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Speaker 1: Wednesday night. Around this time, Tracy in comes in Green

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Speaker 1: Dispensary and she has tonight as well and brought a guest.

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Speaker 1: Hello Tracy, how are you well?

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Speaker 2: Thank you Matthew. How are you?

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Speaker 1: Yeah good, thank you, good to see you again.

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Speaker 2: Thank you.

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Speaker 3: You've been off for a couple of weeks, and up

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Speaker 3: the show and may you're back. So I like to

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Speaker 3: celebrate health days when they're around, and we know the

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Speaker 3: last week's been Women's Health Week, but today is actually

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Speaker 3: International Gynecological Awareness Day.

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Speaker 1: Thank goodness, signed back.

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Speaker 4: I know.

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Speaker 3: I thought this was just the right topic for you, Matthew,

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Speaker 3: and it's really about raising awareness about gynecological, sexual and

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Speaker 3: related mental health conditions in women, trying to combat that

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Speaker 3: stigma and improve women's access to care and information. And

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Speaker 3: a lot of people don't know about me that I

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Speaker 3: always always introduced as come from the Green Dispensary, but

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Speaker 3: I also have two private practices, one by myself and

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Speaker 3: one in an amazingcology practice. Because my background there you go,

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Speaker 3: my background is obs and Guyney, I'm a midlife.

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Speaker 1: Trade I knew that.

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Speaker 2: So I've actually worked in Ghynia.

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Speaker 3: For about thirty five years, but about nearly seven years ago,

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Speaker 3: I was invited to join a gynecological practice in which

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Speaker 3: to have my clinic with doctor Foreba Bennier Willison at

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Speaker 3: FBW Gynecology Plus opposite ash Ford Ashford Hospital, right and

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Speaker 3: I've been there ever since and it's been absolutely amazing.

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Speaker 3: So tonight I have the privilege and pleasure of bringing

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Speaker 3: along doctor Fariba Bennier Willison to chat about some gynecological

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Speaker 3: things that really do need some more awareness. So we

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Speaker 3: have this amazing gynecologist who is a front runner in

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Speaker 3: her field, one of the best surgeons you'll ever find,

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Speaker 3: and dynamic, really passionately cares about women's health.

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Speaker 5: Excellent Fiba. Hello, Welcome, Hello Mathia. Thank you for the

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Speaker 5: kind introduction, Tracy. I'm truly honored to be here. How

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Speaker 5: can I help what you would like me to answer?

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Speaker 5: I am ready to go.

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Speaker 3: So and two, if anyone does want to call and look,

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Speaker 3: we get that sometimes these subjects can be sensitive and

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Speaker 3: you're speaking to quite a large audience. If you want

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Speaker 3: to ask a question to doctor Fariba at any point

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Speaker 3: of the show, it can be done anonymously.

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Speaker 1: So yeah, yeah, you change your name.

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Speaker 3: Change your name, location, or just write voice you want

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Speaker 3: to be anonymous, so we're more than happy to respect that.

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Speaker 1: Yeah, absolutely, all right, what are we starting with?

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Speaker 3: Okay, so tonight we thought about because we're trying to

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Speaker 3: make lots of topics less taboo to speak about, and

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Speaker 3: we do that really well these days, I think with

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Speaker 3: mental health words certainly getting a lot better. Not so

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Speaker 3: good on the guynocology front. And you know, a lot

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Speaker 3: of younger people are good at talking about things like

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Speaker 3: your endometriosis, your polycystic ovaries, infertility, things like that, but

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Speaker 3: the older women were in that generation where they didn't

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Speaker 3: generally talk about things that were going on. Yeah, so

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Speaker 3: this is one of probably one of the biggest gynecological

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Speaker 3: issues that occurs in women, certainly over the age of

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Speaker 3: I'm going to call it over fifty ish. Is vaginal

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Speaker 3: prolapse and secondary sort of incontinence issues with that?

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Speaker 1: So well, what is that? I mean, let's start with that,

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Speaker 1: especially for blokes.

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Speaker 3: Got no idea, absolutely, so, what is vaginal prolapse?

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Speaker 2: Forever?

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Speaker 5: Thank you for the wonderful question. It is really important

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Speaker 5: that we understand men and women are delivered through a

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Speaker 5: woman and through a vagina or ten centimeter above the vagina.

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Speaker 5: Biases areas Matthew, very vaginally born or right you are,

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Speaker 5: so we want to investigate how much damage you have

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Speaker 5: caused to your mother. Okay, So it doesn't matter if

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Speaker 5: you're a blog or if you're a woman. So it

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Speaker 5: is a really important subject of our loved ones, which

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Speaker 5: are our mothers. Vaginal produps is when organs such as

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Speaker 5: blood or bowl drop down in the vagina because the

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Speaker 5: connective tissue or muscles are weakened by the pregnancy itself

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Speaker 5: or by vaginal delivery, and if you add force of

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Speaker 5: delivery or vacuum delivery to it and you do a physeeotomy,

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Speaker 5: it can even.

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Speaker 4: Cause more damage.

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Speaker 5: But also the younger women can have products on incontinence

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Speaker 5: because if they have genetic problems with the connective tissue,

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Speaker 5: they have respiratory issues or chronic constipation. They do a

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Speaker 5: lot of lifting at work, stand on their feet, or

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Speaker 5: when they go to the gym, doing all those weights

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Speaker 5: without properly protecting their pelvic floor. So there is a

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Speaker 5: lot of potential risk factors, but the actual resk factor

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Speaker 5: is their pregnancy and vaginal birth.

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Speaker 1: Yeah, pelvic floor. Now, I've heard about pervic floor exercises

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Speaker 1: and they good for men. As well as women.

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Speaker 5: I understand, and that don't bring women and men into business,

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Speaker 5: But yes, do men always have much on the thing

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Speaker 5: that we blow. Yes, it is good for both, especially

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Speaker 5: if men have prostetectomy and they have stressing continence after

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Speaker 5: their have their prostate removed. Pelvic floor exercises certainly helps

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Speaker 5: that condition.

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Speaker 3: As well, and it's made worse by menopause too, so

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Speaker 3: when those hormones are with the estrogen.

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Speaker 5: Yes, lack of istrigen unfortunately, many women think that many

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Speaker 5: you know pro affects sixty percent of women over their lifetime.

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Speaker 1: Really, yes, so it's.

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Speaker 5: Very common, but only tempson go and see a doctor.

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Speaker 5: Because it is a taboo subject. People don't want to

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Speaker 5: talk about it. And in reality, women are important through

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Speaker 5: their reproduction age and the reason is that there is

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Speaker 5: a man next to them. We don't want to make

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Speaker 5: the man infatile, so we want to as a couple

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Speaker 5: be fatile. So everybody is happy about women being pregnant.

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Speaker 5: There's a lot of money from their medicare towards pregnancy,

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Speaker 5: IVF and so on, but nobody asks what happens to

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Speaker 5: the body after that pregnancy and after that delivery. We

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Speaker 5: lose even our identity as people because we are the

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Speaker 5: mother of such a person and maybe are so focused

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Speaker 5: on looking after our children's, husband, work, household that a

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Speaker 5: little bit of products, discomfort and dragon sensations something that

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Speaker 5: could potentially affect our quality of life severely. We forget

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Speaker 5: about that because we have so many other responsibility and

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Speaker 5: because prolaps is not a condition and life threatening condition,

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Speaker 5: people don't pay attention to it. You know, if you

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Speaker 5: have a very intensive breast cancer, you know people want

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Speaker 5: to help it, help you with their treatment, but believe me,

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Speaker 5: sometimes their products and incontinents affectxperiments so much that they

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Speaker 5: can't get out of the house.

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Speaker 1: Does it become worse with time if it's untreated.

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Speaker 5: Yes, yes it can, especially if you have chronic conservation

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Speaker 5: or keep on doing the lifting and so on. There

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Speaker 5: is no structures to hold the organs in place.

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Speaker 2: Can it be worse? After somebody has had a hysterectomy?

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Speaker 5: His strectomy is also a respector that's why we don't

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Speaker 5: do rest anymore for under the reason is very important

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Speaker 5: that if you have abnormal bleeding or any other condition,

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Speaker 5: that we go minimally invasive and not stress towards instructomy,

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Speaker 5: but sometimes we do have to do restricto me for

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Speaker 5: as a part of prolaps repaired.

