Podcasts about vaginal

In this episode, Dr. Karen Brodman, a seasoned gynecologist, discusses the complexities of menopause, hormone therapy, and the importance of addressing women's health issues. She emphasizes the need for personalized care and the impact of lifestyle changes on menopause symptoms. The conversation also highlights the significance of vaginal and bladder health, as well as the positive aspects of aging and maintaining optimal health. Key Takeaways: Dr. Brodman has over 40 years of experience in gynecology. Menopause symptoms can significantly affect quality of life. Hormone therapy options include both bioidentical and synthetic hormones. Lifestyle changes play a crucial role in managing menopause symptoms. Vaginal estrogen can effectively treat vaginal dryness and bladder issues. The internet has increased awareness about menopause and women's health. Not all women will benefit from hormone therapy; individual needs vary. Healthy aging is possible with the right lifestyle choices. Women should not fear losing their femininity during menopause. Regular check-ups are essential for managing menopause-related health issues. Links: https://www.karenbrodmanmd.com/ https://profiles.mountsinai.org/karen-f-brodman How you can stay in touch with Linda: Website Facebook Twitter Instagram Pinterest YouTube SoundCloud   "Proud Sponsors of the Sisterhood of S.W.E.A.T" Essential Formulas

Dr. Natalie Crawford and Dr. Shieva Ghofrany dive into the often-unspoken world of women's sexual health. From hormonal changes to relationship dynamics, this episode breaks down the science and stigma surrounding libido, offering candid insights and empowering advice for women at every life stage. Key Topics: 1. Hormones and Sex Drive - The role of testosterone, estrogen, and cortisol - How hormonal changes impact intimacy 2. Perimenopause and Sexual Health - Recognizing hormonal transitions  - Managing libido changes 3. Medical Insights - Contraception and sexual side effects - Vaginal health and non-hormonal options 4. Empowerment and Self-Care  - Breaking down shame and stigma  - Loving your body through different life stages Follow Dr. Shieva Ghofrany on Instagram ⁠@drshievag⁠ Check out her website to learn more about Dr. Shieva Ghofrany and her practice. h⁠ttps://www.drshievag.com/⁠ Want to receive my weekly newsletter? Sign up at ⁠⁠⁠⁠nataliecrawfordmd.com/newsletter⁠⁠⁠⁠ to receive updates, Q&A, special content and freebies. If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Tuesday. Plus, be sure to follow along on Instagram ⁠⁠⁠⁠@nataliecrawfordmd,⁠⁠⁠⁠ check out Natalie's YouTube channel Natalie Crawford MD⁠⁠⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠⁠⁠Fora Fertility. Join the Learn at Pinnacle app ⁠to earn FREE CE Credit for listening to this episode! This episode is brought to you by The Pinnacle Podcast Network! Learn more about Pinnacle at learnatpinnacle.com  Learn more about your ad choices. Visit megaphone.fm/adchoices

Vaginal estrogen is not the enemy. Outdated data is. In this crossover episode of the BackTable Urology and OBGYN podcasts, Dr. Suzette Sutherland and Dr. Yahir Santiago-Lastra delve into the persistent challenges and ongoing advocacy efforts surrounding the FDA's black box warning on vaginal estrogen. --- SYNPOSIS They explore the historical context and far-reaching influence of the 1990s Women's Health Initiative (WHI) study, asserting that its misinterpretation continues to shape misconceptions and hinder effective menopause care. The discussion highlights recent data refuting the risks associated with vaginal estrogen therapies and underscores the urgent need for updated, evidence-based guidelines to support women throughout menopause. Dr. Santiago-Lastra also draws attention to gender-based inequities in hormone treatment, the robust evidence contradicting the current black box warning, and the multi-faceted advocacy required to bring about change. This episode is part of a broader series focused on various aspects of menopause. --- TIMESTAMPS 00:00 - Introduction02:01 - Menopause Series Overview03:55 - History of the Black Box Warning on Estrogen07:26 - Understanding the Black Box Warning12:11 - The Citizen's Petition and FDA Process18:11 - Gender Inequity in Medical Treatment22:45 - Factors Resulting in Gender Inequity29:02 - Genital Urinary Syndrome of Menopause (GSM)29:32 - Benefits of Vaginal Estrogen33:33 - Legislative Advocacy and Medicare34:43 - Professional and Patient Advocacy36:35 - Challenges and Progress in Label Change43:35 - Historical Context and Gender Equity45:07 - Recap and Future Directions

Our guest for this episode is the hilarious actor and social media star Clara Batten! We talk about everything from writing books and kickstarting your career to what it's like to have dinner with Boris Johnson. Clara tells us how she makes her brilliant reaction videos, and what the people she's reacting to make of them. We discuss how she got banned and then unbanned from Instagram, and how her comedy has helped her return to acting after a 20 year break. We also talk about Clara's desert island drinks, her exciting new project with a close personal friend of ours, and we play a quick round of Wine Game. To finish, there are some superb Scummy Mummy Confessions, and Helen rounds everything off nicely by spectacularly insulting our guest. You can follow Clara on the socials @clara_batten_. Her excellent show, Shoot Your Shot, is on YouTube, and her book Gin and Phonics is out now. WE ARE ON OUR! This month we're bringing our new show Hot Mess to Buxton, Lancaster, Lichfield, Eastleigh, Bristol, Poole, Barnsley, Stevenage and Cheltenham... Feastival and Deer Shed Festival in the summer. Then Stamford, Loughborough, Tonbridge, Exeter, Redruth, Basingstoke, Bishop's Stortford and many more in the autumn, and beyond! Some shows are already SOLD OUT so get in quick - visit scummymummies.com for dates and tickets. *WE HAVE A SHOP!* Visit scummymummiesshop.com for our ace t-shirts, mugs, washbags, sweatshirts and beach towels. FREE UK DELIVERY! We're on X, Instagram, and Facebook @scummymummies. If you like the podcast, please rate, review and subscribe. Thank you for listening! Hosted on Acast. See acast.com/privacy for more information.

Send Kiona a Text Message!Heather dives deep into the details of what each of her three pregnancies was like for her. She also touches on the importance of postpartum support and following your intuition because she had to do so for her second pregnancy, which was her first home birth experience. This led her to discover that her daughter was a footling breech at home. Want to find out what happened? Tune in to this episode and let me know what you find out! Support the showThank you so much for tuning in to this episode! If you like this podcast, don't hesitate to share it and leave a review so it can bring the podcast to the attention of others. If you want to share your own birth story or experience on the Birth As We Know It™️ Podcast, head over to https://birthasweknowitpodcast.com/ or fill out this Guest Request Form. Support the podcast and become a part of the BAWKI™️ Community by becoming a Patron on the Birth As We Know It Patreon Page! And don't forget to join in on the fun in the Private Facebook Group!

Dr. Kelly Casperson is a board-certified urologic surgeon,CEO and founder of The Casperson Clinic, a modern practice dedicated to hormones and sex medicine, renowned public speaker, sex educator, and host of the top-ranking podcast You Are Not Broken. Dedicated to empowering women, Dr. Kelly blends humor, candor, and science to demystify sexual health, intimacy, and midlife wellness. Through her podcast and online courses, she tackles myths about desire and normalizes conversations around healthy, fulfilling sex. Her work also provides essential education on hormones and midlife health. Connect with Dr. Kelly on Instagram (@kellycaspersonmd) or visit kellycaspersonmd.com.Dr. Kelly Casperson is a board-certified urologic surgeon who believes in the transformative power of science and the mind to reshape our understanding of sexuality and hormones. After many years of practice, a pivotal encounter with a patient ignited her deep curiosity about female sexual wellness, leading her to learn everything she could to help others.Compelled to do more, she realized that helping patients one-on-one in her clinic wasn't enough to address the widespread gap in sexual and hormonal education. Recognizing that women aren't broken in the bedroom but simply misinformed, she launched the You Are Not Broken podcast. The show quickly gained popularity, consistently ranking in the top 10 in Apple Podcasts' “Medicine” category in the U.S., and has been nominated for an AASECT award three years in a row.In 2025, Dr. Casperson expanded her mission to revolutionize women's health by founding The Casperson Clinic, a modern practice dedicated to hormones and sex medicine.Dr. Casperson's book, You Are Not Broken: Stop Should-ing All Over Your Sex Life, is available on Amazon and Audible. In 2025, she will be opening the Casperson Clinic for hormones and sex medicine, expanding her reach even further in women's health.Her book: “You Are Not Broken: Stop Should-ing All Over Your Sex Life” is out now on Amazon and Audible.kellycaspersonmd.comwww.facebook.com/yourenotbrokenwww.instagram.com/@kellycaspersonmdwww.youtube.com/@kellycaspersonmd_________________________________________________________________________________________vTry the Fringe Heals Red Light Pelvic Wand here:https://fringeheals.com/ref/467/Thank 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

Surgical techniques in gynecology vary widely between surgeons, creating both excitement and frustration for residents trying to learn the "right way" to perform procedures. Howard and guest host Maddie White discuss this and more:• Trocar placement during laparoscopy requires careful consideration of patient factors and potential adhesions• Elevating the abdomen during trocar placement remains standard practice, though definitive evidence on its necessity would require studies of over 100,000 patients• Surgeons should understand power analysis to recognize when studies are underpowered to detect meaningful differences in rare complications• Visceral slide technique using ultrasound can identify adhesions and determine the safest entry point for laparoscopic surgery• Palmer's point may no longer be the safest entry point for many patients given the prevalence of bariatric surgeries• Jain's point (lateral to the umbilicus) may now be statistically safer for many patients with complex surgical histories• Vaginal cuff dehiscence rates are 6-10 times higher with laparoscopic/robotic hysterectomy compared to vaginal approaches• The higher dehiscence rate stems from using energy devices for colpotomy rather than cold scalpel techniques• Barbed sutures simplify cuff closure but don't reduce dehiscence rates compared to standard suturing techniques• Surgery consists of "a thousand little things done well" - mastering these micro-skills distinguishes excellent surgeons00:00:00 Surgical Techniques: Excited and Frustrated00:08:00 Elevation During Trocar Placement 00:17:00 Evidence and Power Analysis00:21:35 Visceral Slide Technique00:35:10 Alternative Trocar Entry Points00:40:10 Cuff Closure and Dehiscence Risk00:51:45 Laparoscopic vs Vaginal Colpotomies01:03:00 First Accredited OB-GYN Residency ProgramFollow us on Instagram @thinkingaboutobgyn.

Examine the vulva in menopause consultations Biopsy is important for diagnosis Differentiating vulval conditions Treatment with potent topical steroids Referral considerations The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia who attended Healthed’s face-to-face seminars. Do you always examine the vulva in the menopause consult, or would you wait and see if the patient doesn’t have the expected response to vaginal oestrogen? How do we differentiate between lichen sclerosus, lichen planus, or lichen simplex chronicus? Do you think the itch of lichen sclerosus responds to vaginal oestrogen? Could you give this to a woman, and she’s going to get better, and you’ll never know that she had lichen sclerosus? What treatments do you use, and for how long? Can you take a punch biopsy from one site - the site that you think is perhaps the easiest to biopsy or looks the most affected? Is a 3 mm punch biopsy big enough? Do you have to pop a suture in? How do you manage the care of that biopsy after you’ve done it? Is referring to a dermatologist or gynaecologist better for biopsy? Which steroids do you use, for how long, and what results do you expect? How does a woman present with lichen planus? Host: Dr Marita long | Total Time: 23 mins Expert: Dr Terri Foran, Sexual Health Physician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Como vimos no episódio anterior, o conhecimento sobre a microbiota vaginal é muito importante para buscar a saúde reprodutiva, bem como prevenir e tratar quaisquer desequilíbrios. A presença de micro-organismos é detectada no Exame de Papanicolaou, e neste episódio do PAPo Preventivo, você vai conhecer mais alguns dos principais aspectos que caracterizam a flora vaginal, tendo em vista os micro-organismos considerados saudáveis e aqueles que, a partir da proliferação, podem se tornar agentes infecciosos. Confira também de que forma o Exame Preventivo pode auxiliar no processo de tratamento caso seja detectada alguma infecção.O PROGRAMA: PAPo Preventivo é uma série de pílulas informativas produzidas pela Rádio UFOP em parceria com o Programa Âmbar Citologia Ginecológica, vinculado à Escola de Farmácia da Universidade Federal de Ouro Preto. Esta temporada aborda possíveis resultados do Exame de Papanicolaou, também conhecido como Preventivo. Dúvidas? Envie uma DM no Instagram @ambarcitologia_ufop.

