1 00:00:05,440 --> 00:00:09,520 Speaker 1: Hi, everybody, and welcome back to Katie's crib. In this episode, 2 00:00:09,520 --> 00:00:12,400 Speaker 1: you guys, we are going to talk about the pelvic floor. 3 00:00:12,560 --> 00:00:15,280 Speaker 1: What is even happening down there? I sure as hell 4 00:00:15,360 --> 00:00:18,560 Speaker 1: don't know. We spend so much time worrying about the baby, 5 00:00:18,720 --> 00:00:21,680 Speaker 1: but what about us? What about the moms? So we 6 00:00:21,720 --> 00:00:23,560 Speaker 1: have two guests today who are going to help break 7 00:00:23,560 --> 00:00:25,640 Speaker 1: down what every new mom needs to know about the 8 00:00:25,640 --> 00:00:28,760 Speaker 1: pelvic floor post birth. First, we're gonna be talking to 9 00:00:28,800 --> 00:00:31,680 Speaker 1: Stephanie Prendergast. She is a physical therapist and the co 10 00:00:31,800 --> 00:00:35,520 Speaker 1: founder of the Pelvic Health and Rehabilitation Center. And then 11 00:00:35,920 --> 00:00:38,280 Speaker 1: I'm gonna be talking to Pria Campbell Sarrago. She is 12 00:00:38,320 --> 00:00:41,120 Speaker 1: a birth doula and a pelvic floor specialist who takes 13 00:00:41,159 --> 00:00:44,320 Speaker 1: more of a holistic and embodied approach to pelvic floor rehab. 14 00:00:44,520 --> 00:00:50,159 Speaker 1: So let's get started, you guys. We are on the 15 00:00:50,200 --> 00:00:53,840 Speaker 1: topic of the pelvic floor, which I have slowly begin 16 00:00:53,920 --> 00:00:55,920 Speaker 1: to realize that the reason I was most excited about 17 00:00:55,960 --> 00:00:58,400 Speaker 1: recording this episode about this topic is that it's just 18 00:00:58,600 --> 00:01:01,040 Speaker 1: secretly my way of talking talking about my own pelvic 19 00:01:01,080 --> 00:01:03,480 Speaker 1: floor what's going on? Because maybe I've been a little 20 00:01:03,520 --> 00:01:08,199 Speaker 1: bit scared to make an appointment and see what's going on. Stephanie, 21 00:01:08,280 --> 00:01:12,040 Speaker 1: I am so happy you're here. You are, I mean, 22 00:01:12,160 --> 00:01:15,000 Speaker 1: you are one of the tops of this situation and 23 00:01:15,040 --> 00:01:17,600 Speaker 1: I am so excited to meet you and talk about 24 00:01:17,920 --> 00:01:20,480 Speaker 1: my pelvic floor. But also I'm sure this will be 25 00:01:20,480 --> 00:01:23,559 Speaker 1: super helpful to our listeners. So welcome, Stephanie prendor Gast. 26 00:01:24,200 --> 00:01:28,920 Speaker 1: Did I say your last name correctly? You did? And think, Oh, 27 00:01:28,959 --> 00:01:31,480 Speaker 1: we're so happy to be here. Um, tell us a 28 00:01:31,560 --> 00:01:34,800 Speaker 1: little bit about yourself. So I my background is I'm 29 00:01:34,800 --> 00:01:37,480 Speaker 1: a physical therapist, but for since two thousand and one, 30 00:01:37,520 --> 00:01:41,160 Speaker 1: I've been specializing in publvic floor disorders and so in 31 00:01:41,319 --> 00:01:44,200 Speaker 1: relevance to this podcast, we deal with a lot of 32 00:01:44,200 --> 00:01:47,400 Speaker 1: women during pregnancy to try to optimize their public floor 33 00:01:47,440 --> 00:01:50,320 Speaker 1: for delivery, make them more comfortable, as well as help 34 00:01:50,960 --> 00:01:55,360 Speaker 1: you see women during pregnancy and before too. We do. 35 00:01:56,000 --> 00:01:58,320 Speaker 1: We do, and in recent years people are coming in 36 00:01:58,560 --> 00:02:01,120 Speaker 1: more to get a better or control of their public 37 00:02:01,120 --> 00:02:04,560 Speaker 1: floor muscles before birth. But historically it used to be 38 00:02:04,600 --> 00:02:06,840 Speaker 1: that women would come in with complaints if they had 39 00:02:06,840 --> 00:02:10,040 Speaker 1: pelvic girdle pain or incontinence or some sort of pain 40 00:02:10,160 --> 00:02:13,040 Speaker 1: issue may have led them to PETE before. But now 41 00:02:13,040 --> 00:02:15,639 Speaker 1: that women are becoming more informed. We also can help 42 00:02:15,680 --> 00:02:18,919 Speaker 1: women prepare themselves, have the confidence they need to go 43 00:02:19,040 --> 00:02:21,440 Speaker 1: into labor and delivery knowing their body is as ready 44 00:02:21,440 --> 00:02:24,440 Speaker 1: for it as it can be. Oh my, I mean literally, 45 00:02:24,440 --> 00:02:26,400 Speaker 1: why did I not go to you before having a baby. 46 00:02:26,480 --> 00:02:28,840 Speaker 1: This is insane because I mean, before I had a baby, 47 00:02:28,880 --> 00:02:31,400 Speaker 1: I was the person who would like sneeze and if 48 00:02:31,400 --> 00:02:33,320 Speaker 1: it caught me off, guarden, I had a super full bladder, 49 00:02:33,360 --> 00:02:35,520 Speaker 1: like a liate little bit of Mike about And I 50 00:02:35,560 --> 00:02:39,000 Speaker 1: know a lot of friends that are in the same boat. Um, 51 00:02:39,040 --> 00:02:41,079 Speaker 1: and we don't really talk about it much. Um. So 52 00:02:41,560 --> 00:02:46,239 Speaker 1: can you tell us about the Pelvic Health and Rehabilitation Center. Yes. So, 53 00:02:46,400 --> 00:02:48,640 Speaker 1: we have been a company since two thousand and six. 54 00:02:48,880 --> 00:02:52,240 Speaker 1: We have four offices in the Bay Area. I practice 55 00:02:52,240 --> 00:02:54,840 Speaker 1: in our Los Angeles location, and we also have two 56 00:02:54,840 --> 00:02:58,200 Speaker 1: offices on the East Coast in New England. We specialize 57 00:02:58,200 --> 00:03:02,200 Speaker 1: in men, women and children, try and gender, all sexes, 58 00:03:02,240 --> 00:03:05,600 Speaker 1: all ages. These problems can start affecting people in their 59 00:03:05,600 --> 00:03:09,680 Speaker 1: teenage years or in the pediatric years with bedwetting and constipation, 60 00:03:10,200 --> 00:03:13,160 Speaker 1: and continue all the way through menopause. So we're happy 61 00:03:13,200 --> 00:03:16,560 Speaker 1: to specialize in solely these disorders and treat everybody across 62 00:03:16,560 --> 00:03:21,440 Speaker 1: the lifespan. WHOA, Okay, tell us a little bit about 63 00:03:21,440 --> 00:03:24,160 Speaker 1: what the pelvic floor muscles do, Like, let's let's talk 64 00:03:24,160 --> 00:03:26,280 Speaker 1: about the pelic floor muscles, like what they do normally, 65 00:03:26,360 --> 00:03:30,760 Speaker 1: and then what do they do during pregnancy and maybe labor? Great, 66 00:03:31,000 --> 00:03:33,519 Speaker 1: so they most people don't even know they have the 67 00:03:33,560 --> 00:03:36,560 Speaker 1: pelvic floor. The muscles run from your pubic bone to 68 00:03:36,600 --> 00:03:39,640 Speaker 1: your tailbone, and they're responsible for kind of a lot 69 00:03:39,680 --> 00:03:43,040 Speaker 1: of big deals. They help us maintain continents, urinary and 70 00:03:43,120 --> 00:03:46,600 Speaker 1: bell as well as the let us evacuate urine stool. 71 00:03:46,880 --> 00:03:51,120 Speaker 1: They're responsible for sexual function, for orgasm and for keeping 72 00:03:51,240 --> 00:03:55,440 Speaker 1: our orgasms are orgasms keeping our organs supported, so they 73 00:03:55,480 --> 00:04:01,720 Speaker 1: also spans supported to Okay, like why it's like, why 74 00:04:01,720 --> 00:04:03,440 Speaker 1: am I in the gym working so hard on my 75 00:04:03,480 --> 00:04:06,480 Speaker 1: biceps and I'm not in this gym like working so 76 00:04:06,520 --> 00:04:08,640 Speaker 1: hard on these pelviic floor muscles that do all the 77 00:04:08,640 --> 00:04:11,960 Speaker 1: things you just described. That's a great question. Most women, 78 00:04:12,080 --> 00:04:16,200 Speaker 1: until you've had a baby, don't necessarily need to strengthen 79 00:04:16,279 --> 00:04:20,039 Speaker 1: their public floor muscles because they are always under some 80 00:04:20,200 --> 00:04:22,919 Speaker 1: sort of tone. It's one of the only muscles in 81 00:04:22,920 --> 00:04:25,880 Speaker 1: the body innervated by a nerve that has autonomic function, 82 00:04:26,360 --> 00:04:28,279 Speaker 1: meaning you don't have to think about it most of 83 00:04:28,279 --> 00:04:30,640 Speaker 1: the time. You're not going to leak if you sneeze 84 00:04:30,640 --> 00:04:32,880 Speaker 1: because you have reef. It's just holding it and it's 85 00:04:32,920 --> 00:04:35,680 Speaker 1: holding in your organ like it just does it. So 86 00:04:35,800 --> 00:04:38,400 Speaker 1: it is big myths in Cosmo and these other magazines 87 00:04:38,400 --> 00:04:41,560 Speaker 1: that suggest younger women should be doing kegles to improve 88 00:04:41,560 --> 00:04:45,839 Speaker 1: their orgasm. That it's simply not true. What right you guys, 89 00:04:45,960 --> 00:04:50,560 Speaker 1: I'm running out the door. I'm wait a second. Wait. 90 00:04:50,880 --> 00:04:54,760 Speaker 1: That is not true. Regular activity often strengthens our public 91 00:04:54,800 --> 00:04:57,560 Speaker 1: floor muscles. From day to day activities. There's always some 92 00:04:57,640 --> 00:05:00,080 Speaker 1: tone and in younger women and women who have not 93 00:05:00,240 --> 00:05:02,960 Speaker 1: given birth, most of the time they do not need 94 00:05:03,000 --> 00:05:06,080 Speaker 1: to strengthen their pelvic floors. When you do have a 95 00:05:06,120 --> 00:05:09,279 Speaker 1: baby and you basically run a marathon with your pelvis 96 00:05:09,320 --> 00:05:12,279 Speaker 1: all those hours that you're in labor pushing the baby 97 00:05:12,279 --> 00:05:15,760 Speaker 1: through the pelvic floor, now the muscles are lengthened, their weakened. 98 00:05:15,839 --> 00:05:20,600 Speaker 1: There may actually be neuropathy then. Sorry, when you when 99 00:05:20,600 --> 00:05:22,720 Speaker 1: you're trying to push the baby through the second stage 100 00:05:22,720 --> 00:05:25,159 Speaker 1: of labor, there's a lot of tension both on the 101 00:05:25,160 --> 00:05:28,840 Speaker 1: pelvic floor muscles and also the pudendal nerve that innervates them, 102 00:05:28,880 --> 00:05:32,599 Speaker 1: and in certain cases there can be transient issues with 103 00:05:32,680 --> 00:05:35,440 Speaker 1: the pudendal nerves. Sometimes it can be more serious than that, 104 00:05:35,960 --> 00:05:38,520 Speaker 1: depending on what has happened during the birth. But if 105 00:05:38,560 --> 00:05:41,000 Speaker 1: you think about it, of course you need rehabilitation after 106 00:05:41,080 --> 00:05:43,760 Speaker 1: going through everything that. It's like you would do physical 107 00:05:43,800 --> 00:05:47,239 Speaker 1: therapy if you got your angle. You're doing physical therapy 108 00:05:47,320 --> 00:05:49,760 Speaker 1: if you have any sort And this is even bigger, 109 00:05:49,839 --> 00:05:52,320 Speaker 1: and yet we're supposed to just like carry on folks. 110 00:05:52,680 --> 00:05:56,680 Speaker 1: No wow, um, so I think you started to hit 111 00:05:56,680 --> 00:05:58,520 Speaker 1: on this a little bit. But so having a baby, 112 00:05:59,520 --> 00:06:04,000 Speaker 1: I guess in my terms Katie's terms, pelvic floor just 113 00:06:04,000 --> 00:06:09,960 Speaker 1: gets blown out. But even if you don't give birth vaginally, 114 00:06:10,160 --> 00:06:13,200 Speaker 1: like because what I'm learning is that the pelvic floor 115 00:06:13,279 --> 00:06:16,640 Speaker 1: has held up additional weight for ten months, which makes 116 00:06:16,640 --> 00:06:19,880 Speaker 1: it also exhausted. This is true, so regardless of the 117 00:06:19,960 --> 00:06:22,719 Speaker 1: method of delivery, the pelvic floor is involved in a 118 00:06:22,800 --> 00:06:26,680 Speaker 1: number of changes that happened during pregnancy period. But it's 119 00:06:26,720 --> 00:06:30,279 Speaker 1: so surprisingly resilient it just often needs a little bit 120 00:06:30,600 --> 00:06:33,600 Speaker 1: or I should say, women would function better with more 121 00:06:33,680 --> 00:06:36,880 Speaker 1: appropriate rehab after to just help get things more normalized 122 00:06:36,920 --> 00:06:39,919 Speaker 1: after the changes that happen. Is this, like does insurance 123 00:06:39,960 --> 00:06:42,279 Speaker 1: cover this? Like? It does? It is just in the 124 00:06:42,360 --> 00:06:45,680 Speaker 1: last month that the American College of Obstetrics and Gynecology 125 00:06:45,839 --> 00:06:49,920 Speaker 1: is acknowledging that maternal postparm care in the United States 126 00:06:50,040 --> 00:06:54,880 Speaker 1: is last in line of all industrialized countries. We were 127 00:06:54,920 --> 00:06:59,039 Speaker 1: given one six week postpartum checkups it to check for 128 00:06:59,120 --> 00:07:01,920 Speaker 1: postparm depress and make sure you don't have an infection, 129 00:07:02,080 --> 00:07:05,200 Speaker 1: make sure your uterus is returned to normal, and that's it, 130 00:07:05,400 --> 00:07:08,880 Speaker 1: see you later. So finally they're acknowledging the fourth trimester 131 00:07:09,000 --> 00:07:12,000 Speaker 1: needs to be more comprehensive than that. Women need more 132 00:07:12,120 --> 00:07:15,640 Speaker 1: visits and we've been given and that are covered by insurance, 133 00:07:16,280 --> 00:07:19,239 Speaker 1: Like we need more visits for physical health obviously, mental 134 00:07:19,320 --> 00:07:26,640 Speaker 1: chickens for postpartum um wowze. That most physicians, unfortunately have 135 00:07:26,680 --> 00:07:30,080 Speaker 1: been paid one lump sum for pregnancy and delivery and 136 00:07:30,120 --> 00:07:34,400 Speaker 1: that includes one postpartum visit and has not included any 137 00:07:34,440 --> 00:07:36,960 Speaker 1: additional visits that a mother may need if it had 138 00:07:37,040 --> 00:07:40,960 Speaker 1: anything to do with her birth. So that's an interesting 139 00:07:41,000 --> 00:07:44,440 Speaker 1: thing that I just it's like I've just got punched 140 00:07:44,480 --> 00:07:46,559 Speaker 1: in the gut and it makes perfect sense because you guys, 141 00:07:46,560 --> 00:07:48,640 Speaker 1: like you know, when you right before you have the baby, 142 00:07:48,680 --> 00:07:50,960 Speaker 1: you're in your obie's office all the time getting these 143 00:07:50,960 --> 00:07:53,720 Speaker 1: stress tests, they're monitoring the heart, they're monitoring your health 144 00:07:53,720 --> 00:07:55,520 Speaker 1: all stuff. And then as soon as the baby's out, 145 00:07:55,600 --> 00:07:59,320 Speaker 1: it's like it's like the biggest breakups ever. And it's 146 00:07:59,360 --> 00:08:01,600 Speaker 1: in no way she formed like my obie's faults. She's 147 00:08:01,680 --> 00:08:03,400 Speaker 1: just like great things so much like I'll see you 148 00:08:03,440 --> 00:08:06,160 Speaker 