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Speaker 1: Okay, lifestyle is it hereditary? Potentially lifestyle kicks in childbirth.

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Speaker 5: Obviously it is multifactorial. Genetics is important. Lifestyle is very important.

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Speaker 5: Work lifting at work is very important. And as I said,

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Speaker 5: you know, people who are constipated, don't drinking of water,

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Speaker 5: have a lot of caffeinated drinks, can have constipation.

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Speaker 3: That's my bud beere hydration. I'm the hydration girl. You

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Speaker 3: need your eight glasses of water a day for everything.

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Speaker 4: Weight also weight. It's very important.

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Speaker 5: The more intra abdominal pressure, the more risk or prolapse.

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Speaker 1: Okay, so so lifestyle obviously then is after yourself, eat properly,

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Speaker 1: exercise properly, et cetera.

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Speaker 5: Very important that after age thirty, we don't need the

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Speaker 5: amount of food that we used to eat because our

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Speaker 5: metabolism goes down. So but you know, half of what

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Speaker 5: we are eating is enough, more than enough, and we

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Speaker 5: have to increase our activities because to compensate for their

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Speaker 5: low metabolism.

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Speaker 1: It's as simple as I think that's a secret to

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Speaker 1: losing weight. It's not what you just said, eat half

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Speaker 1: of what's on your plate or half of what you

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Speaker 1: used to Yes, and walk a bit.

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Speaker 3: It's big saying that eat half, walk double and smart

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Speaker 3: and laugh trip or what say?

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Speaker 1: Yeah, yeah, yeah, great advice, but.

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Speaker 3: No laugh if you've got incontinents. A lot of people

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Speaker 3: still really struggle.

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Speaker 5: Still do because if you have, if you are having

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Speaker 5: incontinence and you're laughing, you can put a tampon into

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Speaker 5: the vagina and keep laughing.

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Speaker 4: They're always treating it.

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Speaker 1: So I mean, look, this is I suppose too seen

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Speaker 1: as an older woman's issue you but not necessarily.

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Speaker 5: Right now, the majority of a stressing continents of experiment

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Speaker 5: in thirties, you know, young mothers who have just gone

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Speaker 5: through vaginal birth. We are very much encouraged to give

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Speaker 5: birth vaginally, but really we have to start to explain

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Speaker 5: to our women what the vaginal birth can and what

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Speaker 5: are the consequences of vaginal birth, and if they still

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Speaker 5: decide to go that pathway, that's okay. But sometimes women

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Speaker 5: want to push at any cost, twenty four hours two

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Speaker 5: days in labor. They want to force delivery everything everything

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Speaker 5: to apple caesarean section. But then when they start to

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Speaker 5: have the problem with stressing continents or with products. They say,

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Speaker 5: Oh if I knew, I never would have done it.

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Speaker 5: So knowledge is power. Is very important that you are

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Speaker 5: given the facts for you're going to obstetrician and then

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Speaker 5: you can choose how long you want to push and

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Speaker 5: how far you want to go.

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Speaker 1: What are the obstetricians problem prefer a cesarean these days?

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Speaker 1: Don't they it?

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Speaker 5: Some Well, it depends definitely. Everybody aims to have a

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Speaker 5: normal vaginal birth, so nobody wants to interfere with us.

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Speaker 5: Some people do more cesarean than the others. But definitely

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Speaker 5: there is a balance because caesarean section is still a

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Speaker 5: major surgery, and a major surgery is always possible complication.

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Speaker 5: But also you don't want to push and push and

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Speaker 5: push and then have a cesarean section because then the

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Speaker 5: complex situation. Uh, even cesarean section might not be easy

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Speaker 5: and be more complicated. That's all about balance, Yeah, and

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Speaker 5: you have to balance it. If you have pushed for

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Speaker 5: eight hours, nine hours, maybe she should stop and not

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Speaker 5: leave it for another twenty four hours.

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Speaker 2: Is it worse with bigger babies?

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Speaker 5: Of course, yeah, the bigger the baby, the more damaged.

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Speaker 5: Are Also the position of the baby is very important

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Speaker 5: because you know, when the baby comes down, the baby's

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Speaker 5: turn in the vaginal canal and that is when the

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Speaker 5: tearing of the tissue happens. And sometimes the babies come

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Speaker 5: face up, sometimes face down. You know, sometimes there are

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Speaker 5: transfers and there's no way that the baby could be delibered.

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Speaker 4: So that's when the insection is indicated.

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Speaker 3: And we know babies generally get bigger in subsequent pregnancies, yes,

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Speaker 3: but also in conditions like gestational diabetes. If you're carrying

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Speaker 3: big babies, you're going to be more risk of that

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Speaker 3: damage of that tissue, big and more complicated deliveries.

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Speaker 5: Yeah, it is important for women to understand that you're eating.

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Speaker 5: You are not eating for two people. You know, they

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Speaker 5: feel they are pregnant and they are eating for two people.

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Speaker 5: Now you know, the baby at the features at twelve

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Speaker 5: weeks is very little.

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Speaker 4: It is just the emotional eat that we do.

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Speaker 5: And we have to make sure that we have good

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Speaker 5: food and proper nutrition, per nutrition rather than just anything

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Speaker 5: that is in front of us.

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Speaker 3: And it's funny because when I first started midwifery, the

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Speaker 3: guidelines where the average weight game was eleven to twenty

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Speaker 3: five kilos. It was a huge parameter that's been narrowed

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Speaker 3: right in now and you're looking at somewhere between sort

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Speaker 3: of five and fifteen. Now it's a very different parameter

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Speaker 3: than it was thirty odd years ago.

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Speaker 5: But unfortunately the society has gone to both obesity and

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Speaker 5: being overweight and now maybe the IVF even more. Overweight

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Speaker 5: women are having babies and that is an issue for

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Speaker 5: the babies, the delivery and trauma that it make course

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Speaker 5: to their palate floor.

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Speaker 1: Yeah. Yeah, Tracy Ying is here. She is every Wednesday night.

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Speaker 1: Today is World Gynecological Issues Wednesday. Just a Wednesday, and

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Speaker 1: you've bought in a doctor Fariba Behema Willison with you

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Speaker 1: tonight and here to take any questions. And of course

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Speaker 1: Tracy is always You're here to give general health advice

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Speaker 1: should anyone have any health related questions they want to

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Speaker 1: put to you. Eight double two to three double O

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Speaker 1: double o's another well gynecological awareness. Stay today. Tracy Yend

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Speaker 1: is here and doctor Fariba Behema Willison with a gynecologist.

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Speaker 1: Extraordinary welcome. We're talking about prolapse, vaginal prolapse. What causes it?

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Speaker 1: A part it's just childbirth.

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Speaker 5: It can be childbirth, it can be heavy lifting, anything

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Speaker 5: that could damage their structures in the public floor because

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Speaker 5: of increased intra abdominal.

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Speaker 1: Pressure and then the symptoms that women notice.

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Speaker 5: The symptoms could be in public discomfort, a bulge that

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Speaker 5: the woman feels, and urinary problem about problem. Sometimes women

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Speaker 5: cannot even defecate and they have to protect peraneum to

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Speaker 5: be able to open the belve and that could be

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Speaker 5: quite debilitating because you have at one stage a constipation

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Speaker 5: and done very cuickly, you can have equaled soiling because

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Speaker 5: the liquid gets trapped behind the constipated m area, and

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Speaker 5: then their equal incontinence is really quite quite uncomfortable.

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Speaker 4: It's quite embarrassing for so unacceptable.

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Speaker 3: A lot of women will then take that step forward

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Speaker 3: and isolate. And we see it in health with some

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Speaker 3: women on even things like fluid tablets. They don't want

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Speaker 3: to take their fluid tablets on the day they go

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Speaker 3: out because they know they're just going to be running

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Speaker 3: to the toilet every few minutes. But same with this,

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Speaker 3: with that stressing continents, you know, to join into physical

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Speaker 3: activities and things like that can be quite embarrassing for them,

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Speaker 3: and they're super conscious and self conscious about the issue

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Speaker 3: that they start to socially isolate or remove themselves from

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Speaker 3: participating in those certain events.