Ian Kerner, nationally recognized sex therapist and author, joins Dr. Rena Malik to discuss the essentials of a fulfilling sex life, including communication, sexual scripts, psychological arousal, and the importance of both novelty and familiarity in intimate relationships. The conversation covers strategies for reigniting desire and maintaining the spark in long-term partnerships, practical tips for pleasuring partners, overcoming sexual shame and avoidance, using fantasy and psychological stimulation, and introducing topics like pornography or non-monogamy. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00:00 Introduction00:00:51 Menopause Definitions00:02:54 Estrogen and Skin00:07:05 Estrogen and Brain Health00:11:11 Estrogen and Weight Gain00:12:54 Bone Health and Osteoporosis00:18:53 Joint Health and Pain00:24:30 Mood and Depression00:28:28 Cardiovascular Health00:32:36 Vasomotor Symptoms00:36:04 Pelvic Floor, Vaginal, and Urinary Changes Stay connected with Dr. Ian Kerner on social media for daily insights and updates. Don't miss out—follow him now and check out these links! INSTAGRAM - https://www.instagram.com/iankernerlmft/ https://amzn.to/44btgKo Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Evvy, a vaginal microbiome testing and care company, launched in 2021 with a mission to close the gender health gap by leveraging overlooked female biomarkers. Through its platform, the company has built the world's largest dataset on the vaginal microbiome and is using this novel data to drive better outcomes in women's health.

Wendy Strgar is the founder of Good Clean Love. Wendy shares her journey from personal health struggles to creating innovative products that support the vaginal microbiome and women's reproductive health. The conversation explores the challenges women face in healthcare, the importance of trusting one's body, and the need for compassionate, science-based solutions. Wendy also discusses her commitment to women's empowerment and the healing power of love, encouraging listeners to embrace self-advocacy and community support in their health journeys. Connect with Wendy: https://goodcleanlove.com Her Drive's Website: https://her-drive.com Her Drive's Instagram: https://instagram.com/herdrivepodcast  

Information on perimenopause and menopause has finally started to flood the public sphere since the past few years. That being said, one area that isn't talked about a lot is how perimenopause/menopause can cause vaginal and sex symptoms. In this episode, we talk about how the changing levels of hormones for women in peri/menopause affects the vagina and vulva, which then can lead to certain conditions during sex, such as abrasions and affecting orgasm. We also talk about certain approaches to help alleviate these symptoms. I am joined with my co-host and good friend, Touseef Mirza.

Send us a textPlanning your birth and wondering whether to aim for a vaginal birth or opt for a caesarean? In today's episode, we're unpacking the many layers of this decision—without judgement, just clarity.I'm joined by Melbourne-based obstetrician and gynaecologist Dr Amber Moore, who has supported thousands of women across both public and private healthcare systems. Together, we explore the practical, emotional, and medical considerations when it comes to choosing your birth plan.Whether you're early in pregnancy, nearing your due date, or feeling unsure about your delivery options, this episode offers expert insights to help you feel empowered and informed.Dr Amber Moore's website Dr Amber Moore's InstagramPrenatal workouts: https://www.fitnestmama.com/program/pregnancy-exercise-program-online/Postnatal workouts: https://www.fitnestmama.com/program/postpartum-exercise-program-online/LINKS: Preparing for birth Pelvic health checklist Free 7 Day Trial Pregnancy Workouts Free 7 Day Trial Postnatal Workouts FitNest Mama Website Instagram @kathbaquie.physio 1:1 Consultation with Physio Kath ** This podcast has general information only. Always seek the guidance of your doctor or other qualified health professional with any questions or concerns you may have regarding your health or medical condition.

Já pensou nos diversos micro-organismos que habitam naturalmente o corpo humano? E quando se trata da microbiota vaginal, o conhecimento sobre esse campo é muito importante para buscar a saúde reprodutiva, bem como prevenir e tratar quaisquer desequilíbrios. A presença de micro-organismos como lactobacillus também é detectada no Exame de Papanicolaou, e neste episódio do PAPo Preventivo, você vai conhecer alguns dos principais aspectos que caracterizam a flora vaginal, tendo em vista os micro-organismos considerados saudáveis e aqueles que, a partir da proliferação, podem se tornar prejudiciais. Confira também alguns fatores que influenciam diretamente a saúde íntima.O PROGRAMA: PAPo Preventivo é uma série de pílulas informativas produzidas pela Rádio UFOP em parceria com o Programa Âmbar Citologia Ginecológica, vinculado à Escola de Farmácia da Universidade Federal de Ouro Preto. Esta temporada aborda possíveis resultados do Exame de Papanicolaou, também conhecido como Preventivo. Dúvidas? Envie uma DM no Instagram @ambarcitologia_ufop.

Y'all, today's episode is not about theory. It is about action. I'm walking you through what it really takes to transition from using vaginal dilators to having pain-free, pleasurable sex. We're talking consistency, mindset, muscle recovery, and how to stop making dilation feel clinical and start making it feel sensual. Whether you're single, partnered, or just tired of feeling stuck, this episode is your roadmap to taking control of your body and your pleasure. Let's get to work because buttery, juicy sex is possible for you.Vaginismus 2 VAGLICIOUS 3 Day Master course, July 1-3rd click HERETo sign up for our 8 Week Pain Free Sex Program, schedule a call with me to make sure we're a fit & get you onboarded! It's time for you to be free, fearless & experiencing buttery sex! Click here to book your call with me today: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Follow me on Instagram @vaginarehabdoctor Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.com Produced by Light On Creative Productions

Hysterectomy and dehiscence.

Everyone thinks hormone therapy is finally getting attention but no one's really talking about the fact that estrogen can be life-saving. The data is right there: lower mortality, fewer hospitalizations, less sepsis. So why is it still being overlooked?In my practice, I see patients every day who are silently suffering dealing with UTIs, vaginal dryness, painful sex, and bladder issues they think are just part of aging. But these symptoms often point to something much bigger: Genitourinary Syndrome of Menopause. And what's worse, it's still widely misunderstood or ignored.A recent study with new data stopped me in my tracks. Over 11 million patient records showed that vaginal estrogen doesn't just improve quality of life it dramatically reduces serious outcomes like sepsis and even death. That kind of impact should be front-page news in every medical journal, yet here we are… still debating whether it's “necessary.”We also talked about the brand new AUA guidelines, which now make it clear: local estrogen is first-line therapy. It's safe, even for many patients who were once told they couldn't use hormones. These guidelines finally reflect what we've known clinically for years that low-dose vaginal estrogen isn't just symptom relief. It's prevention.There's still a lot of confusion about systemic absorption, cancer risk, and when to refer out. So in this episode, I'm breaking down what's new, what's misunderstood, and what every patient and provider needs to know. I'm also sharing how I approach treatment options from estrogen and DHEA to pelvic floor therapy and even energy-based devices (yes, we go there).If you've ever been told this is just part of aging, or you're not sure what your options are, I hope this gives you clarity—and maybe a little validation, too. Highlights:Why vaginal estrogen can lower mortality, sepsis, and hospital stays.What the AUA's 2025 GSM guidelines say—and why they matter.Clearing up myths about hormone absorption and cancer risk.When to consider DHEA, Ospemifene, or non-hormonal options.The role of pelvic floor therapy in managing GSM.Resources:AUA's GuidelinesGyno Girl-GSM VideoGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

Dr. Anne Truong is a board-certified physician with over 20 years of clinical experience and a trailblazer in the field of regenerative medicine and men's sexual health. Known for her outside-the-box approach, she helps patients heal the cause of sexual dysfunction—not just mask the symptoms. Through her practice, Dr. Anne has helped countless individuals reclaim their vitality, confidence, and quality of life. Her patients, lovingly called “Vitality Warriors,” trust her integrative, patient-centered methods that blend cutting-edge regenerative therapies with nutrition, hormone balancing, lifestyle support, and deep education.

In this essential episode of the Sex with Emily podcast, Dr. Emily sits down with Dr. Ina Park, associate professor at UCSF School of Medicine and author of "Strange Bedfellows: Adventures in the Science, History, and Surprising Secrets of STDs." From her early days as a peer educator dressed as a giant condom at UC Berkeley to becoming a leading expert in sexual health, Dr. Park brings both humor and expertise to one of the most stigmatized topics in sexual wellness. We dive deep into the myths and realities surrounding STIs, exploring why HPV is truly "the common cold of the genitals" that nearly everyone will encounter, how herpes stigma far outweighs its actual health impact, and why people who know their status are actually safer partners than those who don't. Dr. Park shares fascinating insights about everything from The Bachelor's problematic STI testing to the connection between pubic hair grooming and infection risk. This conversation tackles the shame and fear that keep us from having honest discussions about sexual health, while providing practical advice on testing, disclosure, and maintaining healthy relationships regardless of STI status. We also explore the vaginal microbiome, why some people are more susceptible to infections, and promising new treatments on the horizon. Key Topics Covered: HPV: Why it's unavoidable and how to think about it differently Herpes disclosure and reducing transmission risk The truth about oral sex and STI transmission Pubic hair, Brazilian waxes, and infection risk Vaginal health and the microbiome Why knowing your status makes you a safer partner Breaking down STI stigma and shame Dr. Park's refreshing approach reminds us that STIs are simply part of being sexually active humans, and that knowledge, communication, and compassion are our best tools for sexual wellness. Show Notes:  00:00:00 - Dr. Park's journey from condom costume to STI expert 07:00:00 - HPV: The common cold of the genitals 14:00:00 - Herpes myths, realities, and disclosure strategies 22:00:00 - Oral sex and STI transmission risks 26:00:00 - Pubic hair grooming and infection risk 31:00:00 - Vaginal microbiome and bacterial balance 36:00:00 - Listener Q&A: Real STI concerns answered 42:00:00 - Breaking stigma and having better conversations This episode emphasizes that sexual health is part of overall wellness, and that honest, shame-free conversations about STIs can transform how we approach intimate relationships. Join the SmartSX Membership : ⁠https://sexwithemily.com/smartsx ⁠ Access exclusive sex coaching, live expert sessions, community building, and tools to enhance your pleasure and relationships with Dr. Emily Morse. List & Other Sex With Emily Guides: ⁠https://sexwithemily.com/guides/ ⁠  Explore pleasure, deepen connections, and enhance intimacy using these Sex With Emily downloadable guides. SHOP WITH EMILY!:https://bit.ly/3rNSNcZ (free shipping on orders over $99) Want more? Visit the Sex With Emily Website: ⁠https://sexwithemily.com/ ⁠ Let's get social:  Instagram ⁠https://www.instagram.com/sexwithemily/⁠  X ⁠https://twitter.com/sexwithemily⁠ Facebook ⁠https://www.facebook.com/sexwithemily⁠ TikTok ⁠https://www.tiktok.com/@sexwithemily ⁠ Threads https:⁠//www.threads.net/@sexwithemily  ⁠ Let's text: Sign up here ⁠https://sexwithemily.com/text 

A bite-sized boost to your day! This mini is an excerpt from episode 403 with Dr. Kelly Casperson with a focus on the wide-ranging benefits of vaginal estrogen for women.