1: in six weeks and you're like, wait, well, we'll wait, wait, 149 00:08:06,200 --> 00:08:09,560 Speaker 1: wait what I'm sitting on a doughnut and I'm in 150 00:08:09,600 --> 00:08:12,520 Speaker 1: a diaper, Like, hold up a second, I'm super confused, 151 00:08:13,320 --> 00:08:16,000 Speaker 1: And most women feel that way. And the recent survey, 152 00:08:16,240 --> 00:08:19,559 Speaker 1: the majority of women feel like their concerns that their 153 00:08:19,600 --> 00:08:22,560 Speaker 1: care was not adequately addressed during that six week visit, 154 00:08:22,640 --> 00:08:24,920 Speaker 1: and most people felt like they were kind of floundering, 155 00:08:25,480 --> 00:08:29,600 Speaker 1: I mean rightfully so. In other countries, and as early 156 00:08:29,600 --> 00:08:33,599 Speaker 1: as five women were required in countries like France to 157 00:08:33,679 --> 00:08:38,400 Speaker 1: have ten postpartum pelic floor physical therapy visits required. And 158 00:08:38,640 --> 00:08:42,600 Speaker 1: this is because insurance companies have been in the way 159 00:08:42,880 --> 00:08:46,640 Speaker 1: and dictating coverage. In the United States, That's exactly why. 160 00:08:46,720 --> 00:08:51,520 Speaker 1: Because other countries understand the impact that the birth and 161 00:08:51,559 --> 00:08:54,640 Speaker 1: then the support that mothers need is greater than what 162 00:08:54,720 --> 00:08:56,760 Speaker 1: we've been given so far. So hopefully we're on the 163 00:08:56,760 --> 00:09:00,120 Speaker 1: cusp of change. So you think maybe this this you 164 00:09:00,800 --> 00:09:03,880 Speaker 1: we admit that there's something called forth trimester could maybe 165 00:09:04,040 --> 00:09:07,839 Speaker 1: lead us on a path towards maybe better care. It's 166 00:09:07,840 --> 00:09:10,160 Speaker 1: supposed to set the guidelines for all O, B G 167 00:09:10,320 --> 00:09:12,439 Speaker 1: l N s and the standard of kare in America. Now, 168 00:09:12,480 --> 00:09:14,840 Speaker 1: whether insurance companies decide that they're going to pay for 169 00:09:14,920 --> 00:09:16,880 Speaker 1: or not, it is going to be interesting because it's 170 00:09:16,960 --> 00:09:21,160 Speaker 1: being strongly suggested that they do great. Um. So when 171 00:09:21,160 --> 00:09:24,520 Speaker 1: do women typically come to see you? Is it? Are 172 00:09:24,559 --> 00:09:28,679 Speaker 1: most of your clients patients postpartum? Are they in the majority? 173 00:09:28,679 --> 00:09:31,080 Speaker 1: I would assume well, in our practice, we actually see 174 00:09:31,400 --> 00:09:34,200 Speaker 1: a wide range of things. What's interesting about this is 175 00:09:34,200 --> 00:09:37,559 Speaker 1: because public floor physical therapy historically has not been included 176 00:09:37,600 --> 00:09:40,559 Speaker 1: in the standard of postpartum care. Many women find us 177 00:09:40,600 --> 00:09:43,960 Speaker 1: on their own when something's wrong. They have stress and continents, 178 00:09:43,960 --> 00:09:47,120 Speaker 1: they have severe vaginal pain, they have rectal pain, urinary 179 00:09:47,240 --> 00:09:50,600 Speaker 1: urgency frequency, they can evacuate their stools, they can't orgasm, 180 00:09:50,840 --> 00:09:53,560 Speaker 1: and they're furious why didn't my doctor tell me? Is 181 00:09:53,600 --> 00:09:57,040 Speaker 1: what happens now in more recent years, with the presence 182 00:09:57,040 --> 00:09:59,400 Speaker 1: of social media and things like that, many women are 183 00:09:59,480 --> 00:10:02,800 Speaker 1: finding out that they should be going to public floor 184 00:10:02,880 --> 00:10:05,840 Speaker 1: pt even if they're not noticing immediately to bother some 185 00:10:05,880 --> 00:10:10,680 Speaker 1: symptoms that I mentioned. I'm definitely going like next week, 186 00:10:10,760 --> 00:10:16,600 Speaker 1: what's available because obviously think about what what pregnancy and 187 00:10:16,720 --> 00:10:19,040 Speaker 1: birth entials. This is a no brainer. But it just 188 00:10:19,080 --> 00:10:22,080 Speaker 1: hasn't been standard of care until now. No, it's really 189 00:10:22,080 --> 00:10:23,600 Speaker 1: never made so much sense to me. Like you say, 190 00:10:23,640 --> 00:10:25,400 Speaker 1: if you ever had a sprained ankle, you would go 191 00:10:25,440 --> 00:10:27,040 Speaker 1: to the doctor and go to all the visits you'd 192 00:10:27,080 --> 00:10:30,080 Speaker 1: need until you know your dislocated shoulder was back or 193 00:10:30,080 --> 00:10:33,360 Speaker 1: whatever it was needed. And how um so, can you 194 00:10:33,360 --> 00:10:35,040 Speaker 1: take us through a little bit what what happens in 195 00:10:35,080 --> 00:10:37,280 Speaker 1: the first appointment with you? Yes, and I hope you 196 00:10:37,280 --> 00:10:40,080 Speaker 1: will't be nervous when you come to see me, making 197 00:10:40,120 --> 00:10:43,880 Speaker 1: me go way better. So we take a history. We 198 00:10:43,920 --> 00:10:46,520 Speaker 1: also want to hear what your urinary vale sexual function 199 00:10:46,600 --> 00:10:49,040 Speaker 1: was like before pregnancy, because there can also be factors 200 00:10:49,040 --> 00:10:51,280 Speaker 1: that may have influenced your delivery and things that are 201 00:10:51,320 --> 00:10:55,319 Speaker 1: influencing your rehab. Now, um we do a manual examination 202 00:10:55,559 --> 00:10:58,640 Speaker 1: that includes looking at the abdominal area for what's called 203 00:10:58,640 --> 00:11:01,360 Speaker 1: a diastesis wrecked i A. Many women associate that with 204 00:11:01,480 --> 00:11:05,319 Speaker 1: mommy tummy, which is when the muscles separate naturally due 205 00:11:05,360 --> 00:11:07,920 Speaker 1: to the advancing pregnancy. Sometimes they reduce on their own, 206 00:11:07,960 --> 00:11:11,640 Speaker 1: sometimes they don't. It's important because not only for esthetic reasons, 207 00:11:11,640 --> 00:11:14,640 Speaker 1: but it will impair woman's ability to have optimal pelvic 208 00:11:14,679 --> 00:11:17,680 Speaker 1: floor muscle function if her abdominal wall is not intact. 209 00:11:17,920 --> 00:11:20,800 Speaker 1: These muscles work together. How do you know the percentage 210 00:11:20,800 --> 00:11:23,920 Speaker 1: of women that that happens to. So there's a wide 211 00:11:24,000 --> 00:11:28,479 Speaker 1: range in the literature from thirty to Sometimes it reduces, 212 00:11:28,520 --> 00:11:31,720 Speaker 1: sometimes it doesn't, And how people measure it has kind 213 00:11:31,760 --> 00:11:34,520 Speaker 1: of been varied, and so the study show it's kind 214 00:11:34,520 --> 00:11:38,280 Speaker 1: of a wide range. And again some people it closes naturally, 215 00:11:38,280 --> 00:11:41,000 Speaker 1: some people it doesn't. If it doesn't, it can be 216 00:11:41,080 --> 00:11:44,280 Speaker 1: associated with stress and continents pro lapse and back pain 217 00:11:44,400 --> 00:11:47,120 Speaker 1: later in life. So it is important to address it 218 00:11:47,200 --> 00:11:50,560 Speaker 1: even if you don't realize it's there. We also will 219 00:11:50,640 --> 00:11:54,360 Speaker 1: examine the other muscles of the pelvic girdle. Typically the 220 00:11:54,480 --> 00:11:57,000 Speaker 1: muscles of your hip widened to allow the baby to 221 00:11:57,040 --> 00:11:59,840 Speaker 1: come out there maybe what do you mean examine, So 222 00:12:00,040 --> 00:12:03,520 Speaker 1: we will manually examine them to see their length, their strength, 223 00:12:03,520 --> 00:12:06,240 Speaker 1: if they're tender, and the same thing. Internally. We need 224 00:12:06,320 --> 00:12:08,200 Speaker 1: to know if you could contract your muscles, if you 225 00:12:08,200 --> 00:12:11,160 Speaker 1: can relax them, relax them, if there's pain, if there's 226 00:12:11,160 --> 00:12:15,360 Speaker 1: been an episiotomy, pain at the C section scar, and 227 00:12:15,440 --> 00:12:18,400 Speaker 1: basically making sure the muscles can functionization what do you 228 00:12:18,440 --> 00:12:20,920 Speaker 1: put in there to see So we don't use the speculum. 229 00:12:20,960 --> 00:12:24,480 Speaker 1: We use a single gloved lubricated finger, and we also 230 00:12:24,600 --> 00:12:27,360 Speaker 1: use that as feedback to help the mother figure out 231 00:12:27,360 --> 00:12:29,520 Speaker 1: where her muscles are in space, because it's kind of 232 00:12:29,559 --> 00:12:32,400 Speaker 1: like a big black box too many people, and often 233 00:12:32,440 --> 00:12:34,280 Speaker 1: in the postpartum period it can be what I call 234 00:12:34,320 --> 00:12:37,880 Speaker 1: a hybrid where some muscles are tight and some are overstretched, 235 00:12:37,920 --> 00:12:40,400 Speaker 1: and we've got to really do specific things to help 236 00:12:40,600 --> 00:12:45,640 Speaker 1: get that functioning again as a unit. WHOA. So you're 237 00:12:45,800 --> 00:12:51,360 Speaker 1: literally laying on the table with someone's finger in your vagina, 238 00:12:51,720 --> 00:12:54,960 Speaker 1: a gloved lubricated finger in vagina, and then you go 239 00:12:55,080 --> 00:12:59,720 Speaker 1: through exercises and you try to really help someone feel 240 00:13:00,559 --> 00:13:04,640 Speaker 1: inside themselves like different areas of the vagina and and 241 00:13:04,760 --> 00:13:08,360 Speaker 1: strengthen it like do reps almost like like a workout. 242 00:13:08,440 --> 00:13:10,760 Speaker 1: And it's interesting because the majority of women, just two 243 00:13:10,800 --> 00:13:16,120 Speaker 1: are told to cagel actually do them incorrectly and in 244 00:13:16,120 --> 00:13:19,480 Speaker 1: a way that could make things worse. So, my god, 245 00:13:19,520 --> 00:13:21,679 Speaker 1: you guys am literally losing my mind right now. We 246 00:13:21,720 --> 00:13:25,040 Speaker 1: need to help fix that. What this is? This is 247 00:13:25,120 --> 00:13:30,240 Speaker 1: just completely blowing my mind. Um. So, how is physical 248 00:13:30,320 --> 00:13:34,920 Speaker 1: therapy different from how a doctor might address pelvic floor disorder? 249 00:13:35,720 --> 00:13:38,840 Speaker 1: So it's interesting because most kynecologists will tell you that 250 00:13:38,880 --> 00:13:42,640 Speaker 1: they had very little pelvic floor training in medical school, 251 00:13:42,800 --> 00:13:45,520 Speaker 1: and that is shocking since they have to push right 252 00:13:45,520 --> 00:13:47,520 Speaker 1: through those muscles to get to the cervix and the 253 00:13:47,520 --> 00:13:50,120 Speaker 1: eiterus and all the things that are important. So a 254 00:13:50,120 --> 00:13:53,480 Speaker 1: physical therapist is going to more specifically examine each of 255 00:13:53,480 --> 00:13:55,960 Speaker 1: the muscles and different areas of the pelvic floor, the 256 00:13:56,000 --> 00:13:59,920 Speaker 1: prudental nerve and tissue. So when doctors come into play, 257 00:14:00,120 --> 00:14:02,880 Speaker 1: usually when things are more dire, and will hear pelic 258 00:14:03,800 --> 00:14:07,960 Speaker 1: ladder specialist or prolapsed rectum or wait what did you 259 00:14:08,000 --> 00:14:11,080 Speaker 1: just say? So they're considered surgeons for a pelvic floor 260 00:14:11,160 --> 00:14:14,120 Speaker 1: reconstruction and is that a surgery that you have to 261 00:14:14,120 --> 00:14:17,480 Speaker 1: be put out for? Yes, you have to go under anesthesia. 262 00:14:17,520 --> 00:14:22,120 Speaker 1: If there is significant bladder prolapse, uterine prolapse rectal, it 263 00:14:22,200 --> 00:14:26,400 Speaker 1: may require surgical reconstruction. Usually this is something that happens 264 00:14:26,480 --> 00:14:29,680 Speaker 1: later in life that could be prevented if we put 265 00:14:29,680 --> 00:14:34,560 Speaker 1: the pelvic floor muscles back. I think some of the 266 00:14:34,720 --> 00:14:37,920 Speaker 1: older women in my family though, I've heard yeah, like 267 00:14:38,040 --> 00:14:41,560 Speaker 1: things just falling out and meeting his direct means and 268 00:14:41,600 --> 00:14:44,600 Speaker 1: things like that, and so possibly had they done pelvic 269 00:14:44,640 --> 00:14:47,200 Speaker 1: floor work earlier on, that might not have been the case. 270 00:14:47,240 --> 00:14:50,680 Speaker 1: Because the one risk factor for pelvic organ prolapse later 271 00:14:50,720 --> 00:14:55,840 Speaker 1: in life his childbirth. Who see you, guys, this is 272 00:14:55,880 --> 00:14:57,640 Speaker 1: it's like you're not even here. This is just my 273 00:14:57,720 --> 00:15:03,360 Speaker 1: appointment with Stephanie Prendergast. So, uh, you see all sorts 274 00:15:03,400 --> 00:15:07,160 Speaker 1: of patients and clients. Um, how are issues facing pregnant 275 00:15:07,200 --> 00:15:09,920 Speaker 1: and postpartum women different? Are they the same? Like when 276 00:15:09,920 --> 00:15:13,720 Speaker 1: you see a woman who might be about to get pregnant, 277 00:15:13,760 --> 00:15:15,400 Speaker 1: or woman who is pregnant, or a woman who is 278 00:15:15,440 --> 00:15:20,160 Speaker 1: post pregnancy, um, what how do you treat them differently? 279 00:15:20,520 --> 00:15:23,560 Speaker 1: So if pregnancy, we want to optimize their public floor 280 00:15:23,640 --> 00:15:26,120 Speaker 1: muscle function, give them the confidence that they're ready to 281 00:15:26,160 --> 00:15:28,600 Speaker 1: go into labor. And delivery and just help support the 282 00:15:28,600 --> 00:15:32,800 Speaker 1: birth that they want, prepare them with things that maybe 283 00:15:32,840 --> 00:15:35,560 Speaker 1: feel different after so when it does happen, it's not alarming. 