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Speaker 5: And it is really important that someone Sometimes the women

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Speaker 5: say I can't run after my children anymore, or I

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Speaker 5: can't play on tramplain and that I am missing this time,

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Speaker 5: quality time with my children because I'm met myself and

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Speaker 5: I'm embarrassed in front of my children because They'll laugh

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Speaker 5: at me because they be on iway so and.

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Speaker 3: It's not even easy just needing to wear things like

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Speaker 3: liners or pads all the time. It's not comfortable and

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Speaker 3: it's not healthy for your skin all the time.

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Speaker 5: Yeah, and it can affect the intimacy as well, because

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Speaker 5: you know, if they have a bulge, they don't want

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Speaker 5: the partner often to know. I remember my mom when

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Speaker 5: I was a little girl, and she my dad even

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Speaker 5: didn't know that she had unary issues. She would take

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Speaker 5: me to toilet and pretend that I needed to go

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Speaker 5: to toilet in order to go multiple times to toilet,

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Speaker 5: And that really broke my heart that, you know, how

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Speaker 5: comes and a father, you know, my dad was a father.

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Speaker 4: Because she was able to you know, giveth to us.

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Speaker 5: How comes that the very man that he had, that

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Speaker 5: she had intimacy with she didn't have the courage for

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Speaker 5: liberty to talk to him about what happened to me

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Speaker 5: as a woman after we as a couple had a child,

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Speaker 5: and it was me as a little child, protecting my

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Speaker 5: mom and look at her if she wants to go

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Speaker 5: to toilet and pretend that I want to go to

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Speaker 5: toilet and playing the game.

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Speaker 4: And that was really the time. I was only ten.

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Speaker 5: I remember it was ten years old, and you know,

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Speaker 5: the revolution had happened as well, and a lot of

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Speaker 5: things happening, and their nervousness around women was higher and higher.

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Speaker 5: And that's when I said, I am going to be

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Speaker 5: a voice for this woman women. I am not going

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Speaker 5: to allow silence, you know, dominate these women.

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Speaker 4: And I am going to break this silence.

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Speaker 5: And I'm going to make my way in a professional

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Speaker 5: way to teach men and women that women's health issue

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Speaker 5: is a couple of issues.

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Speaker 4: It's not just a woman.

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Speaker 1: No, this is the Iranian revolutionary Iranian revolution. Yes, so,

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Speaker 1: and that motivated you to go into this profession essentially sort.

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Speaker 5: Of when my father was to be executed, I saw

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Speaker 5: that my mom, mother came with despair and that she

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Speaker 5: felt as a woman worthless, you know, without a husband.

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Speaker 5: And I said, well, my husband is not going to

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Speaker 5: define me. I am going to be a man and

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Speaker 5: a woman in a capacity of work, money and so on.

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Speaker 5: That one day, if I have children and I don't

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Speaker 5: have a husband, my child doesn't feel the way I felt,

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Speaker 5: because it was quite scary as a ten year old, sure,

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Speaker 5: facing your father's death, your mother not coping with anything,

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Speaker 5: a country that is falling apart, and the future.

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Speaker 4: That was unknown.

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Speaker 1: Wow.

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Speaker 5: And then yeah, and the rest of this story so

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Speaker 5: that I am hoping that what I do today is

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Speaker 5: making the child that I was ten years ago at

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Speaker 5: age ten happy.

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Speaker 3: And I was witnessed to a whole room absolutely just

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Speaker 3: taking a gas when Doctor Forever both won the state

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Speaker 3: and then she went on to win the national Telstra

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Speaker 3: Awards in the Women's health section and also championing health.

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Speaker 2: But you told your story about your.

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Speaker 3: Upbringing and at that moment that scared little girl decided

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Speaker 3: she was going to spend her life looking after women,

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Speaker 3: and the whole room just wow, And it was beautiful,

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Speaker 3: very well deserved.

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Speaker 1: Absolutely, I didn't know any of that, but that's amazing.

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Speaker 1: How long have you been in Australia. When did you

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Speaker 1: come out.

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Speaker 5: I went to Germany to do my medical school. I

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Speaker 5: was ten years then. Then I came to Australia ninety

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Speaker 5: five and I did my specialty in gynecology in Sydney,

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Speaker 5: and then I came for one year to Adlet to

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Speaker 5: do lapos copic procedures because back then women were not

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Speaker 5: great surgeons. And I said, I teach you, I'll go

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Speaker 5: into the rate. So I went into really advanced lapos

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Speaker 5: copic skills because I wanted to give women minimally invasive surgeries.

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Speaker 5: I am very much into managing things in a minimally

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Speaker 5: invasive way. So you know, just handing out medication or

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Speaker 5: giving them surgery is not the first God, there is

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Speaker 5: a lot of lifestyle, There is a lot of education.

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Speaker 5: It is a lot of supporting mentoring that women need.

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Speaker 4: Before you do surgery.

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Speaker 5: So I wanted really to be one of the top surgeons,

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Speaker 5: and I think I achieved that with my skills.

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Speaker 3: She definitely hasn't. But there's the beauty too, is that

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Speaker 3: acceptance around There are so many ways to achieve the goals,

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Speaker 3: and hence we can actually have joint patients and discuss

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Speaker 3: pathways of how we're going to do it together, give

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Speaker 3: people double the options, and we've had some really successful cases.

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Speaker 2: Together, so it's been a huge honor.

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Speaker 5: So I have patients who don't want to have homeon

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Speaker 5: on support, I said, go and see Tracy. And there

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Speaker 5: are people who don't respond to natural stuff. They come

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Speaker 5: and see me. So it is just about options. That's

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Speaker 5: your gift to be made.

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Speaker 1: All right, we'll take a break for news. We'll be

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Speaker 1: back on the other side. Tracy Yen and her guest.

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Speaker 1: My guest too, doctor Fariba Beheena Willison, who is here

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Speaker 1: in the studio gynecologist and World Gynecological Awareness Day today

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Speaker 1: and happy to take calls on that or anything else.

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Speaker 1: Got a question on menopause for you after the news

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Speaker 1: Tracy as well. We'll do that too and we'll take

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Speaker 1: your questions text email or on the phone. Tracy Yen

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Speaker 1: is here Green Dispensary for doctor Fariba. Bennie Willison also

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Speaker 1: and I'm got a question here on the text line

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Speaker 1: for you, Tracy. It's sports for both of you really

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Speaker 1: and it says hope you're all well, just wondering what

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Speaker 1: is something that could help with menopause. I'm fifty one,

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Speaker 1: finding lots of hot flushes low, basically no interest in

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Speaker 1: special cuddle's time with hubby, overwhelmed with anxiety, just tired

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Speaker 1: all the time. I understand there's no magic one, but

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Speaker 1: I'm a busy mum and nana still working full time,

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Speaker 1: and the mood swings are making me a bit crazy too.

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Speaker 1: Any suggestions would be wonderful. Have a great night, But

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Speaker 1: are you.

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Speaker 2: Too Lo's appeals for your name?

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Speaker 3: That's the wrong answer. Do you want me to start

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Speaker 3: orould you? When I do talks on menopause, and I

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Speaker 3: explained to you guys in the break, I always say

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Speaker 3: to people, you know, we know the average age of menopause,

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Speaker 3: and we know that hormones come to a well, say

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Speaker 3: an abrupt hole, but it can be up to ten years.

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Speaker 3: That there's a lot of changes. But look at how

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Speaker 3: we're living first. So the base sick things we need

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Speaker 3: is diet, nutrition, exercise, hydration is everything, stress management, sleep

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Speaker 3: and sunshine. They're your basic human needs. Work on those

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Speaker 3: and perfect those, then we'll see what symptoms are left.

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Speaker 3: Because when you look at all of those things, if

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Speaker 3: you're poorly, like your nutrition is poor, you will have

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Speaker 3: things like anxiety, mood changes depression. Just take the B

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Speaker 3: vitamins out for five minutes and you watch that mood

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Speaker 3: go down.

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Speaker 2: Things like that.