Vaginal oestrogen is safe at any age, including over 70, with regular review Use vaginal oestrogen cautiously in younger women; rule out other causes such like vulval dermatitis In breast cancer survivors, vaginal oestrogen is off-label; prefer estriol and involve oncology Vaginal DHEA (Intrarosa) is effective with minimal absorption; lacks long-term safety data; no washout needed when switching The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia who attended Healthed’s face-to-face seminars. What are the main symptoms for women with vaginal atrophy, and what is the general approach when a woman comes to talk about these symptoms? How long can women use vaginal oestrogen for? If you saw a woman over the age of 70, would you feel comfortable allowing her to continue using vaginal oestrogen? Is it safe to use vaginal oestrogen in a younger woman who might be breastfeeding or taking the combined oral contraceptive pill and experiencing vaginal dryness or discomfort? Do you need to take the same precautions for side effects as you would with systemic hormone therapy? For example, if there was a woman who was prone to venous thromboembolism (VTE), is it safe for her to use vaginal oestrogen? Is there any role for vaginal oestrogen in reducing the frequency of recurrent genital herpes outbreaks? Are there situations where you would use vaginal oestrogen in combination with a non-hormonal product for better results? Thoughts on laser treatments, microneedling, or PRP for vaginal or vulval symptoms? In women who present with urethral caruncles, is there a role for vaginal oestrogen as part of the treatment? How long would you try using vaginal oestrogen for that? What about the doses of oestrogen when treating someone who's had breast cancer? What do we have to be mindful of? What about women with a history of endometrial, cervical, or vulval cancer? Can we use vaginal oestrogen if they've got symptoms? Can DHEA (Intrarosa) be used safely in women with a history of cancer? For women without breast cancer, when would you use DHEA instead of oestrogen? Would you ever use both oestrogen and DHEA together? What about using DHEA in conjunction with systemic menopausal hormone therapy? Are there any thoughts around the improvements in libido with the use of DHEA? If you had tried someone on Ovestin (estriol) and wanted to switch to Intrarosa, is a washout period required before starting? Host: Dr Marita long | Total Time: 33 mins Expert: Dr Terri Foran, Sexual Health Physician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

We have covered menopause on this show on various occasions. That's fitting and non-surprising as we are a women's health education podcast! While vaginal dryness and hot flashes get most of the attention in menopause, and they should, less attention often is given to skin changes. Nonetheless, these dermal manifestations of perimenopause and menopause can be just as disturbing to those affected. Estrogen helps skin produce oil and hold onto water, so extremely dry skin during menopause is common. Plus, according to the American Academy of Dermatology, collagen production drops 30% in the first 5 years of menopause and approximately 2% each year for about the next 20 years. Collagen gives skin its plumpness and structure. The direct-to-consumer market is replete with a variety of over-the-counter estrogen containing products, formulated as facial creams, which are meant to fight the battle of skin aging. But is topical estrogen applied to the face effective? What are the data? You'd be surprised to learn that there is published data on this- even level I data. Are there any safety concerns? We will summarize it in this episode. PLUS, as a “two-for one” special, we will also briefly highlight a brand new publication in the journal JAMA Network Open regarding antenatal corticosteroid dose to delivery interval and fetal benefits.

Send us a textWe explore the five key factors beyond hormone imbalance that can cause vaginal irritation, infection, and microbiome disruptions that many women experience without clear explanations. This mini-episode provides practical detection strategies and solutions for identifying your specific triggers, with special focus on maintaining vaginal health while traveling.• Blood sugar spikes provide food for yeast and other microbes, especially when consuming sugar without protein, fiber or fat• Gut health imbalances and antibiotic use disturb both digestive and vaginal microbiomes• Estrogen levels affect glycogen availability and infection susceptibility when too high or too low• Vaginal pH can be disrupted by menstrual products, soaps, fragrances, menstrual blood, and semen• Compromised immune function from stress or illness decreases your body's ability to maintain microbiome balance• Choose breathable cotton underwear and appropriate menstrual products when traveling• Plan ahead for proper sleep, hydration, and nutrition when traveling to maintain immune function• Prepare protein and fat-forward snacks to stabilize blood sugar during tripsFuture you is going to love yourself for planning ahead, and you will feel so much better throughout the day, energy-wise, plus hopefully you won't have as much irritation.CONNECT WITH BRIDGET LinkedIn | Instagram | Website Book your free strategy call here | Sign up for weekly tips via email

Host: Danielle O'Laughlin, PA-C, MS Guest: Jenna Wygant, APRN, CNP, DNP In this episode, Jenna Wygant, APRN, CNP, DNP, walks listeners through the most common types of vaginitis, helping providers to confidently differentiate between them. We'll explore the definitions, causes, risk factors, signs and symptoms, as well as diagnostic methods and treatment options for each condition. Comparing the features of these common vaginitis conditions will be emphasized throughout the episode. By the end of this podcasts, listeners will be able to: Differentiate common vaginitis conditions. Understand the definition, causes/risk factors, signs and symptoms, diagnosis, and treatment for common vaginitis conditions. Identify features that help compare common vaginitis conditions. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Send us a textStill wondering how your hormones influence potential infections, and how you can get to the bottom of it all? Vaginal health is influenced by multiple factors beyond hormones, including blood sugar, gut health, estrogen levels, vaginal pH, and immune function. Understanding these connections can help address and prevent recurrent infections or irritations.Nixit Discount Code: 15% off your purchase• Blood sugar spikes provide food for yeast, making glucose stabilization key for preventing infections• Gut microbiome health mirrors vaginal microbiome health, making digestive issues important to address• Antibiotics can wipe out beneficial bacteria along with harmful ones, creating imbalances• Both high and low estrogen can increase infection risk through different mechanisms• Vaginal pH can be disrupted by menstrual blood, certain products, and sexual activities• Menstrual products and synthetic underwear can cause irritation and micro-tears• Stress compromises immune function, making infections more likely• Most immune function is housed in the digestive system, creating another gut-vaginal connectionCONNECT WITH BRIDGET LinkedIn | Instagram | Website Book your free strategy call here | Sign up for weekly tips via email

On today's Extra, Vaginal Vagabond, 23 & Me, & Josh Arnold Airlines Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today I'm speaking with Pita Navarro from EVVY on the Longevity Optimization Podcast. In this conversation, we delve into the complexities of the vaginal microbiome and its crucial role in women's health. Pita discusses the prevalence of vaginitis, the impact of the vaginal microbiome on fertility, and the importance of understanding and optimizing vaginal health through advanced testing and treatment. We also explore lifestyle factors that influence vaginal health and highlight the urgent need for more research and education in this field. The episode looks ahead to the future of vaginal microbiome testing and how it can empower women to take control of their reproductive wellness.EVVY is a pioneering company dedicated to advancing women's health through innovative vaginal microbiome testing and personalized treatment solutions. By combining cutting-edge technology with scientific research, EVVY aims to provide women with accurate insights into their vaginal health, enabling early detection and effective management of conditions like vaginitis. The company focuses on empowering women with knowledge and tools to optimize their reproductive wellness and improve overall quality of life.Purchase an EVVY Test with my code:https://checkout.evvy.com/KAYLA10Let's be friends!Instagram: https://www.instagram.com/kaylabarnes/?hl=enTikTok: https://www.tiktok.com/@femalelongevityX: https://x.com/femalelongevityWebsite: https://kaylabarnes.comJoin Female Longevity Community: https://kayla-barnes-lentz.circle.so/checkout/become-a-memberFollow Evvy:Instagram: ​​https://www.instagram.com/evvy/TikTok: https://www.tiktok.com/@evvybioWebsite: https://www.evvy.com/Timestamps00:00 Introduction to Vaginal Microbiome03:09 Understanding Vaginitis and Its Impact05:56 The Role of the Vaginal Microbiome in Women's Health08:53 Testing and Treatment Innovations12:05 The Importance of Data in Women's Health15:03 Challenges in Current Medical Practices17:49 Future Directions in Vaginal Microbiome Research21:02 Lifestyle Factors Affecting Vaginal Health23:59 Community Engagement and Research Contributions27:09 Conclusion

In this episode of Perimenopause Simplified, Claudia dives deep into vaginal health during midlife, an often overlooked but essential part of overall well-being. Learn how hormonal shifts impact vaginal tissue, pH, and infection risk, and get practical, evidence-based solutions to support comfort, confidence, and intimacy. Whether you're experiencing dryness, odor, or recurring UTIs, this episode breaks down both hormonal and non-hormonal tools that can help you feel like yourself again.   In this episode, you'll learn: How declining estrogen affects vaginal tissue, moisture, and pH balance Why changes in pH can increase UTIs, bacterial vaginosis, and yeast infections The benefits and safety of vaginal estrogen for all women Non-hormonal options like DHEA, hyaluronic acid, and clean OTC products Key nutrients and supplements that support blood flow and tissue health How vaginal rejuvenation tools (like medical vibrators) improve circulation and elasticity   Links mentioned: Ep. 62: Perimenopause + Your Pelvic Floor: Fix Leaks, Pressure & Pain w/ Christina Walsh, PT Dr. Rachel Rubin  EWG Skin Deep Glow Below Nitric Oxide Foria Wellness Joylux Red Light Mv.health   Sources: Nitric Oxide Study  Vitamin E Study   To connect with Claudia Petrilli:  Instagram Facebook YouTube Website   FREE GIFT: Peri-What?! The Must-Have Guide for Women 40+ Navigating Hormone Changes FREE GIFT: Perimenopause Daily Checklist WORK WITH US: The Perimenopause Method BOOK A CLARITY SESSION: Perimenopause Clarity Session HRT COURSE: Perimenopause HRT Roadmap  QUESTIONS? EMAIL: claudia@claudiapetrilli.com Love the show? Please subscribe, leave a 5-star rating, review, and share, so that other women can find this podcast for guidance and support through their perimenopause journey!

Send Kiona a Text Message!Amanda dives deep into her true emotions about finding out she was pregnant so quickly after intentionally trying, and how that impacted her pregnancy and postpartum time with her first daughter, Aila. She also talks about how different each of her births unfolded because of how she prepared ahead of time. Furthermore, she dives into how being an active birth doula while pregnant and needing to birth during the height of COVID impacted her pregnancy care and birth choices and overall experience with her third child, Haiden.birthasweknowitpodcast.com/85Disclaimer: This podcast is intended for educational purposes only, with no intention of giving or replacing any medical advice. I, Kiona Nessenbaum, am not a licensed medical professional. All advice that is given on the podcast is from the personal experience of the storytellers. All medical or health-related questions should be directed to your licensed provider.  Want to hear another birth story from a birth worker who is also a mother of three? Check out 58-Kayla Tschumper-3 Vaginal Births-Kennedy, Claire & Emelia-My Birth ChoicesResources:Amanda Clarke-Ray (Birth Doula) : https://amandaclarke-raydoula.com/ Katie Rohs (Birth Doula) : https://katierohs.com/ Catherine Fenner, IBCLC: http://nurturenewlife.com/about-seattle-ibclc/ Perinatal Support of Washington: https://perinatalsupport.org/ Postpartum Support International: https://www.postpartum.netBucal, Lip & Tongue Tie Info: https://www.firstfoodforbaby.com/tongue-lip--buccal-ties.html Definitions:Dysphoric Milk Ejection Reflex (DMER)Two Vessel Umbilical Cord Paced Bottle FeedingSupplemental Nursing System Split NightsSupport the showThank you so much for tuning in to this episode! If you like this podcast, don't hesitate to share it and leave a review so it can bring the podcast to the attention of others. If you want to share your own birth story or experience on the Birth As We Know It™️ Podcast, head over to https://birthasweknowitpodcast.com/ or fill out this Guest Request Form. Support the podcast and become a part of the BAWKI™️ Community by becoming a Patron on the Birth As We Know It Patreon Page! And don't forget to join in on the fun in the Private Facebook Group!

Is the human microbiome an endangered species? Dr. Martin Blaser, author of "Missing Microbes: How the Overuse of Antibiotics Is Fueling Our Modern Plagues," has also been featured in a documentary, The Invisible Extinction, that explores the dire consequences of our depleted microbiomes. Antibiotic overuse, C-sections, lack of breast-feeding, ultra-processed food, lack of exposure to nature, and chlorinated water conspire to deplete our bodies of beneficial bacteria; these imbalances in intestinal flora have profound, far-reaching effects, not just on digestive disorders, but on immunity, metabolism, and brain function. Conditions like insulin resistance, obesity, Parkinson's Disease, depression and anxiety, and many more have been linked to microbiome deficits. What lessons do stool samples from indigenous peoples offer us? There may be a transgenerational effect of microbiome depletion. Dr. Blaser has gone so far as to advocate a Microbiome Vault to preserve our bacterial heritage. Are fecal transplants and poop pills the answer? “Vaginal seeding”? What role do high-fiber diets play? Are fermented foods beneficial? What about probiotics? Dr. Blaser describes measures we need to take now to recover our microbial diversity.

Are you experiencing vaginal pain and numbness and unsure of what's causing it? This video aims to provide you with a comprehensive guide to help you understand the possible reasons behind your symptoms. From hormonal imbalances to underlying medical conditions, we'll explore the common causes of vaginal pain and numbness. Whether you're experiencing pain during sex, numbness in your vulva, or discomfort during daily activities, this video is designed to provide you with the information you need to take the first step towards finding relief and regaining control over your reproductive health.

