shani McGee about her entry to motherhood and Fourth Trimester with her daughter Harper.Shani takes us through her ventouse delivery and subsequent days at Birthcare where she felt great physically but her anxiety began to take hold. We cover her breastfeeding journey which seemed easy at first but resulted in Harper not gaining weight so Shani decided to transition to formula feeding, of which we discuss the things she loved about it, as well as the challenges such as judgment from others. Shani openly speaks of her discovery and diagnosis of her stage three uterine prolapse and the recovery which included seeing a postpartum physio and wearing a pessary. She also bravely speaks about the ensuing anxiety that came about from this and how she sought professional help over a number of months from a therapist. As difficult as this has been for Shani, she looks at what her recovery has given her: presence with her daughter.Follow Shani McGee on Instagram. Follow her childrenswear brand, Everyday. Follow Skye Ross on Instagram. Follow Motherness on Instagram.
In today’s episode, I speak with the incredibly knowledgeable Caitlin Day, mum of one and a qualified women's, men's and pelvic health physio. She goes by The Vagina Physio on Instagram so that says it all really - we talk about vaginas.. a lot. But we also go over c-section recovery, sex after birth, returning to exercise and above all else, what ideal postnatal recovery looks like. Therefore, we also cover what lies outside of that as pelvic floor issues, such as prolapse, vaginal tightness, abdominal separation, and discomfort during sex. We go into detail about pessaries too. You’ll quickly discover from our chat that despite it often being regarded as such, leakage or pain 'down there' doesn’t have to be your new normal, but it is really common. My hope for anyone listening to this conversation is that if you feel like something’s not right ‘down there’ that my chat with Caitlin makes you feel at ease and empowered to take your pelvic health into your own hands and consult a physio. I’m 12 months postpartum and I’ve booked in to see Caitlin myself, so even if you, like me, don’t think you have any issues, consider this permission (not that you really need it but sometimes it’s nice to be reminded) to put yourself first and get your pelvic floor checked by a professional. This episode is not sponsored, I reached out to Caitlin myself. If you'd like to book in for a postpartum pelvic health consultation with her, visit www.innercorephysio.co.nz and keep an eye out on Instagram to hear when Cailtin's new physio and pilates studio, Unity Studios will be open.Thanks so much, Caitlin!Follow Caitlin Day of The Vagina Physio on Instagram. Follow Skye Ross on Instagram. Follow Motherness on Instagram.
There was so much positive feedback from Episode 37: The Awkward Truth About Your Pelvic Floor that Amber invited her husband and urogynecologist Dr. Taylor Brueseke back on the podcast to answer your questions. Listen in as they talk all about pesseries, pelvic prolapse surgery, and if you really can damage your bladder by holding your pee for too long.
We start the episode chatting about our Clarity and how it feels. It feels GOOD. Julia feels good about where she is, where she wants to go. “Clarity on the NO.” We coined a new phrase! Sarah feels clear about a few things she does NOT want to do - and what she wants to focus on. We are looking ahead to 2019 and our Menopodcast Empire - or Menopyre, if you will. We’re planning to use the 12-week Year to achieve our goals - check out the book. It’s a super-detailed system for how to get things done. We quote Dr. Phil: What’s the story you’re going to tell yourself when you don’t achieve this thing? Bible Study: Chapters 7, 8, & 9 Menopause Confidential by Dr. Tara Allmen - you can buy it - we love this book! Chapter 7 of the book is called “What’s the Skinny on Weight Gain?” According to the book, it’s about aging, not about menopause. Boom. It’s about our metabolism has slowed down. The Dr. wants us to talk about gaining better health, and not losing weight. Sarah wishes she could lose weight, but would not care about the Number, if she FELT thin and her clothes fit better. Julia lost 15 pounds in the first part of the year, and has gained back 7. She’s struggling with her food choices. Julia realizes there’s no point wearing clothes that don’t fit - so she got a pair of comfy jeans. We discuss how uncomfortable Spanx are. Sarah announces that she has a goal of running a 5K by the end of Q1. It’s a question of endurance for her. And her flexibility is lacking as well. Fitness goals! According to the book, it’s not rocket science - weight loss is a question of the way you eat, not the way you work out. Note - not all calories are created equal. Dr. Allmen calls it a “pattern of eating” instead of a diet. She mentions Weight Watchers as a method, because it helps teach you a good pattern of eating. She mentions a sad statistic - 52% of the vegetables Americans consume are potatoes and tomatoes, in the form of French fries, potato chips, ketchup and pizza sauce. We reminisce about foods from the 70s, like Banquet Fried Chicken and Swanson Frozen Dinners. Chapter 8 - “To Pee or Not to Pee?” Turns out not everyone who gets old needs to use Depends. Do your Kegels! It’s really important to have a strong Pelvic floor. Not just for the urinary incontinence… There are two types: Stress and Urge. Like laughing or coughing - and getting on a trampoline. But it can be related to a medical problem as well, so get that checked out. And then the Dr. mentions something called a Pessary, which we had never heard of, which is something that can help prevent stress incontinence. It’s kind of like a diaphragm, but it supports your urethra. Plus there are apparently physical therapists who can help with pelvic floor biofeedback - to help you teach yourself to strengthen those muscles. And we mention the dreaded bladder infections. Keep it clean! Chapter 9 - “Who is that Wrinkly Old Woman in the Mirror?” Sarah has sadly looked in the mirror and said that to herself recently. It feels like the wrinkles came on not that long ago and are exponentially multiplying. But both Sarah and Julia are bothered more by the age spots than the wrinkles. Ugh. Growing up in Hawaii, sunblock was when the cloud went overhead. We never used any, so we did damage to our skin years ago. Neither of us like to Tan anymore. Dr. Allmen mentions she has had some Botox. Julia and Sarah would like to get the eye lift probably because the droopy-ness bothers us. Sarah has researched getting her age spots removed, but isn’t interested in getting Botox. Sarah wants the age spots removed from her hands and has seen a new spot on her face. Double ugh. And smoking is very bad for your skin! Julia admits she’s a little judgy about smoking and wishes people would save their $$ and their health by not doing it. And the chapter also mentions how, as we age, our skins heals more slowly from wounds, too. It’s the lack of Estrogen. Hot Flashes? Nope! Yay!