284 00:15:35,800 --> 00:15:38,880 Speaker 1: And basically provide education to the pregnant woman when they 285 00:15:38,880 --> 00:15:41,600 Speaker 1: can get in and that can vary from six weeks 286 00:15:41,640 --> 00:15:47,320 Speaker 1: to five years postpartum about doing public floor physical therapy afterwards. Again, 287 00:15:47,360 --> 00:15:49,960 Speaker 1: if there's more acute issues that happen during delivery, like 288 00:15:50,000 --> 00:15:52,440 Speaker 1: women are in retention or they can't pee on their 289 00:15:52,480 --> 00:15:57,080 Speaker 1: own um significant medical things, and we can help sooner 290 00:15:57,200 --> 00:16:00,600 Speaker 1: rather than later in the postpartum period, but ideally after 291 00:16:00,640 --> 00:16:03,080 Speaker 1: the six week check up with the o B which 292 00:16:03,120 --> 00:16:06,600 Speaker 1: is now three weeks um. Women once cleared, can start 293 00:16:06,680 --> 00:16:10,320 Speaker 1: physical therapy that soon. My observation is they're overwhelmed with 294 00:16:10,320 --> 00:16:13,160 Speaker 1: the baby, especially first time moms. Just know we're there 295 00:16:13,200 --> 00:16:15,840 Speaker 1: when they're ready. Um. I think it's hard when they 296 00:16:15,880 --> 00:16:17,800 Speaker 1: need weekly appointments and we're telling them more to do 297 00:16:17,840 --> 00:16:20,280 Speaker 1: when obviously they have to care for another human. Yeah, 298 00:16:20,400 --> 00:16:22,880 Speaker 1: and their weekly appointments are their first you know, they're 299 00:16:22,920 --> 00:16:25,640 Speaker 1: with their pediatrician and it's all about the baby. And 300 00:16:26,160 --> 00:16:30,160 Speaker 1: chaotic one are the different types of pelvic pain and 301 00:16:30,240 --> 00:16:33,440 Speaker 1: disorders that you treat. I think you've listed all of them, 302 00:16:33,440 --> 00:16:36,800 Speaker 1: but in case we missed any real fun sounding ones. 303 00:16:37,080 --> 00:16:40,920 Speaker 1: So pregnancy related. I mean, it's astounding because at eighteen months, 304 00:16:40,920 --> 00:16:43,920 Speaker 1: in a very large study, there was still sixty of 305 00:16:43,960 --> 00:16:48,320 Speaker 1: women who had painful intercourse, regardless of their method of delivery. 306 00:16:48,360 --> 00:16:52,720 Speaker 1: So that's that's telling of what happens with post baby 307 00:16:53,160 --> 00:16:56,680 Speaker 1: women were still in pain having sex. That's just a nightmare, 308 00:16:56,720 --> 00:16:58,360 Speaker 1: and we have to help all those women. That's not okay. 309 00:16:58,360 --> 00:17:01,040 Speaker 1: I'm not down with that high percentage. And so even 310 00:17:01,120 --> 00:17:04,359 Speaker 1: if there's non obstetric related disorders, we do treat a 311 00:17:04,359 --> 00:17:08,080 Speaker 1: lot of painful intercourse. People can have provoked or unprovoked 312 00:17:08,160 --> 00:17:14,480 Speaker 1: vaginal pain, clural issues, interlabial itching, rectal problems, urinary urgency. 313 00:17:14,520 --> 00:17:17,280 Speaker 1: Frequency feels like it's an infection, when in fact it's 314 00:17:17,280 --> 00:17:18,520 Speaker 1: the muscle. So you feel like you have a U 315 00:17:18,600 --> 00:17:21,560 Speaker 1: T I or something and you don't something else going on, 316 00:17:22,280 --> 00:17:27,600 Speaker 1: often the cold floor, WHOA, what's the labia one? So 317 00:17:27,720 --> 00:17:30,680 Speaker 1: interlabial itching is a common symptom that women can get 318 00:17:31,000 --> 00:17:34,119 Speaker 1: or what's called unprovoked or provoked full of adinia, so 319 00:17:34,160 --> 00:17:38,560 Speaker 1: women can have pain in that area. Also unrelated to childbirth, 320 00:17:38,560 --> 00:17:41,840 Speaker 1: but childbirth can also provoke some of these changes that 321 00:17:42,000 --> 00:17:45,760 Speaker 1: do need treatment. How do you how does some of 322 00:17:45,800 --> 00:17:49,520 Speaker 1: the prolapse bladder or uterus or rectum, like can it 323 00:17:49,600 --> 00:17:52,159 Speaker 1: be fixed through physical therapy or does everyone end up 324 00:17:52,160 --> 00:17:55,640 Speaker 1: having to have surgery? Or do you recommend if someone 325 00:17:56,080 --> 00:17:58,159 Speaker 1: might have had a prolapse after baby one but they 326 00:17:58,200 --> 00:18:00,080 Speaker 1: plan on having another baby, like what do you do? 327 00:18:00,520 --> 00:18:03,920 Speaker 1: Good questions? So it can vary, And there's multiple factors 328 00:18:03,960 --> 00:18:09,240 Speaker 1: that affect prolapse, including genetics, weight, other metabolic things, diabetes 329 00:18:09,280 --> 00:18:11,280 Speaker 1: and whatnot. But the pelvic floor is a big one 330 00:18:11,280 --> 00:18:13,800 Speaker 1: and that's the one we can control. And so if 331 00:18:13,840 --> 00:18:17,880 Speaker 1: somebody has impaired public floor muscle function and core function together, 332 00:18:17,960 --> 00:18:21,240 Speaker 1: it's not just about the public floor um, they will 333 00:18:21,280 --> 00:18:24,600 Speaker 1: be more likely to develop pro lapse as time goes 334 00:18:24,640 --> 00:18:27,440 Speaker 1: on because the muscles provide some support to those organs, 335 00:18:27,480 --> 00:18:29,800 Speaker 1: But so do the ligaments. And again we can't control 336 00:18:29,840 --> 00:18:32,879 Speaker 1: the ligaments. That's our genetic composition, but we can improve 337 00:18:32,880 --> 00:18:34,959 Speaker 1: our public floor muscle function to kind of take up 338 00:18:34,960 --> 00:18:38,720 Speaker 1: the slack of gravity of natural age related changes, etcetera. 339 00:18:39,119 --> 00:18:42,879 Speaker 1: If a woman does have pro lapse immediately postpartum, it 340 00:18:43,000 --> 00:18:45,720 Speaker 1: is not advised to have surgery until they are done 341 00:18:45,720 --> 00:18:49,000 Speaker 1: having children, and so depending on the severity of it, 342 00:18:49,080 --> 00:18:52,400 Speaker 1: like they skip. They score prolapse one to three, four 343 00:18:52,440 --> 00:18:56,439 Speaker 1: and the most oversimplified version of this um categories one 344 00:18:56,480 --> 00:18:59,680 Speaker 1: and two. It can be helped with physical therapy Categories 345 00:18:59,680 --> 00:19:01,840 Speaker 1: three and for mean that organs are coming towards the 346 00:19:01,840 --> 00:19:04,320 Speaker 1: opening of the vagina or out of the vagina itself, 347 00:19:04,640 --> 00:19:07,760 Speaker 1: and those are almost always a surgical situation, but can 348 00:19:07,760 --> 00:19:12,119 Speaker 1: still benefit from getting as rehabbed as possible before and 349 00:19:12,200 --> 00:19:14,840 Speaker 1: also addressing your function after, just like with any other 350 00:19:14,880 --> 00:19:16,719 Speaker 1: surgery and any other part of the body, you want 351 00:19:16,760 --> 00:19:19,080 Speaker 1: to go into that as prepared as possible. I have 352 00:19:19,160 --> 00:19:21,520 Speaker 1: a friend who had a prolapse, who has a prolapse 353 00:19:21,560 --> 00:19:25,520 Speaker 1: bladder and and wants to have another baby, and she's 354 00:19:25,640 --> 00:19:28,119 Speaker 1: been she did a lot of physical therapy, but was 355 00:19:28,160 --> 00:19:31,800 Speaker 1: also putting around with like maybe a diaphragm or putting 356 00:19:31,840 --> 00:19:35,200 Speaker 1: something up there that could hold her stuff in until 357 00:19:35,440 --> 00:19:38,200 Speaker 1: I mean, is that a thing. It's called a pessary. Yes, 358 00:19:38,320 --> 00:19:41,240 Speaker 1: And so those are the classes. Over the counter now, 359 00:19:41,320 --> 00:19:45,000 Speaker 1: poise makes am almost like a super tampon called the Impressive, 360 00:19:45,600 --> 00:19:47,840 Speaker 1: which you can purchase over the counter that can help 361 00:19:47,880 --> 00:19:51,639 Speaker 1: provide some support if it's a minor prolapse um and 362 00:19:51,680 --> 00:19:54,840 Speaker 1: then a medical device called a passery is something that 363 00:19:54,880 --> 00:19:57,720 Speaker 1: you're a gynecologist or euro gynecologists can fit to help 364 00:19:57,760 --> 00:20:00,640 Speaker 1: provide support to the organs. Once you take it out, 365 00:20:00,920 --> 00:20:02,840 Speaker 1: the organs are going to come back down, but they 366 00:20:02,840 --> 00:20:06,359 Speaker 1: can provide a basis of support while people are trying 367 00:20:06,359 --> 00:20:09,359 Speaker 1: to either delay surgery or do other things in life. 368 00:20:09,520 --> 00:20:12,240 Speaker 1: This is a really stupid question, but like, if you're 369 00:20:12,240 --> 00:20:15,800 Speaker 1: having a pro lapse and your bladders like out, which 370 00:20:15,840 --> 00:20:18,879 Speaker 1: I have another friend that that was the case, isn't 371 00:20:18,880 --> 00:20:22,280 Speaker 1: there major risk of infection or like like if your 372 00:20:22,280 --> 00:20:25,280 Speaker 1: bladders just hanging out of your vagina hole, like how 373 00:20:25,880 --> 00:20:30,120 Speaker 1: on like a cotton underwear is that dangerous. I've been 374 00:20:30,160 --> 00:20:33,200 Speaker 1: doing this for eighteen years and I still don't think. 375 00:20:33,800 --> 00:20:36,720 Speaker 1: I think the same way you do. I see every 376 00:20:36,720 --> 00:20:39,040 Speaker 1: time I see a uterus on my table, I'm like 377 00:20:39,800 --> 00:20:42,960 Speaker 1: that you see a uterus on your table, Yes, this 378 00:20:42,920 --> 00:20:49,040 Speaker 1: happened that I'm literally losing it doesn't look like that's okay, 379 00:20:49,040 --> 00:20:52,439 Speaker 1: but apparently it's kind of okay. I don't know. She's like, 380 00:20:52,480 --> 00:20:54,919 Speaker 1: I'm sitting on my bladder literally like I have a 381 00:20:54,920 --> 00:20:58,040 Speaker 1: friend that it's coming out of for vagina. Really, you know, 382 00:20:58,160 --> 00:21:02,040 Speaker 1: having a baby is so sucking crazy, Like this is crazy, like' 383 00:21:02,160 --> 00:21:05,679 Speaker 1: literally having a conversation about carrying your bladder around outside 384 00:21:05,680 --> 00:21:08,600 Speaker 1: your body. But like so that is that is the thing, 385 00:21:08,720 --> 00:21:12,720 Speaker 1: and it and it's okay. It doesn't cause as much 386 00:21:12,800 --> 00:21:15,720 Speaker 1: risk of infections as you would think. And even still 387 00:21:15,760 --> 00:21:18,280 Speaker 1: I think it just does not look okay to me. 388 00:21:18,520 --> 00:21:22,439 Speaker 1: And so usually we do advise that women wow sempressory 389 00:21:22,560 --> 00:21:26,000 Speaker 1: and work with their doctors about surgical intervention. What are 390 00:21:26,040 --> 00:21:30,520 Speaker 1: some of the telltale signs that women might be facing 391 00:21:30,680 --> 00:21:34,160 Speaker 1: post baby That would be like, okay, you you should 392 00:21:34,200 --> 00:21:37,480 Speaker 1: go see you if you can't. Leaking urine is never 393 00:21:37,560 --> 00:21:43,320 Speaker 1: normal but extreme you guys, yes, so if you maybe 394 00:21:43,359 --> 00:21:46,320 Speaker 1: I think everybody should be evaluated. But I mean things 395 00:21:46,320 --> 00:21:48,960 Speaker 1: like leaking normal leaking your may not be bothers them, 396 00:21:49,000 --> 00:21:53,920 Speaker 1: but that's indicative that there's something wrong opposite. End urinary urgency, frequency, 397 00:21:54,560 --> 00:21:58,919 Speaker 1: diminished orgasm, painful sex, difficulty with bowel movements. All of 398 00:21:58,960 --> 00:22:02,600 Speaker 1: those factors um can be addressed and not to mention 399 00:22:02,600 --> 00:22:04,879 Speaker 1: the more simple things like hip pain and back pain 400 00:22:04,960 --> 00:22:07,720 Speaker 1: and you know, sciatica. Some of the normal things. I 401 00:22:07,760 --> 00:22:10,240 Speaker 1: feel like we haven't even covered. But those are things 402 00:22:10,240 --> 00:22:12,600 Speaker 1: you guys cover. Two Yes, because psiotic. I didn't have 403 00:22:12,680 --> 00:22:14,440 Speaker 1: that a lot during my pregnancy, but I heard about 404 00:22:14,440 --> 00:22:16,560 Speaker 1: it constantly from all the women in my like yoga 405 00:22:16,640 --> 00:22:19,040 Speaker 1: class or in my swim club, Like that is a 406 00:22:19,080 --> 00:22:21,840 Speaker 1: big trigger thing that a lot of women. It's like 407 00:22:22,080 --> 00:22:25,360 Speaker 1: very debilitating, yes, because your publvic muscles start to get 408 00:22:25,359 --> 00:22:28,600 Speaker 1: tighter as your ligaments loosen, and sometimes I can push 409 00:22:28,640 --> 00:22:31,919 Speaker 1: on your sciatic nerve, causing symptoms down the leg and 410 00:22:31,960 --> 00:22:34,800 Speaker 1: it's very painful and you can lose some motor control. 411 00:22:34,840 --> 00:22:38,400 Speaker 1: So it's important to address it for the women like me. 412 00:22:38,760 --> 00:22:41,520 Speaker 1: While that singing continence is like, oh yeah, whatever. Like 413 00:22:41,560 --> 00:22:43,480 Speaker 1: I was saying, I was on a I think I 414 00:22:43,520 --> 00:22:45,560 Speaker 1: was at a holiday party and I got a little 415 00:22:45,600 --> 00:22:47,000 Speaker 1: drunk and I was jumping up and down on a 416 00:22:47,080 --> 00:22:49,399 Speaker 1: dance floor and every single time I jumped and landed, 417 00:22:49,440 --> 00:22:50,679 Speaker 1: like a little bit of bee came out. And I 418 00:22:50,720 --> 00:22:52,560 Speaker 1: was like, that's totally fine. I just had a baby. 419 00:22:53,280 --> 00:22:56,520 Speaker 1: For those of us that are in a similar boat 420 00:22:56,560 --> 00:22:59,520 Speaker 1: where you would think that's normal, you're saying that's not normal, 421 00:22:59,600 --> 00:23:02,359 Speaker 1: not normal, but very common. Oh but can't we just 422 00:23:02,440 --> 00:23:08,480 Speaker 1: pretend it's normal so that I don't have to address 423 00:23:08,560 --> 00:23:11,000 Speaker 1: it and I can just live and denial that everything 424 00:23:11,080 --> 00:23:13,119 Speaker 1: is fine. We'll think about it this way. What if 425 00:23:13,119 --> 00:23:17,080 Speaker 1: it continues to get worse? You're you're so right, and 426 00:23:17,119 --> 00:23:19,080 Speaker 1: that's why we're doing an episode about this. Guys, you're 427 00:23:19,119 --> 00:23:23,760 Speaker 1: going through a visit with me um so and also 428 00:23:23,840 --> 00:23:26,320 Speaker 1: you would say similarly, anyone, thank god, this is not me. 429 00:23:26,400 --> 00:23:28,480 Speaker 1: But people who are having pain during sex, even a 430 00:23:28,520 --> 00:23:31,520 Speaker 1: little bit of pain that is not normal as well? Correct? 431 00:23:31,840 --> 00:23:33,880 Speaker 1: What are the kind of pains that women complain about 432 00:23:33,920 --> 00:23:36,080 Speaker 1: during sex? Is it like a sharp like? Is it 433 00:23:36,119 --> 00:23:38,960 Speaker 1: a burning sharp? What? What are we looking for here? 434 00:23:39,040 --> 00:23:43,040 Speaker 1: Often it's often entry pain, which is like insertional pain 435 00:23:43,080 --> 00:23:46,159 Speaker 1: for women. Either can be issues neuromas, things that the 436 00:23:46,160 --> 00:23:50,080 Speaker 1: episiotomy scar, but also the second thing that's very important, 437 00:23:50,119 --> 00:23:52,919 Speaker 1: and we catch it in pulvic floor pt is. The 438 00:23:53,040 --> 00:23:57,360 Speaker 1: doctors will often provide you with estras or a topical 439 00:23:57,400 --> 00:24:00,159 Speaker 1: hormone to put on that bolvar vestibule air you a 440 00:24:00,280 --> 00:24:03,439 Speaker 1: postpartum and many women actually don't use it. But if 441 00:24:03,480 --> 00:24:07,120 Speaker 1: you continue to breastfeed, and you do breastfeed, then basically 442 00:24:07,119 --> 00:24:10,200 Speaker 1: that tissue is essentially in menopause, and it will become 443 00:24:10,280 --> 00:24:14,560 Speaker 1: frail and atrophied, and that topical is prescribed for a reason. 