In this episode, Dr. Berlin shares his personal journey from childhood aspirations in healthcare to becoming a chiropractor, massage therapist, and birth advocate. He discusses combining chiropractic care, bodywork, and birth advocacy to support women in having informed pregnancies. Dr. Berlin explains the importance of collaborative care, the benefits of chiropractic adjustments during pregnancy, and the significance of the Webster Technique. The conversation also delves into the complexities of fetal positioning, specifically addressing breach and asynclitic babies, and the broader implications for childbirth. The episode underscores the necessity of interdisciplinary collaboration among healthcare providers for optimal maternal and fetal outcomes. 03:33 Introducing Dr. Elliot Berlin 08:13 Dr. Berlin's Inspiring Journey 17:38 The Power of Chiropractic Care 31:09 Understanding the Webster Technique 36:09 Chiropractic Care for Breech and Asynclitic Babies 37:20 Understanding Breech Baby Statistics 38:39 Structural and Functional Reasons for Breech Babies 40:54 Chiropractic Techniques for Breech Babies 42:46 Mother's Day Special: Cozy Bamboo PJs 44:34 Discussion on Breech Birth Choices 47:50 The Term Breech Trial and Its Impact 54:54 The ARRIVE Trial and Its Implications 56:26 Chiropractic Care for Posterior Babies 01:00:59 The Role of Doulas in Birth 01:02:35 Fetal Positioning in Traditional Medical Models 01:06:36 Informed Pregnancy Media and Resources 01:08:25 Conclusion and Final Thoughts   Guest Bio: Dr. Elliot Berlin is an award-winning prenatal chiropractor, childbirth educator, labor support bodyworker, filmmaker, co-founder of Berlin Wellness Group in Los Angeles, California and the host of the Informed Pregnancy Podcast. Dr. Berlin graduated Summa Cum Laude from Life University of Chiropractic in Atlanta, Georgia, and the Atlanta School of Massage.     Dr. Berlin's Informed Pregnancy® Project aims to utilize multiple forms of media (podcasts, YouTube series, documentaries, and online workshops) to compile and deliver unbiased information about pregnancy and childbirth to empower new and expectant parents to make informed choices regarding their pregnancy and parenting journey.     Dr. Berlin lives in Los Angeles with his wife, perinatal psychologist Dr. Alyssa Berlin, and their four fantastic kids. INSTAGRAM: Connect with HeHe on IG  Connect with HeHe on YouTube Connect with Dr. Elliot Berlin on IG    BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Informed Pregnancy Podcast   One way or a Mother Podcast    Heads Up, the Disappearing Art of Vaginal breech Delivery Documentary   Trial of Labor Documentary   

Could a breakthrough in women's health change the way we manage sexual health after cancer? In this episode, I sit down with Jo Bailey, a consultant gynaecologist surgeon, specialising in gynaecological cancers, to explore an exciting and emerging treatment—vaginal probiotics.Many cancer survivors struggle with menopause symptoms, including vaginal dryness, discomfort, and pain during intimacy. With traditional treatments like hormone replacement therapy (HRT) not always being an option, the search for safe and effective solutions continues. Jo explains how the vaginal microbiome plays a crucial role in post-menopausal health and how vaginal probiotics could be a game-changer for improving symptoms and restoring comfort.We discuss:- Why the vaginal microbiome matters for post-cancer care.- How vaginal probiotics are showing promise as a non-hormonal treatment.- The current research gaps and why more studies are needed.- The importance of patient-centred care in sexual health post-cancer.While more research is needed, the early signs are promising—and for many survivors, this could be the breakthrough they've been waiting for.Episode Highlights:00:00 Intro05:05 Gynaecological Cancer and Menopause Treatment17:22 Empowering Women's Health Choices18:21 Exploring Non-Hormonal Gynaecological Treatments22:53 "Vaginal Probiotics for Menopausal Health"28:40 Ultimate V & Health ProductsThe probiotics mentioned can be found here: https://pelvicrelief.co.uk/ This episode is proudly sponsored by Pelvic Relief, a company dedicated to improving women's pelvic health with science-backed solutions. They offer a curated range of products, including the vaginal probiotics we'll discuss today—plus lubes, moisturisers, the Ohnut, and more to support pelvic pain, menopause symptoms, and post-cancer recovery. Check them out here https://pelvicrelief.co.uk/Connect with us:For more information and resources visit our website: www.menopauseandcancer.org Or follow us on Instagram @menopause_and_cancerJoin our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

The ERAS (Enhanced Recovery After Surgery) concept was initially developed for colorectal surgery in 1997 to standardize surgical protocols. The ERAS Society then first published a guideline for cesarean section (ERAC) in 2018-2019. Now, as of April 28, 2025, the ERAS Society has released a NEW UPDATE for ERAS-CS. In this episode we will focus on 2 main areas: 1. Vaginal prep at CS, and 2.Extended antibiotic prophylaxis in patients with obesity! Medicine moves fast, and this data exemplifies that. PLUS, we will relate these 2 points back to the ACOG PB 199 which focused on prophylactic antibiotics at cesarean section.

Today I'm speaking with Ara Katz, the co-founder of Seed, on the Longevity Optimization Podcast. In this episode, Ara shares her personal journey and the inspiration behind founding Seed. She emphasizes the vital role of the microbiome in human health and explains how nutrition shapes gut health from early life through adulthood. Our conversation explores what exactly constitutes a microbiome, how it develops (the “seeding” process), and why a diverse diet is essential for maintaining a healthy gut. Seed Probiotics is an innovative company dedicated to advancing microbiome science and optimizing human health through next-generation probiotics. Their flagship product, DS-01, is formulated using clinically-studied probiotic strains designed to support digestive health, immune function, and overall well-being. Seed also focuses on education around probiotics versus prebiotics and symbiotics—helping consumers understand their unique roles in gut health. The company leads research into women's health topics such as the gut-vaginal axis and develops products that address hormonal changes across different life stages.Save 25% on Seedhttps://seed.com/daily-synbiotic?utm_source=ambassador&utm_medium=podcast&utm_campaign=kaylabarnes&utm_term=25p&promo_code=KAYLABARNES25 Let's be friends!Instagram: https://www.instagram.com/kaylabarnes/?hl=enTikTok: https://www.tiktok.com/@femalelongevityX: https://x.com/femalelongevityWebsite: https://kaylabarnes.comJoin Female Longevity Community: https://kayla-barnes-lentz.circle.so/checkout/become-a-memberFollow SeedInstagram: https://www.instagram.com/seedX: https://twitter.com/seedhealthWebsite: https://seed.comTimestamps00:00 Introduction to Seed Probiotics and Personal Journey07:12 Understanding the Microbiome: Definition and Importance15:27 The Seeding Process: How Microbiomes Develop18:17 The Role of Nutrition in Shaping the Microbiome27:47 Probiotics, Prebiotics, and Symbiotics: Definitions and Differences32:10 Understanding Probiotics, Prebiotics, and Postbiotics34:25 The Development Journey of SEED35:40 Function Over Composition in Probiotics41:43 The Importance of Gut Health44:49 The Gut and Women's Health46:26 Exploring the Gut-Vaginal Axis52:33 The Vaginal Microbiome: Basics and Optimization58:33 Innovations in Vaginal Health Products

EP. 209 - In this episode, I'm joined by Kim Voss—better known as the Vagina Coach—and author of Your Pelvic Floor. As a personal trainer and restorative exercise specialist, Kim brings a wealth of knowledge about pelvic health, particularly for those navigating fitness, childbirth recovery, and aging. We cover pelvic floor dysfunction, with a focus on urinary incontinence during strength training—something many experience but few talk about. Kim shares science-backed insights, practical tools, and empowering advice for anyone looking to build strength without sacrificing pelvic health. Topics Discussed:  How can you prevent urinary incontinence during strength training? What are the best exercises to strengthen your pelvic floor after childbirth? Can pelvic floor therapy help with recurring UTIs and bladder issues? What role does estrogen play in vaginal and pelvic floor health? How does strength training impact pelvic floor dysfunction or vaginal prolapse? On This Episode We Cover: 00:00:00 – Introduction  00:02:51 – Kim's background  00:09:02 – Urination and pelvic floor health 00:11:59 – The final pee 00:14:48 – Nervous bladders & tracking habits 00:18:44 – Interstitial cystitis 00:20:41 – Constant UTIs 00:25:20 – Allergy to your partner 00:29:28 – Men's uterine health 00:33:36 – Vaginal estrogen 00:40:52 – Putting yourself first 00:44:48 – Stem cells & vaginal health 00:47:44 – Hysterectomies 00:52:25 – Pelvic floor PT 00:54:42 – Birth control 00:57:33 – Strength training and uterine health 01:05:46 – Vaginal prolapse 01:11:01 – Glute training 01:12:24 – Where to find Kim Further Listening:  Strength Training Playlist Sponsored By: Sundays | As a Listener of The Dr Tyna Show, you can Get 40% off your first order of Sundays. Go to sundaysfordogs.com/DRTYNA and use code DRTYNA at checkout. Lumen | Go to lumen.me/DRTYNA to get 20% off your Lumen. Qualia | Go to qualialife.com/DRTYNA for up to 50% off your purchase and use code DRTYNA for an additional 15% LVLUP | Head over to LVLUPHealth.com and use code DRTYNA at checkout to get 20% off your order sitewide. Liver Love | Go to https://store.drtyna.com/products/liverlove Use code LIVER20 for 20% off  Check Out Kim: Website Youtube  Instagram  Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.

Routine Vaginal Examinations were never a part of traditional midwifery accross various ethnicities around the word. It was used sparingly as it was also considered an intervention.In this episode, you will learn about Vaginal Examination in Late PregnancyVaginal Examination during LaborBenefits and Downsides of it along the wayDonate to support this podcast - https://birthagni.com/birthagnipodcast#donateThis is the voluntary support that keeps the podcast going. Support the showSign up for Childbirth Preparation Programs! visit www.birthagni.com/birthclasses This episode is supported and made possible by podcast recording and hosting tool Zencastr, it is impeccably made! Use my link : https://zen.ai/vxmuJUgYKKGTF3JuTuFQ0g to sign up and record flawless remote podcast , USE my code : BIRTHAGNI Support the show:Donations (India) - https://birthagni.com/birthagnipodcast#podcast-listDonations (world) - buymeacoffee.com/birthagni If you like what you hear, leave us a rating on Spotify app and answer the question at each episode! a review on Apple podcasts. Share on Whatsapp/Insta/FB Share on Instagram and tag us @divyakapoorvox Support the production by making a donation at ...

Join Howard and Janeen Arbuckle for this discussion of pediatric and adolescent gynecology essentials. Pediatric and adolescent gynecology is a newer discipline bringing specialized care to young women with unique gynecologic needs, with a focus on counseling, education, and age-appropriate interventions. • Abnormal uterine bleeding in adolescents is rarely caused by structural problems (unlike in adults) and typically relates to immaturity of the hypothalamic-pituitary-ovarian axis• Hematologic workup should be considered for adolescents with heavy menstrual bleeding as this may be the first time their clotting system is challenged• Hormonal therapies are safe to use once menarche has occurred, with no impact on bone growth• Long-acting reversible contraceptives offer superior pregnancy prevention (1 in 10,000 for implants vs 8 in 100 for typical pill use) but require thoughtful counseling• Private interviews with adolescent patients create trust while preparing them for independent healthcare navigation• Tranexamic acid is effective for heavy menstrual bleeding in adolescents but pill size and frequency can limit compliance• Most ovarian cysts in adolescents represent normal physiologic function and rarely require intervention• Preservation of reproductive organs should be prioritized in adolescent surgery, including leaving ovaries after torsion when possible• Vaginal bleeding in pre-pubertal girls requires assessment for secondary sexual characteristics to distinguish precocious puberty from other causes00:00:00 Introduction to Pediatric Gynecology00:07:20 Abnormal Uterine Bleeding in Adolescents00:19:36 Contraception Choices for Young Patients00:29:40 Managing Difficult Patient-Parent Conversations00:38:04 Pelvic Pain and Endometriosis00:46:58 Adnexal Pathology and Ovarian Issues00:50:51 Congenital Anomalies and Vaginal BleedingFollow us on Instagram @thinkingaboutobgyn.

