Podcasts about Prolapse

In this podcast episode I welcomed "The Vagina Coach" Kim Vopni for an in depth conversation about pelvic health for both women and men. Often we think of pelvic health being only important for women but as you see in this conversation, it is equally as important for me. In this episode you will learn; - why pelvic health is important for all at ALL ages - why Kegels and pelvic exercises should not only be a focus post partum - how current education around the pelvis and reproductive organs has done us all a disservice - prolapse and the different types of prolapse - prolapse in men - how heavy weight training and extreme forms of exercise can be a cause for pelvic damage in women - UTIs, vaginal dryness and more. Enjoy and let us know what your thinking in the comments! :) Kim Vopni known as The Vagina Coach holds a BA in Psychology and a Post Graduate Diploma in Health and Fitness. She is a Restorative Exercise Specialist™, a Certified Personal Trainer, a Certified Pre/Post Natal Fitness Consultant, a Certified Pfilates (not a typo) Instructor and a Hypopressive Method trainer. She is also a Certified Menopause Support Practitioner and most recently a Certified Osteoporosis Fitness Specialist. Find out more about Kim and her Buff Muff Metho here; https://go.buffmuff.com/ https://www.vaginacoach.com/about https://www.instagram.com/vaginacoach... As always, please like share and subscribe if you haven't already. If you find these videos or the podcasts helpful or interesting, and you want me to continue making them, you can support me in making these and the podcasts because they really do take a lot of time, especially where the research is involved. You can buy me a coffee below, which helps keep my brain working. I really appreciate those of you who have supported me already, I do love coffee. Thank you so much for your generosity. https://buymeacoffee.com/cmhthanks Much love, Chemaine xo

In this episode of The Pelvic Floor Connection, I'm talking to you, if you are preparing for gynaecological surgery, or know someone who is. If you're waiting for a date, feeling anxious, or unsure what you should be doing in the lead-up to your operation, this is essential listening.I explore why pre-op preparation is so important and why it's often overlooked. I explain how to become your own best advocate within a strained medical system, when it comes to really healing well, managing pressure in the body, and supporting recovery through breath work and movement.This episode walks you through key questions to ask your consultant in advance of your surgery, how to prepare for the days and weeks after surgery, and why treating your recovery like a “fourth trimester” can make all the difference. You'll also learn the importance of understanding your breathing mechanics, how your pelvic floor works under load, and why cues like “exhale on the effort” can be incredibly protective — both in the operating theatre and beyond.If you're heading into surgery (or supporting someone who is), this episode will help you feel more informed, empowered, and connected to your body through the entire process.     

The Influence of the Velvet Undergroundwith special guest Dave Lennon (Lost in the Groove Podcast)What happens when two podcast hosts—one from sunny Florida, the other from soggy Suffolk—sit down to worship at the altar of The Velvet Underground? Absolute chaos, that's what.In this episode of Beat Motel, Andrew is joined by Dave Lennon from Lost in the Groove to unravel the weird, wonderful, and often dysfunctional legacy of Lou Reed and co. Expect deep dives into the genius of John Cale, Nico's awkward-but-iconic vocals, and why Mo Tucker deserved better.Along the way, we also offend Replacements fans, ponder what David Bowie talked about while curling one out, and discuss how Arctic Monkeys gave a pension to a punk poet. There's also a band called Prolapse. Yes, really.If you're a Velvet Underground hater, stay tuned. You might just learn something… or at least laugh at our expense.Featuring:Nico's German glamour and tragic misdiagnosisJohn Cale's Welsh wizardryLou Reed: songwriting genius or professional nightmare?How VU inspired noise rock, punk, and half of Andrew's record collectionBands that owe everything to VU (but won't admit it)Why the Jesus & Mary Chain sound like a hangover in churchShoutouts to Prolapse, Arctic Monkeys, Spacemen 3, and moreThis is the most passionate episode we've done about a band, It's chaos. It's love. It's The Velvet Underground.### Riffs of the week#### Dave Lennon's Riff- Harry Nilsson - Without You (2:06)#### Andrew's Riff- Pijn - Our endless hours (5:23)### Dave Lennon's track choices1. The Velvet Underground - Sweet Jane (2:29)2. The Velvet Underground - Tomorrow's Parties (2:49)3. The Velvet Underground - Sunday Morning (opening)4. The Velvet Underground - Run Run (3:36)### Andrew's track choices1. Spacemen 3 - Come down easy (2:39)2. The Jesus and Mary Chain - Snakedriver (opening)3. The Arctic Monkeys - Cornerstone (1:23)4. Prolapse - Flex (9:11)Email us - beatmotel@lawsie.com

Hello & Welcome to this episode of the podcast, where we're talking about all things prolapse, with advanced practice women's health physio (& pilates teacher!) Leah Bryans​In today's conversation we discussed the evolution of our roles as physiotherapists, particularly in pelvic health. Leah shared her journey from not realizing the extent of what physio could do to becoming more confident in managing conditions like prolapse. ​We talked about the importance of continuous learning, collaboration with other professionals, and understanding the individual needs of patients, and of course I had to hop on my soapbox about the shift from being mechanics to educators, focusing on facilitating patient progress rather than fixing issues. ​We're both keen to emphasise the need to consider patients' overall health, including their bladder and bowel function, fluid intake, and diet. We also highlighted the significance of assessing patients' pelvic floor movement and identifying risk factors for prolapse​We discussed the potential benefits and challenges of using pessaries for postnatal women, and noted that some women may be hesitant to try pessaries due to psychological barriers, while others may not be seen early enough in primary care or public systems to receive this treatment​We also discussed the importance of building confidence and gradually increasing strength in patients, particularly those with pelvic health issues. ​It's important to remember the the need for a low-threat approach to exercise, focusing on breathwork, relaxation, flexibility, and proprioception at first. We also highlighted the benefits of Pilates as a gateway to heavier lifting and osteogenic activities. ​The conversation concluded with the importance of education in helping patients manage their conditions, including the use of tools like the femmeze for splinting during bowel movements.Leah teaches a prolapse management course with Suzanne Carney (@anatomy-_physiotherapy) and they have an upcoming event in May - contact them for details!And if you'd like to learn more about my online courses, please visit CelebrateMuliebrity.com Until next time, Onwards and Upwards! Mx #celebratemuliebrity

Are you doing loads of pelvic floor work but seeing little or no results? If you're obsessing over reps, constantly squeezing, or chasing a "bigger lift," this episode is for you.Host Sarahjane West-Watson explores why less is more when it comes to pelvic floor health—and  how shifting your focus to quality over quantity can lead to better strength, function, and real, lasting results.

In today's episode we're hearing from Alice about her two births; the first in the birth centre, the second at home. Her eldest daughter Izra, who was born in the pool on the MLU, needed some special care after the birth due to meconium aspiration and Alice shares her experience of having a prolapse soon after the baby arrived. When she fell pregnant again, despite her husband not supporting her choice, she planned to have her second baby at home. This is such a brilliant birth story as Alice ended up doing a park run in early labour on Christmas Day, birthing her baby at home whilst her family were visiting and still managing to squeeze in a festive roast before bedtime.   My website: www.serenalouth.com My IG: https://www.instagram.com/serenalouth/

This week, Chris and Dave welcome two of our nearest and dearest to the show.  Two people whom they haven't seen since their 10 year high school reunion, Matt Rodrigues and Kevin Gabriel!  And my goodness, was it the absolute best!  Listen in this week as we discuss, at GREAT length, an episode that sees The A-Team travel to Kenya (or is it Keenya?) to stop some poachers.  Along the way, BA falls in love with Aunt Viv, Hannibal dons another terrible wig, a chimpanzee terrifies BA and so much more!Episode Title: SkinsOriginal Airdate: January 29th, 1985Find our 2023 & 2024 Summer Series from Episodes 207-211 & 240-245Find The Airwolf Years from Episodes 96 - 189Find The Knight Rider Years from Episodes 1 - 95-----We'll be back on March 19th, to discuss The A-Team Season 3 Episode 18: Road Games.  The A-Team is available to rent on Amazon Prime, Apple TV, and Fandango at Home.  But don't forget to check your local library for physical copies of the show too!-----The 80's Years Opening & Closing Theme by: Steve Corning, http://thinkfishtank.comThe 80's Years Logo Design by: Luke LarssonFollow us on Facebook: https://www.facebook.com/the80syearsInstagram: @the80syearsThreads: @the80syearsBluesky: @the80syearsTikTok: @the80syearsEmail us: letusblowyourmind@gmail.comCall our Hotline: (207) 835-1954

Links: Airdoctorpro.com code BIRTHHOUR for up to $300 off! Know Your Options Online Childbirth Course - use code 100OFF for $100 off. Beyond the First Latch Course (comes free with KYO course)  Support The Birth Hour via Patreon! You can now gift memberships to Patreon here! Carolyn's first birth story can be found here. 