444 00:24:14,600 --> 00:24:16,840 Speaker 1: But as one of my patients said, I couldn't even 445 00:24:16,840 --> 00:24:18,680 Speaker 1: mean eat boloney when I was pregnant. Why would I 446 00:24:18,680 --> 00:24:22,000 Speaker 1: think I could put on a hormone? Good question, good point. 447 00:24:22,400 --> 00:24:24,560 Speaker 1: But they do prescribe that for a reason, and often 448 00:24:24,600 --> 00:24:26,800 Speaker 1: women are a little worried about it or they don't 449 00:24:26,840 --> 00:24:29,600 Speaker 1: totally understand why they're getting it. But it's important to 450 00:24:29,640 --> 00:24:32,600 Speaker 1: know that those tissues will respond to the lack of 451 00:24:32,840 --> 00:24:35,760 Speaker 1: estrogen that's happening that allows a woman to breastfeed, and 452 00:24:35,800 --> 00:24:37,760 Speaker 1: so that can be a major leading clause of pain 453 00:24:37,840 --> 00:24:42,439 Speaker 1: within our course is drying and dryness. This is what 454 00:24:42,520 --> 00:24:45,200 Speaker 1: I heard mostly from just friends. We were all breastfeeding 455 00:24:45,280 --> 00:24:47,400 Speaker 1: and and yeah, that was the room where I heard 456 00:24:47,400 --> 00:24:49,120 Speaker 1: from most friends. Was like, oh, yeah, good luck, you're 457 00:24:49,160 --> 00:24:51,320 Speaker 1: never getting wet. And I was like what. And they're 458 00:24:51,320 --> 00:24:53,840 Speaker 1: just like your bodies in a metopausal state when you're breastfeeding, 459 00:24:53,840 --> 00:24:57,840 Speaker 1: and so your body doesn't lubricate itself like it would 460 00:24:58,480 --> 00:25:01,160 Speaker 1: or used to, And I think can be exercised visit. 461 00:25:01,200 --> 00:25:03,160 Speaker 1: You may not talk to your doctor about that you're 462 00:25:03,160 --> 00:25:05,880 Speaker 1: thinking about a million other things. But ask your people 463 00:25:05,880 --> 00:25:08,520 Speaker 1: should ask their doctors, and now it's safe to use, 464 00:25:08,600 --> 00:25:13,000 Speaker 1: and then that can help during that breastfeeding period. Very interesting, 465 00:25:13,760 --> 00:25:17,399 Speaker 1: So tell me the exercises that you, I don't know 466 00:25:17,560 --> 00:25:20,359 Speaker 1: would like when people come and see you and you 467 00:25:20,680 --> 00:25:24,560 Speaker 1: evaluate how they're doing. Then is it just tons of 468 00:25:24,600 --> 00:25:27,600 Speaker 1: homework and daily practice? But is it now that we 469 00:25:27,640 --> 00:25:29,720 Speaker 1: do kegles like I know we talked about eegles earlier, 470 00:25:29,720 --> 00:25:31,720 Speaker 1: but would that be something you would suggest once someone 471 00:25:31,800 --> 00:25:34,199 Speaker 1: learns how to do it correctly with you? They it is, 472 00:25:34,280 --> 00:25:36,840 Speaker 1: but it's not just the kegle in isolation. We want 473 00:25:36,880 --> 00:25:39,119 Speaker 1: to make sure women can control the pelvic floor muscles. 474 00:25:39,160 --> 00:25:42,160 Speaker 1: But then we actually are giving more individualized exercise based 475 00:25:42,160 --> 00:25:45,639 Speaker 1: on their entire core and so some people have a 476 00:25:45,720 --> 00:25:49,560 Speaker 1: strong transverse abdominance, other people don't, and so it's about 477 00:25:49,680 --> 00:25:53,159 Speaker 1: lengthening all the muscles that are too tight and strengthening 478 00:25:53,240 --> 00:25:56,760 Speaker 1: and a coordinated, correct contraction of the core muscles together, 479 00:25:56,800 --> 00:26:00,280 Speaker 1: which includes a pelvic floor. Especially in Los angele. Most 480 00:26:00,280 --> 00:26:02,280 Speaker 1: people are active, and so what we want to do 481 00:26:02,400 --> 00:26:07,480 Speaker 1: is incorporate specific exercises into their regular routines so they're 482 00:26:07,520 --> 00:26:10,320 Speaker 1: not having to do with two in fifteen minutes is 483 00:26:10,400 --> 00:26:12,600 Speaker 1: too much for some women. And so it may be 484 00:26:13,240 --> 00:26:15,320 Speaker 1: doing a kegal when you're getting on and off the toilet, 485 00:26:15,359 --> 00:26:17,040 Speaker 1: or when you're bending down to pick up your baby 486 00:26:17,040 --> 00:26:19,679 Speaker 1: and standing up like things that you're doing already. We 487 00:26:19,720 --> 00:26:23,119 Speaker 1: want to teach you how to incorporate safer biomechanics and 488 00:26:23,200 --> 00:26:27,240 Speaker 1: proper neuromuscular motor control. I was always told you P 489 00:26:28,000 --> 00:26:31,000 Speaker 1: and then who tell these things I have learned from 490 00:26:31,040 --> 00:26:33,320 Speaker 1: their moms? Is like so insane? But like you P 491 00:26:33,720 --> 00:26:37,240 Speaker 1: and then just stop your P two or three times 492 00:26:37,320 --> 00:26:40,840 Speaker 1: during a P session? Is that what is my face doing? 493 00:26:42,240 --> 00:26:45,080 Speaker 1: Her face is looking at me like she is completely horrified. 494 00:26:45,520 --> 00:26:49,680 Speaker 1: That is one way that I think inexperienced people told 495 00:26:49,680 --> 00:26:52,440 Speaker 1: people how to kegal. That's not correct. You should never 496 00:26:52,440 --> 00:26:55,119 Speaker 1: stop your hurine stream. It can lead to bladder infections. 497 00:26:55,160 --> 00:26:56,919 Speaker 1: Then you need to be on antibiotics, and you get 498 00:26:56,920 --> 00:26:59,320 Speaker 1: a yeast infection, and now you've got bolvar pain. You 499 00:26:59,320 --> 00:27:03,119 Speaker 1: don't want to do at There's other ways that told 500 00:27:03,119 --> 00:27:05,320 Speaker 1: me that I don't know, but it was a rumor 501 00:27:05,400 --> 00:27:06,960 Speaker 1: that I was doing for a little bit. It is 502 00:27:07,080 --> 00:27:10,679 Speaker 1: definitely a popular rumor, So that is not it. What 503 00:27:10,800 --> 00:27:13,480 Speaker 1: are the exercises that women can do on their own 504 00:27:13,480 --> 00:27:15,760 Speaker 1: to help their pelvic floor pain and are there any 505 00:27:15,800 --> 00:27:19,639 Speaker 1: products or aid other than the possibly for some people 506 00:27:19,680 --> 00:27:22,680 Speaker 1: the lotion that you talked about. Yes, that's a that's 507 00:27:22,680 --> 00:27:25,560 Speaker 1: a prescription, prescription what you need. Um. I think there's 508 00:27:25,560 --> 00:27:27,199 Speaker 1: a device out there that I personally I am a 509 00:27:27,240 --> 00:27:30,480 Speaker 1: huge fan of. It's called the elv Yes, I just 510 00:27:30,880 --> 00:27:34,360 Speaker 1: got it, guys. It came in a Mother's Day like 511 00:27:34,880 --> 00:27:38,240 Speaker 1: swag bag that I got and I will report back 512 00:27:38,400 --> 00:27:41,080 Speaker 1: to you guys. It looks like a little vibrator thingy 513 00:27:41,160 --> 00:27:43,560 Speaker 1: it does that goes in and what happens and and 514 00:27:43,600 --> 00:27:46,080 Speaker 1: also what's interesting about it is it connects to your 515 00:27:46,119 --> 00:27:50,280 Speaker 1: phone and it will basically I'm gonna start playing video 516 00:27:50,359 --> 00:27:53,560 Speaker 1: games with your heelvet floor muscles using your elving on 517 00:27:53,600 --> 00:27:55,440 Speaker 1: your phone. And what I like about it is it 518 00:27:55,520 --> 00:27:58,119 Speaker 1: confirms that you're doing it properly, which is the number 519 00:27:58,119 --> 00:28:01,520 Speaker 1: one reason why women don't do UK goals is because 520 00:28:01,520 --> 00:28:03,399 Speaker 1: they're not even sure if they're doing them properly. It 521 00:28:03,440 --> 00:28:06,440 Speaker 1: will reinforce it you are. It will measure your strength, 522 00:28:06,520 --> 00:28:09,640 Speaker 1: how fast you are, your control, and it will remind 523 00:28:09,680 --> 00:28:11,679 Speaker 1: you that you need to do this over time, and 524 00:28:11,720 --> 00:28:14,480 Speaker 1: you can actually document your progress. And so what you'll 525 00:28:14,480 --> 00:28:16,679 Speaker 1: see with that is that you can also tell that 526 00:28:16,720 --> 00:28:19,680 Speaker 1: your muscles are improving, your symptoms should be going down. 527 00:28:20,359 --> 00:28:22,679 Speaker 1: And I think for a home tool that's really useful, 528 00:28:23,119 --> 00:28:25,760 Speaker 1: So the LV And then and then also I got 529 00:28:25,800 --> 00:28:27,800 Speaker 1: from a friend the Yoni egg. What it is? This 530 00:28:28,080 --> 00:28:32,080 Speaker 1: like whatever? Okay, So Stephanie's face is like, well, you 531 00:28:32,160 --> 00:28:35,320 Speaker 1: don't need to hold a weight in your vagina for 532 00:28:35,440 --> 00:28:38,800 Speaker 1: it to improve. It's really about neuromuscular control with your 533 00:28:38,800 --> 00:28:42,360 Speaker 1: other muscles, and the idea of just squeezing independently around 534 00:28:42,360 --> 00:28:45,480 Speaker 1: a weight for a period of time is questionable, and 535 00:28:45,600 --> 00:28:49,240 Speaker 1: so is the cleanliness of that is there's been some 536 00:28:49,320 --> 00:28:53,760 Speaker 1: debate about if it can actually promote or not. I 537 00:28:53,760 --> 00:28:56,040 Speaker 1: have not tried the Yoni egg, but I have one 538 00:28:56,120 --> 00:28:59,560 Speaker 1: next to my bedside. I think it's pink um. I 539 00:28:59,600 --> 00:29:02,600 Speaker 1: have to it. How do women feel about Like, see, 540 00:29:02,600 --> 00:29:04,840 Speaker 1: I'm going to try to avoid this and not come 541 00:29:04,840 --> 00:29:06,880 Speaker 1: to you because I'm going to be super embarrassed that 542 00:29:06,920 --> 00:29:09,360 Speaker 1: I have to go and like have some person's finger 543 00:29:09,400 --> 00:29:12,480 Speaker 1: in my vagina and like do exercises? How do you talk? 544 00:29:12,720 --> 00:29:16,280 Speaker 1: Or yeah, like make women feel comfortable. Is it the 545 00:29:16,320 --> 00:29:18,080 Speaker 1: kind of thing like once you get started, it's just 546 00:29:18,120 --> 00:29:20,239 Speaker 1: not a big deal and women don't care or like 547 00:29:20,520 --> 00:29:22,440 Speaker 1: or is it a really big hang up for some? 548 00:29:22,720 --> 00:29:26,640 Speaker 1: Like I say, more often than not, it's not. I mean, 549 00:29:26,760 --> 00:29:30,560 Speaker 1: so many moms have already been through so much. We're 550 00:29:30,640 --> 00:29:33,360 Speaker 1: not that different and we're not in big gyms. I mean, 551 00:29:33,400 --> 00:29:35,600 Speaker 1: in particularly in our clinic, everyone is in a private 552 00:29:35,600 --> 00:29:39,120 Speaker 1: treatment room. Um. I think hopefully that from the moment 553 00:29:39,160 --> 00:29:42,560 Speaker 1: people call, our staff knows people are calling with sensitive issues, 554 00:29:42,600 --> 00:29:45,680 Speaker 1: and so from the beginning, hopefully the education process starts 555 00:29:46,160 --> 00:29:48,840 Speaker 1: to make people feel more comfortable. But it's really helpful 556 00:29:48,880 --> 00:29:51,240 Speaker 1: to know that you do feel nervous. And my question 557 00:29:51,280 --> 00:29:53,120 Speaker 1: for you would be what can we do to make 558 00:29:53,160 --> 00:29:55,680 Speaker 1: it easier? Thanks? Definitely, Well, I think I just have 559 00:29:55,800 --> 00:29:58,320 Speaker 1: to bite the bullet and like do it, and I 560 00:29:58,360 --> 00:30:01,320 Speaker 1: also have to kind of change my you know, what 561 00:30:01,400 --> 00:30:03,440 Speaker 1: I think is so interesting about this work is that 562 00:30:04,200 --> 00:30:06,840 Speaker 1: you know, we're raised your vagina is your your private part. 563 00:30:06,920 --> 00:30:11,920 Speaker 1: It's like really like you know, sensitive and brings up 564 00:30:11,960 --> 00:30:15,360 Speaker 1: a lot of different feelings. So to come at it 565 00:30:15,400 --> 00:30:18,760 Speaker 1: at a more kind of physical therapy way, which is like, no, 566 00:30:18,840 --> 00:30:22,320 Speaker 1: this is a muscle that you need to take care of, 567 00:30:22,560 --> 00:30:25,480 Speaker 1: like the other muscles in my body. Um, you know, 568 00:30:25,520 --> 00:30:28,640 Speaker 1: I was all about when I was pregnant, Like you know, 569 00:30:28,720 --> 00:30:31,520 Speaker 1: I was all about doing a million squats because I 570 00:30:31,560 --> 00:30:33,400 Speaker 1: had heard that, like my legs were going to be 571 00:30:33,480 --> 00:30:36,760 Speaker 1: so important during labor because they're my strongest mulse as 572 00:30:36,760 --> 00:30:38,640 Speaker 1: I've got and I'm going to be pushing like crazy. 