When Lauren was diagnosed with Crohn's disease in her 30s, she was told she'd be managing it with medication for the rest of her life. Instead, she turned to fermented foods, diet, and lifestyle changes—and has now been in remission for 12 years.Her healing journey led her to create Fermenting Fairy, a company built around the practices that helped her recover. In this episode, she shares exactly what she did to heal her gut and how others can begin exploring similar paths.Topics Discussed:How can fermented foods help with gut health and inflammation?What natural approaches can support healing from inflammatory bowel disease (IBD)?What lifestyle changes are effective for managing Crohn's disease symptoms?What is the story behind Fermenting Fairy and how did it start?Go to https://fermentingfairy.com/ and Use Discount Code SarahKTimestamps: 00:00:00 - Introduction 00:04:23 - Excess sugar in kombucha 00:08:40 - Lauren's experience with Crohn's 00:12:51 - Crohn's medication 00:14:41 - Trying fermented foods 00:17:11 - Healing gut inflamaion 00:18:53 - Home fementation 00:20:30 - Dangers of labeling illnesses 00:24:19 - Medication & manifestation 00:28:12 - Reprogramming & western medicine 00:33:06 - Medical tyranny & trusting your body 00:40:30 - Dangers of supplementation 00:42:10 - Managing hot flashes & lifestyle change 00:45:54 - Weight loss & toxic overload00:49:20 - Hormonal health 00:51:17 - Lauren's dietary changes 00:55:05 - Raw vs femernted veggies 00:58:46 - Vaginal births and fermented foods 01:03:25 - Intolerance of fermented foods Show Links: Go to https://fermentingfairy.com/ and Use Discount Code SarahKSponsored By: Viva Rays | Go to vivarays.com & use code: YOGI to save 15%Black Lotus Shilajit | Visit: www.blacklotusshilajit.com and Use Code: SARAHK for 15% the entire site!Bon Charge | Click here & use code for SARAHKLEINER for 15% off storewide.Check Out Fermenting Fairy: InstagramGo to https://fermentingfairy.com/ and Use Discount Code SarahKThis video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) -  https://www.sarahkleinerwellness.com/coursesSign up for my newsletter to get special offers in the future! -https://www.sarahkleinerwellness.com/contactFree Guide to Building your perfect quantum day (start here) -https://www.sarahkleinerwellness.com/opt-in-9d5f6918-77a8-40d7-bedf-93ca2ec8387fMy free product guide with all product recommendations and discount codes:https://www.sarahkleinerwellness.com/resource_redirect/downloads/file-uploads/sites/2147573344/themes/2150788813/downloads/84c82fa-f201-42eb-5466-0524b41f6b18_2024_SKW_Affiliate_Guide_1_.pdfMy Circadian App - AppleMy Circadian App - AndroidMy Circadian App - Youtube

How do you actually know if you're dealing with a hormone issue? Is it something you just “deal with” because you've been told it's normal, or is your body waving a big flag for help? I get this question all the time — and honestly, most of us aren't sure what a “normal” cycle is supposed to look or feel like anymore. That's why I'm here to break it down for you. Common Symptoms That Could Mean Your Hormones Are Out of Whack: Fatigue, anxiety, trouble sleeping Could be thyroid, cortisol, melatonin — or a combo. Acne, hair thinning on your scalp, increased facial or body hair Could be androgens (like testosterone) or even cortisol, thyroid, or gut issues. Vaginal dryness + low libido Often connected to androgens and cortisol. Heavy periods, clots, mood swings, breast tenderness, fibroids Hello, estrogen dominance (when estrogen's too high compared to progesterone). Hot flashes, night sweats, cycle-related bloating Also hormone-related, even if you're not menopausal. The tricky part? These symptoms often overlap — and it's never just one thing. Your body is incredibly interconnected, and often when one hormone is off, others get pulled out of line too. That's why band-aid fixes don't work, and why so many women feel frustrated chasing symptoms without seeing real changes. So Where Do You Start? With a system that supports your hormones across the board. That's exactly why I created the 14 Day Hormone Reset — a micro-program designed to give you a clear, supportive, and effective starting point. We're covering everything from: How to build a hormone-supportive lifestyle What to eat (and when) to support your cycle Morning & nighttime routines that actually move the needle A live coaching call to get your questions answered Personalized voice-note support based on your symptoms And yes — it works. I've had women message me saying they didn't even realize their period had arrived because their usual PMS mood swings, bloating, and cramps were gone. Your body is designed to regulate your hormones. It just needs the right support — and that's what we're going to do together. Join us here: https://dr-beth-westie.mykajabi.com/14-day-hormone-reset

In this episode, Dr. Rena Malik, MD, and Dr. Karen Tang discuss essential concerns related to women's gynecologic health and sexual well-being. They explore topics such as the risk factors for vaginal injuries during sexual encounters and the unexpected hazards of water sports. Additionally, they shed light on the issue of foreign objects getting stuck in the vagina and the myths surrounding the impact of multiple sexual partners on vaginal health. Both doctors emphasize the importance of open communication, proper hygiene, and debunking health misconceptions.  Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Risk factors during sex 01:30 Vaginal injuries from water slides 02:55 Foreign bodies in vagina 04:06 Myths about vaginal health 07:08 Post-sex hygiene 08:12 Open communication and support Stay connected with Dr. Tang on social media for daily insights and updates. Don't miss out—follow her now and check out these links! Instagram - https://www.instagram.com/karentangmd/?hl=en TikTok - https://www.tiktok.com/@karentangmd?lang=en YouTube - https://www.youtube.com/c/karentangmd Facebook - https://www.facebook.com/karentangmd/ Website - http://karentangmd.com/ Thrive Gynecology - https://thrivegyn.com/ Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Prolific podcaster (Nobody’s Listening Right & Nobody’s News), world champion Tetris contender & mahjong killer, Elizabeth Laime finally joins the pod. We talk about her game changers, mahjong as a source of income and naturally, why breast milk really jumped the shark. Please note, Add To Cart contains mature themes and may not be appropriate for all listeners. To see all products mentioned in this episode, head to @addtocartpod on Instagram. To purchase any of the products, see below. Bring in that money smell with Liz’s candle. God level Tetris if you dare. Enter your lavender era with this planner. The perfect lip tint. The perfect mocktail. See omnystudio.com/listener for privacy information.

Whether you're preparing for birth or in the thick of postpartum recovery, this episode is packed with real talk and practical advice. We're joined by Liesel from Mommy Labor Nurse (@mommy.labornurse) to answer some of the most common questions about labor, C-sections, vaginal delivery, and what actually happens after the baby is born. We cover: How to advocate for yourself during labor (without conflict) Must-have items for C-section and vaginal birth recovery How to care for stitches and prevent infection What no one tells you about postpartum bleeding Pain management tips and why you shouldn't try to be a hero Why stool softeners are your best friend (seriously) From grabber tools to emotional resilience, this is the kind of candid postpartum prep we all deserve. Want more? Enjoy the full episode at PedsDocTalk.com 00:00 – Welcome & Episode Preview 00:46 – Advocating for Yourself During Labor 03:04 – C-Section Recovery Must-Haves 05:28 – Postpartum Tips for Vaginal Deliveries 07:12 – How to Care for Stitches (C-Section & Vaginal) 10:28 – One Thing I Wish I Knew Postpartum 13:47 – Why the First 24 Hours Postpartum Are Wild 14:22 – Surprised by Postpartum Bleeding? You're Not Alone 15:16 – Wrap Up & Takeaways We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the PedsDocTalk Podcast Sponsorships page of the website. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Corinne Menn, a board-certified OB-GYN and 20-year breast cancer survivor, specializes in menopause management and the unique healthcare needs of female cancer survivors. This episode covers topics like the Women's Health Initiative (WHI) study, breast cancer risk, hormone replacement therapy (HRT), vaginal estrogen, and the genital urinary syndrome of menopause. Dr. Menn shares her experience to dispel misconceptions, dispel fear around hormone therapy, and provide actionable insights for women navigating perimenopause and menopause.Episode Overview (timestamps are approximate):(0:00) Intro/Teaser(6:00) Hormone Therapy and Breast Cancer Misconceptions(13:00) Hormone Therapy Myths and Truths(23:00) Menopause, Breast Cancer, and Hormone Therapy(36:00) Navigating Menopause After Breast Cancer(41:00) Navigating Hormone Therapy Post-Breast Cancer(55:00) Hormone Therapy Myths and Truths(1:04:00) Effects of Estrogen Decline on Women(1:17:00) Improving Clinician Education on Menopause(1:30:00) Empowering Women in Menopause Conversations(1:31:00) After Party - Takeaways from Dr. StephanieResources mentioned in this episode can be found at https://drstephanieestima.com/podcasts/ep412/We are grateful to our sponsors:BEAM MINERALS - Replenish essential minerals your body needs to help with fatigue, muscle cramping, hair loss, anxiety, and imbalances with your adrenals, hormones, and blood sugar. Visit https://beamminerals.com/better for 20% off of the entire store. The discount is auto-applied at checkout.ONESKIN - Get to the root of hair loss and thinning with OneSkin's new peptide scalp serum, OS1 Hair. Save 15% at https://oneskin.co/better with code BETTER.TIMELINE - Improve energy at the cellular level with Mitopure. Save 10% at https://timelinenutrition.com/better with code BETTER.JASPR - Protect your health with quality air purification. Visit https://jaspr.co/ESTIMA and use code ESTIMA for an exclusive deal.

Connect with the Hosts! Dr. Charlie Website Instagram Membership  Nurse Lauren Website Instagram Email List Amazon StoreFront Membership E-Book on Natural Remedies Check out our website: https://www.redpillyourhealthcast.com/ Welcome back to Red Pill Your Healthcast! Dr. Charlie Fagenholz and Nurse Lauren Johnson are tackling listener-submitted health questions. This week, we dive into: Nasal Polyps Vaginal Itchiness Parasite Cleansing During Pregnancy Chronic Constipation What's Best for MTHFR? Mentioned Supplements & Tools: Shop VerVita Supplements Shop Supreme Supplements Lauren's Fullscript: https://us.fullscript.com/welcome/naturalnursemomma Dr. Charlie's Fullscript: https://us.fullscript.com/welcome/cfagenholz Nasal Polyps Xlear Nasal Spray (Found in Fullscript) Bee Propolis: Shop Here Nurse Lauren's Allergy Shop in Amazon: Shop Here Golden Thread Supreme: Shop Here Usnea Supreme: Shop Here Japanese Knotweed: Shop Here Find Nasal Ozone Near You Vaginal Itchy: Fringe Pelvic Wand: Shop Here (Use code CHARLIE10 for 10% off) Parasite Cleanse while Pregnant  Illicium Supreme: Shop Here Vital Guard Supreme: Shop Here Reishi Supreme: Shop Here Scutellaria Supreme: Shop Here (tincture also available) Olive Leaf Supreme: Shop Here VerVita Black Cumin Oil: Shop Here VerVita Klenz + : Shop Here Chronic Constipation: Magnesium Citrate:  (Found in Fullscript)  VerVita Gastro Digest: Shop Here VerVita Black Walnut: Shop Here What is best to take for MTHFR VerVita RegenerZyme Heart: Shop Here Search full library of our favorite supplements -   Lauren's Fullscript: https://us.fullscript.com/welcome/naturalnursemomma   Dr. Charlie's Fullscript: https://us.fullscript.com/welcome/cfagenholz Thanks for listening y'all!