Intimacy fizzling out in midlife? You're not alone! In this episode, Dr. Kelly Casperson joins me to break down the truth about low libido in women over 40. We're diving into why this happens (hint: it's not just in your head), the role of hormones like estrogen and testosterone, and practical steps you can take to reignite your spark.If you've ever wondered, Is this normal? or Can I do something about it?—this episode is for you!Listen to EP 402. Feeling Broken? UTI's, Low Libido & Prolapse with Dr. Kelly CaspersonGrab Dr. Kelly Casperson's Book “You Are Not Broken”Listen to Dr. Kelly Casperson on the “You Are Not Broken” podcast hereFollow Megan on InstagramFollow Megan on YouTubeSign up for the free Weekly Jumpstart newsletter - Master your midlife health in 3 minutes a week!

We'd be lying if we didn't admit we've giggled over our guest's business name.It's actually downright brilliant. Equal parts funny and straight to the point.Jenn Lormand is bringing some fire today mixed with humor, hope, and healing.She's a published researcher, exercise physiologist, and author.  AND she's been living and thriving with Stage 2 prolapse for the last ten years. After being told an invasive surgery was her only hope following her third birth, Jenn was determined to create her own solution. Together with her Tighten Your Tinkler cofounder (PT + manual integrative therapist Christina Walsh), Jenn developed a new movement-based protocol that allowed her to reverse her pelvic floor symptoms.Before going online in 2019, Jenn and her business partner Christina helped hundreds of New Orleans women reduce and eliminate pelvic floor issues. The Journal of Women's Health Physical Therapy featured their research, confirming the effectiveness of their protocol at ending pee leaks, back pain, and painful sex – WITHOUT kegels or trendy internal vaginal devices.The Tinkler mission is to inspire hope and healing – helping women to heal holistically so they can show up fully present for their lives through at-home programs that are non-invasive and kegel-free.What is Prolapse and How to Recognize It (01:40)The First Step When You Recognize Prolapse or Pelvic Floor Dysfunction (05:45)Every Woman's Body Has a Unique Story (06:30)More detailed notes to come...For more from Tighten Your Tinkler... (This list contains affiliate links that will save you money but also result in compensation for The Deliberate Day).Root Cause Quiz: https://www.surveymonkey.com/r/tinklerquiz Decompression position: https://www.tightenyourtinkler.com/backandhipreliefTYT Website: https://www.tightenyourtinkler.comSignature Program sales page: (Use code DELIBERATE for $50 off!)https://www.tightenyourtinkler.com/signatureprogram Instagram:https://www.instagram.com/tighten.your.tinkler/ YouTube:https://www.youtube.com/@tightenyourtinkler Find the complete podcast notes on our website.To find The Deliberate Day on Instagram, click here.Looking for items shared in our podcasts?! Get the Editable Homeschool Clipboard Template here! Here's our Homeschool Plan Like A Mother Guide! For the 12 Week Planner, click here! (Use code PODCASTMOM for 20% off!) Get your FREE Meal Planning Kit here. For the Favorites List, go here.

In this episode, Debbie Garner, CEO of FemSelect, joins the discussion to share her journey and the groundbreaking work behind InPlace, a minimally invasive solution for pelvic organ prolapse (POP). With 50% of women experiencing some form of POP in their lifetime, Debbie dives into the staggering lack of awareness around this condition and the innovative technology FemSelect offers as an alternative to invasive surgeries.Timestamps:00:00 – Introduction to Debbie Garner and FemSelect02:10 – Debbie's background in women's health and the pharmaceutical industry06:05 – What is pelvic organ prolapse? Common causes and symptoms11:20 – Introducing InPlace: A mesh-free, minimally invasive solution16:45 – Why hysterectomy isn't always the answer for prolapse treatment22:30 – How InPlace preserves the uterus and accelerates recovery28:15 – Where InPlace is available and plans for global expansion34:00 – Physician training and the simplicity of the procedure39:40 – The growing importance of women's health innovation43:00 – Final thoughts: Empowering women to take charge of their pelvic healthKey Points:Innovative Approach: FemSelect's InPlace procedure offers a less invasive, mesh-free solution for pelvic organ prolapse with faster recovery times and no need for general anesthesia.Uterus-Sparing Procedure: Unlike hysterectomy, InPlace preserves the uterus and cervix, maintaining the integrity of the pelvic floor and reducing the risk of future complications.Addressing the Stigma: The episode highlights the societal reluctance to discuss pelvic health and the need to normalize conversations around women's health issues.Global Expansion: Currently available in Israel and select areas in the U.S., FemSelect aims to expand its reach internationally by 2026.Women's Health Revolution: Debbie discusses the rising focus on women's health innovation, fueled by increased female leadership in investment, research, and engineering.Notable Quotes:“It's not just about living longer; it's about living healthier. Women deserve solutions that let them thrive at every stage of life.” – Debbie Garner“Pelvic organ prolapse isn't something women should quietly endure—there are real, effective solutions available now.” – HostTakeaway:This episode sheds light on a common but under-discussed issue affecting millions of women. FemSelect's work offers hope for non-invasive, effective treatments, empowering women to take control of their health and quality of life.Host Bio:This podcast is hosted by Sheree Dibiase, PT ICLM. She is a nationally recognized women's health physical therapist who owns seven private clinics — one of the biggest networks in the US. She has spent 30+ years practicing in the oncology, pelvic floor, and prenatal postpartum healthcare spaces. She was also a professor for seven years a Loma Linda University where she taught kinesiology.Guest Links:LinkedIn - https://www.linkedin.com/in/deborah-garner-0a99247Check out FEMSelect - https://www.femselect.com/Brought to you by...https://lakecitypt.com/ - Pelvic floor physical therapy at homehttps://pelvicfloorpro.com/ - Pelvic floor exercises app

As avid lifelong runners, we, Amy and Krystle, know that when you're a runner, you want to keep running through all phases of life! And sometimes, pelvic organ prolapse can feel like it's keeping you from doing the thing you love. One of our most popular blog posts was about running with prolapse. So, today we thought we'd expand on that post and bring you more of the education we think you need to know to feel empowered about your own health. Addressing prolapse sooner after it happens is key, versus waiting until older age, as Krystle as seen first hand in her physical therapy practice. In this episode, we will go over what exactly is prolapse, how prevalent it is in postpartum women, what Krystle's ground rules are for running with prolapse, and many tips on managing prolapse symptoms with the goal of being able to run again! Our goal for this episode is to help bring awareness to this common issue that happens to postpartum women and bring you tangible tips to help you get back in the game and safely out for a run again!If you enjoyed listening to this episode, we would love it if you could share it to your Instagram stories and tag us, @expectingandempowered. As we like to say, knowledge is power, and we just really want to give more people the information that they may need on their motherhood journey!Links & ResourcesTips For Running With Prolapse Blog PostExpecting and Empowered App - Enter code 'PODCAST25' at checkout Expecting and Empowered WebsiteExpecting and Empowered InstagramThis episode was brought to you by the Pivot Ball Change Network.

Sponsor: Use code BIRTHHOUR for 20% off your first order (including their already discounted plans and subscriptions) at thisisneeded.com. The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon! 

Today we welcome Hanna, who shares her journey through pregnancy, birth, and a particularly challenging postpartum period complicated by autoimmune disease. Originally from Poland and now living on the Bellarine Peninsula with her husband Zach and their seven-month-old daughter Runi, Hanna's story highlights the complex intersection of chronic illness and new motherhood. Download our FREE guide on perineal massage here. Follow us on Instagram to keep the conversation going. To learn more about The Birth Class, my online childbirth education course head to the shop here.See omnystudio.com/listener for privacy information.