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Speaker 3: So if you're poorly hydrated, the more dehydrated you are,

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Speaker 3: the hotter you will be in general, and the more

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Speaker 3: hot flushes, you know, I get. People come to me

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Speaker 3: when they're sixty five saying I still get hot flushes. Okay,

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Speaker 3: well let's look at your behavior. The ten cups of

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Speaker 3: coffee your day probably aren't helping you. And the zero water,

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Speaker 3: let's switch that around. Drop your coffees to two, drink

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Speaker 3: two litters of water and they magically go away. So

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Speaker 3: things like that fix up all those And that's not

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Speaker 3: taking away that we know. These hormones play a massive

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Speaker 3: role in our life and when you take them away,

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Speaker 3: there are lots of changes in the body. So that's

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Speaker 3: when we look at what's left. But try and fix

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Speaker 3: up the other stuff first.

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Speaker 4: And to add to.

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Speaker 5: That, also reduce the hot shower, hot blanket that you use.

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Speaker 4: Pully Ester Clothing.

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Speaker 5: Clothing is really important, and you mentioned cafeinated drinks and sugar,

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Speaker 5: that's really important.

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Speaker 2: Sugar is the worst one, Yeah, that we have to reduce.

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Speaker 5: We used to think that hormone therapy is a problem.

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Speaker 5: It gives us breast cancer. But that study was Women's

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Speaker 5: Health initiative that was wrongly interpreted and it didn't really

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Speaker 5: apply to our demographics in Australia. Now with the new studies,

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Speaker 5: we know that the hormone treatment for the right people.

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Speaker 5: We don't want to bombard every woman with hormone treatment,

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Speaker 5: but the right treatment, the right person on the right

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Speaker 5: hormonal treatment is actually protecting their heart. The reduces the

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Speaker 5: dementia and protects the bond density. So now that is

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Speaker 5: really important that everything that Traces said that we do.

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Speaker 5: But also we do a baseline and bloods to see

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Speaker 5: what's going on in terms of intimacy. The over is

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Speaker 5: produced also a test testerone and when the test teston

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Speaker 5: goes down, the women's confidence goes down. Brain fog kicks

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Speaker 5: in memory loss.

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Speaker 4: You know, you are.

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Speaker 2: Looking forward generals.

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Speaker 5: Yeah, and you increase weight because you reduce muscles, and

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Speaker 5: you don't want to have sex, you know. And sometimes

439
00:25:37,960 --> 00:25:40,960
Speaker 5: people say, I still love my husband, but I hate

440
00:25:41,040 --> 00:25:44,199
Speaker 5: him touching me. And it is something real, It is

441
00:25:44,240 --> 00:25:47,040
Speaker 5: not in your head. It's not that you're unfaithful, it's

442
00:25:47,080 --> 00:25:49,639
Speaker 5: not that you have fallen out of love, but it

443
00:25:49,720 --> 00:25:52,120
Speaker 5: is a hormonal imbalance that can be corrected.

444
00:25:52,280 --> 00:25:54,240
Speaker 1: How do you know who the right person is? Do

445
00:25:54,280 --> 00:25:56,879
Speaker 1: you test for that? You say, the right women, we.

446
00:25:56,920 --> 00:25:59,560
Speaker 5: Do if they have periods, we do a blood test

447
00:25:59,680 --> 00:26:04,320
Speaker 5: on day three to five. Having said that, for example,

448
00:26:04,359 --> 00:26:08,840
Speaker 5: this lady who has called she needs help, I don't

449
00:26:08,880 --> 00:26:12,439
Speaker 5: treat a piece of paper that says estrogen dismuch or

450
00:26:12,480 --> 00:26:15,600
Speaker 5: that much. We could have captured the blood tests at

451
00:26:15,600 --> 00:26:17,880
Speaker 5: the time that it is just at the right time,

452
00:26:17,960 --> 00:26:20,080
Speaker 5: but you know, your homones could go up and down

453
00:26:20,400 --> 00:26:22,800
Speaker 5: and we might not get it at the lowest part

454
00:26:22,880 --> 00:26:26,960
Speaker 5: when the person is feeling that that way. So day

455
00:26:26,960 --> 00:26:30,120
Speaker 5: three to five is a perfect time in women who

456
00:26:30,280 --> 00:26:31,800
Speaker 5: have periods.

457
00:26:31,640 --> 00:26:32,600
Speaker 4: To do the blood tests.

458
00:26:32,640 --> 00:26:35,000
Speaker 5: Otherwise, if they have no periods, we can do it

459
00:26:35,040 --> 00:26:38,600
Speaker 5: at any time. And we always can try a little

460
00:26:38,600 --> 00:26:42,960
Speaker 5: bit of homeone therapy, especially transdermal, because you can stop

461
00:26:43,000 --> 00:26:46,960
Speaker 5: it at any time and see if they benefit from it.

462
00:26:47,119 --> 00:26:51,240
Speaker 5: And if they do, then we can move on to implants.

463
00:26:51,359 --> 00:26:56,000
Speaker 5: And these are all more bioidentical hormones than synthetic ones

464
00:26:56,040 --> 00:26:58,760
Speaker 5: that we had in the past, and that will give

465
00:26:58,840 --> 00:27:01,680
Speaker 5: a lot of relief to the men and women who

466
00:27:01,760 --> 00:27:06,360
Speaker 5: have a uterus there also need a medication called progesterone

467
00:27:06,480 --> 00:27:10,240
Speaker 5: prometrium which they didn't take at night, and that can

468
00:27:10,680 --> 00:27:12,760
Speaker 5: help them to sleep better and it.

469
00:27:12,760 --> 00:27:16,120
Speaker 3: Helps just protect that lining and theaters. But two, there's

470
00:27:16,240 --> 00:27:19,000
Speaker 3: other options for women with libido that you can get

471
00:27:19,040 --> 00:27:24,199
Speaker 3: localized estrogen creams because we know that after menopause, the

472
00:27:24,400 --> 00:27:30,240
Speaker 3: vaginal tissue changes, It gets dryer, the pH changes, the microbiomes,

473
00:27:30,359 --> 00:27:32,560
Speaker 3: the bacteria there changes as well, so it can be

474
00:27:32,600 --> 00:27:36,719
Speaker 3: really quite uncomfortable, more prone to urinary tract infections and

475
00:27:36,760 --> 00:27:38,640
Speaker 3: things like that. So we need to look at all

476
00:27:38,680 --> 00:27:41,199
Speaker 3: of those and we're lucky because there are to some

477
00:27:41,400 --> 00:27:45,399
Speaker 3: you know, people that don't want to take maybe hormone replacement,

478
00:27:45,640 --> 00:27:49,359
Speaker 3: but can use localized hormones to help that. But you

479
00:27:49,400 --> 00:27:52,640
Speaker 3: can also now get these wonderful natural intimate creams. There's

480
00:27:52,680 --> 00:27:54,760
Speaker 3: some you know, made out of things like olive oil

481
00:27:54,760 --> 00:27:57,400
Speaker 3: and beeswax and that that can help soothe and protect

482
00:27:58,160 --> 00:28:01,679
Speaker 3: and use well intercourse, so you have that frictional damage

483
00:28:01,680 --> 00:28:02,879
Speaker 3: of that tissue correct.

484
00:28:03,119 --> 00:28:06,360
Speaker 5: And often women say, what's the best lubrication to use?

485
00:28:06,680 --> 00:28:11,840
Speaker 5: The ordinary vegetable oil in the cupboard, Yeah, don't take

486
00:28:11,880 --> 00:28:14,920
Speaker 5: the one litter of olive oil into your bedroom. Put

487
00:28:16,000 --> 00:28:18,480
Speaker 5: a small bottle. Fancy your bottle and take it to

488
00:28:18,560 --> 00:28:22,320
Speaker 5: the bedroom. But yeah, the ordinary vegetable oil, you know,

489
00:28:22,520 --> 00:28:25,360
Speaker 5: coconut oil or almond oil if you want to be fancy,

490
00:28:25,480 --> 00:28:26,640
Speaker 5: but really vegetable oil.

491
00:28:26,680 --> 00:28:28,639
Speaker 1: It depends what you want to do, I suppose.

492
00:28:29,200 --> 00:28:31,120
Speaker 2: But do be careful with some.