Stress incontinence caused by lifting is extremely common, but not part of normal pelvic floor function. Cassi and Katherine start this conversation by discussing their different experiences with stress incontinence, including what they’ve discovered through research and physical therapy, and their strategies for managing pesky pee while under the barbell. Balloon lung model Poise Impressa Pessary Julie Wiebe, PT Meryl Alappattu on The Clinical Athlete Podcast MegSquats Interview with Allie Feras Get some new gear from our Teespring Shop, including the new Minotaur shirt! And then find us online at www.morefemalestrength.com or on Instagram & Facebook @morefemalestrength. Email us at info@morefemalestrength.com.
Editor's Summary by Edward Livingston, MD, Deputy Editor of JAMA, the Journal of the American Medical Association, for the December 19, 2017 issue
Dr. Trish Neumann, PhD, FACP, is a Specialist Women's, Men's and Pelvic Health Physio. She joins me in discussing the role of pessaries in pelvic organ prolapse and physio management, the caution in use and promotion, as well as the new Uni course
Author: Jared Scott, M.D. Educational Pearls: A pessary is a device inserted into the vagina for medical purposes. Examples include birth control and mechanical support of the pelvic structures. In older women, collapse of the pelvic structures is common, and many may have pessaries to aid in treatment. References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876320/
THIS WEEK In the news, Uncle Tim, Spencer, and Jessica chat about: 1988 Olympic Champion and WOGA genius, Valerie Liukin has officialy been named "The New Marta" Fuzzy Bears broke into the World Anti-Doping Agency and tried to get US gymnasts busted fooooor nothing. Alexi Nemov's Gymnastics Legends show in Moscow All the gymternet news Judge Ricky's Top 10 most dynamic floor routines from Rio... a countdown. (44:45) In light of the allegations against Dr. Larry Nassar, we wanted to know what was appropriate and inappropriate protocol for intravaginal therapy. We asked Doctor of Physical Therapy, Stephanie Fournier, a board certified women's clinical health specialist. She discusses (29:20): Appropriate protocol before and during a pelvic floor exam and treatment for a minor If leaking or peeing a little when you tumble is really a big deal? (hint...YES!) What can pelvic floor disfunction in girls lead to in adulthood (hint... run to your physical therapist immediately for treatment) For adult gymnasts, is incontinence after childbirth a permanent condition, just something they have to live with? (hint...NO!) How to find a pessary to wear during exercise. This can be a temporary solution to prevent embarrassing moments at gym while you work on your vaginal fitness with a trained therapist. GUEST LINKS Find a physical therapist in your area, trained to treat pelvic floor issues. Search for incontinence or pelvic under Women's Health. Pessary (a tampon-like thingy that stops you from tinkling when you tumble or jump) RELATED LINKS Gymnast Care Podcast Louisiana gyms underwater - https://www.gofundme.com/2kmmptw Chalk it Up Movie is on iTunes! SURVEY - If you are a FEMALE figure skater, gymnast, or diver OVER THE AGE OF 18 who is currently training you can click on this link to take the survey. It will take you about 15 minutes to complete. https://springfieldcollege.co1.qualtrics.com/SE/?SID=SV_6fG0v76Lyt3wsHb If you are a FEMALE figure skater, gymnast, or diver BETWEEN THE AGE OF 12-17 who is currently training I will need parental permission for you to complete the survey. If you are interested, please let me know and I can either message you or simply visit the link to provide parental consent for your daughter. https://springfieldcollege.co1.qualtrics.com/SE/?SID=SV_bI7aVL8bHvLOIND Please feel free to contact me at 860-866-7676, or at taryn.brandt@gmail.com for more information. SUPPORT THE SHOW Join Club Gym Nerd here. Buy one of our awesome shirts here. RELATED EPISODES 221: Jane Doe vs. USAG Doctor US Olympian Files Sexual Assault Lawsuit Against US Team Trainer/Physician 220: Get Your Random Trash Aerial Off My Lawn Episode 56: Preventing Abuse in Gymnastics 163: ENOUGH 63: Doctor Larry Nassar Episode 28: Kristen Maloney Episode 31: Elise Ray 210: Women’s Podium Training at the Rio Olympic Games