To start off the new season we're getting into the science of one of the most controversial and taboo sex topics around. Squirting! For some people, it's a major sex goal — but for others, it's a source of major embarrassment. And it turns out that people have been writing or talking about squirting and female ejaculation for CENTURIES. So in this episode, we're going to find out: what IS squirting (like, what is this fluid??), how common is it, and if you want to start doing it … how can you? We'll hear from Sex Educator and World Record Holder, Lola Jean. As well as Professor Caroline Pukall, Dr. Nan Wise, Professor Helen O'Connell, and Dr. Samuel Salama.  Find our transcript here: bit.ly/4iIVQcc In this episode, we cover: (00:00) Welcome to Cirque du Squirt (08:26) History of female ejaculation (13:18) Suspect 1: Vaginal lubrication (15:55) Suspect 2: Pee (24:41) Suspect 3: Chemical X? (29:47) Female prostate (36:00) Why does it feel like that? (39:26) What about penises? (42:03) Can you learn to squirt? Credits: This episode was produced by Ekedi Fausther-Keeys, with help from Blythe Terrell, Wendy Zukerman, Meryl Horn, Michelle Dang, and Rose Rimler. We're edited by Blythe Terrell. Video editing, audio mix and graphics by Bobby Lord. Graphics help from Michelle Dang. Illustrations by Scarlette Baccini. Fact checking by Eva Dasher. Music by Bobby Lord, Peter Leonard, Bumi Hidaka, and So Wylie. Interpreting by Kana Hatakeyama, translation help from Ben Milam.  Thanks also to Dr. Devon Hensel, and Dr. Leslie Rickey. Recording and logistics help from Michelle Kitchen, Spencer Howard and Nick Johnson. Recording help from Abi McNeil. Special thanks to Roland Campos. Thanks to Cameron Silzle and Arsonhouse Entertainment. Thanks to Lola Jean and everyone who spoke to us at Cirque du Squirt. Science Vs is a Spotify Studios Original. Listen for free on Spotify or wherever you get your podcasts. Follow us and tap the bell for episode notifications. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Johanna is a girl mama joining us today from Canada. She had an unplanned C-section with her first, an HBAC with her second, and was pregnant with her third at the time of recording! Johanna reflects on her experiences with both supportive and unsupportive care during her pregnancies. Meagan and Johanna dive into your options surrounding PROM,  the significance of intuition in decision-making, the impact of provider choices on birth outcomes, and the nuances of VBAC postpartum recovery.The VBAC Link Blog: Home Birth VBACEverything You Need for Your HBACSupportive Providers10 Signs to Switch Your ProviderWhat to Do When Your Water BreaksLabor GuideCoterie Diapers - Use code VBAC20 for 20% offHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. We have our friend Johanna with us from Canada today, and she's going to be sharing her HBAC story. So for those who may be , new to the VBAC world, or just all of the acronyms that the VBAC world has, HBAC is pronounced home birth after Cesarean. So if you are one of those who really wants to look into all of your options for birthing locations, which I encourage everyone to do, definitely listen up here. We're going to be talking about a lot of really great things including picking a provider and PROM knowing that you maybe had a provider that wasn't ideal the first time and more about HBAC. So we are going to be diving into a lot of really, really great, juicy topics. But in place our review today, Johanna and I are actually going to talk a little bit more about picking the right provider. So, Johanna, welcome to the show.Johanna: Thank you.Meagan: I am so excited for you to be with us today and so grateful that you are here to talk about this topic. Because like I was saying before we pressed record, I see daily in our community, every single day, and not even just our community, in other VBAC communities or this is weird, but people's statuses, like my friends and family's statuses on Facebook, where you type like, "Hey, I'm looking for this," or "I'm feeling very frustrated," or "I need prayers." People will seriously say, "I don't know what to do, you guys. Has anybody ever heard of VBAC?" on their own status? But especially in the VBAC groups, I see people and I just want to yell, "Hey, you over there. You're with the wrong provider" or, "Hey, you should move." That's a really hard thing because especially when I type that it can be like, oh my gosh, who is this broad telling me that I'm with the wrong provider and that I chose wrong? I'm not trying to say that. I'm not trying to say you chose wrong. Like, how dare you choose wrong? It's just like, hey, what you're telling us in this community is screaming, you're the wrong provider. So, Johanna, you , mentioned before we press record that you realized after your first birth that you were with the wrong provider. What made you realize that you were with the wrong provider? And were there signs during pregnancy that you recognized and maybe pushed away? Or was it really not something that you recognized until after? Because I know really, it can go both ways.Johanna: Yeah, I think that there were signs during the pregnancy. I mean, one of them, and I just didn't listen to my gut because you don't know what you don't know. I put too much blind faith that it was all gonna work out. But I never felt comfortable with her. I didn't have a good connection with her. I was asking a lot of questions about what I can be doing because my first birth, I really wanted to be a home birth. She basically just didn't give me very much information about what I can be doing. She sent me to your generic birth course through the hospital. Yeah. I didn't really feel like she was really invested in the outcome of my birth. I was just like another one of her patients. So I didn't feel great about that. And then when push came to shove with my birth and things weren't going great, she threw her hands up in the air and just took a step back and didn't really advocate for me or try and help me through things. So I was left with a pretty unpleasant taste in my mouth.Meagan: Yeah, I mean, exactly what you said just a minute ago. You didn't feel that she was invested in the outcome of your birth. And then it proved. It proved to be true when she just threw her arms up. So you had that experience, and you're not alone. There are so many of us out there. Me too, me included and a lot of people on The VBAC Link team included. We have all been in a similar situation where our providers, threw our hands up, weren't invested in our birth and our experience and had to go out there and seek that support that we deserved. So if there's anything we talk about on The VBAC Link, and I'm sure you've heard it, is find the right provider. I mean, seriously, you guys, I say it daily, every single day. If I'm not typing it, if I'm not voice memo-ing it, if I'm not saying it in my mind, it's find the right provider. Johanna, what would you give for tips for our listeners to find that right provider? And how did you find that right provider?Johanna: So I found my midwife that I used for my second birth and I'm actually using again for my third birth because I am 31 weeks pregnant today.Meagan: Oh my gosh. Oh my gosh. Yay.Johanna: I found her actually because when I got pregnant for the second time, the first thing I did was get a doula.Meagan: Uh-huh.Johanna: I asked her for recommendations on a VBAC friendly midwife. She had recommended this midwife. So immediately I was like, yes, I would like to meet her. When I met her, instantly, I felt so much more at ease.So I would say going with your gut. If something doesn't feel right, even if it's the tiniest thing, just look for a new provider. Just find someone where it feels right.Meagan: Yeah. I can relate to that so much because that's how I was feeling. I was searching, I was searching, I was searching. I mean, it was insane. I interviewed a lot of providers, but that's what I was searching for is that immediate like, oh, I'm in the right place. You are my person. And it took me a long time. And that sucks. It sucks that it took so long. I know that in some areas they're really rural and it's almost impossible to find that feeling. But I agree. So just as a reminder for those looking, before we get into the story, I wanted to make sure that you know to ask open-ended questions. Do not say, "Do you support VBAC? Yes or no?" Do not say, "Do you support me to go to 40 weeks? Yes or no?"Let's ask open ended questions. "How do you feel if I approach my due date and I haven't had a baby yet? How do you feel about VBAC? What is your experience with VBAC? How do you support your VBAC clients to make sure patients get the birth that they want? How do you advocate for them?"Asking these big open ended questions and then like Johanna said, diving deep. What is your heart and your gut feeling and saying? If at any point you are questioning, which I think is when people come out on social media, that is when I think they comment and they're writing, "Hey, I'm, feeling defeated. Hey, this is what my provider said." It's because they're doubting. They're questioning. That's their intuition. If that even comes into play at all, it's time to switch. It is time to switch. And first-time parents, if you are out there listening, this applies to you too, right? We have to avoid these unnecessary Cesareans which are happening all over the world. We have to follow our intuition. So that's another thing we talk about until we're blue in the face-- intuition. So follow that intuition. Ask open ended questions. Really dive in deep because your provider really can make an impact.And really, really quickly, we're going to just barely skim the surface on PROM. PROM is premature rupture of membranes. Johanna and I have both experienced it. She's two for two. I'm three for three. Maybe you won't be three for three girl. I don't know. I'm hoping you're not. Johanna: Fingers crossed. Meagan: I'm hoping you won't. But if you are, we know that it's okay. Vaginal birth still happen. But talking about providers, if you have PROM, which means your water breaks before labor begins, and just to let you know, it can take hours, even days for your body to turn over into labor after your water breaks. But if you have PROM and you don't have a supportive provider, that is right there the beginning of a fight. It shouldn't have to be a fight, but that can impact things because they want to get things going. Some providers won't even induce labor or touch you or 12 hours later they're like, "Nope, you haven't had a baby. You have to have a C-section." So yeah. So really quick Johanna, do you have any tips for our listeners who might have had PROM or may have PROM?Johanna: Yeah, it's difficult because especially when I experienced it, I mean, I experienced it for both births and the second time I really felt anxious because I was like, oh no, I'm on a ticking time-clock again.Meagan: Yeah, yeah. Because that's how you were treated.Johanna: Yes. I was lucky that I have a super supportive provider. And she was like, "Baby's fine, you're fine, everything's fine. We're just going to wait it out."Yeah, I mean crucial to have the right provider that is going to give you that grace and give you that time and that space, but just know the facts. Just arm yourself with information that as long as the fluid is clear, as long as you have no signs of infection-- at least here they make you come in for non-stress tests like every, I don't know if it's 12 hours or 24 hours when your water has broken. As long as everything's looking okay, you can wait, I think, up to 72 hours.Meagan: I've actually even had a client wait five days. Johanna: Holy smokes. Meagan: Five days. Close monitoring you guys, really close monitoring. But it was nothing that said a baby needed to be born. So five days is maybe abnormal. This was a home birth transfer to hospital. Even with five days rupture of membranes, the hospital did not "make" her, as I'm putting quotes up, have a Cesarean or do anything different because she advocated for herself. But it really can. 72 hours. It really can happen. So okay, we are going to stop talking about this, you guys. We're going to have links in the show notes to dive deeper into questions for your provider. What about premature rupture of membranes and things like that. So we're going to have those in the show notes if you want to dive more into that. You can dive in. But we're going to take one quick break for the intro, and then turn the time over to Johanna. Okay girl, thank you so much for chatting with me about that. I really do think it's so important.Johanna: I think knowledge about everything is your best friend when you're planning for any birth, but especially a VBAC.Meagan: Right. I know. It does suck that VBAC has to be so much more intense in our prep and our research and all these things because we're just moms going in to have vaginal births. That's all we are. But, but unfortunately that's not how it's viewed. That's just not how it's viewed in most areas of the world. So yeah, all right. Let's talk about that first birth.Johanna: Okay. So I got pregnant with my first daughter Mila in the summer of 2020. So heavy, COVID times. So that was scary enough. Because of COVID and the shift in culture towards socialization and going into hospitals and stuff like that, me and my husband decided to look into home birth which was not really on my radar before, but the more that I looked into it, I was like, oh, this is super beautiful, and I love the idea of birthing my baby at home in the piece and quiet of our own space.Meagan: Yeah. And a lot safer than a lot of people think.Johanna: Yeah. Yeah, for sure. The more I looked into it, the more I was like, okay. This is a totally viable option for us. I had a pretty uneventful pregnancy. I was very lucky. I had very minimal symptoms. Everything went well. I didn't have anything scary happened during the pregnancy. I will say that I didn't take the best care of myself. I am usually a pretty active person and I totally just didn't do much exercise or working out. I think in the back of my mind, I was scared that something bad was going to happen if I overdid it. It was just a lot of first-time mom anxieties.Meagan: Totally get it.Johanna: Yep. I didn't eat the best. I didn't take the best care of myself. I didn't do a whole lot to prep for the birth other than your typical childbirthing classes, bringing baby home through the hospital, generic courses that I think a lot of first-time moms, that's what they do, right? I read a couple of books. I read the What to Expect books, and I think I read Ina May's Guide to Childbirth.Meagan: Great book.Johanna: Yep. But I had no idea what to expect. When it came to labor and birth, I really was going in blind. I will say, I just put my faith in that my provider was going to hold my hand through it. That was a mistake. So yeah, I mean, it was a pretty uneventful pregnancy. There wasn't a whole lot to say other than it was COVID and everything was scary and didn't really know what was going on. When I was 41-ish weeks, my water ended up breaking. It was the middle of the night, and I didn't really know what happened. It was just like a little squirt and went back to bed. And in the morning, it was like when you move a position and a little bit comes out and you move a position and a little bit. It was one of those. And then I lost my mucus plug. So I was like, oh, I better call my midwife. So I gave her a call, and she totally brushed me off. She was like, "No, I think it's probably just discharge. I wouldn't worry about it." So that was another red flag was her just totally brushing off my feelings and what I believed was going on. So I hung up the phone and I was like, well, I don't really know what to do now. I'm fairly certain that my water's broken. So I waited a couple of hours, and it continued to trickle out. I eventually called her again and she was like, "Okay, okay, you can come in. You can come in and I'll check, but I'm pretty sure it's just discharge." So I went in and sure enough, she was like, "Oh, your water did break and it's amniotic fluids. Look at that."Meagan: Interesting.Johanna: Yeah, I could