573 00:30:38,680 --> 00:30:40,480 Speaker 1: And it didn't even occur to me once that my 574 00:30:40,520 --> 00:30:43,680 Speaker 1: pelvic floor was something that was going to take such 575 00:30:43,720 --> 00:30:46,160 Speaker 1: a hit and was going to be something that let 576 00:30:46,280 --> 00:30:48,640 Speaker 1: needed to be worked on. But yeah, I think it's 577 00:30:48,640 --> 00:30:50,120 Speaker 1: like putting on my big girl pants and I just 578 00:30:50,160 --> 00:30:52,680 Speaker 1: have to go. And after a minute, I'll tell you guys, 579 00:30:52,680 --> 00:30:54,200 Speaker 1: and I'll be like, it was so not a big 580 00:30:54,200 --> 00:30:57,720 Speaker 1: deal if it makes you feel any better. All the 581 00:30:57,760 --> 00:31:00,640 Speaker 1: people that are pelvic floor physical therapist, how do you 582 00:31:00,680 --> 00:31:04,320 Speaker 1: think we learn on each other? Right, So, every time 583 00:31:04,360 --> 00:31:06,880 Speaker 1: we hire a new employee, guess whose hands are in 584 00:31:06,960 --> 00:31:10,480 Speaker 1: my public floor? Really yes, So hopefully that will ease 585 00:31:10,520 --> 00:31:12,360 Speaker 1: it a little bit because we've all been through it 586 00:31:12,520 --> 00:31:16,200 Speaker 1: and that's how they learn. And so and what's crazy 587 00:31:16,360 --> 00:31:18,880 Speaker 1: really not that big a yeah? And also every single 588 00:31:18,920 --> 00:31:21,520 Speaker 1: thing I felt with pregnancy you thought was a big 589 00:31:21,520 --> 00:31:23,720 Speaker 1: deal and then wasn't. Like I remember when someone was like, 590 00:31:24,040 --> 00:31:26,480 Speaker 1: you have to get an internal exam and me being like, 591 00:31:26,520 --> 00:31:28,719 Speaker 1: oh my god, this is gonna be so terrible, and 592 00:31:28,760 --> 00:31:30,160 Speaker 1: they did, and I was like, Oh, that wasn't that bad. 593 00:31:30,400 --> 00:31:32,040 Speaker 1: You know, it's almost so much bigger in my brain 594 00:31:32,120 --> 00:31:35,040 Speaker 1: than when I do it. It's just not let's do 595 00:31:35,200 --> 00:31:38,400 Speaker 1: some advice to expecting mothers that aren't having any issues, 596 00:31:38,480 --> 00:31:40,480 Speaker 1: and let's talk, and then let's give some advice to 597 00:31:40,480 --> 00:31:44,400 Speaker 1: women who are having issues. So the expecting mothers, I think, 598 00:31:44,600 --> 00:31:48,000 Speaker 1: just knowing this information, they may not feel normal at 599 00:31:48,040 --> 00:31:50,240 Speaker 1: that six week check up or now three weeks, and 600 00:31:50,280 --> 00:31:53,320 Speaker 1: that's typical. Their bodies go through a lot, both with 601 00:31:53,360 --> 00:31:56,520 Speaker 1: pregnancy and delivery, and regardless of the time that they 602 00:31:56,520 --> 00:31:58,560 Speaker 1: do come in. Once they do, I think that they 603 00:31:58,560 --> 00:32:00,760 Speaker 1: can learn enough to make sure or that they are 604 00:32:00,800 --> 00:32:02,880 Speaker 1: taking care of themselves for the rest of their lifespan 605 00:32:03,000 --> 00:32:06,720 Speaker 1: and just addressing issues that may arise very treatable. We 606 00:32:06,760 --> 00:32:09,800 Speaker 1: try to make it functional, easily integrated into your life 607 00:32:09,800 --> 00:32:12,000 Speaker 1: as it already is. We don't want to give you 608 00:32:12,040 --> 00:32:14,040 Speaker 1: one more thing that's going to make you feel incompetent. 609 00:32:14,080 --> 00:32:16,240 Speaker 1: And the one thing mom say often is that they 610 00:32:16,280 --> 00:32:18,600 Speaker 1: just don't feel like, you know, they're doing as well 611 00:32:18,680 --> 00:32:21,400 Speaker 1: enough job as they can. So our roles to set 612 00:32:21,520 --> 00:32:24,920 Speaker 1: new moms up for success. This is like so mind 613 00:32:24,960 --> 00:32:29,120 Speaker 1: blowingly helpful. I can't even thank you enough for being here. 614 00:32:29,200 --> 00:32:31,560 Speaker 1: And I'm going to keep all of you listeners have 615 00:32:32,000 --> 00:32:35,200 Speaker 1: like so updated on my pelvic floor health in case 616 00:32:35,240 --> 00:32:40,800 Speaker 1: you're interested in care. Thank you all my heart for 617 00:32:40,920 --> 00:32:50,200 Speaker 1: being here and for being on Katie's Grip. Hello, Korea, Hello, 618 00:32:50,760 --> 00:32:52,560 Speaker 1: thank you so much for coming on the show. Thank 619 00:32:52,600 --> 00:32:55,880 Speaker 1: you for having This is, guys, my selfish attempt of 620 00:32:56,000 --> 00:32:58,680 Speaker 1: just getting to hang out with Priya and ask her 621 00:32:58,720 --> 00:33:02,000 Speaker 1: all the personal questions I want ask about my pelvic floor. 622 00:33:02,520 --> 00:33:06,480 Speaker 1: I'm so fascinated by this subject because the pelvic floor 623 00:33:06,680 --> 00:33:10,600 Speaker 1: is like a whole thing that I never thought about before. 624 00:33:10,600 --> 00:33:14,760 Speaker 1: It just got completely wrecked during childbirth. What is having 625 00:33:14,760 --> 00:33:16,560 Speaker 1: a baby due to the pelvic floor muscles? Where do 626 00:33:16,640 --> 00:33:25,520 Speaker 1: they go so during besides bye bye, besides totally different? Um. Yeah, 627 00:33:25,600 --> 00:33:28,200 Speaker 1: So the pelvic floor muscles, as you can imagine, they're 628 00:33:28,200 --> 00:33:30,360 Speaker 1: holding the weight of your tors so they're holding the 629 00:33:30,360 --> 00:33:32,400 Speaker 1: weight of your organs. So when you have a baby 630 00:33:32,400 --> 00:33:38,400 Speaker 1: growing inside, they start to receive more weight from the baby. Um. 631 00:33:38,400 --> 00:33:39,960 Speaker 1: So some of the things that can happen is the 632 00:33:39,960 --> 00:33:43,720 Speaker 1: pelvic floor muscles can stretch out, um which is what 633 00:33:43,880 --> 00:33:47,000 Speaker 1: causes you know, when people have pelvic floor weakness from 634 00:33:47,080 --> 00:33:50,400 Speaker 1: them stretching out. And that can happen from the pregnancy. 635 00:33:50,440 --> 00:33:53,200 Speaker 1: So even people who have c sections can have weakened 636 00:33:53,200 --> 00:33:58,760 Speaker 1: pelvic floor muscles. Interesting, even if they didn't give birth vaginally, 637 00:33:58,920 --> 00:34:01,120 Speaker 1: your pelvic floor muscles and still be kind of blown 638 00:34:01,120 --> 00:34:05,400 Speaker 1: out because you've been carrying around in some cases pound 639 00:34:05,400 --> 00:34:08,480 Speaker 1: baby exactly, plus all the extra weight from your just 640 00:34:08,760 --> 00:34:11,279 Speaker 1: gaining weight, gaining weight, all the extra fluids in your 641 00:34:11,280 --> 00:34:14,480 Speaker 1: body from pregnancy. Um, So they can stretch out. They 642 00:34:14,480 --> 00:34:18,880 Speaker 1: can also overtighten. Why can they overtighten? They'll get strong, 643 00:34:19,040 --> 00:34:21,440 Speaker 1: they'll like tighten to try and hold more of the weight. 644 00:34:22,239 --> 00:34:25,759 Speaker 1: I don't know if you experience like tight glutes pregnancy, 645 00:34:25,880 --> 00:34:27,640 Speaker 1: So that's the same kind of thing. The glutes are 646 00:34:27,680 --> 00:34:32,480 Speaker 1: also holding the weight of your torso um so muscles 647 00:34:32,480 --> 00:34:35,080 Speaker 1: will try and respond to the extra weight by tightening. 648 00:34:35,400 --> 00:34:39,879 Speaker 1: So yeah, and there can actually be i um like 649 00:34:40,160 --> 00:34:42,799 Speaker 1: what would be called like a muscle spasm which is 650 00:34:42,840 --> 00:34:46,400 Speaker 1: basically where the muscle can't relax where it's overtight. That 651 00:34:46,440 --> 00:34:50,640 Speaker 1: can happen to your pelvic floor. Yeah, oh why yeah, 652 00:34:50,800 --> 00:34:53,920 Speaker 1: but that would also even though the muscles are holding 653 00:34:53,920 --> 00:34:56,239 Speaker 1: in are tight, it could come across. You could still 654 00:34:56,239 --> 00:34:59,560 Speaker 1: be experiencing a pelvic floor weakness because if you think 655 00:34:59,560 --> 00:35:03,719 Speaker 1: of like a scar tissue, scar tissue doesn't move, it's 656 00:35:03,760 --> 00:35:07,280 Speaker 1: almost like it's like a spasm where it's overly tight tissue, 657 00:35:07,480 --> 00:35:10,360 Speaker 1: and there's usually weakness in a place where they're scarring. 658 00:35:10,760 --> 00:35:13,719 Speaker 1: So most people deal with incontinence in regards to the 659 00:35:13,760 --> 00:35:17,960 Speaker 1: pelvic floor. That could also be UM pain with sex, 660 00:35:18,680 --> 00:35:21,720 Speaker 1: so pain with intercourse, and that would be from the overtightening, 661 00:35:22,239 --> 00:35:26,000 Speaker 1: and that could both be UM. That could both be 662 00:35:26,280 --> 00:35:30,200 Speaker 1: from the actual physicality of holding the weight and then 663 00:35:30,239 --> 00:35:34,120 Speaker 1: the muscles overly tightening. It could also be holding emotional trauma. 664 00:35:34,360 --> 00:35:38,239 Speaker 1: So as we all know, birth is a very intense experience, 665 00:35:38,280 --> 00:35:41,520 Speaker 1: whether you have a c section or you know, pregnancy 666 00:35:41,520 --> 00:35:44,880 Speaker 1: in and of itself is intense, So the tightening could 667 00:35:44,920 --> 00:35:46,880 Speaker 1: also be or the pain could also be from an 668 00:35:46,920 --> 00:35:52,200 Speaker 1: emotional holding on. Whoa, yeah, so that's why I can't 669 00:35:52,200 --> 00:35:54,239 Speaker 1: wait to hear about how you treat all this up? 670 00:35:55,719 --> 00:35:58,120 Speaker 1: So would you say that there are women who are 671 00:35:58,160 --> 00:36:01,000 Speaker 1: maybe more at risk for a pelvic floor disorder post 672 00:36:01,080 --> 00:36:06,080 Speaker 1: birth than others? Like why do some women have? I mean, 673 00:36:06,320 --> 00:36:08,280 Speaker 1: like you said, I think you've already listed and continents 674 00:36:08,280 --> 00:36:12,279 Speaker 1: can happen because of emotional trauma and how you hold 675 00:36:12,280 --> 00:36:15,120 Speaker 1: the baby and if you're tight or loose. But are 676 00:36:15,160 --> 00:36:19,120 Speaker 1: there any preventative measures that women can take that would 677 00:36:19,719 --> 00:36:23,160 Speaker 1: have the outcome be different or maybe better? Yeah, I 678 00:36:23,200 --> 00:36:27,080 Speaker 1: feel like the best thing is to exercise, you know, 679 00:36:27,160 --> 00:36:30,800 Speaker 1: like weight bearing exercises are really good, Squats are really good. 680 00:36:30,960 --> 00:36:33,720 Speaker 1: I'd say in general, people who have a more active 681 00:36:33,760 --> 00:36:37,719 Speaker 1: lifestyle before they get pregnant or even during pregnancy, have 682 00:36:37,800 --> 00:36:42,120 Speaker 1: a better chance of, um not having as many problems, 683 00:36:42,239 --> 00:36:46,319 Speaker 1: but also being able to bounce back more like their 684 00:36:46,360 --> 00:36:50,640 Speaker 1: body is already kind of accustomed to working out and exercising, 685 00:36:50,719 --> 00:36:53,319 Speaker 1: so it's easier to kind of get back into that. Um. 686 00:36:54,400 --> 00:36:57,319 Speaker 1: It's a lot of points for working out, but it 687 00:36:57,400 --> 00:37:01,839 Speaker 1: doesn't necessarily guarantee it. Like I've had clients before who 688 00:37:02,120 --> 00:37:05,239 Speaker 1: are super in shape, who are really into exercise and 689 00:37:05,280 --> 00:37:08,880 Speaker 1: still have issues afterwards. So you know, it depends a 690 00:37:08,880 --> 00:37:12,960 Speaker 1: lot on also how the labor went. Um. You know 691 00:37:13,080 --> 00:37:16,160 Speaker 1: sometimes if if you if you have to push and 692 00:37:16,200 --> 00:37:18,479 Speaker 1: like get the baby out really fast, that could cause 693 00:37:18,560 --> 00:37:24,319 Speaker 1: some both trauma in the body and also more physical damage. Um. 694 00:37:24,440 --> 00:37:26,279 Speaker 1: So that would be an example of like someone could 695 00:37:26,280 --> 00:37:29,680 Speaker 1: be in really good shape but still have a problem. 696 00:37:29,719 --> 00:37:31,960 Speaker 1: So it's kind of like birth where it's there's no 697 00:37:32,040 --> 00:37:35,480 Speaker 1: really any guarantee, right, but you know, having a healthy 698 00:37:35,960 --> 00:37:39,239 Speaker 1: lifestyle that's healthy and active is gonna you're gonna have 699 00:37:39,280 --> 00:37:42,960 Speaker 1: better chances. I think we've all heard about kegel exercises 700 00:37:43,000 --> 00:37:47,239 Speaker 1: like our whole life. I mean, I love like, I've 701 00:37:47,719 --> 00:37:50,640 Speaker 1: definitely been in classes though, prenative classes where women were 702 00:37:50,680 --> 00:37:52,239 Speaker 1: like I have to admit, like I don't even know 703 00:37:52,280 --> 00:37:55,560 Speaker 1: what the hell that is or how to do it. Um, 704 00:37:55,760 --> 00:37:58,319 Speaker 1: just explain for people who are listening what a key 705 00:37:58,360 --> 00:38:03,160 Speaker 1: goal is. Sure. Um, So they're part of the pelvic 706 00:38:03,200 --> 00:38:06,879 Speaker 1: floor as the vaginal canal, which is where you have intercourse, 707 00:38:07,080 --> 00:38:11,560 Speaker 1: and so there's muscles their circular muscles um, inside of 708 00:38:11,560 --> 00:38:15,640 Speaker 1: the vagina. So a keegel is a traditional keegel would 709 00:38:15,680 --> 00:38:18,919 Speaker 1: be squeezing that muscle and releasing it. What about those 710 00:38:18,920 --> 00:38:22,719 Speaker 1: eggs that people all, yeah, Yon eggs, the Yoni eggs. Yeah, 711 00:38:22,840 --> 00:38:25,480 Speaker 1: you like put an egg of different sizes depending on 712 00:38:25,520 --> 00:38:29,799 Speaker 1: how ripped and strong your vagina is, and you put 713 00:38:29,840 --> 00:38:32,560 Speaker 1: the egg up there and you can hold onto it. 714 00:38:32,640 --> 00:38:35,680 Speaker 1: Oh wait, wasn't this in that movie Fifty Shades of Gray? 715 00:38:35,760 --> 00:38:38,120 Speaker 1: Doesn't she have to like he insert something and like 716 00:38:38,120 --> 00:38:40,319 Speaker 1: walk around with it in dinner? I don't remember something 717 00:38:40,320 --> 00:38:42,120 Speaker 1: like that. I'm pretty sure it was like, Yon, can 718 00:38:42,120 --> 00:38:44,240 Speaker 1: you explain what that is and doesn't actually work? Should 719 00:38:44,239 --> 00:38:46,040 Speaker 1: I be doing that and it will help it? Not 720 00:38:46,160 --> 00:38:48,440 Speaker 1: even tell me? Yeah? Well, I wanted to say with 721 00:38:48,520 --> 00:38:52,000 Speaker 1: the yes you can. The Yoni eggs are good. I 722 00:38:52,120 --> 00:38:53,359 Speaker 1: need to get it up there and it's gonna get 723 00:38:53,360 --> 00:38:56,839 Speaker 1: lost forever. Okay. Then there are ones that have holes 724 00:38:56,840 --> 00:38:59,240 Speaker 1: in the bottom and you can thread like um strength 725 00:38:59,640 --> 00:39:01,960 Speaker 1: tamper it, or you can stread thread like a piece 726 00:39:01,960 --> 00:39:03,879 Speaker 1: of floss or something like that. Yeah, so you could 727 00:39:03,880 --> 00:39:10,560 Speaker 1: pull it out missing make it hang out. Um so, yeah, 728 00:39:10,600 --> 00:39:12,400 Speaker 1: the Yoni eggs are really good. One of the reasons 729 00:39:12,400 --> 00:39:14,680 Speaker 1: they're good is because, like you're saying, she had to 730 00:39:14,680 --> 00:39:16,640 Speaker 1: walk around with it, you can walk around with it 731 00:39:16,960 --> 00:39:19,960 Speaker 1: and your muscles are going to be grabbing onto it 732 00:39:20,000 --> 00:39:22,279 Speaker 1: without you having to think about it. So that's one 733 00:39:22,280 --> 00:39:26,359 Speaker 1: thing that's good about the Yoni eggs um, whereas so 734 00:39:26,480 --> 00:39:28,759 Speaker 1: the I think the reason why people have such a 735 00:39:28,760 --> 00:39:30,759 Speaker 1: hard time with the key GOLs is because it's not 736 00:39:30,880 --> 00:39:33,320 Speaker 1: that you know, you can say like, oh yeah, squeeze 737 00:39:33,320 --> 00:39:37,000 Speaker 1: your vagina, but most people, the pelvic floor is such 738 00:39:37,080 --> 00:39:41,520 Speaker 1: a it's like a whole landscape world of its own um. 739 00:39:41,560 --> 00:39:42,920 Speaker 1: Which is some of the work that I do. I 740 00:39:43,000 --> 00:39:46,480 Speaker 1: take people more deeply into being able to not just 741 00:39:46,520 --> 00:39:48,319 Speaker 1: squeeze your vagina and let it go, but to be 742 00:39:48,360 --> 00:39:51,719 Speaker 1: able to to feel muscles in different parts of the 743 00:39:51,760 --> 00:39:55,799 Speaker 1: pelvic floor, which I call pelvic floor mapping, and it's 744 00:39:55,920 --> 00:39:58,240 Speaker 1: every you know, every place that you're able to find, 745 00:39:58,320 --> 00:40:01,120 Speaker 1: it's a different it gives kind of different feeling through 746 00:40:01,160 --> 00:40:05,640 Speaker 1: your body. So and it's you have to take people 747 00:40:05,680 --> 00:40:09,800 Speaker 1: into a very deep like it's a it's a strange 748 00:40:09,840 --> 00:40:12,960 Speaker 1: place to feel. It's not just like it's not just 749 00:40:13,000 --> 00:40:16,560 Speaker 1: like feel your elbow. You know, it's really deep in there, 750 00:40:16,600 --> 00:40:21,359 Speaker 1: and people don't usually spend time thinking about it feeling it. 751 00:40:21,840 --> 00:40:23,799 Speaker 1: And on top of it, there's tons of people have 752 00:40:23,880 --> 00:40:27,319 Speaker 1: tons of shame around that area, you know, shame, embarrassment, 753 00:40:27,600 --> 00:40:32,000 Speaker 1: or whatever. Luck people store all sorts of stress feeling 754 00:40:32,160 --> 00:40:34,760 Speaker 1: stress in the area, so it's a it's a difficult 755 00:40:34,760 --> 00:40:37,719 Speaker 1: place for people to go, which is why you know 756 00:40:37,760 --> 00:40:39,719 Speaker 1: when someone just says, like do a key goals? Like 757 00:40:40,480 --> 00:40:43,320 Speaker 1: what is that? Like? You can't just oh, let me 758 00:40:43,480 --> 00:40:45,879 Speaker 1: just move my a lot about the work you do? 759 00:40:46,000 --> 00:40:48,680 Speaker 1: Which is you do? How would you phrase it? Is it? 760 00:40:48,760 --> 00:40:51,920 Speaker 1: Is it it's a holistic approach to pelvic floor health 761 00:40:52,160 --> 00:40:56,120 Speaker 1: or yeah, yeah, I would say it's an embodied approach. 