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

Kim Vopni is a self-professed kegel maven and is known as The Vagina Coach.  She is a certified fitness professional who became passionate about spreading information on pelvic health after the birth of her first child over 18 years ago. She is an author, a passionate speaker, and a women's health educator.  Her most recent book, Your Pelvic Floor, launched in March 2020 and was on the bestseller list immediately. After experiencing the upheaval of perimenopause she began educating herself on ways to support her own body and then took a certification to become a Menopause Support Practitioner so she could help others navigate the transition with ease. Kim offers online programs and coaching for women through all life stages but the majority of her client base is in the peri and post-menopause phase of life. Her Buff Muff app is an ever-growing community where people from around the world find support through her 28 day challenges and monthly membership. Kim also certifies other fitness and movement professionals to work with women with core and pelvic floor challenges through her Core Confidence Specialist Certification and Pre/Postnatal Fitness Specialist Certification. PAST EPISODE: Vaginal Prolapse, Incontinence and Pelvic Floor Health https://hackmyage.com/vaginal-prolapse-incontinence-and-pelvic-floor-health-kim-vopni/ Buff Muff Challenge https://buffmuff.com Free book: The Inside Story Contact Kim Vopni Podcast: Between Two Lips  Website: www.vaginacoach.com  Instagram: @vaginacoach https://www.instagram.com/vaginacoach/ Facebook: @vaginacoach https://www.facebook.com/VagCoach YouTube: https://www.youtube.com/channel/UCZNNkFK0XyN_c5X9m2gsoVQ Give thanks to our sponsors Get Primeadine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. http://oxfordhealthspan.com/discount/ZORA Get Mitopure by Timeline. 10% discount with code ZORA at http://timeline.com/zora Visit http://getkion.com/zora for 20% off Kion Essential Amino Acids Try OneSkin skincare for with code ZORA at https://www.oneskin.co/zora Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before February 1, 2025 to win Kion Essential Amino Acids. 20% off with code ZORA at https://biohacking-menopause.mn.co Join the Hack My Age community on: Facebook Page : ⁠⁠⁠⁠⁠@⁠Hack My Age⁠  Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠   Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠  Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠  ⁠Biohacking Menopause⁠ Membership Group Email: zora@hackmyage.com This podcast is edited by ⁠⁠⁠⁠⁠jonathanjk@gmail.com We cover: -   What is a hysterectomy, different types and reasons -   Risk factors -   Benefits and side effects of a hysterectomy -   Solutions for vaginal bleeding, fibroids and vaginal prolapse -   How to avoid a hysterectomy -   How to prepare for a hysterectomy  

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Summary In this conversation, Kristine (@birth.injury.coach) shares her experiences with pregnancy, postpartum, nursing, and healing from prolapse. She had a smooth pregnancy and worked out regularly; however, her birth was traumatic, resulting in tearing and hemorrhaging. She had no expectations for nursing but was pleasantly surprised when her daughter latched right away. Kristine experienced prolapse symptoms early postpartum, but with time, patience, and self-rehabilitation, she was able to heal. She also managed to fit in training for a half Ironman triathlon while nursing, utilizing gym childcare and home workouts during nap times. Kristine emphasizes the importance of adjusting expectations and not comparing oneself to others. In this conversation, Kristine and Erin discuss Kristine's experience as a toddler nursing mom. They talk about the challenges and joys of breastfeeding, the emotional process of weaning, and the importance of self-care for postpartum moms. Kristine shares tips for moms struggling to find time for exercise and emphasizes the need to adjust expectations and start small. She also highlights the privilege of being a nursing mom and the gratitude she feels for nourishing her child. Kristine now helps new moms with their postpartum care through in person and virtual workout sessions. Episode Links Kristine's IG : @birth.injury.coach Kristine's Email: kristine@mamaprojectllc.com Leave and Apple review - HERE Weaning Resources - Take the FREE Extended Breastfeeding Quiz - HERE - The Gentle Toddler Weaning Course - HERE - The Nursing Mamas' Social Circle - HERE Contact Erin Email: erin@nursingmamas.com IG: @erin.nursingmamas

Menopause is often painted as the end of something, but it's really a new chapter—a time to rediscover your strength and embrace what's next. Today, we're diving into the real, unfiltered stories and tools that can make this transition not just manageable but empowering. I'm sharing my own journey through early menopause at 39 and the powerful lessons I've learned from healers around the world. And with two incredible women joining me, we're breaking down the stigma and showing you what's possible when we take control of our health and our narrative.   Dr. Betsy Greenleaf, a Best-Selling Author and a trailblazer leader in women's health, opens up about the changes no one talks about, like prolapse, and how we can take charge of our pelvic health. Tamsen Fadal, Journalist and Menopause Advocate, brings insights from her PBS documentary The M Factor—a powerful project giving women and doctors the tools to tackle menopause head-on. Together, we're getting real about the challenges and offering practical ways to find balance, feel supported, and thrive during this stage of life.   By the way, if hormonal changes have you noticing hair loss, I've been there too. That's why I created Beauty Locks, a natural formula to support hair growth and quality for all hair types. Check it out at dranna.com/beautylocks and give it a try. You deserve to feel amazing!     Key Timestamps: [00:01:02] Your diagnosis is not your destiny. [00:03:52] Early menopause and fertility journey. [00:09:20] Men's support during menopause. [00:11:36] Hormonal symptoms and partnerships. [00:15:13] Menopause symptoms and healing. [00:19:12] Menopause kit giveaways. [00:22:34] Reverse aging of the vagina. [00:27:23] Hormones and menopause connection. [00:30:04] Atypical PCOS and epigenetics. [00:35:31] Menopause documentary premiere. [00:37:27] Community engagement and education. [00:40:16] Integrative approach to hormone therapy. [00:46:15] Prolapse awareness in women. [00:47:10] Pelvic floor health and repair. [00:50:45] Women in urogynecology. [00:54:05] Bioidentical hormones vs. synthetic hormones. [00:58:31] Menopause empowerment and support.     Memorable Quotes: "When we see women come together watching this, it wasn't so much about the documentary, but it was about the community that it's forming." [00:40:53] – Tamsen Fadal "Even though it says only one day for world menopause day, every day is menopause day. And it's a day to make your lives better because menopause does not have to be our grandmother's menopause. This is our time to kick some butt. It's actually your best lives; it's your best years ahead of you." [00:58:35] – Dr. Betsy Greenleaf     Links Mentioned: Beauty Locks: https://dranna.com/beautylocks Blog: https://drannacabeca.com/pages/blog Keto-Green 16 Challenge: https://drannacabeca.com/pages/offers-keto-green-16-challenge Carpathia Health: https://carpathiahealth.com/ Book an Appointment with me: https://dranna.com/about Breeze Through Menopause: https://dranna.com/breeze The M Factor Film: https://themfactorfilm.com/   Connect with Tamsen Fadal: Website: https://www.tamsenfadal.com/ Instagram: https://www.instagram.com/tamsenfadal/ Facebook: https://www.facebook.com/tamsenfadal/ X/Twitter: https://x.com/TamsenFadal TikTok: https://www.tiktok.com/@tamsenfadal   Connect with Dr. Betsy Greenleaf: Website (Use code DRANNA for 10% off): https://pelvicfloorstore.com/ Instagram: https://www.instagram.com/drbetsygreenleaf_/ Facebook: https://www.facebook.com/dr.betsy.greenleaf/ LinkedIn: linkedin.com/in/drbetsygreenleaf   Connect with Dr. Anna Cabeca: Website: https://drannacabeca.com/pages/show Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca   Produced by Evolved Podcasting: www.evolvedpodcasting.com

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Bone Coach™ Osteoporosis & Osteopenia - Joining us today to explore pelvic floor dysfunction and osteoporosis is Kim Vopni – also known as The Vagina Coach.=>>FREE Stronger Bones Masterclass (Gain Access Now!)=>>FREE 7-Day Osteoporosis Kickstart=>>Apply to join the Stronger Bones Solution Program w/ the Bone Coach™ Team***Topics Covered0:00 - Episode start2:35 - Getting to know Kim Vopni3:48 - Her journey to becoming the Vagina Coach7:20 - Kim's three books and how they address pregnancy, postpartum recovery, and overall pelvic health9:54 - The importance of pelvic floor health for women 50+ managing osteoporosis and bone health, and why sharing this information is vital for future generations14:28 - Signs and symptoms of pelvic floor dysfunction18:38 - The links between osteoporosis, prolapse, and urinary incontinence and how pelvic floor dysfunction can discourage exercise, increasing bone health risks20:22 - How Kegels work, when they're effective, and why combining them with whole-body movement yields better results23:37 - How to determine if you're improving your pelvic health through exercises and biofeedback24:26 - The importance of hydration, posture, and movement diversity for improving pelvic floor function27:45 - How posture and proper alignment enhance resistance training and support both pelvic and bone health30:56 - Identifying and addressing pelvic tilt to improve pelvic floor function34:05 - Why pelvic health is even more critical after a hysterectomy and how to support recovery37:21 - The impact of declining estrogen on the pelvic floor, increased risk of urinary incontinence, UTIs, and why vaginal estrogen is a key recommendation40:27 - Quick wins for pelvic floor health41:46 - Important insights on hip strength, pelvic mobility, and long-term pelvic health45:25 - Where to find Kim Vopni***Resources MentionedFind all resources mentioned and show notes @=>> https://bonecoach.com/kim-vopni-vagina-coach-kegels-for-incontinence-prolapse ***What can you do to support your bone health and this podcast?1. Hit the “Subscribe” Button. 2. Leave a review. Thank you!