have told you that. So I was like, "Well, what do we do now?" And she was like, "Well, we can wait up to 72 hours as long as everything's healthy. That's fine, so we'll keep monitoring things." She sent me home and told me to just relax. She said, "If labor doesn't pick up today, go to bed and in the morning, do a castor oil induction." I did that. When I woke up the next morning and nothing had happened, I did do the castor oil induction. I will say that I will never do that again because it was horrible. Sorry for the TMI, but it just gave me severe diarrhea, and then nothing happened, and I was super uncomfortable. So that wasn't fun. That wasn't fun. That didn't work.I went in for a non-stress test that afternoon. She decided to check me, and I had made zero progress. I was not dilated at all. I had zero effacement or anything like that, so no progress. I felt super discouraged. My water has been broken for however long at this point-- 36 hours, I think, probably. I've made no progress. The castor oil induction and failed. I had barely slept the night before, so I was tired and I was just stressed. I was like, when is this going to happen?Meagan: But at this point you weren't really thriving with contractions. Nothing was too intense to be telling you that there should be progress, right?Johanna: Literally not a single contraction or anything. Nothing was happening.Meagan: True PROM, and so your defeating feeling is super normal because in our minds we were told our water breaks, we should be having a baby. But if we have PROM, don't expect to be dilated. Right?Johanna: Yes.Meagan: I did too. I expected to be way dilated and I wasn't.Johanna: So I felt super defeated. And like I said, I wasn't sleeping. I barely got any sleep the night before because I was just anxious for birth to get going. I ended up crying in her office about how stressed I was to end up in a C-section because my sister had a long, pretty terrible labor that ended in a C-section. It was just not a great experience for her. I don't exactly remember what my midwife said, but I did not feel reassured leaving that appointment. But we did end up deciding that if I didn't go into labor that night, I was going to be induced the next morning because I was just not sleeping well. I was not able to rest and relax because I was just anxious. So I was like, okay. I guess my home birth plan is out the window, but at least there's a plan. I ended up going home. We had dinner, and I started getting contractions just after dinner which was exciting.Meagan: Yeah.Johanna: But then they petered off after, like, I don't know, an hour or two. So we went to bed, had the hospital bags packed and everything ready to go for an induction the next morning. Labor started around 2:00 AM. It started on its own around 2:00 AM.Meagan: How many total hours is this until labor comes?Johanna: I think it was about 48 hours after my water broke that I had the rupture of membranes that my labor actually started. I will say, it was pretty intense right off the hob. I hear a lot of women say that their early labor is like, "Oh, I took my other kids for a walk. I baked a cake. I did this. I did that to distract myself." My labors are not like that. My labors are intense right out the gate. I tried to eat something for breakfast. A few hours after that, I woke my husband up. We tried to eat breakfast. I got in the bathtub to try and relieve some of the discomfort. I hung out in there for a while. We had rented a birth tub. My husband got that set up. I called my midwife. She came probably around 11:00 AM, so at that point, I'd probably been laboring for like, I don't know, eight or nine hours. I was not coping well. It was very intense and I was not coping well with the pain. She checked me, and I was a 3. I was like, dang it. In my mind, what I know now is that it's not a linear thing and that it's not going to take another 18 hours to go from a 3 to 9. But in my mind then I was like, oh no, I can't do this for however many more hours because I'm already not coping well and I'm only at a 3. So I told her I was totally deflated and I told her, "I want to go to the hospital and get an epidural." She was like, "Okay, if that's what you want to do, that's fine." So I think between the time that she checked me and I was at a 3 and the time that I got the epidural, it was about two hours. That car ride to the hospital, wow, was not fun. But yes. So, in that two hours that it took between her checking me and me getting the epidural, she checked me again right as soon as it kicked in and I was at a 9.Meagan: Whoa.Johanna: Yeah. Meagan: 0 to 100. Johanna: Yeah, when I say that car ride, it was ripping through me.Meagan: Yeah, you were in transition at that point.Johanna: Yeah. When we were in the hospital waiting for the anesthesiologist to come in and do the epidural, my midwife and husband are joking around trying to make me laugh. I'm like, "This is not where are at right now." I was not having it because, obviously, I was in transition, and it just was not where I was at. So yeah, she was like, "Okay, well you're at a 9 now, that's great. So rest for an hour and then we'll probably be pushing." The epidural was heavy. I felt nothing from my ribs down. So an hour went by and she's like, "Hey, you're complete. Start pushing." I felt nothing. I'm trying to push, and she's telling me that I'm doing a pretty good job considering I have an epidural, but baby was still high. And then all of a sudden, I think I'd pushed a couple of times and all of a sudden, all of these doctors and nurses and bunch of people just start run into the room and they're all speaking French because it's a French speaking hospital.Meagan: Oh my gosh.Johanna: So I have no idea what's going on. Nobody is telling me anything. They're all speaking a different language. And I was just like, "Can somebody please tell me in English what's going on?" They told me that she was having late decal every time that I was pushing.Meagan: Okay.Johanna: So between pushes she was fine, but every time I'd push, her heart rate would go down and then have trouble recovering. At no point did anybody recommend maybe trying a position change or anything like that. Like maybe her cord was being pinched in that position. If only I knew now or knew then what I know now.Meagan: Yeah, like hydration, movement, doing something, pushing in a different position.Johanna: Yeah, yeah no. So like I said, my midwife threw her hands up and stepped back and let the OB take over and didn't say anything to me after that. The OB basically let me push three times and then was like, "Nope, this is going to take too long. We need to have a C-section," and she called a C-section.Meagan: Wow. Do you remember how low your baby's heart rate was getting?Johanna: No, I have no idea.Meagan: Okay, interesting. I mean late deceleration are less ideal, right? We don't want them to happen late. We want that to be the recovery period.But yeah, there could have been some things done.Johanna: Yeah, and looking back, it's frustrating to know that maybe if one little thing had been changed, the outcome could have been totally different.Yeah, but you can't blame yourself for that either. It's hard to look back and be like, the what if's. But yes, you did whatever you did in the moment with the information you were given.Johanna: Exactly. So I went in for the C-section. It went fine. There were no complications, but being strapped down to a table in a really cold room and having the shakes and not feeling that, not being the person to get to hold your baby. I mean, everyone listening to this podcast pretty much knows what thats like and how it was demoralizing and traumatizing for sure. But it went fine. She was born healthy. I didn't have any complications. But yeah, the emotional trauma was real and not just for me, but for my husband too. We got discharged about 24 hours after the C-section and going home and seeing the birth tub still set up in our living room was a very emotional experience. We both ended up breaking down crying.Meagan: Yeah.Johanna: So I had to do a lot of emotional recovery from that birth as well as physical recovery because the physical recovery from C-section was also extremely rough. I remember every time I would have to get up out of bed, it felt like I was being ripped in half. It's rough, but I knew right from the moment she was born that I would be VBACing my next baby because we had always planned on having a few kids.Meagan: I want to point out to everyone, too, the importance of postpartum support and postpartum help and planning. We never know the outcomes of birth. I didn't know the outcomes. I didn't realize that it was going to take me 15 minutes to walk 10 stairs up to my bedroom. I didn't realize it was going to take me 15 minutes to walk down the stairs. I couldn't be holding anything. I didn't realize how exhausting it was going to be to get out of bed to go to the restroom let alone taking care of a newborn baby and also thriving as an individual. So it's really important to really try not to ignore the postpartum period. I think it's easy to do because we're so focused on the birth. Especially with VBAC, I think we're so hyper, hyper focused on that VBAC, that outcome, and that experience which I do not shame anyone for being. I just want to plug it in. Don't forget about your postpartum because whether it's physical or emotional.You came back to this space of seeing a plan that didn't unfold the way you wanted it to. That can be very emotional, very traumatic even in some ways. So yeah, having some resources for postpartum as well. I just want to plug that in.Johanna: Yeah, that's a really good point. I did no prep for postpartum for my first birth.Meagan: Me either.Johanna: It wasn't even something that like dawned on me to think about. When I was in postpartum, I was like, wow, this is really intense. Like the sleep deprivation, the recovery, the breastfeeding, everything. It;s super intense. So for sure, don't neglect postpartum plans and getting the support that you need.Meagan: Yeah.Johanna: So anyway, I think from a couple weeks postpartum with Mila, I ended up finding your podcast and absolutely just binging it and trying to intake any knowledge I could get about VBAC natural childbirth-- just anything I could get my hands on, I was consuming because I knew that I was going to VBAC. I knew that I wanted to have a birth that was as intervention-free as possible for my second. So I ended up getting pregnant with my second daughter Bailey in the summer of 2022. The very first thing I did was I hired a doula. I already knew what doula I wanted before we even got pregnant because we had interviewed a few, and the doula that I found was actually a VBAC mom herself. And she just had a beautiful calming energy about her. I was like yep, that's who I want. So with that test, the lines turned pink, and I was already getting her on board. I ended up hiring the midwife that she recommended as well. I was intent on doing everything that I could this second pregnancy to set myself up for a successful VBAC that I could possibly do because I knew that if I did everything that I could possibly do and it still ended up in a C-section, then I don't have to have any lingering questions of well, what if I had done this? So it was like, I was going to do everything I could to set myself up for success. I was super diligent with eating well, exercising, and chiropractic care. I did all of the Spinning Babies' exercises, walking, and yoga. I did a HypnoBirthing course which I really, really liked, and I'm doing again for this pregnancy. I put up my birth affirmations. I did all the things You name it, I did it. My husband was super, super amazing and supportive and he was there with me every step of the way through every appointment and did all the coursework with me and everything like that. I'm very lucky to have a super supportive husband. I had another pretty uneventful easy going pregnancy. Other than a little bit more morning sickness and some SPD, it was pretty easy. I will say there's one thing that they make you do here, and I don't know if you guys have to do it in the US but if you're planning for a VBAC you have to see an OB around 36-37 weeks. Do you guys have to do that as well?Meagan: Yeah, so not if you're out-of-hospital. You don't have to do it. Some midwives still out-of- hospital will be like, "Hey, I want you to consult with a partnering physician," as in, "Hey, this is someone we would transfer to.: I went a consult with them, but with the midwives in hospital they require them to do a VBAC consult, and it's pretty much a visit where the OB is like, "Hey, this is what you're doing. Here is your risk. Do you comply?"Yeah.Johanna: Yes. So I ended up having to do that, and I knew it was going to be a negative experience. I knew it was just going to be fear-mongering and throwing scary statistics out. So I already had my guard up for that. And then it was also at the hospital where I had my C-section, so even just walking into that environment was very triggering.Meagan: Yeah. So I went to that and I was right. She told me, "As soon as you go into labor, you need to go to the hospital and you should have continual monitoring and and epidural just in case," and all of these things where I'm just like, no, that so goes against everything that I believe will lead to like a healthy, happy birth.I definitely didn't tell her about my plans. I actually was hoping this would end up in a home birth. I didn't actually mention this. My plan-- I didn't want to commit to a home birth. I was a little bit anxious because of my first birth ending up transferring to hospital, that I would end up having to do that again and then have that crushing disappointment that it didn't work out again. So my plan with my midwife was that I was going to labor at home as long as possible, and we were going to play it by ear. As long as everything was going well, then I would potentially have her at home. But I just didn't want to have that pressure that I needed to stay home because this was going to be a home birth. Do you know what I mean?Meagan: No, I totally do. I mean, when I was planning my, it wasn't a HBAC, it was a birth center birth. It's like a downplayed HBAC. I mean, I was in a different home. Right. I totally do. I know exactly what you mean.Johanna: Yeah.Meagan: Yeah, yeah.Johanna: So yeah, I definitely did not tell the OB that my plan was to have a home birth because I just did not even did not want to get into that. So I nodded my head and was like, "Yes, sure. Okay, great."Meagan: Yep.Johanna: At one point, also during my midwifery care for the second pregnancy, my midwife was like, "It's standard for you. The hospital wants you to sign a release form with a backup C-section date."Meagan: What?Johanna: And I was just like, "Yeah, I will also not be doing that." And she was like, "That is totally fine. Just sign that you won't do that." Meagan: I do not consent. Yeah, I do not consent in doing this.Johanna: Yeah, yeah. I was like, I don't need that to clock above my head.Meagan: No.Johanna: So again, my due date arrived and passed. I ended up getting a couple membrane sweeps to try and move things along, but they were unsuccessful. And wow, they are very, very painful.Meagan: So can I super quick touch on that?Johanna: Yes.Meagan: Membrane sweeps-- that's a really big question we see as well. And when you talk about them being painful, that's actually a sign that the cervix wasn't ready. Like it wasn't forward. It wasn't open. If a membrane sweep is painful, it's a real big sign-- it's not a guarantee, but it's a real big sign that your cervix isn't ready. So quick rule of thumb, if you are dilated 2+ centimeters, 3 or more is more ideal. Your cervix is really forward, meaning they don't have to reach back and in, and you are effaced at least 75-80%, that's a little bit more ideal and less painful. But if they are going back, a lot of the times is because they have to reach back and in. And so that is, that is that. And then it can cause pain, prodromal labor, things like that and, and frustration because you're wanting it to work and it's not working.Johanna: Yes. So yeah, they