762 00:40:56,440 --> 00:41:00,640 Speaker 1: It's a it's a mindful approach. So at what point 763 00:41:00,640 --> 00:41:03,200 Speaker 1: does a woman make an appointment to see you? Generally speaking? Like, 764 00:41:03,239 --> 00:41:04,960 Speaker 1: do most blumen come to see you when it's too 765 00:41:05,080 --> 00:41:08,440 Speaker 1: late or no? I mean I have women who I 766 00:41:08,480 --> 00:41:10,600 Speaker 1: work with who are like in their fifties and sixties 767 00:41:10,640 --> 00:41:13,640 Speaker 1: and even you know, Um, but most people come to 768 00:41:13,719 --> 00:41:18,120 Speaker 1: me sometime in they're like early postpartum time. Um. I've 769 00:41:18,160 --> 00:41:20,280 Speaker 1: had someone come to me four days after their labor, 770 00:41:21,040 --> 00:41:24,440 Speaker 1: which is fine. Um, this woman in particular was like 771 00:41:24,480 --> 00:41:27,880 Speaker 1: the worst incontinents case I've seen where she had to 772 00:41:27,880 --> 00:41:30,960 Speaker 1: wear diapers, Like every time she stood up, it was 773 00:41:31,680 --> 00:41:35,879 Speaker 1: just he and she. She's gotten it back, She's gotten 774 00:41:35,920 --> 00:41:40,439 Speaker 1: it back. I worked with her regularly for maybe three 775 00:41:40,520 --> 00:41:44,480 Speaker 1: or four months, and she was like back to wearing 776 00:41:44,800 --> 00:41:48,680 Speaker 1: a thong. So what would happen, for example, at a 777 00:41:48,719 --> 00:41:51,480 Speaker 1: first appointment? Take me through like her story? Like what 778 00:41:51,520 --> 00:41:54,560 Speaker 1: do you do when you see a first appointment, you know, 779 00:41:55,360 --> 00:41:57,360 Speaker 1: someone who has never been to you before? Like, yeah, 780 00:41:57,560 --> 00:41:59,520 Speaker 1: I do an intake so I find out kind of 781 00:41:59,560 --> 00:42:03,360 Speaker 1: what they're story was? What are their issues? Um? I 782 00:42:03,400 --> 00:42:09,920 Speaker 1: asked questions to find out whether there's um overtightness or weakness. UM. 783 00:42:10,000 --> 00:42:13,640 Speaker 1: So like painful sex, if someone's having painful sex or 784 00:42:13,800 --> 00:42:18,160 Speaker 1: just pain in general, Um, I would you know, diagnose 785 00:42:18,200 --> 00:42:20,239 Speaker 1: them more in that they're overly tight and they need 786 00:42:20,280 --> 00:42:24,120 Speaker 1: help with the relaxation side of things. Um. If someone's 787 00:42:24,160 --> 00:42:27,319 Speaker 1: having issues with incontinence or any kind of like back 788 00:42:27,400 --> 00:42:30,200 Speaker 1: or hip pain, then they're going to need more loose 789 00:42:30,280 --> 00:42:33,680 Speaker 1: strengthening side. And then what would you do for either? 790 00:42:33,880 --> 00:42:36,279 Speaker 1: Like what are the techniques during a session with you 791 00:42:36,320 --> 00:42:39,200 Speaker 1: where people are what would you do for a tight 792 00:42:39,280 --> 00:42:42,880 Speaker 1: case versus a loose um? For I mean a lot 793 00:42:42,920 --> 00:42:46,680 Speaker 1: of the exercises are similar because I emphasize both the 794 00:42:47,000 --> 00:42:51,920 Speaker 1: squeezing the tightening of the muscles and the relaxation. Um. 795 00:42:52,080 --> 00:42:54,520 Speaker 1: But with someone who is overly tight, I might just 796 00:42:54,600 --> 00:42:57,839 Speaker 1: focus on the relaxation side, so I wouldn't bring them 797 00:42:57,880 --> 00:43:03,759 Speaker 1: into the contraction contracting the muscles until maybe later on. Um. 798 00:43:03,800 --> 00:43:06,200 Speaker 1: Sometimes you know, it's like when you work out and 799 00:43:06,200 --> 00:43:09,600 Speaker 1: then after words you're able to rest more. So sometimes 800 00:43:09,600 --> 00:43:12,120 Speaker 1: even with the tight, with the people who are overly tight, 801 00:43:12,239 --> 00:43:14,759 Speaker 1: it's like, okay, well, I'm gonna work with the with 802 00:43:14,800 --> 00:43:17,760 Speaker 1: the contracting of the muscles, just so that you're able 803 00:43:17,800 --> 00:43:20,080 Speaker 1: to feel the other side, which would be the letting go. 804 00:43:20,680 --> 00:43:22,680 Speaker 1: But when you say, like work on it, what does 805 00:43:22,680 --> 00:43:25,319 Speaker 1: that mean? They're like laying on a table. So how 806 00:43:25,400 --> 00:43:29,000 Speaker 1: people lay down? Um, I always start people laying down 807 00:43:29,040 --> 00:43:33,000 Speaker 1: because it's easier to feel when you're doing less. So 808 00:43:33,040 --> 00:43:35,480 Speaker 1: if you think about, um, you know, you're like rushing 809 00:43:35,520 --> 00:43:37,359 Speaker 1: to get out of the house and like you're more 810 00:43:37,400 --> 00:43:42,280 Speaker 1: likely to drop things and stub your toe or forget something, 811 00:43:42,440 --> 00:43:47,800 Speaker 1: forget something. But when you start overly doing or overly working, 812 00:43:47,960 --> 00:43:51,560 Speaker 1: you're not as aware and you can't feel yourself as much. 813 00:43:52,280 --> 00:43:54,040 Speaker 1: You know, you might like hit your hand on the 814 00:43:54,040 --> 00:43:57,040 Speaker 1: wall or you know. Um, So it's the same thing 815 00:43:57,080 --> 00:44:00,160 Speaker 1: with our body is the more you can let go 816 00:44:00,640 --> 00:44:03,960 Speaker 1: and do less. The more you can feel inside of 817 00:44:04,000 --> 00:44:07,080 Speaker 1: your body, which is one of the you know, if 818 00:44:07,120 --> 00:44:09,640 Speaker 1: you can feel an area of your body, you can work, 819 00:44:09,880 --> 00:44:11,799 Speaker 1: you can learn to use the muscle in the area 820 00:44:11,840 --> 00:44:15,600 Speaker 1: of your body. So you have them laid down and 821 00:44:15,640 --> 00:44:21,200 Speaker 1: then um, it's different exercises, but I first always guide 822 00:44:21,200 --> 00:44:26,680 Speaker 1: people into a state of relaxation and feeling their breath. Again, 823 00:44:26,800 --> 00:44:29,480 Speaker 1: like with the where you can feel your breath in 824 00:44:29,480 --> 00:44:32,520 Speaker 1: your body, you can also feel more, especially in our 825 00:44:32,560 --> 00:44:34,320 Speaker 1: torso I mean it's like, well, yeah, I can feel 826 00:44:34,320 --> 00:44:36,279 Speaker 1: my toe or whatever, and I don't necessarily I'm not 827 00:44:36,280 --> 00:44:39,359 Speaker 1: necessarily breathing into my toe right now, But like in 828 00:44:39,520 --> 00:44:42,680 Speaker 1: the belly and in the pelvis, particularly, if I can 829 00:44:42,719 --> 00:44:46,080 Speaker 1: get people to start breathing into that area and feeling 830 00:44:46,080 --> 00:44:49,320 Speaker 1: their breath in that area, then there's a heightened sensing 831 00:44:49,880 --> 00:44:52,560 Speaker 1: and a heightened awareness, which then means that they have 832 00:44:52,640 --> 00:44:57,440 Speaker 1: more access to those muscles, both relaxing them and contracting 833 00:44:57,480 --> 00:45:00,880 Speaker 1: them working them. So what do you do that's different 834 00:45:01,000 --> 00:45:03,879 Speaker 1: is different from a traditional physical therapist. So I take 835 00:45:03,920 --> 00:45:07,400 Speaker 1: people more into a meditative um being able to guide 836 00:45:07,440 --> 00:45:12,480 Speaker 1: themselves in feeling and sensing and working their muscles. From 837 00:45:12,480 --> 00:45:16,680 Speaker 1: a place of embodiment. Do they do like reps? Like 838 00:45:17,000 --> 00:45:20,520 Speaker 1: you're literally like counting how many times? I don't count. 839 00:45:20,760 --> 00:45:25,440 Speaker 1: I usually will with different people. I'll do it until 840 00:45:25,480 --> 00:45:31,400 Speaker 1: I sense that they're um getting it, So repeat, repeat, repeat, 841 00:45:31,480 --> 00:45:33,920 Speaker 1: until I can feel that their body is actually getting 842 00:45:34,560 --> 00:45:36,440 Speaker 1: what's happening. I also do a lot of verbal check 843 00:45:36,520 --> 00:45:38,360 Speaker 1: in because it's such a like, you know, I can't 844 00:45:38,440 --> 00:45:41,600 Speaker 1: see their pelvic floor working, So I be like, okay, 845 00:45:41,600 --> 00:45:44,840 Speaker 1: I'll ask part you know, how did that feel? What? 846 00:45:45,040 --> 00:45:48,640 Speaker 1: Like what were you able to feel? Um? Does do 847 00:45:48,680 --> 00:45:51,640 Speaker 1: you feel your muscles? Also? You know cues in the 848 00:45:51,680 --> 00:45:53,600 Speaker 1: body of like did you feel any warmth? Do you 849 00:45:53,600 --> 00:45:55,879 Speaker 1: feel tingling? Do you feel a lot of times when 850 00:45:55,880 --> 00:45:58,040 Speaker 1: people use their muscles, it's just like a feeling of 851 00:45:58,080 --> 00:46:01,759 Speaker 1: spaciousness in that area. Um, But I don't know if 852 00:46:01,760 --> 00:46:03,560 Speaker 1: you experienced this after birth, but a lot of women 853 00:46:03,640 --> 00:46:06,960 Speaker 1: have like really no sensation down here, like kind of 854 00:46:07,000 --> 00:46:10,440 Speaker 1: a loss of or like almost like an empty feeling. Oh, 855 00:46:10,480 --> 00:46:13,200 Speaker 1: I don't even like I wasn't even alive, like I 856 00:46:13,280 --> 00:46:17,800 Speaker 1: just I mean, I was like in a diaper, uh 857 00:46:18,160 --> 00:46:21,879 Speaker 1: spring witch hazel on my vagina, Like I don't even know, 858 00:46:22,080 --> 00:46:24,360 Speaker 1: Like and I was waddling around and I was sitting 859 00:46:24,400 --> 00:46:27,640 Speaker 1: on like a doughnut, like it was horrible, and like 860 00:46:27,840 --> 00:46:31,360 Speaker 1: nobody told me. I mean maybe they did it. I 861 00:46:31,400 --> 00:46:34,160 Speaker 1: just didn't listen, but like, oh my god. All I 862 00:46:34,160 --> 00:46:37,279 Speaker 1: can remember is I had given birth. And it was 863 00:46:37,320 --> 00:46:39,040 Speaker 1: like maybe an hour later we had had the Golden 864 00:46:39,080 --> 00:46:41,239 Speaker 1: hour at theaters where I had like skin to skin 865 00:46:41,320 --> 00:46:43,000 Speaker 1: time with my son and my husband did and then 866 00:46:43,000 --> 00:46:47,040 Speaker 1: this lovely nurse like came and stood me up and 867 00:46:47,239 --> 00:46:50,279 Speaker 1: started walking me over to the toilet, and I just 868 00:46:50,280 --> 00:46:52,719 Speaker 1: started peeing all over the floor like I didn't even 869 00:46:52,719 --> 00:46:54,279 Speaker 1: make it there. She was like, wait, wait, wait, we 870 00:46:54,320 --> 00:46:56,200 Speaker 1: have to put in like a bucket thing or something. 