We're back with another AFTN Soccer Show packed full of Vancouver Whitecaps, Vancouver Rise, Major League Soccer, and international soccer chat, in what's been quite the week in the eventful world of Canadian football. After six years at the club, over three of them as head coach, Vancouver Whitecaps fired Vanni Sartini. We react to the news announced on Monday morning and hear the thoughts of CEO Axel Schuster on why the decision was taken, the search for a successor, and how he feels the season went. What is next for the club in that regard and was this the right decision? Plus in happier news, we kick off our Whitecaps end of season awards with seven players awards. Let us know if you agree with our choices! One coach may be departing the city, but Vancouver Rise announced their first head coach this week. We hear from Anja Heiner-Moller about coming back to Vancouver, while Stephanie Labbe talks about the hire and roster build, and Rise President Sinead King chats about the search for a stadium to call home - will it be Swangard and what would it mean for its existing tenants. Plus we look at the Globe and Mail's expose of a horrific culture with the Canadian women's national team, chat about the over saturation of international matches and how it affects the players, with the thoughts of Jesse Marsch and Stephen Eustachio, Prolapse wrap up their residency as our Album of the Month and there's more Britpop songs. Here's the rundown for the main segments from the episode: 01.29: Intro - Ted Lasso, finally! 09.37: Vanni Sartini fired - our thoughts and those of Axel Schuster 62.10: Whitecaps 2024 awards - part one 85.15: Vancouver Rise have their first head coach 100.33: Steph Labbe and Rise roster build and coach appointment 108.39: Sinead King on the Rise and Swangard Stadium 120.55: Toxic culture revealed within CanWNT 157.05: The international calendar and match overload for players 177.00: Wavelength - Peter Dean - Can't Get A Ticket For The World Cup 181.35: The price of World Cup 2026

Last week we had Dr. Sara Reardon, also known as The Vagina Whisperer, on the podcast talking about prolapse and pelvic floor health in midlife. This week she's back to answer your burning questions! Mara asks: “I am having a vaginal prolapse and hysterectomy surgery. What exercises can I do before surgery to help recover quicker? Exercises after?” Tune in as Dr. Reardon provides advice on the best way to prepare for pelvic surgery or a hysterectomy to help you have the best outcome and recovery!

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On this week's Listener Series episode, we welcome Libby to share her story with us. Libby experienced a missed miscarriage and then became pregnant again shortly after. Libby suffered a cord prolapse while still at home and was brought by ambulance to her hospital for an emergency c-section under general anesthesia. Libby shares how she has processed her trauma and started EMDR therapy in her subsequent pregnancy which helped her navigate a VBAC.On this episode, you will hear:- missed miscarriage- cord prolapse- emergency transport- emergency c-section under general anesthesia- NICU stay- subsequent pregnancy and VBAC- EMDR therapyFor more birth trauma content and a community full of love and support, head to my Instagram at @thebirthtrauma_mama.Learn more about the support and services I offer through The Birth Trauma Mama Therapy & Support Services.

In this episode, Mike welcomes birth injury/prolapse coach, Kristine Ziffra for an in-depth discussion on the challenges and changes women face throughout the pregnancy process. Kristine provides a background on her certification and services, we go over the different phases of pregnancy for women, the optimal diet and training in each trimester and postpartum, as well as the birth injuries (such as prolapse) that may occur during child birth, affecting the recovery process for the mother. A fantastic discussion where A LOT is learned. Thank you, Kristine! Contact Kristine:Podcast: "Mama Project Podcast"Instagram: @birth.injury.coachemail: kristine@mamaprojectllc.comContact Mike:Mike Sinopoli - NASM Certified Nutrition CoachInstagram, Facebook, X, LinkedIn: @mfswellnessemail: mike@mfswellness.comphone: 630-361-4907www.mfswellness.com 

This week we pull an episode from the vault, with Dr. Sarah Duvall sharing insights about breathing for improved performance, prolapse, and diastasis and their considerations in the return to sport for postpartum women. You might think diastasis only affects postpartum women, but it also hits men—especially those over 50. It's not just about muscle strength, but how well your core muscles coordinate. Dr. Sarah Duvall shared amazing insights on common fears like prolapse, diastasis, and leaking. Women often think these issues are permanent, but many can be managed or even overcome with proper rehab. Diastasis, especially, doesn't have to hold you back.  ⁠Dr. Duvall's Pelvis Pro Course - Open for enrollment until December 1, 2024⁠ Strength Training for Cyclists Certification Course Closes this Sunday November 17, 2024 Subscribe to the HVTraining YouTube Channel: ⁠https://www.youtube.com/HVTraining⁠ Join the FREE Facebook Community ⁠HVTraining's Strength Training for Cyclists & Triathletes⁠ Coach Brodie's Book ⁠“Strength Training for Cycling Performance”⁠

As if midlife didn't bring enough changes to worry about, you suddenly get hit with pelvic floor problems. What in the world? Prolapse, UTI's, bladder leakage…these issues can come out of nowhere in midlife and be really debilitating. To help us navigate pelvic floor health we've got Dr. Sara Reardon, also known as the Vagina Whisperer, back on the podcast this week. Dr. Reardon is sharing some really helpful tips on how to keep your pelvic floor strong and functioning well through perimenopause and well into your post-menopause years. Together we'll discuss: why women start having more UTIs, bladder issues, painful sex and prolapse in midlife how hormonal changes affect pelvic floor issues hormone therapy and the benefits of seeing a pelvic floor therapist. things you can do proactively to help prevent and manage these issues If you want to avoid spending the last few decades of your life needing pads, adult diapers and even prolapse surgery, then you're not going to want to miss this episode! More Resources & Links Download Sara's FREE Perimenopause & Menopause Pelvic Floor Guide here! Follow Sara Reardon “The Vagina Whisperer” on Instagram FREE 5-Day Core Tune Up - A free mini-course to dramatically improve your functional core strength, create better alignment, and relieve back and hip pain for good! Sign up for the Free Weekly Jumpstart Newsletter - Your go-to resource for simple, actionable ideas to help you move smarter and live stronger in midlife! Follow Megan on Instagram

Check out our Website!  https://www.healingjourneystoday.com   Follow us on Facebook!  https://www.facebook.com/healingjourneystoday/   Follow us on Instagram!  @healingjourneystoday @thejourneyhjt   Link to Donate through PayPal! https://www.paypal.com/biz/fund?id=6CGU5FN6YFT8W 

Having been a student of Yoga Psychotherapist Ashley Turner for well over a decade, todays episode is an absolute prividge. Today I share our Insta Live deep dive into the importance of pelvic health, particularly during midlife and menopause. I share my own personal journey; from being unaware of pelvic health issues to becoming a specialised pelvic floor and core coach following her own postpartum experiences, despite being a qualified Physiotherapist. We highlight the lack of quality education and knowledge regarding pelvic floor health in Western medical and yoga training. Despite our different speciality backgrounds, we deeply understand and appreciate the intersecting physical, emotional, and psychological aspects of pelvic health and shed light on the prevailing societal stigma, with the intention of better supporting our women. Enjoy 2 WEEKS FREE in Ashleys Haven Membership HERE or Support your Menopause with her deep 6 month Metamorphosis programme HEREAnd, to access my 2 FREE Workshops in November, head to www.FitFannyAdams.com/November`I really hope you enjoys todays episode. Please connect with me and let me know how todays episode affected you @FitFannyAdamsAnd please take a moment to drop a rating and review! 