didn't work for me, but my midwife did tell me that I was actually 3 centimeters and she could stretch me to 3. Meagan: Great. So you were at least dilated.Johanna: Yes. So despite the fact that it was super painful and didn't work, I was still feeling very encouraged to know that my body was doing something good. Meagan: YesJohanna: Because you'll remember my first birth, I was completely closed and nothing was happening after my water broke. So I was feeling pretty good about that. At about 40 weeks and 4 days, my water broke again before labor started. It was another one of those slow trickles, and it was the middle of the afternoon, so I called my midwife, and she was like, "Okay, come meet me." She asked if the fluid was clear and I said, "Yes." And she said, "Okay, come meet me at the office later, and we'll do the non-stress test and check you out and make sure everything's dandy." So I went and everything was fine. We were just waiting again for labor to start. I felt okay because I had been through this before, and I knew my body would go into labor, but at the back of my mind I was a little bit stressing out because I was like, okay, I'm on a clock again. I went home. Nothing happened. I woke up the next day and tried to get things going with the breast pump. That got contractions going, but they never stuck around. I ended up confiding with my doula about how stressed I was feeling that I was on a clock and feeling like why can't my body just go into labor? She was extremely reassuring. She came over, and we just talked for a bit, and I felt a lot better after that. That was in the evening, the day after my water broke, and I was supposed to go in for a non-stress test. So I went and met my midwife for a non-stress test that night. It was 36-ish hours after my water had broke. Still, everything was looking good. Baby was good. She was happy. I was fine. There was no need to rush into an induction or anything like that. But she could tell I was stressed. My midwife could tell that I was a bit stressed and she was like, "It's fine. We've got lots of time. You don't need distress.: And she's like, "But I can give you these tinctures or whatever if you want to try them." It was like the blue or black. Meagan: Cohosh.Johanna: Cohosh, yes. I was like "Sure, I'll do anything at this point. I'll try anything. I don't care. So they almost look like tiny, tiny little white beads. I don't know if they're always in the same form.Meagan: Yeah, sometimes they're in drops like tincture drops or almost like you said, a pill-like bead type. Johanna: So she was like, "Okay, let's give you one now." She wanted me to take four doses an hour apart.Meagan: Did you put them under your tongue?Johanna: Yeah. So she got me to take one when I arrived for the non-stress test and then when the non-stress test was over, it had been about an hour, so she gave me a second dose, and then she sent me home with two more. So we went home, and then I took one an hour after the previous dose and it was probably 10:30 at night at that point. Contractions started going after I took the third dose and I was like okay, they're probably going to peter out again because that's what they've been doing all day. I'm tired and I want to go to bed and I don't feel like staying up another hour to take the fourth dose. So me and my husband both took a gravel because my midwife told me to take a gravel and go to sleep.Meagan: What's a gravel?Johanna: A gravel is like an anti-nausea medication, but it makes you sleepy.Meagan: I did not know that. I've never heard of that. I don't think I've never heard it.Johanna: Yeah. Interesting.Meagan: Cool. I love learning. A gravel.Johanna: Gravel.Meagan: Yeah. Okay.Johanna: So yeah, she told me to take one and go to sleep because it makes you drowsy. So I think we had fallen asleep for maybe an hour and a half and I was woken up again with very intense contractions. And this time I was like okay, this is it for real. And like I said, with both my labors, contractions were intense straight out of the gate. So I woke my husband up. Taking the gravel was a mistake because we were both super drowsy. I woke him up and I was like, "I think you need to call the doula because this is definitely happening." And so he called her over and I labored in bed. I did my HypnoBirthing tracks. I did a lot of breathing through the contractions and the HypnoBirthing was super, super helpful, I will say that. We hung out for a while and just did that. My husband tried his best to stay awake despite how tired he was. Eventually, I think I waited maybe a bit longer than I probably should have to call my midwife because I was so determined to stay at home as long as possible. I didn't want her to come and be like oh, you're a 3, right?Meagan: See? Your mind. Even in labor we trigger back. We process things as they're happening from how they happened before, and it's really hard to let go. But your mind was doing it too, right? You're like no, I can't do this because I can't be that.Johanna: Yes. So what we waited, I think it was, I don't know. I have no concept of time. But we waited a couple hours or a few hours and my doula was like, "I think we should call the midwife." I was like, "Okay, can you call her?" So we called her and shortly after we called her, I was having contractions so intense that I was having an out-of-body experience. Like very, very intense. I was getting the shakes and hot and cold lashes. In my mind I was like, I'm going through transition. For sure, for sure. I'm going through transition. My midwife was not there yet and she would not arrive for probably like another hour.Meagan: You progress quickly from history.Johanna: Yes. So, by the time she arrived, she ran upstairs to my room. She checked me and she's like, "Okay, you're at an 8, so if you want to do a hospital transfer, if you want to go, we've got to go now." And I was like, "No, that ship has sailed. We're doing this here. As long as Bailey's healthy and I'm healthy, I'd like to stay here." So she was like, "Okay, we're doing this here." And she called over the other midwife because she wasn't actually sure that it was going to be a home birth, so she didn't have the other midwife with her, so she had to call the secondary midwife to show up. It was all very hectic. This time around, I plan on calling them much more ahead of time so that it's not so hectic when they arrived because lights got turned on, equipment was shuffled around and set up and definitely took away from the vibe a little bit. But yeah. So shortly after she arrived, I was complete and I had that very stereotypical moment where you feel like you got a poo.Meagan: And sometimes you just hold back because you're like, oh crap, wait. Do I need go poo first or should I have? Wait, what should I do? I don't know. I want to have the baby, but I don't want to poop.Johanna: Exactly. So I was like, "Oh my gosh, I feel like I have to poo." My midwife's like, "It's okay. This is normal. You're good." She was just encouraging me to just do what I felt like I needed to do. I ended up pushing for probably an hour, give or take, in a sumo squat position with my midwife on one side and my doula on the other side and then my husband would switch out for the midwife supporting me on either side. And yeah, I only had to push for maybe an hour, give or take. Her head got a little bit squeezed at one point when she was coming out, so when she came out, she was in a bit of shock. Because of where I was in my room, and the equipment was on the other side, my midwife had to make the decision to clamp and cut her cord and take her over to their equipment to give her a little bit of help which was very scary. She didn't end up needing oxygen, but they thought that she might. So she ended up being okay, but it was definitely a scary couple of minutes where I didn't know what was going on. But yeah, she ended up being okay. The only thing I was a little bit disappointed in was the second time around, not being the one who gets to be the one to hold my baby and bring her to my chest and missing out on that experience again.Meagan: Yeah.Johanna: But obviously I was amazed that I had done it. I had gotten my home birth, I had gotten my VBAC. I was in shock.Meagan: I can so relate. Sometimes you're so focused on pushing that baby coming out, and then it happens and you're like, am I dreaming that this happen? And you're looking around and you're like blinking and you're like, no, I'm awake. I just did this. I just did this. And you're so excited.Johanna: I was still in La La Land because I had labored so hard for eight hours and yeah, you're out of it and just in disbelief.Meagan: Yeah. Yeah.Johanna: Like, did this really just happen?Meagan: But it did. It just happened.Johanna: Yeah. So that was a really good feeling. Recovery was like night and day. I could immediately just go and have a nice shower and walk back to my bed and crawl into my bed. It was comfortable and I wasn't in pain. I had mobility, and I could lift my baby up. It was a good feeling. Although I will say that without the epidural, the fundal massage was a really unpleasant experience.Meagan: Yes. So for everyone that doesn't maybe know, fundal massage is something that they do after labor and delivery, they essentially put their hand, sometimes fist. Now it's not like they punch you, but think about a fist. Look at the bottom of your fist. They put the bottom of their fist along your uterus, the top of your uterus. They push down and massage. They push down and they massage. And sometimes they do it three or so times. You take a deep breath, they do it. You take a deep breath, they do it. And why they're doing that is because they're checking to one, make sure your uterus is clamping back down to its normal size right after birth and the placenta is out. It starts doing its job and going boop boop, boop, right back down to its normal size. But sometimes it can get a little boggy or bleeding can occur. So yeah, you want to make sure that. Now, really quick tip. If for some reason your uterus is still staying boggy and not clamping down as much, something you can try to do if you are able is urinate. Go to the restroom. That's a really big thing to help the uterus clamp back down. And even if you have an epidural, sometimes you have to get a straight cath. And if you can't go to the bathroom, sometimes you can get a straight cath to release. But yeah, that is not as friendly when you're unmedicated. But take deep breaths. If you can, get that baby on your chest or hold someone's hand-- your doula, your partner, your midwife, anybody's hand and just take really deep breaths and know that it's okay. It's okay. It doesn't last too long. But yeah.Johanna: So going back to our chat about postpartum.Meagan: Yeah.Johanna: So the recovery of vaginal versus C-section night and day for sure. But I will say that my postpartum with Bailey was way harder than with my first. It had nothing to do with the birth. I think she was asynclitic in my uterus. And so when she came out, she had a pretty bad case of torticollis and a tongue tie which made breastfeeding very difficult. I got mastitis twice in the first four weeks, like a really bad case twice in the first four weeks. I ended up with a bad case of food poisoning at three weeks postpartum.Meagan: Oh no.Johanna: And I had some prolapse symptoms as well. I will say that there were a lot of things happening in the first month, month and a half of my postpartum that I didn't expect and were very intense and difficult. I mean, just for breastfeeding, I was in so much pain that there were many times that I wanted to just give up and be like, nope, never mind. Forget this.So having good lactation support was really crucial.Meagan: Oh yes. And get lactation support before you have your baby. It sounds weird. It sounds really strange to connect with someone about breastfeeding before your baby is born. But oh my gosh, you guys, it's so impactful. I mean, we've talked about it before with The Lactation Network and other IBCLC supports. It's so important. I had similar. So my baby was born be a Cesarean. So in a Cesarean, a baby can also develop torticollis too with the way they are and the way they come out. But my baby had torticollis and she had a tongue tie. So very, very difficult. Challenging for sure and frustrating.It can impact things like mastitis and yeah, I love that you pointed that out. My was recovery all around better, but that doesn't mean my experience was all sunshine and butterflies. I really want to just highlight that one more time, you guys. Vaginal birth doesn't mean your postpartum journey is going to be the easiest. Mine wasn't. My VBAC after two Cesarean birth was not the easiest. It just wasn't. So again, get those resources beforehand. Right?Johanna: Yeah. And I will say, I don't know what I would have done if I wasn't with midwifery care and having them on call for the six-week postpartum because I swear, I called them every second day about something that was going on.Meagan: Well, and that's more unique to home birth too because even with the hospital birth midwives, it's not the same. They usually say, "Oh, I'll see you in six weeks," and you can call. You can call any OB or midwife. You can call any provider, but there's a different level of care and follow-up in that postpartum stage and it's very impactful. It's very, very impactful.Johanna: Oh for sure. Yeah.Meagan: Yeah. Oh my gosh. I love everything and I love all these tips. There are so many tips and nuggets along the way. Is there anything else that you would like to drop here for the listeners in regards to home birth or preparing or postpartum or any words of encouragement that you may have?Johanna: I mean, I think that, like I mentioned at the start, just arming yourself with as much knowledge as you can is going to be your best bet to get the outcome that you want and just feel empowered throughout your pregnancy and your birth. So just arming yourself with as much knowledge as you can get your hands on and yeah, getting a good provider, trusting yourself, believing in your body, and setting yourself up for postpartum too because that's an important thing when you're so focused on getting your VBAC is letting the postpartum stuff fall to the wayside.Meagan: Yeah.Meagan: Taking care of yourself afterwards too is important.Meagan: Yes. Taking care of yourself. We don't. We don't take care of ourselves enough, you guys. Really pamper yourself. If that means you have your postpartum doula. If that means you hire a house cleaner to come in every other week. If that means you hire or have family come in to help, just whatever. Light house cleaning or holding baby or playing with toddler. Johanna, she's going to have two, you guys. She's almost on her third, and it's another baby girl.Johanna: Oh, yes. Yes. That's three for three.Meagan: So three baby girls. I mean, you've got your hands full in your postpartum experience.Right. So really do it. I don't want to stereotype women, but sometimes we get into this space of,  we can do it and we don't need to spend money on ourselves and things like that, but this stage of life is so important to invest in yourself. Really, truly invest in yourself because you deserve it. And your sleep and your experience and your mental health, it all matters so much. So yes, you might hire a cleaner and you might be spending that money, but guess what? That's okay. Do it. Johanna: And when you're taken care of, then you're a better mom to your kids.Meagan: Yes, yes. My husband always says, "When mom is happy, everyone else is happy." But really, really, you deserve it. Women of Strength, you deserve to be pampered and loved and supported. So Johanna, thank you so much again for such a powerful episode. I'm so grateful for you. And please keep us posted on this baby number three.By the time this episode comes out, you will have had this little baby girl.Johanna: Yes. I'm due January 4th, so I will definitely be sending you a message when she makes her entrance.Meagan: Please do. Please do. Okay well, thank you so much.Johanna: Thank you.ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. 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