871 00:46:56,280 --> 00:46:59,680 Speaker 1: And I didn't make it there. I just started peeing everywhere. Um, 872 00:46:59,800 --> 00:47:01,239 Speaker 1: and that's what I was like, oh my and I 873 00:47:01,239 --> 00:47:03,360 Speaker 1: couldn't feel anything. And I don't know if that was 874 00:47:03,400 --> 00:47:06,760 Speaker 1: the a dural or whatever it was, but I couldn't 875 00:47:06,800 --> 00:47:09,719 Speaker 1: feel anything. And I and then you are. And then 876 00:47:09,760 --> 00:47:11,560 Speaker 1: I continued being on the toilet and then this lovely 877 00:47:11,719 --> 00:47:14,760 Speaker 1: lady just started spraying down my private parts with water 878 00:47:15,000 --> 00:47:21,200 Speaker 1: because you can't wipe, and I was like, what's your name? So, yeah, 879 00:47:22,640 --> 00:47:24,759 Speaker 1: how long do you typically work? With a patient like 880 00:47:24,800 --> 00:47:27,640 Speaker 1: how long I mean you said you're your worst case, 881 00:47:27,680 --> 00:47:29,839 Speaker 1: like in four months you could even see some sort 882 00:47:29,880 --> 00:47:32,960 Speaker 1: of And how often were you seeing this person? Like 883 00:47:33,080 --> 00:47:35,160 Speaker 1: how often is it once a week? Because it will 884 00:47:35,160 --> 00:47:38,359 Speaker 1: see people once a week? Yeah, I do, UM, I 885 00:47:38,440 --> 00:47:42,480 Speaker 1: have I do have people who I see twice a week. Um. 886 00:47:42,520 --> 00:47:44,759 Speaker 1: A lot more improvement happens when I see people twice 887 00:47:44,800 --> 00:47:47,279 Speaker 1: a week. Yeah. But I find, you know, with the 888 00:47:47,280 --> 00:47:54,040 Speaker 1: postpartum schedule and you know everything, it's for people once 889 00:47:54,080 --> 00:47:56,520 Speaker 1: a week even sometimes once a week. It's really difficult 890 00:47:56,560 --> 00:48:00,480 Speaker 1: with you know, breastfeeding and everything. So UM, I recommend 891 00:48:00,480 --> 00:48:02,719 Speaker 1: twice a week if you really want to get you know, 892 00:48:02,760 --> 00:48:05,160 Speaker 1: because also it's hard to practice things on your own, 893 00:48:05,760 --> 00:48:09,280 Speaker 1: anything like any kind of discipline. With doing a new practice, 894 00:48:09,360 --> 00:48:11,799 Speaker 1: I find it's difficult without having someone they're telling you 895 00:48:11,840 --> 00:48:13,880 Speaker 1: what to do and holding the space for you. But 896 00:48:14,000 --> 00:48:17,359 Speaker 1: how long there is an appointment and then there's going 897 00:48:17,400 --> 00:48:19,239 Speaker 1: to be check in time like okay, what's going on? 898 00:48:19,280 --> 00:48:21,880 Speaker 1: What did you do last week? What are you anything 899 00:48:21,920 --> 00:48:24,760 Speaker 1: that's changed? You know? Um? And then time for practicing 900 00:48:24,760 --> 00:48:27,719 Speaker 1: and doing repetitions, and then based on where your progress is, 901 00:48:27,760 --> 00:48:31,440 Speaker 1: I'll add more. Um, you know, more exercises. How did 902 00:48:31,440 --> 00:48:35,400 Speaker 1: you get into this? Like what this is? So? Like? 903 00:48:35,480 --> 00:48:40,239 Speaker 1: How did you get here? Um? I kind of don't 904 00:48:40,280 --> 00:48:45,040 Speaker 1: even really know. No, I am did you have your 905 00:48:45,040 --> 00:48:50,360 Speaker 1: own public floor? No? No? Um, so I let's see 906 00:48:50,400 --> 00:48:54,960 Speaker 1: my whole life. I've been very embodied, very into my body, 907 00:48:55,280 --> 00:48:59,040 Speaker 1: feeling my body. I've always been a dancer and um, 908 00:48:59,200 --> 00:49:01,960 Speaker 1: when I moved to l A, I was intensity studying 909 00:49:02,360 --> 00:49:06,560 Speaker 1: yoga and tantra um not the kind of like tontra 910 00:49:06,640 --> 00:49:08,799 Speaker 1: that you think of, like you know, it's like a 911 00:49:08,800 --> 00:49:15,040 Speaker 1: class about having sex. But that's exactly where learn to 912 00:49:15,120 --> 00:49:18,000 Speaker 1: have really good sex now. But it does come with 913 00:49:18,040 --> 00:49:20,560 Speaker 1: pelvic floor health, doesn't it. It It does. That's the benefit 914 00:49:20,560 --> 00:49:23,280 Speaker 1: of the pelvis. If I go around with a Yoni 915 00:49:23,360 --> 00:49:27,000 Speaker 1: egg and my pelvic floor muscles get really strong, like 916 00:49:27,000 --> 00:49:30,080 Speaker 1: I'm going to have better orgasms? Is that just fact? Yeah? 917 00:49:30,160 --> 00:49:31,840 Speaker 1: Well the thing is so if you think about what 918 00:49:31,880 --> 00:49:36,120 Speaker 1: I've got here, it's true. Yeah, I mean definitely for sure, Yes, 919 00:49:36,239 --> 00:49:38,560 Speaker 1: for sure. I mean I've had people who you know, 920 00:49:38,600 --> 00:49:40,680 Speaker 1: I'm working with them on other things like in continents 921 00:49:40,680 --> 00:49:42,319 Speaker 1: and also and they're like, oh my god, I was 922 00:49:42,360 --> 00:49:44,319 Speaker 1: so not interested in having sex with my husband. And 923 00:49:44,320 --> 00:49:47,239 Speaker 1: then like we had the best sex ever, like you know, 924 00:49:47,400 --> 00:49:50,280 Speaker 1: so it happens, it's so collected. Okay. So that reason 925 00:49:50,400 --> 00:49:54,120 Speaker 1: being is that you're bringing by doing the exercises, you're 926 00:49:54,120 --> 00:49:58,000 Speaker 1: bringing more blood flow into your pelvic floor, into your vagina, 927 00:49:58,480 --> 00:50:03,319 Speaker 1: and so basically rectile tissue, like when tissue becomes erectile, 928 00:50:03,520 --> 00:50:06,279 Speaker 1: either the cltterest the clarter ist becomes erect or the 929 00:50:06,280 --> 00:50:10,279 Speaker 1: penis obviously there's more sensation in that area erectile. All 930 00:50:10,320 --> 00:50:12,600 Speaker 1: that is is there's more blood in the tissue. The 931 00:50:12,600 --> 00:50:17,320 Speaker 1: tissue gets erect from blood flow. So if you're having more, 932 00:50:17,480 --> 00:50:22,520 Speaker 1: if you're able to circulated are, then you're going to 933 00:50:22,680 --> 00:50:27,440 Speaker 1: have more exactly. So Okay, you studied, Okay, back it up, 934 00:50:29,760 --> 00:50:33,520 Speaker 1: we're not talking about tantra sex. What are we talking about? UM? 935 00:50:33,560 --> 00:50:38,359 Speaker 1: Talking about traditional like very tantras are really it's one 936 00:50:38,400 --> 00:50:42,480 Speaker 1: of the first religions from South India and so the 937 00:50:42,680 --> 00:50:47,799 Speaker 1: very old old practices which are based in UM. I mean, 938 00:50:47,800 --> 00:50:51,600 Speaker 1: obviously it makes your connection with another person or your 939 00:50:51,600 --> 00:50:54,960 Speaker 1: sexual connection with another person better, but the focus of 940 00:50:55,000 --> 00:50:59,120 Speaker 1: it being to learn how to circulate energy in your body. UM, 941 00:50:59,600 --> 00:51:04,080 Speaker 1: how did become that you specifically moved into pelvic floor. 942 00:51:05,000 --> 00:51:08,000 Speaker 1: So while I was doing that training, which I went 943 00:51:08,040 --> 00:51:10,799 Speaker 1: to India twice for and studied up you know, the 944 00:51:10,840 --> 00:51:13,439 Speaker 1: ostram with the guru and you know, learn all these 945 00:51:13,480 --> 00:51:16,840 Speaker 1: exercises that are you know, learned a lot of learned 946 00:51:16,880 --> 00:51:20,680 Speaker 1: exercises for doing UM basically what someone might call what 947 00:51:20,800 --> 00:51:23,279 Speaker 1: I what are my version of a keegel, but they're 948 00:51:23,360 --> 00:51:27,160 Speaker 1: much deeper and more deeply sensed, so not just like squeeze, 949 00:51:27,200 --> 00:51:30,200 Speaker 1: really squeeze realized, like not really thinking about it, but 950 00:51:30,320 --> 00:51:34,480 Speaker 1: really using the breath UM in coordination with the squeezing 951 00:51:34,520 --> 00:51:38,080 Speaker 1: and finding the different parts of the pelvic floor UM. 952 00:51:38,160 --> 00:51:40,960 Speaker 1: And so in conjunction, what I was doing at the 953 00:51:41,000 --> 00:51:43,920 Speaker 1: same time was I did a dula training UM, so 954 00:51:43,960 --> 00:51:48,080 Speaker 1: I started assisting women through childbirth. This is such a 955 00:51:48,360 --> 00:51:52,960 Speaker 1: I feel like one of the many topics that women 956 00:51:53,080 --> 00:51:57,960 Speaker 1: feel like embarrassed, ashamed, UM, uncomfortable to talk about A. 957 00:51:58,040 --> 00:52:00,880 Speaker 1: Is there any advice that you have for women and 958 00:52:00,920 --> 00:52:03,600 Speaker 1: how to talk about this stuff and how tom I'm 959 00:52:03,640 --> 00:52:06,880 Speaker 1: assuming it's all connected like that if you feel shamed, 960 00:52:06,880 --> 00:52:09,120 Speaker 1: you're probably it's going to be a harder road to 961 00:52:09,280 --> 00:52:13,319 Speaker 1: get better, because it's sounding like the holistic approaches that 962 00:52:13,360 --> 00:52:15,960 Speaker 1: it's all super connected. Is there any advice that you 963 00:52:16,000 --> 00:52:22,279 Speaker 1: would give to women who are struggling with incontinents who 964 00:52:22,760 --> 00:52:25,720 Speaker 1: may not even have babies yet, or struggling and haven't 965 00:52:25,719 --> 00:52:30,360 Speaker 1: seek out help. The biggest thing would just fed to 966 00:52:30,440 --> 00:52:34,360 Speaker 1: know that you're not alone and that it's very common. 967 00:52:35,000 --> 00:52:38,120 Speaker 1: And yeah, I mean, if you're having a hard time 968 00:52:38,760 --> 00:52:42,840 Speaker 1: talking about it, I would say, like, find another woman 969 00:52:43,040 --> 00:52:48,360 Speaker 1: friends to share with about first, just so like you know, 970 00:52:48,440 --> 00:52:51,040 Speaker 1: I think that for men because they don't usually I mean, 971 00:52:51,080 --> 00:52:53,880 Speaker 1: some men do have pelvic floor issues. That's definitely not 972 00:52:54,560 --> 00:52:58,120 Speaker 1: un you know, unseen, but I think women experience it 973 00:52:58,200 --> 00:53:01,920 Speaker 1: more more regularly, sure, And so finding a close friend 974 00:53:01,920 --> 00:53:03,880 Speaker 1: that you can talk to about it just to start 975 00:53:04,520 --> 00:53:08,280 Speaker 1: kind of sharing and getting it. You know, sharing helps 976 00:53:08,320 --> 00:53:10,760 Speaker 1: so much, being able to talk and have someone listen. 977 00:53:10,880 --> 00:53:15,600 Speaker 1: Do you find so much mental Like you said, the 978 00:53:16,040 --> 00:53:18,680 Speaker 1: shame part that it can be super connected and that's 979 00:53:18,680 --> 00:53:20,520 Speaker 1: why you have to get them to a meditative state 980 00:53:20,680 --> 00:53:23,279 Speaker 1: is a lot. What you do is sort of therapy 981 00:53:23,440 --> 00:53:26,400 Speaker 1: sometimes I do. It depends on the degree of openness 982 00:53:26,400 --> 00:53:29,200 Speaker 1: that the person has. I do find that people who 983 00:53:29,760 --> 00:53:35,879 Speaker 1: um can share more about what's going on will heal more. 984 00:53:36,000 --> 00:53:39,680 Speaker 1: Quickly because it's like every it is so connected, and 985 00:53:39,719 --> 00:53:43,840 Speaker 1: so if you are kind of putting your physical symptoms 986 00:53:43,880 --> 00:53:49,640 Speaker 1: separate from your emotional experience, um, it's like you're you're 987 00:53:49,680 --> 00:53:53,360 Speaker 1: more disconnected inside of yourself, Like you're kind of creating 988 00:53:53,400 --> 00:53:57,239 Speaker 1: a disjointedness and so not that you have to be like, 989 00:53:57,280 --> 00:53:59,399 Speaker 1: oh my god, I'm having these issues because I had 990 00:53:59,440 --> 00:54:01,480 Speaker 1: this feeling. You know, you don't have to like over 991 00:54:01,600 --> 00:54:05,359 Speaker 1: dramatize it, but UM, I find that if people are 992 00:54:05,480 --> 00:54:09,400 Speaker 1: more comfortable just like, oh, yeah, this is being honest 993 00:54:09,440 --> 00:54:11,880 Speaker 1: with themselves, like this was my experience, or this is 994 00:54:11,880 --> 00:54:14,239 Speaker 1: how I'm feeling, or I'm feeling horrible about this, or 995 00:54:14,280 --> 00:54:17,799 Speaker 1: I feel really regretful that this happened, or you know 996 00:54:17,880 --> 00:54:20,640 Speaker 1: that that you're going to have an easier time healing 997 00:54:20,719 --> 00:54:26,719 Speaker 1: because you're not bottling everything up inside. Yeah, what are 998 00:54:26,760 --> 00:54:30,680 Speaker 1: the exercises that you recommend people doing? So I always 999 00:54:30,719 --> 00:54:33,240 Speaker 1: work with the first thing I always work with people 1000 00:54:33,239 --> 00:54:37,080 Speaker 1: on is breathing into their belly and learning how to 1001 00:54:37,160 --> 00:54:42,080 Speaker 1: do uh what I call belly breathing or diaforgmatic breathing. UM. 1002 00:54:42,200 --> 00:54:44,719 Speaker 1: So people breathe up into their chests and do very 1003 00:54:44,760 --> 00:54:48,280 Speaker 1: shallow breathing. So I first teach people how to breathe 1004 00:54:48,280 --> 00:54:52,880 Speaker 1: into their bellies and then use their abdominal muscles to exhale, 1005 00:54:52,960 --> 00:54:55,560 Speaker 1: to like press their breath out. So you're both using 1006 00:54:55,560 --> 00:54:59,800 Speaker 1: the abdominal muscles. You're also strengthening the diaphragm um with 1007 00:55:00,080 --> 00:55:03,680 Speaker 1: just a muscle that's the primary muscle for your breathing 1008 00:55:04,560 --> 00:55:08,560 Speaker 1: sits right underneath your rib cage. Um. You start there, 1009 00:55:08,719 --> 00:55:13,160 Speaker 1: start there, and that exercise because you're using your abdominals 1010 00:55:13,160 --> 00:55:17,839 Speaker 1: to exhale and really working up towards strongly using your 1011 00:55:17,840 --> 00:55:22,680 Speaker 1: abdominals to exhale um, those muscles get strong. The abdominals 1012 00:55:22,719 --> 00:55:26,200 Speaker 1: get strong without doing sit ups, So when you have diathesis, 1013 00:55:26,320 --> 00:55:28,480 Speaker 1: you don't want to do sit ups or any kind 1014 00:55:28,480 --> 00:55:33,320 Speaker 1: of crunches. It makes the separation worse. UM. So by 1015 00:55:33,440 --> 00:55:39,680 Speaker 1: using the valley to breathe, you're you're strengthening the abdominal wall, 1016 00:55:39,760 --> 00:55:43,840 Speaker 1: the transverse abdominous muscles um, which helps bring the rectus 1017 00:55:43,840 --> 00:55:46,719 Speaker 1: abdominus closer or the six pack muscles closer together to 1018 00:55:46,760 --> 00:55:50,480 Speaker 1: heal the game. By doing that breathing, you're you know 1019 00:55:50,520 --> 00:55:53,640 Speaker 1: a lot of times right after labor, even if someone's 1020 00:55:53,680 --> 00:55:56,759 Speaker 1: had a baby years before um. A lot of times 1021 00:55:56,800 --> 00:55:59,480 Speaker 1: people can't feel their breath, like kind of pass their ribs. 1022 00:56:00,120 --> 00:56:02,720 Speaker 1: So I start by helping people get their breath lower 1023 00:56:02,760 --> 00:56:04,600 Speaker 1: and lower and lower until they can start to feel 1024 00:56:04,640 --> 00:56:07,239 Speaker 1: their breath and they're actually in their pelvis or in 1025 00:56:07,239 --> 00:56:11,280 Speaker 1: the pelvic floor. Whoa. And then once you can feel 1026 00:56:11,280 --> 00:56:14,560 Speaker 1: that kind of expansion, so I think again of the jellyfish, 1027 00:56:14,760 --> 00:56:17,799 Speaker 1: the expansion of the breath and the pelvic floor. Then 1028 00:56:17,800 --> 00:56:22,000 Speaker 1: from there, it's like when you exhale without even contracting, 1029 00:56:22,160 --> 00:56:24,040 Speaker 1: like you could try it right now, when you exhale, 1030 00:56:24,520 --> 00:56:28,240 Speaker 1: you generally feel kind of like everything sinks or comes 1031 00:56:28,280 --> 00:56:33,080 Speaker 1: closer together. Ye. Yeah, and that's the beginning of a contraction. 1032 00:56:33,480 --> 00:56:37,440 Speaker 1: So contract actually means to squeeze, right, you do gentle 1033 00:56:37,520 --> 00:56:40,719 Speaker 1: like breathing, opening up your pelvic floor, and then as 1034 00:56:40,800 --> 00:56:44,279 Speaker 1: you exhale, you let all the breath go, including down there, 1035 00:56:44,320 --> 00:56:46,560 Speaker 1: so then it comes and starts to come back together. 1036 00:56:46,600 --> 00:56:49,200 Speaker 1: And then once you can start to feel the everything 1037 00:56:49,280 --> 00:56:52,400 Speaker 1: kind of coming closer, oh, that's the beginning of the contraction. 