We're back with another AFTN Soccer Show packed full of Vancouver Whitecaps, Major League Soccer, Vancouver FC, and Canadian Premier League chat. It was a beautiful Sunday at BC Place, surely what that old Daniel Boone song was eluding to all those years ago. Vancouver Whitecaps not only kept their season alive, they did it in some style in a 3-0 win over LAFC. It was a victory that gives a lot of hope going into Friday's 'lose and you're done' game three decider in LA. We're joined by Harjeet Johal to chat about the match, the main talking points coming out of it, and look ahead to the huge match coming up on Friday. Turning our attention to the Canadian Premier League, we look at two familiar foes facing off in next weekend's championship game, plus it's our end of season Vancouver FC review, where we look at the good, the bad, and the ugly of the Langley side's second season in the league. There's a lot of focus on the last two there, and the last part of the show sees Michael explain all the things that he feels is wrong with VFC, with Zach offering some counter views. All of this plus Prolapse kick off their residency as our Album of the Month, there's more Britpop songs, and we have an Ipswich song as a tribute to Trevor Whymark in Wavelength. Here's the rundown for the main segments from the episode: 01.27: Intro - UBC champions x 2, college nationals, FA Cup drama 10.53: RIP Trevor Whymark and Alzheimer's in football 16.20: Har goes to Hollywood - and LAFC 28.45: Whitecaps thrash LAFC to set up game 3 decider 66.05: It's Cavalry v Forge again for the CPL championship 70.30: Vancouver FC end of season review 106.45: Everything that's wrong with Vancouver FC 154.05: Wavelength - Edward Ebeneezer and Supporters - Come on the Town

In today's episode, we chat with Emma, who shares her two distinct birth stories. Emma's first experience took place within the hospital system during COVID, where she faced challenges such as having an unknown midwife, being unable to bring her doula into the birth space, and not accessing the birth pool when she wanted. She reflects on how the care she received significantly impacted her experience.After this, Emma shifted her mindset for her second pregnancy and birth, empowering herself to make informed decisions. She hired a private midwife and welcomed her baby into the comfort of her own home, surrounded by her family.Throughout the episode, we explore a range of important topics, including:Mental health issues, including postnatal depression and anxietyBreastfeeding challengesHyperthyroidism Being diagnosed with ADHD as an adultNavigating a vegan lifestyle during pregnancy, including low iron and nutritional issuesExperiences with prolapse and tearingLinks:Bron (doula) - Kindred Birth Dawn Shalom (midwife) Birth Mapping Core & Floor Restore Foraged for You supplement Amberley Harris - IBCLCThompson Method Doulas Uncensored - Breastfeeding with Amberley HarrisAustralia Mothers & babies Report - Breastfeeding stats Australian Breastfeeding association Support the show@homebirthstoriesaustralia Support the show by buying us a coffee! Please be advised that this podcast may contain explicit language. Listener discretion is advised.The information, statistics, and research presented in this podcast are for informational purposes only and are not intended to constitute or replace medical or midwifery advice. All information discussed can be found online and is provided in the links in the show notes. It is always recommended to conduct your own research and make informed decisions. We advise you to discuss any topics or concerns with your healthcare provider. While we strive to incorporate the most up-to-date research in our episodes, we do not warrant or guarantee the accuracy of the information discussed on the show.

A lot of the changes that happen during midlife and menopause are widely discussed online and on social media - weight struggles, bone density issues, nutritional needs, hot flashes, belly fat, and hormonal shifts to name a few. But what about the challenges nobody talks about? Many women in midlife begin dealing with a bunch of “somewhat embarrassing” issues that can make them feel like their body is just not working properly anymore. Urinary tract infections, prolapse, low libido and other challenges with intimacy, can be really discouraging and impact quality of life. And they just aren't talked about, so how do you know what to do? That's where Dr. Kelly Casperson comes in! She's a urologic surgeon and the author “You Are Not Broken”, as well as the host of the podcast by the same name. In this conversation, we'll discuss: the pervasive feeling of 'brokenness' women often feel regarding their sexual and pelvic health the impact of societal norms on women's sexuality the significance of pelvic health in midlife the role of hormones in women's health and the often-overlooked condition of Genitourinary Syndrome of Menopause (GSM). If you're needing encouragement to seek help and advocate for your pelvic health, this is it! More Resources & Links Grab Dr. Kelly Casperson's Book “You Are Not Broken” Listen to Dr. Kelly Casperson on the “You Are Not Broken” podcast here Let's Talk Menopause - Learn more about “Unboxing the Label” Interlude - Telehealth & Rx resources for peri-/menopause and beyond (try the code ‘notbroken') Follow Megan on Instagram Follow Megan on YouTube Sign up for the free Weekly Jumpstart newsletter - Master your midlife health in 3 minutes a week!

Lauren Fleming is the founder of Hem Support Wear, a company dedicated to empowering women through thoughtful, beautiful pelvic floor support garments. Her journey began after being diagnosed with Pelvic Organ Prolapse (POP) following the birth of her first child. Frustrated with the lack of effective support options, Lauren was inspired to create solutions that truly help women feel supported and confident in their pelvic health journeys. As a wife and mother of two young children, Lauren is passionate about advocating for women's wellness at every stage of life.https://hemsupportwear.com/https://www.facebook.com/hemsupportwearhttps://www.instagram.com/hemsupportwear/https://www.youtube.com/@HemSupportWearThank 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

 With Menopause Awareness Day around the corner, todays episode was the perfect opportunity to bring some essential attention to the often-overlooked topic of pelvic floor decline in menopause.Our pelvic organs and vaginal tissues contain a high Oestrogen receptor sites, and as we move into peri-menopause and menopause, the decline in Oestrogen can significantly impact these areas. This means that pelvic floor dysfunction becomes more common during this time and beyond.The statistics are alarming and they reflect the need for us to be better looking after our pelvic floors sooner rather than later. In this episode I share five key strategies to help prevent pelvic floor decline and maintain strength as we age, starting with getting to know all your pelvic floor muscles with my FREE Quick Guide fitfannyadams.com/quickguide Be sure to let me know if you found todays episode helpful... and please take a moment to rate and review this podcast, to help ensure it lands in the ears of those that need to hear it. Thank you for listening, and do connect with me @FitFannyAdamsor sarahjane@FItFannyAdams.com

Send us a textSix bloodcurdling words when spoken at the right cadence and tone will unleash horror into a dangerous auditory hellscape, pushing the boundaries of good taste and decency. Do you dare utter the phrase “can you look through my monocle?” On Episode 637 of Trick or Treat Radio we discuss the latest entry in the V/H/S series, V/H/S/Beyond. We also talk about sci-fi horror, which doctors you can and cannot lie to, and the dangers of asking an athlete to sign your balls. So grab your camcorder, set your phasers to prolapse, and strap on for the world's most dangerous podcast!Stuff we talk about: Sleepaway Camp, 1984 Publishing, Jeff Hayes, RIP Luis Tiant, getting your balls signed, unfurling yourself, you can't lie to your dentist, 20/15 Vision, eye shaming, aviator/incubator, Katie Couric, Colonoscopy, Big League Chew, Set Phasers to Prolapse, Shittsburgh, asshole monocle, Jim Ross, Cake Farts, The Satanic Rites of Dracula, Hugh Jackman, Wolverine, The Horror of Dracula, Name the Demon, X-Men, Jailbreak: Love on the Run, Talk is Jericho, Joe Bob Briggs, Darcy the Mailgirl, Renee Estevez, pumpkins and turnips, V/H/S/Beyond, Justin & Christian Long, sci-fi horror, Jay Cheel, Jordan Downey, Justin Martinez, Virat Pal, Kate Siegel, horror anthology, Gareth Evans, Timo Tjahjanto, Logan Paul, metal horns for emphasis, Michael Chiklis running amok, good badass cop shit, Tusk, Kevin Smith, dogs as people, Mitch Horowitz, sometimes an anthology is just an anthology, Earth Girls Are Easy, Frankie Freako, Hellboy: The Crooked Man, David Harbour, Guillermo del Toro, bananafingaz, Silent Hill 2 Remake, War and Peace, Rufus and Ronaldo Jell-O Mold, Sexy Zexy's, gunk on your bunk, the monocle covered hole, and growing up before our ears.Support us on Patreon: https://www.patreon.com/trickortreatradioJoin our Discord Community: discord.trickortreatradio.comSend Email/Voicemail: mailto:podcast@trickortreatradio.comVisit our website: http://trickortreatradio.comStart your own podcast: https://www.buzzsprout.com/?referrer_id=386Use our Amazon link: http://amzn.to/2CTdZzKFB Group: http://www.facebook.com/groups/trickortreatradioTwitter: http://twitter.com/TrickTreatRadioFacebook: http://facebook.com/TrickOrTreatRadioYouTube: http://youtube.com/TrickOrTreatRadioInstagram: http://instagram.com/TrickorTreatRadioSupport the show

Hey Love!   Kegels are what most women and providers think of when they think of healing or restoring their pelvic floor or going to pelvic floor physical therapy.  Especially if you experience leaking/incontinence or pelvic organ prolapse, we tend to associate these conditions with weakness.  When many times, the pelvic floor muscles are already too tight and doing kegels can make things worse! This can make things so confusing, which is why it is always a good idea to see a Pelvic Floor PT to see what is actually causing your issues.  Is it actually weakness, or maybe hypertonicity or tightness or lack of coordination and poor pressure management strategies? I dive into more on if you should Kegel or not in a previous episode:   Ep 11- To Kegel or Not to Kegel- https://podcasts.apple.com/us/podcast/pelvic-floor-core-more-with-the-balanced/id1682290727?i=1000617570016    However, this week I am diving into performing the kegel and different ways we can address weakness within the pelvic floor to improve that strength and control! They are not always going to make things worse and many times with true weakness, we do need to spend some time working on isolating the pelvic floor.  So inside this week's episode I dive into different types of kegel contractions, how to perform them functionally and other ways you can progress those kegels using vaginal weights like the ones from Intimate Rose linked below. You can perform these during pregnancy, postpartum, post hysterectomy or c-section or at any time! As long as they are appropriate for you, so make sure you get clearance from a Pelvic Floor PT before going too crazy with kegels.  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   Vaginal Weights: www.intimaterose.com/DESIREE2