493
00:28:31,480 --> 00:28:35,119
Speaker 3: I remember a case very distinctly back when I worked

494
00:28:35,160 --> 00:28:40,720
Speaker 3: in Guiny clinics and a couple had used a massage

495
00:28:40,720 --> 00:28:44,000
Speaker 3: oil as a lubricant. Now, the problem with this massage

496
00:28:44,040 --> 00:28:47,000
Speaker 3: oil it wasn't like your basic pure almond oil or

497
00:28:47,240 --> 00:28:51,080
Speaker 3: vegetable oil, coconut oil. It literally and I remember saying

498
00:28:51,120 --> 00:28:53,360
Speaker 3: to it, can you bring home and get your husband

499
00:28:53,360 --> 00:28:55,640
Speaker 3: to tell us or take a photo of the list

500
00:28:55,680 --> 00:28:59,520
Speaker 3: of ingredients And there were two acids and three three

501
00:28:59,560 --> 00:29:00,760
Speaker 3: alcohol in there.

502
00:29:01,120 --> 00:29:02,480
Speaker 2: And she literally.

503
00:29:02,640 --> 00:29:06,760
Speaker 3: Burnt herself on the inside, and you know, a couple

504
00:29:06,800 --> 00:29:08,880
Speaker 3: of anti inflammatories later she was fine.

505
00:29:09,000 --> 00:29:10,080
Speaker 2: But that's not the point.

506
00:29:10,360 --> 00:29:12,600
Speaker 3: Be really careful, and this is what you know we

507
00:29:12,600 --> 00:29:15,680
Speaker 3: say about food. Start reading labels. Same with products like that,

508
00:29:15,720 --> 00:29:18,600
Speaker 3: particularly if you're going to put them in very delicate areas,

509
00:29:19,160 --> 00:29:21,960
Speaker 3: make sure they are pure.

510
00:29:21,640 --> 00:29:26,200
Speaker 1: We're talking about some pretty intimate things here really in

511
00:29:26,280 --> 00:29:28,680
Speaker 1: terms of a general discussion, not for individuals, but on

512
00:29:28,800 --> 00:29:33,720
Speaker 1: the whole. And I suppose it points to the facts.

513
00:29:34,320 --> 00:29:36,960
Speaker 1: There is a taboo and a stigma about talking about,

514
00:29:37,000 --> 00:29:40,960
Speaker 1: for instance, vaginal prolapse, and even talks like this, as

515
00:29:41,000 --> 00:29:46,080
Speaker 1: relatively brief as it is and kind of as generic

516
00:29:46,160 --> 00:29:49,000
Speaker 1: as it is, it helps break down that stigma. Why

517
00:29:49,040 --> 00:29:51,600
Speaker 1: do you think there's still a taboo and stigma?

518
00:29:52,520 --> 00:29:56,840
Speaker 5: Well, I think there all these still men dominated, you know,

519
00:29:58,000 --> 00:30:02,120
Speaker 5: especially in my culture, you know now where I come from.

520
00:30:02,200 --> 00:30:06,160
Speaker 5: And grandmother has a grandchild that is a boy, and

521
00:30:06,280 --> 00:30:08,920
Speaker 5: it's fine to be naked, and they throw the baby

522
00:30:09,000 --> 00:30:13,840
Speaker 5: up and show everybody that this baby has a really there.

523
00:30:14,040 --> 00:30:17,360
Speaker 5: But as soon as a girl is born, everything has

524
00:30:17,400 --> 00:30:20,320
Speaker 5: to be covered. And from childhood they tell you across

525
00:30:20,360 --> 00:30:23,400
Speaker 5: your legs. You know, nobody should, that's your private. They

526
00:30:23,400 --> 00:30:25,960
Speaker 5: don't even have a name for it, you know, they

527
00:30:25,960 --> 00:30:26,960
Speaker 5: say front bomb.

528
00:30:27,040 --> 00:30:27,240
Speaker 3: You know.

529
00:30:27,440 --> 00:30:33,680
Speaker 5: Sometimes are given the names that are not descriptive, such

530
00:30:33,680 --> 00:30:38,240
Speaker 5: as vagina. Okay, until we become you know, women, and

531
00:30:38,360 --> 00:30:40,200
Speaker 5: we go to labor ward and we have to.

532
00:30:40,120 --> 00:30:42,440
Speaker 4: Discuss vaginal birth or sincere in section.

533
00:30:42,680 --> 00:30:45,600
Speaker 5: That's the only time that you're happy to talk about it.

534
00:30:46,000 --> 00:30:48,920
Speaker 5: So everybody but the father comes and says, my daughter

535
00:30:48,960 --> 00:30:51,840
Speaker 5: had a natural birth. Everybody knows it is vaginal or

536
00:30:51,920 --> 00:30:54,840
Speaker 5: sincere in section. Everybody knows. It's a tense sentiment about

537
00:30:54,840 --> 00:30:57,600
Speaker 5: the vagina. But as soon as the child is born

538
00:30:57,800 --> 00:31:01,080
Speaker 5: then we are revert back to water. It was, so

539
00:31:01,520 --> 00:31:04,440
Speaker 5: some of it is up to us women to teach

540
00:31:04,480 --> 00:31:08,680
Speaker 5: our boys and girls about the genitalia. And let me

541
00:31:08,760 --> 00:31:12,120
Speaker 5: tell you, if we teach our children and talk to

542
00:31:12,240 --> 00:31:18,160
Speaker 5: children freely without any anxiety, we will stop pedophiles.

543
00:31:17,480 --> 00:31:18,600
Speaker 4: Using our children.

544
00:31:19,360 --> 00:31:24,240
Speaker 5: One in four girls is sexually abused without the parents knowing,

545
00:31:24,480 --> 00:31:27,840
Speaker 5: and it is often the intimate people who come to

546
00:31:27,880 --> 00:31:30,800
Speaker 5: you that you had uncles and cousins and so on.

547
00:31:30,800 --> 00:31:35,040
Speaker 5: One in six boys are sexually affected. So the reason

548
00:31:35,240 --> 00:31:38,200
Speaker 5: that the children don't come and tell you things is

549
00:31:38,240 --> 00:31:43,960
Speaker 5: because we have met this taboo subjects around our children genitalia,

550
00:31:44,080 --> 00:31:46,560
Speaker 5: and we are not protecting them but not talking to

551
00:31:46,600 --> 00:31:49,720
Speaker 5: our children. We are not good parents because we are

552
00:31:49,800 --> 00:31:52,360
Speaker 5: not protecting our children in certain ways.

553
00:31:52,560 --> 00:31:54,040
Speaker 4: So we are protecting.

554
00:31:53,560 --> 00:31:56,000
Speaker 5: Them from going on their street and having an accident,

555
00:31:56,400 --> 00:32:00,800
Speaker 5: which is for out of hundred talent and times is

556
00:32:00,800 --> 00:32:03,960
Speaker 5: four times. But we are not protecting our children. One

557
00:32:04,000 --> 00:32:05,520
Speaker 5: in four of sexual love.

558
00:32:05,720 --> 00:32:08,960
Speaker 3: That's crazy starts is that in this modern day and

559
00:32:09,000 --> 00:32:13,160
Speaker 3: age of intellect, wisdom, enlightenment, whatever, that's crazy.

560
00:32:12,840 --> 00:32:16,520
Speaker 5: And especially radio, Facebook and stuff like that, the children

561
00:32:16,600 --> 00:32:20,200
Speaker 5: are more exposed to danger than ever and our parents

562
00:32:20,240 --> 00:32:24,320
Speaker 5: should have these direct talks much more than ever before.

563
00:32:24,760 --> 00:32:26,560
Speaker 3: And two, when I was growing up through but there

564
00:32:26,640 --> 00:32:29,120
Speaker 3: was like a lot of you know, there were a

565
00:32:29,160 --> 00:32:33,200
Speaker 3: lot of nicknames for body parts and stories were kind

566
00:32:33,200 --> 00:32:37,560
Speaker 3: of melded than than the direct stuff where I think

567
00:32:37,840 --> 00:32:40,840
Speaker 3: we are getting better at teaching people to go. We

568
00:32:40,880 --> 00:32:43,200
Speaker 3: call these this is a vagina, that is a penis,

569
00:32:43,240 --> 00:32:46,680
Speaker 3: and that's okay. And I think taking that, you know,

570
00:32:46,840 --> 00:32:49,800
Speaker 3: the giggles out of that because it's not a funny topic.

571
00:32:50,240 --> 00:32:52,000
Speaker 3: It's really serious stuff.