1038 00:56:52,480 --> 00:56:56,000 Speaker 1: So then from there begin to squeeze, and you want 1039 00:56:56,040 --> 00:56:59,640 Speaker 1: to hold that squeeze through your whole exhale, and that's 1040 00:57:00,560 --> 00:57:03,239 Speaker 1: doing it right now, guys doing it right now. So 1041 00:57:03,360 --> 00:57:06,799 Speaker 1: learning to um doing these kinds of exercise, and you know, 1042 00:57:06,840 --> 00:57:08,680 Speaker 1: and that's kind of the basic. Then I'll work with 1043 00:57:08,719 --> 00:57:11,840 Speaker 1: different areas of pelvis, so more in the back muscles 1044 00:57:11,840 --> 00:57:14,839 Speaker 1: of the pelvic floor, the vaginal muscles, and then up 1045 00:57:14,840 --> 00:57:16,600 Speaker 1: in the front by the pubic bone or around like 1046 00:57:16,640 --> 00:57:19,040 Speaker 1: the clutters, because they're all different, and yet here we 1047 00:57:19,080 --> 00:57:21,560 Speaker 1: are like I can't feel the difference, really, you know 1048 00:57:21,600 --> 00:57:23,360 Speaker 1: what I mean? For me, I'm I'm definitely one of 1049 00:57:23,400 --> 00:57:26,000 Speaker 1: those cases of a person who's like, oh, it's just squeeze, release, squeeze, 1050 00:57:26,160 --> 00:57:29,800 Speaker 1: you know, like it's not like varying areas of stuff 1051 00:57:29,840 --> 00:57:33,480 Speaker 1: down there. You know. I just got my first period 1052 00:57:33,600 --> 00:57:38,560 Speaker 1: back after having a baby, which because I've been breastfeeding, 1053 00:57:38,600 --> 00:57:40,440 Speaker 1: your body goes into a menopausal state and you don't 1054 00:57:40,480 --> 00:57:42,120 Speaker 1: get your period for a long time. So I'll be's 1055 00:57:42,120 --> 00:57:44,520 Speaker 1: almost eight months and I just got my first period. 1056 00:57:44,560 --> 00:57:45,960 Speaker 1: So it was my first time I ever like using 1057 00:57:45,960 --> 00:57:49,760 Speaker 1: a tampon um, which I was so scared to do 1058 00:57:49,880 --> 00:57:54,360 Speaker 1: because my group of mom girls, um my swim club, 1059 00:57:54,880 --> 00:57:57,520 Speaker 1: they all are there, my group of mommies, and they 1060 00:57:57,560 --> 00:57:59,120 Speaker 1: were all saying, oh God, wait till you get your 1061 00:57:59,160 --> 00:58:02,800 Speaker 1: first period, it is not fun. And they allowed them 1062 00:58:02,800 --> 00:58:05,000 Speaker 1: had already gotten it, so I was like ready and 1063 00:58:05,080 --> 00:58:07,320 Speaker 1: I got it. And I have to say the tampon 1064 00:58:07,480 --> 00:58:10,320 Speaker 1: was fine, but I do think something might be happening 1065 00:58:10,320 --> 00:58:12,720 Speaker 1: in the pelvic floor because I was walking around with 1066 00:58:12,760 --> 00:58:15,120 Speaker 1: it and it was like kind of falling out and 1067 00:58:15,160 --> 00:58:18,560 Speaker 1: I've never had that happen before. Is that a thing? 1068 00:58:19,400 --> 00:58:24,760 Speaker 1: I mean, yeah, great, Like I remember walking like halfway 1069 00:58:24,800 --> 00:58:26,120 Speaker 1: down the street and being like, oh my god, I 1070 00:58:26,120 --> 00:58:27,760 Speaker 1: think my tampon is like halfway out, and I know, 1071 00:58:27,880 --> 00:58:30,600 Speaker 1: like I put it in really well. But so is 1072 00:58:30,640 --> 00:58:33,080 Speaker 1: that a case of like your pelvic floor muscles are 1073 00:58:33,120 --> 00:58:37,320 Speaker 1: not able to hold up because of the trauma, stretched out, 1074 00:58:37,760 --> 00:58:40,600 Speaker 1: not necessarily from the trauma, but they're some more stretched 1075 00:58:40,640 --> 00:58:43,840 Speaker 1: out and they're not like holding squeezing it. Except when 1076 00:58:43,840 --> 00:58:45,360 Speaker 1: I have sex with my husband he says it feels 1077 00:58:45,400 --> 00:58:48,200 Speaker 1: the same. I'm just going on records saying, well, that's great, 1078 00:58:49,480 --> 00:58:54,080 Speaker 1: And I asked the vagina is a mystery, you guys, 1079 00:58:55,400 --> 00:59:00,720 Speaker 1: It is really insane, Like I don't so, but what 1080 00:59:00,760 --> 00:59:03,400 Speaker 1: you could try is, have you ever heard of the 1081 00:59:03,520 --> 00:59:07,720 Speaker 1: Diva cup? Explain this to me. So it's a little 1082 00:59:07,800 --> 00:59:11,520 Speaker 1: like silicon cup that you put up there period, right, 1083 00:59:11,640 --> 00:59:14,720 Speaker 1: So it's like round, like you know, maybe like an 1084 00:59:14,720 --> 00:59:18,080 Speaker 1: inch diameter, and you fold it in half and hold 1085 00:59:18,120 --> 00:59:20,760 Speaker 1: it again and then you vagina and you make sure 1086 00:59:20,800 --> 00:59:23,680 Speaker 1: there's like a section so that it's you know, um. 1087 00:59:23,720 --> 00:59:26,600 Speaker 1: And they have different sizes, so they have a size 1088 00:59:26,640 --> 00:59:29,400 Speaker 1: for um before you've had a baby and then for 1089 00:59:29,480 --> 00:59:30,840 Speaker 1: after you've had a baby. And the one that for 1090 00:59:31,000 --> 00:59:33,840 Speaker 1: after you had a baby is bigger because the vagina 1091 00:59:35,160 --> 00:59:38,280 Speaker 1: is bigger. I don't know, maybe maybe, And and you know, 1092 00:59:38,400 --> 00:59:40,840 Speaker 1: it is a vaginal canal, so there's different parts of it. 1093 00:59:40,880 --> 00:59:43,360 Speaker 1: There's the opening, there's the middle, there's the backup by 1094 00:59:43,360 --> 00:59:46,840 Speaker 1: your cervix. Maybe Adams just trying to be so well no, 1095 00:59:47,000 --> 00:59:49,840 Speaker 1: I mean it could be it could be more. It 1096 00:59:49,840 --> 00:59:52,640 Speaker 1: could be more open or tight in different parts of 1097 00:59:52,640 --> 00:59:55,360 Speaker 1: the vagina. And maybe that's what he's feeling, and that 1098 00:59:55,520 --> 00:59:58,200 Speaker 1: maybe like more the opening of your vagina. Everyone's loving 1099 00:59:58,240 --> 01:00:01,280 Speaker 1: this diva cup. Yeah, so you put it up there 1100 01:00:01,320 --> 01:00:05,919 Speaker 1: and it holds your period. And then do people who 1101 01:00:05,960 --> 01:00:07,640 Speaker 1: come to see you are some of them in pain 1102 01:00:07,680 --> 01:00:11,080 Speaker 1: when they have to insert tampons? Is that? Oh my god? 1103 01:00:11,240 --> 01:00:14,080 Speaker 1: Being a girl is so insane. I mean, I'm sorry 1104 01:00:14,080 --> 01:00:16,800 Speaker 1: for the few men that you also see that have problems, 1105 01:00:16,840 --> 01:00:20,919 Speaker 1: but it sounds like it's mostly women, and it's just yeah, 1106 01:00:20,960 --> 01:00:24,520 Speaker 1: it's like it is insane. Yes, Like I can't tell 1107 01:00:24,560 --> 01:00:27,680 Speaker 1: you how many times it happens to me now where 1108 01:00:27,720 --> 01:00:30,640 Speaker 1: I if I feel a sneeze coming on and I 1109 01:00:30,680 --> 01:00:33,360 Speaker 1: haven't emptied my bladder in like a little bit of 1110 01:00:33,560 --> 01:00:35,720 Speaker 1: you know, like I p every one or two hours whatever, 1111 01:00:35,800 --> 01:00:39,120 Speaker 1: But like if I if it's you know, been three 1112 01:00:39,160 --> 01:00:40,800 Speaker 1: or four hours, I'm gone to bathman I sneeze, Like, 1113 01:00:40,840 --> 01:00:43,240 Speaker 1: I definitely p a little bit and I definitely have 1114 01:00:43,240 --> 01:00:47,200 Speaker 1: to go change my underwear. Like what a bummer. And 1115 01:00:47,200 --> 01:00:48,680 Speaker 1: I'm not even and I think I want to have 1116 01:00:48,720 --> 01:00:52,040 Speaker 1: another kid maybe, so like what, oh, that's a good question. 1117 01:00:52,120 --> 01:00:56,040 Speaker 1: Is it worth getting it back before you're thinking about 1118 01:00:56,040 --> 01:00:57,760 Speaker 1: having another baby or is it just like blow the 1119 01:00:57,760 --> 01:01:00,200 Speaker 1: whole thing out and come see you later. It's kind 1120 01:01:00,200 --> 01:01:01,880 Speaker 1: of you know, it's kind of like for the women 1121 01:01:01,880 --> 01:01:03,760 Speaker 1: who are more physically fit, they're going to have an 1122 01:01:03,760 --> 01:01:06,080 Speaker 1: easier time afterwards. So it's the same thing you want 1123 01:01:06,120 --> 01:01:08,720 Speaker 1: to work to get it. I mean, unless you're having kids, 1124 01:01:08,760 --> 01:01:11,560 Speaker 1: like right off the after the other, it's better if 1125 01:01:11,600 --> 01:01:15,520 Speaker 1: you work on strengthening before you have another baby. Um. 1126 01:01:15,560 --> 01:01:18,400 Speaker 1: Generally it's more difficult after a second baby. It's just 1127 01:01:18,600 --> 01:01:23,080 Speaker 1: you know, more stretching more. So it's better if you 1128 01:01:23,120 --> 01:01:26,280 Speaker 1: can do some work on it before having a second baby. 1129 01:01:26,440 --> 01:01:30,200 Speaker 1: So fascinating. Are there other things that you recommend besides 1130 01:01:30,200 --> 01:01:32,920 Speaker 1: the Yoni egg that like? Um, I tell people to 1131 01:01:32,960 --> 01:01:35,440 Speaker 1: practice so with the you know, we'll work with the 1132 01:01:35,480 --> 01:01:37,560 Speaker 1: different areas of the pelvic floor, but when we're working 1133 01:01:37,560 --> 01:01:40,360 Speaker 1: with the vaginal canal, I work with feeling being able 1134 01:01:40,400 --> 01:01:42,440 Speaker 1: to squeeze in the different parts of the vaginal canal, 1135 01:01:42,480 --> 01:01:46,040 Speaker 1: which for most people is really really difficult to feel. Um, 1136 01:01:46,600 --> 01:01:50,400 Speaker 1: the opening okay, by your cervix, you know, it's it's challenging. 1137 01:01:50,520 --> 01:01:52,560 Speaker 1: And so what I tell people to do is to 1138 01:01:52,680 --> 01:01:55,480 Speaker 1: get some kind of a dildo or like a wand 1139 01:01:55,560 --> 01:01:57,680 Speaker 1: they have really nice you know, like you get like 1140 01:01:57,680 --> 01:02:00,480 Speaker 1: a crystal want you know, so to you is that 1141 01:02:00,600 --> 01:02:04,120 Speaker 1: just insert it and then squeeze against that to be 1142 01:02:04,240 --> 01:02:06,680 Speaker 1: able to feel the different like, okay, now I'm squeezing 1143 01:02:06,720 --> 01:02:09,920 Speaker 1: this wand towards the top. Now I'm squeezing it towards 1144 01:02:09,960 --> 01:02:12,440 Speaker 1: the bottom, and is there even a middle? Good Lord, 1145 01:02:12,880 --> 01:02:17,320 Speaker 1: I mean exactly, and people can do that, yes, yeah, 1146 01:02:17,480 --> 01:02:19,640 Speaker 1: I mean that's how I started learning all this stuff 1147 01:02:20,120 --> 01:02:22,240 Speaker 1: because that was what that was one of my that 1148 01:02:22,320 --> 01:02:27,760 Speaker 1: was one of my country yoga exercises. So um yeah. 1149 01:02:27,800 --> 01:02:29,840 Speaker 1: And the reason being it's like, you know, you can 1150 01:02:29,880 --> 01:02:32,840 Speaker 1: do air push ups right, or you can do like 1151 01:02:32,840 --> 01:02:35,680 Speaker 1: a push up against the wall or the floor, and 1152 01:02:35,720 --> 01:02:37,680 Speaker 1: you're going to feel your muscles a lot more when 1153 01:02:37,680 --> 01:02:41,160 Speaker 1: you have that resistance suppress against the same thing inside 1154 01:02:41,160 --> 01:02:43,240 Speaker 1: of your vagina, which is even even if you're not 1155 01:02:43,240 --> 01:02:45,680 Speaker 1: working on trying to find the different locations, even just 1156 01:02:45,760 --> 01:02:48,640 Speaker 1: to field the squeeze, that's going to help. And you're like, oh, 1157 01:02:48,680 --> 01:02:51,080 Speaker 1: I can feel my vagina squeezing because I can feel 1158 01:02:51,120 --> 01:02:54,480 Speaker 1: it pushing against something. Yeah, so that helps build your 1159 01:02:54,560 --> 01:02:56,960 Speaker 1: muscles strong, like you're going to have a little bit 1160 01:02:57,040 --> 01:03:02,200 Speaker 1: quicker of a of access rate with that. So that's 1161 01:03:02,240 --> 01:03:04,200 Speaker 1: one of the things I tell people to do. There's 1162 01:03:04,280 --> 01:03:07,520 Speaker 1: also um the LVY. It looks kind of like a 1163 01:03:07,600 --> 01:03:09,880 Speaker 1: unique I mean, it's not like a stone, but it's 1164 01:03:09,920 --> 01:03:12,320 Speaker 1: around thing that you put inside and it has an 1165 01:03:12,320 --> 01:03:15,000 Speaker 1: app where you can test, like it'll test like your 1166 01:03:15,000 --> 01:03:17,280 Speaker 1: strength level. Is there any other things you want to 1167 01:03:17,280 --> 01:03:20,760 Speaker 1: touch upon or yeah, I mean, I would say, just 1168 01:03:20,800 --> 01:03:24,120 Speaker 1: started talking about it with your friends, like, just get 1169 01:03:24,160 --> 01:03:27,120 Speaker 1: the conversation going. And because we are not alone. You're 1170 01:03:27,160 --> 01:03:31,040 Speaker 1: not alone and you know it, and and there was 1171 01:03:31,320 --> 01:03:34,080 Speaker 1: a lot of women don't even know yet that there's 1172 01:03:34,080 --> 01:03:36,440 Speaker 1: people that they can see and exercises that they can do. 1173 01:03:36,640 --> 01:03:39,840 Speaker 1: And if your girlfriend hasn't experiences, she's not, I'm sure 1174 01:03:39,920 --> 01:03:43,680 Speaker 1: she'd be interested or probably knows other people. So I 1175 01:03:43,680 --> 01:03:46,600 Speaker 1: would just encourage everyone to start talking about it and sharing. 1176 01:03:46,640 --> 01:03:48,760 Speaker 1: And the more you talk, the more you know, the 1177 01:03:48,840 --> 01:03:53,400 Speaker 1: more that collectively people can get help and heal and 1178 01:03:54,560 --> 01:03:56,720 Speaker 1: not have to live their lives paying in their pants. Yeah, 1179 01:03:57,160 --> 01:04:01,720 Speaker 1: having pains and enjoying sex more, enjoying sax feeling actually 1180 01:04:01,920 --> 01:04:05,280 Speaker 1: you know, just helps with connectivity to yourself feeling more. 1181 01:04:05,760 --> 01:04:07,960 Speaker 1: You know, you put so much energy into your baby, 1182 01:04:08,080 --> 01:04:11,360 Speaker 1: it's like it's a it's huge self care and giving 1183 01:04:11,400 --> 01:04:14,920 Speaker 1: your own body attention that your body really craves and needs. 1184 01:04:15,000 --> 01:04:22,720 Speaker 1: So amazing. Thank you so much, thank you. That's all 1185 01:04:22,800 --> 01:04:25,360 Speaker 1: we've got for you for this episode. I can't wait 1186 01:04:25,400 --> 01:04:28,600 Speaker 1: for you guys to hear what's next. Thanks for listening 1187 01:04:27,680 --> 01:04:52,480 Speaker 1: to do I do watch watch wat