Dr. Carrie J. Pagliano has been a dynamic leader in the areas of women's/pelvic health for over25 years. Dr. Pagliano received her Masters in Physical Therapy from the University of the Sciences in Philadelphia in 1999 and Doctor of Physical Therapy from University of St. Augustine for Health Sciences in 2007. Dr. Pagliano is a double Board Certified Clinical Specialist in Orthopaedics and Women's Health.  Dr. Pagliano served for 7 years on the Executive Board of the Academy of Pelvic Health Physical Therapy, a component of the American Physical Therapy Association (APTA), completing her term as President in 2020 and as Past President in 2021.She is an adjunct professor at Marymount University in Arlington, VA.  She also served as Instructor of Clinical Rehabilitation Medicine at Georgetown University School of Medicine.  She is an appointed Advisory Board member to the Pelvic Floor Disorders Network: National Institutes of Health, Eunice Kennedy Shriver National, Institute of Child Health and Human Development.  Dr. Pagliano is a Certified Running Coach through the Road Runners Club of America as well as a Level 1(O) CrossFit Certified Coach.Dr. Pagliano speaks internationally in the areas of postpartum return to sport and integrative models of practice in pelvic physical therapy. She is a national media spokesperson for the APTA.  Dr. Pagliano is the founder of Carrie Pagliano Physical Therapy, LLC in Arlington, Virginia as well as digital course education for moms & postpartum professionals. She is the host of Active Mom Postpartum Podcast.  When she's not kid wrangling or bringing pelvic health to the world, Carrie is an avid runner, yogi & crossfitter.https://carriepagliano.com/https://www.instagram.com/carriepagliano/https://www.youtube.com/@carriepaglianoptThank 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

This week we will discuss the most common type of Ehlers-Danlos syndrome – the hypermobile type (hEDS, formerly also described as EDS type III or joint hypermobility syndrome), this is the type that most commonly presents to gastroenterology services.   ​ As connective tissue is present throughout the body, many different structures around the body including the digestive tract can be affected by EDS. Connective tissue is present in the digestive tract and is essential to the passive mechanical movements needed to complete digestion. It has been suggested that any abnormalities in the connective tissues in the digestive tract are likely to alter the way in which it moves, which could contribute to the range of symptoms experienced by people with hEDS. Connective tissue is also present around the nerves of the digestive tract and abnormalities of this can potentially make the gut more sensitive. It is important to remember that whilst differences in the digestive tract function are likely to be present in hEDS, as yet diagnostic biomarkers have not been identified and more research is needed to better understand the nature and impact of connective tissue within the digestive system, particularly in the other subtypes of EDS. ​ The digestive tract starts at the mouth, and ends at the anus. Many aspects of the digestive tract can potentially be affected, including both the upper digestive tract (oesophagus, stomach and duodenum) as well as the lower digestive tract (small intestine, large intestine, colon and rectum). We frequently see patients who mainly have symptoms related to either the upper or the lower digestive tract only, and some research studies have found that a significant proportion of people with hEDS experience some kind of gastrointestinal symptoms. ​ What sort of gut problems can occur? ​ The type, frequency and severity of digestive symptoms can vary greatly from person to person as everyone with hEDS is different. The most frequently reported problems affecting the upper digestive tract are acid reflux and chronic/recurrent indigestion with pain or discomfort and early fullness after meals. The lower digestive tract can present problems such as constipation, abdominal pain, bloating, diarrhoea and a feeling of general abdominal discomfort.  Nausea and vomiting can occur alongside any of the symptoms described above.   Delayed gastric emptying / dysmotility The term dysmotility is often used to describe abnormal movements (e.g. sluggish movements or spasm) of the gut. Some hEDS sufferers can have a sluggish stomach, which means that there is a delay in the emptying of stomach contents into the small bowel, and this is often referred to as delayed gastric emptying. Delayed gastric emptying can range in severity from mild to severe, with the most severe form called gastroparesis (paresis = paralysis). A portion of hEDS sufferers do have delayed gastric emptying, however only a few will be severe enough to be diagnosed with gastroparesis. Patients with a lot of bloating and/or fullness after meals or nausea and vomiting can be tested for delayed gastric emptying, but it is important to note that so far a link between hEDS and gastroparesis has not been categorically established. ​ In other patients increased sensitivity of the stomach may be a more common problem. Both dysmotility and increased sensitivity of the stomach can be associated with symptoms such as acid or bile reflux, bloating, early fullness during meals/extended fullness after meals and nausea.   Heartburn / reflux There is some preliminary research that suggests that people with hEDS are slightly more likely to have a small hiatus hernia at the lower end of the oesophagus. This means that the upper end of the stomach slips into the chest cavity through a small hole (hiatus) in the diaphragm (the large muscle that separates the chest cavity from the abdominal cavity). This is quite a common finding and is usually not dangerous, but it can mean that the muscle that closes to stop food or liquid contents of the stomach from escaping back up into the oesophagus is somewhat inefficient, resulting in the acid reflux and/or heartburn symptoms, and this is called gastroesophageal reflux disease (GERD or GORD). However, it is also possible to experience reflux and/or heartburn symptoms without having a hiatus hernia. These symptoms can be associated with dysmotility, increased sensitivity of the oesophagus, or be experienced in isolation with none of these underlying causes.   Bloating Abdominal bloating is a common symptom in people with hEDS, and although the underlying causes are not fully understood, it is thought that dysmotility may be a contributing factor. Overgrowth of bacteria of the small bowel can occur if there is stagnation within the bowel (i.e. constipation) and this can lead to excessive fermentation of food leading to production of gas, which can also be associated with bloating. A link between hEDS and bacterial overgrowth has not been categorically established and further research is required.   Constipation Chronic constipation in adults is a common and debilitating problem and it is estimated that around 12 to 19% of the general population experience this, with females and the older population being more prone. Constipation is also common in patients with EDS and it is thought that a sluggish colon and difficulty with evacuation of the bowel are key causes. However there are often many factors inter-linked which can contribute to constipation such as diet, metabolic (hormone) or neurological (nerve) conditions, side effects of prescription medications, particularly opioid-based painkillers, or physical disorders such as prolapse of the bowel. ​ Rectal and genital prolapse are recognised as potential problems for some people with hEDS, and can be a factor contributing to constipation. Prolapse of the rectum means that the lining (mucosa) of the rectum (called a partial prolapse) or the entire rectal wall (called a complete prolapse) protrudes into the rectum, which interferes with the ability for a stool to be passed. Prolapses of the rectum usually occur during bowel movements, and then recede, but more advanced rectal prolapses can occur upon standing as well. However, in most cases prolapses tend to be small and do not require any active interventions. If a significant prolapse is diagnosed upon testing, and it is thought to be contributing to your gastrointestinal problems, your physician will refer you to a surgeon.   Functional gastrointestinal disorders Sometimes people with hEDS who have symptoms such as reflux, heartburn, constipation or nausea may not have an identifiable cause of their symptoms on any medical testing and these patients are then given a diagnosis of functional gastrointestinal disorder (FGID). Patients who have symptoms with no underlying cause found account for more than a third of new referrals to gastrointestinal specialists, and so this is a common occurrence. A preliminary study amongst patients who were referred to a specialist because no cause of their symptoms could be found, demonstrated that over a third of those patients met the criteria for joint hypermobility and many of them had previously received a diagnosis of irritable bowel syndrome (IBS) or functional dyspepsia. IBS is the most common example of a FGID, and is characterized by recurrent abdominal pain and frequent changes in bowel habits. Functional dyspepsia is another type of FGID and relates to symptoms of upper abdominal pain, fullness, nausea and bloating, frequently following meals. (Credits: Ehlers Danlos . Org)