572
00:32:52,160 --> 00:32:55,040
Speaker 5: So yeah, it's just funny that all our jokes are

573
00:32:55,080 --> 00:32:58,920
Speaker 5: sexual and we laugh at it. But our education doesn't

574
00:32:58,960 --> 00:33:04,320
Speaker 5: involve sexual sixty numps and our teenagers learn about sexuality

575
00:33:04,440 --> 00:33:08,520
Speaker 5: through porn movies. It means the boys are expecting our

576
00:33:08,640 --> 00:33:12,440
Speaker 5: daughters to be porn stars. They don't want wives, they

577
00:33:12,440 --> 00:33:16,520
Speaker 5: don't want partners because what they see is through porn.

578
00:33:16,640 --> 00:33:20,040
Speaker 5: So we have to take back the control and teach

579
00:33:20,160 --> 00:33:22,960
Speaker 5: them what it means to be special and what it

580
00:33:23,080 --> 00:33:24,040
Speaker 5: means to be a couple.

581
00:33:24,240 --> 00:33:27,560
Speaker 1: Yeah. We give teenage boys a mobile phone at twelve

582
00:33:27,880 --> 00:33:28,360
Speaker 1: or younger.

583
00:33:28,600 --> 00:33:33,640
Speaker 5: Yeah, but unfortunately a lot of timetables and the schooling

584
00:33:33,800 --> 00:33:38,840
Speaker 5: is through iPads, iPhones and those kinds of things, and

585
00:33:39,840 --> 00:33:43,760
Speaker 5: parents are forced to provide those devices to their children.

586
00:33:44,000 --> 00:33:47,600
Speaker 1: Yeah. Just before we go to a break, Lisa says,

587
00:33:48,240 --> 00:33:52,320
Speaker 1: Fariba was my obstetrician. She was wonderful in handling a

588
00:33:52,400 --> 00:33:57,200
Speaker 1: very complicated pregnancy, dealing with severe pre eclampsia and complications.

589
00:33:57,200 --> 00:33:59,840
Speaker 1: My son now eighteen. I'm truly grateful to her that

590
00:34:00,040 --> 00:34:02,040
Speaker 1: he's alive. And well, oh there we go.

591
00:34:02,320 --> 00:34:03,480
Speaker 4: Thank you for the people.

592
00:34:03,800 --> 00:34:06,960
Speaker 1: All right, we'll take a quick break. Tracy Yen and

593
00:34:07,080 --> 00:34:11,160
Speaker 1: doctor Fariba Bennia Willison here in the studio. We are

594
00:34:11,200 --> 00:34:16,879
Speaker 1: talking gynecological issues. World Gynecological Awareness Day today international.

595
00:34:17,080 --> 00:34:18,239
Speaker 2: Well it is international.

596
00:34:18,480 --> 00:34:21,120
Speaker 3: It was started by a woman called Catain Mozilla who

597
00:34:21,800 --> 00:34:24,960
Speaker 3: developed vowel cancer and no one wanted to talk about it.

598
00:34:25,000 --> 00:34:28,440
Speaker 3: So she's created this initiative to get people all around

599
00:34:28,480 --> 00:34:30,480
Speaker 3: the world talking about women's health.

600
00:34:30,719 --> 00:34:34,600
Speaker 1: And here we are Tracy Yen, Green Dispensary, Happy to

601
00:34:34,920 --> 00:34:40,799
Speaker 1: help you with any health issues. And there's also with

602
00:34:40,920 --> 00:34:46,640
Speaker 1: her doctor Fariba Bennia Willison, who is Gynecologist's World Gynecological

603
00:34:46,760 --> 00:34:49,920
Speaker 1: Awareness Day. I'm probably mucking that up every time, Tracy.

604
00:34:49,920 --> 00:34:53,799
Speaker 1: It's international something rather really well, but anyway, that's the day.

605
00:34:53,880 --> 00:34:56,080
Speaker 1: That's what we're talking about, and we've been talking. We

606
00:34:56,120 --> 00:34:58,600
Speaker 1: started off on vaginal prolapse, so we should we should

607
00:34:58,640 --> 00:35:00,560
Speaker 1: go back to that. We've kind of talked about a

608
00:35:00,560 --> 00:35:05,000
Speaker 1: whole heap of different things, but forever cannot be prevented.

609
00:35:05,560 --> 00:35:08,240
Speaker 1: And what management treatments are there?

610
00:35:08,920 --> 00:35:14,359
Speaker 5: Management treatment, we have conservative management and surgical management, and

611
00:35:14,400 --> 00:35:18,520
Speaker 5: we should exhaust all the conservative management before we embark

612
00:35:18,560 --> 00:35:19,480
Speaker 5: on any surgery.

613
00:35:19,560 --> 00:35:20,600
Speaker 4: That's really important.

614
00:35:21,440 --> 00:35:25,560
Speaker 5: So we have to reduce weight, do pelvic floor exercises

615
00:35:25,600 --> 00:35:33,920
Speaker 5: with physios specialized in pelvic floor physiotherapy, kegle exercises, and

616
00:35:33,960 --> 00:35:39,160
Speaker 5: get the bowel right, nutrition right lifestyle in terms of work,

617
00:35:39,280 --> 00:35:42,040
Speaker 5: not standing on your feet for twelve hours when you

618
00:35:42,080 --> 00:35:45,680
Speaker 5: go to gym, don't do the weights standing up. You know,

619
00:35:45,719 --> 00:35:49,120
Speaker 5: you can be in a semi reclining position. You can

620
00:35:49,160 --> 00:35:52,560
Speaker 5: do more reps than really heavy heavy weights. And when

621
00:35:52,600 --> 00:35:55,440
Speaker 5: you do weights, you have to learn to brace yourself.

622
00:35:56,120 --> 00:35:59,080
Speaker 5: Then the next thing is that we can have the

623
00:35:59,360 --> 00:36:03,120
Speaker 5: pessaries spiture devices that we can put insert into the

624
00:36:03,200 --> 00:36:07,080
Speaker 5: vagina and take it out, and that will help with

625
00:36:07,120 --> 00:36:10,160
Speaker 5: the incontinents as well as prolaps. We can teach the

626
00:36:10,239 --> 00:36:13,839
Speaker 5: patients to manage it themselves, or if it is hard,

627
00:36:13,880 --> 00:36:16,719
Speaker 5: they can come to the doctors every three months and

628
00:36:16,840 --> 00:36:21,759
Speaker 5: have it removed and replaced. And the next thing is surgery,

629
00:36:21,880 --> 00:36:26,920
Speaker 5: which it can be into divided in new try and

630
00:36:27,080 --> 00:36:33,400
Speaker 5: preserving surgery or resterectomy and pelvic floor repair. And nowadays

631
00:36:33,480 --> 00:36:36,920
Speaker 5: we have a lot of regenerative medicine introduced into pelvic

632
00:36:37,000 --> 00:36:41,799
Speaker 5: floor as well that will prevent the future prolaps or

633
00:36:41,840 --> 00:36:46,680
Speaker 5: reduce the failure rate of the surgery because when we

634
00:36:46,760 --> 00:36:49,719
Speaker 5: do the repair, we are not giving new pelvis to

635
00:36:49,800 --> 00:36:54,120
Speaker 5: the patient. We are repairing it. It's like a broken leg,

636
00:36:54,600 --> 00:36:58,040
Speaker 5: so broken burn. You have to protect it for a

637
00:36:58,080 --> 00:37:02,879
Speaker 5: while for that to take place. And even after that,

638
00:37:03,960 --> 00:37:06,120
Speaker 5: you have to be careful that you don't put too

639
00:37:06,160 --> 00:37:09,399
Speaker 5: much pressure because it's still we can tissue your Yeah,

640
00:37:09,640 --> 00:37:12,520
Speaker 5: you know it's age and you know it's gravity is

641
00:37:12,560 --> 00:37:16,040
Speaker 5: not our best friend. The lack of eastridgen and so on,

642
00:37:16,120 --> 00:37:19,680
Speaker 5: you have to protect it after their surgery and for

643
00:37:19,719 --> 00:37:22,560
Speaker 5: three months you shouldn't be really doing heavy lifting. In fact,

644
00:37:22,600 --> 00:37:25,200
Speaker 5: women never should do heavy lifting. And it doesn't matter

645
00:37:25,520 --> 00:37:29,760
Speaker 5: how independent we are, there are certain things that physically

646
00:37:29,760 --> 00:37:32,640
Speaker 5: we shouldn't be doing. So if you have a big

647
00:37:32,680 --> 00:37:36,279
Speaker 5: object to move, ask your son or your husband to help.