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

This week we will discuss the most common type of Ehlers-Danlos syndrome – the hypermobile type (hEDS, formerly also described as EDS type III or joint hypermobility syndrome), this is the type that most commonly presents to gastroenterology services.   ​ As connective tissue is present throughout the body, many different structures around the body including the digestive tract can be affected by EDS. Connective tissue is present in the digestive tract and is essential to the passive mechanical movements needed to complete digestion. It has been suggested that any abnormalities in the connective tissues in the digestive tract are likely to alter the way in which it moves, which could contribute to the range of symptoms experienced by people with hEDS. Connective tissue is also present around the nerves of the digestive tract and abnormalities of this can potentially make the gut more sensitive. It is important to remember that whilst differences in the digestive tract function are likely to be present in hEDS, as yet diagnostic biomarkers have not been identified and more research is needed to better understand the nature and impact of connective tissue within the digestive system, particularly in the other subtypes of EDS. ​ The digestive tract starts at the mouth, and ends at the anus. Many aspects of the digestive tract can potentially be affected, including both the upper digestive tract (oesophagus, stomach and duodenum) as well as the lower digestive tract (small intestine, large intestine, colon and rectum). We frequently see patients who mainly have symptoms related to either the upper or the lower digestive tract only, and some research studies have found that a significant proportion of people with hEDS experience some kind of gastrointestinal symptoms. ​ What sort of gut problems can occur? ​ The type, frequency and severity of digestive symptoms can vary greatly from person to person as everyone with hEDS is different. The most frequently reported problems affecting the upper digestive tract are acid reflux and chronic/recurrent indigestion with pain or discomfort and early fullness after meals. The lower digestive tract can present problems such as constipation, abdominal pain, bloating, diarrhoea and a feeling of general abdominal discomfort.  Nausea and vomiting can occur alongside any of the symptoms described above.   Delayed gastric emptying / dysmotility The term dysmotility is often used to describe abnormal movements (e.g. sluggish movements or spasm) of the gut. Some hEDS sufferers can have a sluggish stomach, which means that there is a delay in the emptying of stomach contents into the small bowel, and this is often referred to as delayed gastric emptying. Delayed gastric emptying can range in severity from mild to severe, with the most severe form called gastroparesis (paresis = paralysis). A portion of hEDS sufferers do have delayed gastric emptying, however only a few will be severe enough to be diagnosed with gastroparesis. Patients with a lot of bloating and/or fullness after meals or nausea and vomiting can be tested for delayed gastric emptying, but it is important to note that so far a link between hEDS and gastroparesis has not been categorically established. ​ In other patients increased sensitivity of the stomach may be a more common problem. Both dysmotility and increased sensitivity of the stomach can be associated with symptoms such as acid or bile reflux, bloating, early fullness during meals/extended fullness after meals and nausea.   Heartburn / reflux There is some preliminary research that suggests that people with hEDS are slightly more likely to have a small hiatus hernia at the lower end of the oesophagus. This means that the upper end of the stomach slips into the chest cavity through a small hole (hiatus) in the diaphragm (the large muscle that separates the chest cavity from the abdominal cavity). This is quite a common finding and is usually not dangerous, but it can mean that the muscle that closes to stop food or liquid contents of the stomach from escaping back up into the oesophagus is somewhat inefficient, resulting in the acid reflux and/or heartburn symptoms, and this is called gastroesophageal reflux disease (GERD or GORD). However, it is also possible to experience reflux and/or heartburn symptoms without having a hiatus hernia. These symptoms can be associated with dysmotility, increased sensitivity of the oesophagus, or be experienced in isolation with none of these underlying causes.   Bloating Abdominal bloating is a common symptom in people with hEDS, and although the underlying causes are not fully understood, it is thought that dysmotility may be a contributing factor. Overgrowth of bacteria of the small bowel can occur if there is stagnation within the bowel (i.e. constipation) and this can lead to excessive fermentation of food leading to production of gas, which can also be associated with bloating. A link between hEDS and bacterial overgrowth has not been categorically established and further research is required.   Constipation Chronic constipation in adults is a common and debilitating problem and it is estimated that around 12 to 19% of the general population experience this, with females and the older population being more prone. Constipation is also common in patients with EDS and it is thought that a sluggish colon and difficulty with evacuation of the bowel are key causes. However there are often many factors inter-linked which can contribute to constipation such as diet, metabolic (hormone) or neurological (nerve) conditions, side effects of prescription medications, particularly opioid-based painkillers, or physical disorders such as prolapse of the bowel. ​ Rectal and genital prolapse are recognised as potential problems for some people with hEDS, and can be a factor contributing to constipation. Prolapse of the rectum means that the lining (mucosa) of the rectum (called a partial prolapse) or the entire rectal wall (called a complete prolapse) protrudes into the rectum, which interferes with the ability for a stool to be passed. Prolapses of the rectum usually occur during bowel movements, and then recede, but more advanced rectal prolapses can occur upon standing as well. However, in most cases prolapses tend to be small and do not require any active interventions. If a significant prolapse is diagnosed upon testing, and it is thought to be contributing to your gastrointestinal problems, your physician will refer you to a surgeon.   Functional gastrointestinal disorders Sometimes people with hEDS who have symptoms such as reflux, heartburn, constipation or nausea may not have an identifiable cause of their symptoms on any medical testing and these patients are then given a diagnosis of functional gastrointestinal disorder (FGID). Patients who have symptoms with no underlying cause found account for more than a third of new referrals to gastrointestinal specialists, and so this is a common occurrence. A preliminary study amongst patients who were referred to a specialist because no cause of their symptoms could be found, demonstrated that over a third of those patients met the criteria for joint hypermobility and many of them had previously received a diagnosis of irritable bowel syndrome (IBS) or functional dyspepsia. IBS is the most common example of a FGID, and is characterized by recurrent abdominal pain and frequent changes in bowel habits. Functional dyspepsia is another type of FGID and relates to symptoms of upper abdominal pain, fullness, nausea and bloating, frequently following meals. (Credits: Ehlers Danlos . Org)

Episode Notes The Visitor: In which we traumatize Jude. Captain Dad is the best even when temporally displaced. What else did this writer do? Oh, In the Pale Moonlight. Uh oh. The one mistake they made is getting Alexander Siddig's aging completely wrong. Some tech Trek gets right, some it gets hilariously wrong. Hippocratic Oath: O'Brien/Bashir besties. Ketrecel White! Cop Worf does not gel with Wet PI Odo. A lot of characters don't feel right in this episode. 37?! BabSpace9 is a production of the Okay, So network. Connect with the show at @babylonpodject Help us keep the lights on via our Patreon! Justen can be found at @justenwrites Ana can be found at @The_Mianaai, and also made our show art. Both Ana and Justen can also be found on The Compleat Discography, a Discworld re-read podcast. Jude Vais can be found at @eremiticjude. His other work can be found at Athrabeth - a Tolkien Podcast and at Garbage of the Five Rings. Clips from the original show remain copyrighted by Paramount Entertainment and are used under the Fair Use doctrine. Music attribution: Original reworking of the Deep Space 9 theme by audioquinn, who stresses that this particular war crime is not their fault. This show is edited and produced by Aaron Olson, who can be found at @urizenxvii Find out more at http://babylonpod.page

Urinary incontinence, bladder, vaginal and pelvic floor issues are common in women of all ages and having children isn't a prerequisite. Pelvic floor therapy awareness is on the rise but it's not the only thing you can do to support your bladder, vaginal area and pelvic floor. My podcast guests today are nurse practitioner pals of mine from Tacoma, Washington. Shannon Keenan and Kara Scanlan from Empowered Med Spa are all about helping women thrive at any age. In this episode of The Health Fix Podcast I interview Shannon and Kara on the InMode radio frequency devices they are using to transform bladder, vaginal and pelvic floor health for women of all ages. What You'll Learn In This Episode: How radio frequency devices are helping women reduce bathroom visits, incontinence and prolapse Why using Forma V and V Tone postpartum can prevent pelvic and bladder issues How my back pain and stress incontinence vanished after 2 sessions with Forma V and V Tone Why less bathroom visits, less urgency, sleeping through the night, reduced pain and improved orgasms are a few of the things InMode radio frequence device clients are raving about Resources From The Show: Empowered Med Spa InMode Devices and Practitioner Listing

Wades GASLIGHTING US! But Austin and I know better. Austin goes to see monster trucks, Wade potentially meets the one and Caleb shows out.

In today's episode, Jessie and Anita are answering a very specific question from a client of Jessie's that came in recently, regarding how to reduce prolapse symptoms when you don't have much downtime. Anita and Jessie will share their top 5 suggestions that can be implemented immediately, can take you 5 minutes or less, and will hopefully have a big impact on the reduction of those prolapse symptoms.- - - - - - - - -If you liked this episode of To Birth and Beyond, tell your friends! Find us on iTunes and Spotify to rate/review/subscribe to the show.Want more? Visit www.ToBirthAndBeyond.com, join our Facebook group (To Birth and Beyond Podcast), and follow us on Instagram @tobirthandbeyondpodcast! Thanks for listening and joining the conversation!Resources and References Creatine Supplement from Legion - use code: JESSIEMLEGIONShow Notes 0:55 - Jessie promotes her favorite creatine supplement: Legion!3:36 - Jessie explains what we are covering on the podcast today!4:51 - Tip #1: Give yourself a pep talk (listen - we elaborate )7:54 - Tip #2: Take a few s l o w , deep breaths11:55 - Tip #3: Physically shake your body out13:00 - Tip #4: Do a couple of mobility or strength-focused exercises (with examples)13:40 - Tip #5: If you can get your hips elevated for a few minutes, do it! (with examples)15:22 - Episode review and wrap up!