648
00:37:36,360 --> 00:37:36,400
Speaker 1: You.

649
00:37:36,440 --> 00:37:38,960
Speaker 5: Know, you don't have to do everything because you're impatient

650
00:37:39,040 --> 00:37:42,600
Speaker 5: and you want to do everything before everybody comes home.

651
00:37:42,760 --> 00:37:45,000
Speaker 1: Sometimes it's the early way things get done though, right,

652
00:37:45,120 --> 00:37:45,880
Speaker 1: I know.

653
00:37:46,120 --> 00:37:49,440
Speaker 5: But to protect yourself, you have to stop doing those

654
00:37:49,560 --> 00:37:51,799
Speaker 5: kinds of things because corollapse happens to women who are

655
00:37:51,920 --> 00:37:54,160
Speaker 5: very active and doing a lot of work.

656
00:37:54,800 --> 00:37:56,759
Speaker 4: You know, lazy people don't get collapses.

657
00:37:57,560 --> 00:38:01,440
Speaker 3: But too after menopause, when you say our estrogen drops

658
00:38:01,480 --> 00:38:04,319
Speaker 3: and our testosterone drops, we lose a lot of that

659
00:38:04,480 --> 00:38:08,240
Speaker 3: muscle strength anyway, so that muscle definition.

660
00:38:08,560 --> 00:38:13,879
Speaker 5: Yeah, and the corrected tissue is atrophied and tinned, and

661
00:38:14,080 --> 00:38:15,720
Speaker 5: that is how the products happens.

662
00:38:16,480 --> 00:38:20,200
Speaker 1: Yeah, all right. Is there any new advances in the area.

663
00:38:20,520 --> 00:38:26,160
Speaker 5: Yeah, A lot of regenerative medicine being introduced, like uh

664
00:38:26,239 --> 00:38:31,000
Speaker 5: plant and plate letters plasma. There are some other energy

665
00:38:31,040 --> 00:38:37,759
Speaker 5: devices being studied in other countries. These procedures are more

666
00:38:37,800 --> 00:38:41,920
Speaker 5: common than Australia now, but you know, biggest studies need

667
00:38:42,000 --> 00:38:46,960
Speaker 5: to confirm their place. Autologust graphs have been used to

668
00:38:47,080 --> 00:38:50,360
Speaker 5: replace mesh because we used to use mesh for pelvic

669
00:38:50,400 --> 00:38:54,600
Speaker 5: floor repair, which is a synthetic material, and it caused

670
00:38:54,640 --> 00:38:56,640
Speaker 5: a lot of problem in women, into a lot of

671
00:38:56,719 --> 00:39:01,719
Speaker 5: women pain and discomfort and pain full intercourse, and they

672
00:39:01,760 --> 00:39:05,200
Speaker 5: are banned and withdrawn from the market, and that has

673
00:39:05,800 --> 00:39:11,680
Speaker 5: made gynecologists to think about new products. I am developing

674
00:39:11,719 --> 00:39:16,000
Speaker 5: myself a product which is the autologous graph out of blood.

675
00:39:16,040 --> 00:39:18,600
Speaker 5: We are studying it and I got some grant from

676
00:39:18,760 --> 00:39:23,640
Speaker 5: Australian government to develop that and now I'm getting federal

677
00:39:25,040 --> 00:39:28,880
Speaker 5: government funding to take it to America. And there are

678
00:39:28,960 --> 00:39:32,880
Speaker 5: colleagues who use part of fascia in the lake or

679
00:39:32,920 --> 00:39:35,880
Speaker 5: abdomen and they put it into the vagina. That is

680
00:39:35,920 --> 00:39:38,719
Speaker 5: a bit more invasive, but we have to think of

681
00:39:38,880 --> 00:39:41,399
Speaker 5: ways to overcome the problem with mesh.

682
00:39:42,440 --> 00:39:42,799
Speaker 1: A right.

683
00:39:43,120 --> 00:39:45,400
Speaker 3: I was just saying, could you just explain the pr

684
00:39:45,400 --> 00:39:48,040
Speaker 3: P a little bit more for women, because that's a

685
00:39:48,080 --> 00:39:48,640
Speaker 3: great option.

686
00:39:48,880 --> 00:39:49,080
Speaker 4: Yeah.

687
00:39:49,120 --> 00:39:53,960
Speaker 5: Pr P is platelyt ridge plasma and we take the blood.

688
00:39:54,920 --> 00:39:58,280
Speaker 5: You know, autologous blood, so there's nothing that is rejected

689
00:39:58,360 --> 00:40:02,080
Speaker 5: or people react reaction to it. It has a lot

690
00:40:02,120 --> 00:40:06,480
Speaker 5: of gross factors, a lot of nutrition and water obviously,

691
00:40:07,080 --> 00:40:10,640
Speaker 5: and we can inject it into tissue that's affected. A

692
00:40:10,680 --> 00:40:14,960
Speaker 5: lot of people athletics have that injected in their knees

693
00:40:15,080 --> 00:40:19,280
Speaker 5: or into joints or into tendons when it is inflammed.

694
00:40:19,360 --> 00:40:23,160
Speaker 5: It has an anti inflammatory reaction to it, but also

695
00:40:23,200 --> 00:40:29,359
Speaker 5: it has a healing and regenerative way of encouraging their

696
00:40:29,440 --> 00:40:34,160
Speaker 5: reginative cascade for the tissue to repair itself. But in

697
00:40:34,200 --> 00:40:38,560
Speaker 5: a quicker manner it reduces reduces the healing time by

698
00:40:38,600 --> 00:40:42,560
Speaker 5: fifty percent. So if it is, for example, breast cancer

699
00:40:42,680 --> 00:40:47,359
Speaker 5: ladies who cannot have any homeowner therapy but have tin

700
00:40:47,480 --> 00:40:51,759
Speaker 5: vagina and are suffering from painful intercourse, they could have

701
00:40:51,840 --> 00:40:56,680
Speaker 5: the PRP, which is their own blood, a centrifuge and

702
00:40:56,800 --> 00:41:00,160
Speaker 5: the plasma separated with lots of platelet and inject it

703
00:41:00,200 --> 00:41:03,480
Speaker 5: in the vagina. Which said that PRP is the poor

704
00:41:03,560 --> 00:41:06,480
Speaker 5: cousin of stem cells. To get the stem cells is

705
00:41:06,640 --> 00:41:10,040
Speaker 5: very expansive and a little bit invasive, but the p

706
00:41:10,239 --> 00:41:14,480
Speaker 5: r P basically gives the signal and then ask the

707
00:41:14,760 --> 00:41:18,719
Speaker 5: you know, the body to regenerate. So it's a very

708
00:41:18,760 --> 00:41:22,480
Speaker 5: simple procedure. It can be done in the office, doesn't

709
00:41:22,480 --> 00:41:25,000
Speaker 5: need to go to a hospital and it has really

710
00:41:25,000 --> 00:41:26,960
Speaker 5: eighty five percent success, right.

711
00:41:26,920 --> 00:41:29,600
Speaker 1: So I mean stem cells could be used for different

712
00:41:29,600 --> 00:41:32,040
Speaker 1: things as we know, like knees and you know all

713
00:41:32,080 --> 00:41:34,080
Speaker 1: sorts of things, so cold do that too.

714
00:41:34,280 --> 00:41:37,520
Speaker 5: Yes, yeah, a stem cell is much stronger and the

715
00:41:37,560 --> 00:41:40,399
Speaker 5: way it works. But the stem cell never took off

716
00:41:40,440 --> 00:41:43,799
Speaker 5: in Australia for some reasons. Other countries are much more

717
00:41:43,840 --> 00:41:47,480
Speaker 5: in that space than Australia. It becomes a bit political

718
00:41:47,600 --> 00:41:50,960
Speaker 5: and it basically got pushed aside.

719
00:41:50,760 --> 00:41:53,560
Speaker 3: Which is interesting because there's missing canal cells can actually

720
00:41:53,600 --> 00:41:56,600
Speaker 3: become a multitude of different tissues.

721
00:41:56,840 --> 00:42:00,800
Speaker 5: Yes, but there are studies, especially in melo in women's

722
00:42:00,800 --> 00:42:03,160
Speaker 5: self that people are working with stem cell. There is

723
00:42:03,200 --> 00:42:06,719
Speaker 5: a lot of stem cell work being done in other countries.

724
00:42:06,800 --> 00:42:10,239
Speaker 5: You know, facial macillary resurgents work with that a lot,

725
00:42:10,800 --> 00:42:14,080
Speaker 5: but in women's health we haven't had much success.

726
00:42:14,160 --> 00:42:14,640
Speaker 4: Right.

727
00:42:15,120 --> 00:42:18,480
Speaker 5: But you know, purep is especially for liking the scleroosis.

728
00:42:18,560 --> 00:42:22,240
Speaker 5: Women who have like inosclerosis, which is an autoimmune disorder,

729
00:42:22,680 --> 00:42:25,520
Speaker 5: and they are on steroids and they have painful intercourse.

730
00:42:25,880 --> 00:42:29,600
Speaker 5: We have run a study, random mass control trial that

731
00:42:29,800 --> 00:42:33,439
Speaker 5: shows that the PRP was superior to steroids or not

732
00:42:33,480 --> 00:42:36,600
Speaker 5: treatment and the women didn't even need to have any

733
00:42:36,640 --> 00:42:39,120
Speaker 5: other treatment. And they come once a year, have injection

734
00:42:39,239 --> 00:42:39,799
Speaker 5: and go home.

735
00:42:39,880 --> 00:42:47,439
Speaker 1: Yeah. For I suppose as a gynecologist, what would you

736
00:42:47,480 --> 00:42:49,719
Speaker 1: what advice would you give to women who may have

737
00:42:49,800 --> 00:42:53,480
Speaker 1: a prolapse? And in general, where do women go? Start

738
00:42:53,480 --> 00:42:55,560
Speaker 1: with the GP, I suppose get a referral.

739
00:42:55,680 --> 00:43:00,320
Speaker 5: Always start with the GP and get the referral. Please

740
00:43:00,360 --> 00:43:03,320
Speaker 5: don't feel that you're the only person. I want to

741
00:43:03,360 --> 00:43:05,960
Speaker 5: make everyone special, but you're not special if you have

742
00:43:06,040 --> 00:43:09,239
Speaker 5: a bulge, if you're leaking. Six percent of population has

743
00:43:09,280 --> 00:43:13,280
Speaker 5: this problem. Don't be embarrassed. Don't make it a taboo subject.

744
00:43:13,360 --> 00:43:17,280
Speaker 5: To talk your daughter, daughter in law, mother about this condition.

745
00:43:17,400 --> 00:43:19,399
Speaker 5: And you will see that a lot of people have

746
00:43:20,200 --> 00:43:23,520
Speaker 5: this problem and that they are grateful when you approach it.

747
00:43:23,560 --> 00:43:27,439
Speaker 5: If one person at the dinner party talks about pelvic floor,

748
00:43:27,880 --> 00:43:30,160
Speaker 5: you will see that a lot of people will start

749
00:43:30,200 --> 00:43:34,400
Speaker 5: to share their stories and go and seek a medical advice.

750
00:43:34,480 --> 00:43:37,279
Speaker 5: Because we have plenty of things to help you. And

751
00:43:37,440 --> 00:43:41,040
Speaker 5: in twenty twenty five, women's health should no longer be

752
00:43:41,120 --> 00:43:42,080
Speaker 5: a taboo subject.

753
00:43:42,360 --> 00:43:47,920
Speaker 1: No, that's certainly true, Tracy Jean, great guest in doctor Fariba.

754
00:43:48,120 --> 00:43:52,520
Speaker 1: Bennie Wilson. A couple of texts, one saying from Lorraine, Hello,

755
00:43:52,600 --> 00:43:56,560
Speaker 1: beautiful ladies, dear doctor Fariba, my personal specialists. Such a

756
00:43:56,560 --> 00:44:00,840
Speaker 1: beautiful person, so professional, caring lady and fantastic doctor. Sending

757
00:44:00,960 --> 00:44:04,920
Speaker 1: hugs from Ko Samui. Lovely that you're listening. That's beautiful,

758
00:44:05,760 --> 00:44:09,280
Speaker 1: and Bianca says Matthew, well done facilitating such an important

759
00:44:09,280 --> 00:44:11,680
Speaker 1: conversation with your guest tonight. I've enjoyed listening in the

760
00:44:11,680 --> 00:44:13,640
Speaker 1: car and the drive home. So there we are.

761
00:44:14,520 --> 00:44:17,359
Speaker 3: That's awesome, and we'll bring doctor Farieber back for some

762
00:44:17,400 --> 00:44:18,080
Speaker 3: more topics.

763
00:44:18,200 --> 00:44:22,120
Speaker 1: Sure. Absolutely, it's been a wonderful chat. Lovely meeting you.

764
00:44:22,160 --> 00:44:24,319
Speaker 1: Thank you for coming in and Tracy, we'll see you

765
00:44:24,320 --> 00:44:24,800
Speaker 1: next week.

766
00:44:25,040 --> 00:44:26,480
Speaker 2: Look forward. Matthew, thank you.

767
00:44:26,560 --> 00:44:29,680
Speaker 3: If anyone wants to make an appointment with doctor Fariba,

768
00:44:30,560 --> 00:44:34,640
Speaker 3: the number is eight two nine seven two eight double two.

769
00:44:35,120 --> 00:44:37,040
Speaker 3: And if they want a private appointment with me, they

770
00:44:37,040 --> 00:44:40,759
Speaker 3: can also do that there. But be brave make that

771
00:44:40,800 --> 00:44:44,040
Speaker 3: appointment because your quality of life can be so much better.

772
00:44:44,120 --> 00:44:45,759
Speaker 1: Do No one needs to suffer to see you.

773
00:44:45,880 --> 00:44:48,680
Speaker 4: Yes, yeah, okay, all right.

774
00:44:48,520 --> 00:44:51,040
Speaker 3: But can we just have one more minute to say

775
00:44:51,080 --> 00:44:56,200
Speaker 3: that doctor freeber Now has a Women's health specialist gp

776
00:44:56,760 --> 00:44:58,680
Speaker 3: now within the practice as well.

777
00:44:58,960 --> 00:45:01,160
Speaker 1: So that number again, let's give that eight two nine

778
00:45:01,239 --> 00:45:04,560
Speaker 1: seven two eight double two. Okay, And at the risk

779
00:45:04,600 --> 00:45:07,080
Speaker 1: of confusing numbers, Tracy, if people want to find you

780
00:45:07,280 --> 00:45:08,280
Speaker 1: the rest of the week.

781
00:45:08,440 --> 00:45:10,719
Speaker 3: If people want to find me, I'm up at the

782
00:45:10,760 --> 00:45:14,400
Speaker 3: Green Dispensary at Blackwood two O two Main Road, Blackwood

783
00:45:14,400 --> 00:45:18,800
Speaker 3: on their Monday, Tuesday, Friday nine till two thirty. Number

784
00:45:18,920 --> 00:45:22,319
Speaker 3: is eight two seven eight two three double eight and

785
00:45:22,520 --> 00:45:26,520
Speaker 3: Wednesdays at Green Dispensary, Sterling which is Mount Barker Road.

786
00:45:26,560 --> 00:45:28,040
Speaker 2: I have no idea of the number.

787
00:45:27,840 --> 00:45:29,600
Speaker 1: Eight two three seven thirteen.

788
00:45:29,680 --> 00:45:32,720
Speaker 2: No, eight three three nine one three four seven.

789
00:45:34,440 --> 00:45:38,560
Speaker 1: I've almost got it all right. Thank you both.

790
00:45:38,960 --> 00:45:40,960
Speaker 3: Feel free to reach out to me too, because I

791
00:45:41,000 --> 00:45:43,799
Speaker 3: can lead you in the right direction for any help

792
00:45:43,840 --> 00:45:44,200
Speaker 3: you need.

793
00:45:44,360 --> 00:45:47,800
Speaker 1: Good eye Tracy Yeen and doctor Thieba