Explore the art of tuning into your body's signals, honoring its needs, and finding joy in movement. From overcoming gym intimidation to understanding the link between menstrual cycles and energy levels, this episode is packed with expert advice, personal stories, and practical tips for moving intuitively.  Join us and transform how you connect with your body's wisdom today!CONNECT MORE WITH BETH! Loving the podcast? You are not alone! If you're like most women, this podcast will kick off your journey and give you valuable insights, but you'll probably find yourself wanting even deeper support and transformation, totally understandable! Here is how to find what you are looking for… FREE 20 minute consult with BethJoin Peace with Food & Soul, the life-changing group coaching program designed to help you shed food and body guilt for GOOD. Join the free BEYOND INTUITIVE EATING Facebook group Work with Beth 1:1 SOCIAL HANDLES Website: www.bethbasham.com Instagram: @bethbasham.rdFacebook: @bethbasham.rd FOLLOW & REVIEW If you found value in this episode, please follow and leave me a review on whatever platform you're listening through. My mission is to help women end the war with their body and food so they can discover total body...

In this episode of the MamasteFit Podcast, hosts Gina and Roxanne are joined by Dr. Courtney Johnson, a pelvic floor physical therapist known as the Female Athlete Doc on the internet. Dr. Johnson discusses navigating exercise with pelvic organ prolapse during pregnancy and postpartum, addressing common fears and misconceptions. The conversation covers topics like defining prolapse, appropriate exercises, the use of pessaries, and the importance of mindset and symptom tracking in managing prolapse. Dr. Johnson also shares tips for returning to fitness and the impact of stress and lifestyle on prolapse symptoms. This comprehensive discussion aims to empower listeners to stay active and manage prolapse symptoms effectively and without fear. 00:00 Introduction to the MamasteFit Podcast 01:20 Meet Dr. Courtney Johnson: Pelvic Floor Physical Therapist 03:44 Understanding Pelvic Organ Prolapse 07:34 Addressing Prolapse Concerns Postpartum 14:02 Effective Strategies for Managing Prolapse Symptoms 20:08 The Role of Physical Therapy in Prolapse Recovery 38:39 Pregnancy and Prolapse: What You Need to Know 44:59 Conclusion and Resources Find Courtney here: Website: www.thefemaleathletedpt.com Instagram: www.instagram.com/thefemaleathletedoc  Online Education Platform: https://www.skool.com/pelvicwellnessacademy/about ===== Pre-Order Training for Two on Amazon: https://amzn.to/3VOTdwH —— This podcast is sponsored by Needed, a nutrition company focused on optimal nourishment for your perinatal journey. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Use code MAMASTEPOD for 20% off your first order or three months of subscription.⁠ ⁠⁠⁠⁠⁠⁠⁠⁠  ****Freebies***** Early postpartum recovery course:  https://mamastefit.com/freebies/early-postpartum-recovery-guide/  Pp sample  https://mamastefit.com/freebies/postpartum-fitness-guide/ Prenatal Sample:  https://mamastefit.com/freebies/prenatal-fitness-program-guide/ Pelvic Floor  https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/ Birth Prep for Labor Guide  https://mamastefit.com/freebies/prepare-for-labor-guide/ Birth Partner Guide  https://mamastefit.com/freebies/birth-partner-guide/ Birth Plan  https://mamastefit.com/freebies/birth-plan-guide/

Leslie Jones is an American stand-up comedian and actress. She was a cast member and writer for the NBC sketch comedy series Saturday Night Live from 2014 to 2019, and hosted the ABC game show Supermarket Sweep. Red Richardson is an English stand-up comedian, actor and podcaster from Devon. Subscribe to Howie Mandel & Harland William's NEW SHOW: When A Stranger Callz https://www.youtube.com/@WhenAStrangerCallz Howie Mandel Does Stuff Available on Every Podcast Platform Howie Mandel Does Stuff Merchandise available on Amazon.com here https://www.amazon.com/shop/howiemandeldoesstuff Join the "Official Howie Mandel Does Stuff" Reddit: https://www.reddit.com/r/HowieMandelPodcast/ Say Hello to our new house band Sunny and the Black Pack! Follow them here! YouTube: https://www.youtube.com/@BlackMediaPresents TikTok: https://www.tiktok.com/@blackmediapresents Spotify: https://open.spotify.com/artist/01uFmntCHwOW438t7enYOO?si=0Oc-_QJdQ0CrMkWii42BWA&nd=1&dlsi=a9792af062844b4f Facebook: https://www.facebook.com/SunnyAndTheBlackPack/ Instagram: https://www.instagram.com/blackmediapresents/ Twitch: https://www.twitch.tv/blackmediapresents Twitter: twitter.com/blackmedia Social Media @lesdogggg @redrichardsoncomedy @howiemandel @jackelynshultz

Gynecological surgeries are extremely common. More 600,000 women get a hysterectomy each year in the US alone, and more than one-third of women will have had one by age 60. And often a woman is told that she's “good to go” after a few weeks, when in reality, when it comes to her sport, she's anything but, and she can struggle for months–or longer–because no one properly helped her rehab to return to powerlifting, doing double-unders, running 13 miles, or many of the activities we take for granted as part of regular life. That's where this week's guest, Dr. Jocelyn Wallace comes in. Using her professional as well as personal experience, Jocelyn devotes her practice to helping women rebuild strength after surgery and bridge the gap back to their active and athletic lives without prolapse, pain, or peeing themselves. We talk all about her work there as well as dealing with common pelvic health concerns, especially pain and incontinence.Jocelyn Wallace, PT, DPT, CF-L2 is a pelvic health physical therapist who helps women get back to the things they love after gynecological surgeries, specializing in hysterectomy, myomectomy, and excision surgery recovery. She has firsthand experience navigating recovery as an athlete, having her first open myomectomy a few weeks after her first powerlifting meet. After seeing how little support is given to women after major abdominal surgery, she vowed to fill that gap. Since then, she has had 2 more abdominal surgeries, with 54 fibroids removed, and is a Level 2 CrossFit Trainer, combining the skillsets of physio + fitness to help women fully return to their active lives. You can learn more about her and her work at drjocelynwallace.com.Subscribe to the Feisty 40+ newsletter: https://feistymedia.ac-page.com/feisty-40-sign-up-page Follow Us on Instagram:Feisty Menopause: @feistymenopause Feisty Media: @feisty_media Selene: @fitchick3 Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Join Level Up - Our Community for Active Women Navigating the Menopause Transition:Join: https://www.feistymenopause.com/monthly-membership-1 Leave your questions for Selene:https://www.speakpipe.com/hitplay Get the Free Feisty Women's Guide to Lifting Heavy Sh*t:https://www.feistymenopause.com/liftheavy Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/ B-Untethered Train and Travel Trips: Sign up by July 8th to receive an early bird discount on the Mount Kilimanjaro trip. Learn more at https://b-untethered.com/b-train-and-travel-trips/ Hettas: Use code FEISTY20 for 20% off at https://hettas.com/ Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Tifosi Optics: Use code FM20! for 20% off at https://tifosioptics.com/

Dr. Jocelyn Fitzgerald, a Urogynecologist and Reconstructive Pelvic Surgeon, on women's pelvic floor health after childbirth, during perimenopause and after menopause. Including:Urge incontinence and stress incontinence Bladder Botox injections to treat incontinenceBladder irritants - little known diet choices that may be causing bladder spasms (!!)Vaginal estrogen for vaginal dryness and much moreRisks of childbirth and what women should knowWhat exercises can help?Prolapse - how it happens and what to do about itConnect with @jjfitzgeraldmdShow notes: www.onairella.com/post/346-pelvic-floor-health-----------------------------------------On Air With Ella is for women who want to feel better, look better, live better - and have more fun doing it. This is where we share simple strategies and tips for living a bit better every day. Not in a generic “live, laugh, love” way, but in a kick more a$ every day at every age kind of way! If you're interested in mindset and wellness, healthy habits and relationships, or hormone health, aging well and eating well, then you're in the right place. Connect with Me: InstagramLinkedInYouTubePrivate Facebook GroupMy Amazon StorefrontWebsite☎️ Leave a voice message: +1 (202) 681-0388 -----------------------------------------------