Fempower Health: The Chronic Pelvic Pain Channel

Learn how your pelvic structure, including postures and organ position, might be contributing to pelvic pain and pelvic floor conditions.

Pelvic Structure and Pelvic Pain Relief Episode Summary

In this episode, Dr. Angie Mueller—a doctor of physical therapy specializing in women's pelvic health—sheds light on how structural changes in the body, particularly the position of the uterus and other pelvic organs, can contribute to chronic pelvic pain. She discusses the significant role of core muscle dysfunction, the impact of diaphragm and breathing, and the benefits of a holistic approach to treatment. 

Whether you're dealing with endometriosis, pelvic congestion, or unexplained pelvic discomfort, this episode shares expert perspectives from a pelvic health specialist. Learn practical advice to help you understand and manage pelvic pain effectively.

Key Discussion Points on how Pelvic Physical Therapy may Help:

• What types of female pelvic structure, including the position of the uterus and other organs, that can contribute to pelvic pain 
• How pelvic tilt posture, breathing patterns, and core muscle dysfunction can lead to pelvic floor muscle spasm 
• The connection between the diaphragm and pelvic floor muscles in managing pressure in the pelvis
• Manual therapy techniques that address root causes of muscle spasm and chronic pelvic pain
• The role of inflammation in conditions like endometriosis, pelvic congestion, and adenomyosis 
• The importance of monitoring your activity levels, menstrual cycles, diet, sleep, and stress levels to manage chronic pelvic pain symptoms
• Tips on finding a pelvic floor specialist and healthcare provider 
• Practical ways to maintain good posture and perform self-abdominal massage to relieve pelvic pain

Related to this episode on How Posture & Pelvic Structure Affect Chronic Pelvic Pain:

• Follow the Fempower Health Chronic Pelvic Pain Hub podcast channel to learn more from top healthcare experts
• Check out Fempower Health’s resources on Pelvic Health
• Visit Dr Angie’s website: Core Recovery Method
• Follow Dr. Angie on Instagram: @corerecoverypt

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on LinkedIn, Instagram and TikTok, YouTube, for the latest updates and engaging content. 
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Fempower Health Guest Bio

Dr. Angie Mueller holds a Doctorate in Physical Therapy from Regis University and a Bachelor's in Health and Exercise Science with a concentration in Sports Medicine from Colorado State University. She specializes in women’s and men’s pelvic health, spine and core rehabilitation, sports medicine, recovery, prenatal and postpartum training, and manual therapy. Her diverse clientele includes professional athletes, mothers, models, entertainers, CEOs, and health-conscious entrepreneurs who seek to optimize performance while preventing injury.

Dr. Mueller is passionate about educating, inspiring, and empowering individuals to reconnect with their core. She created The Core Recovery Method® out of a commitment to improving the core health of people of all ages and walks of life, focusing on a holistic approach from the inside out. With over a decade of experience, she has had the privilege of helping clients achieve optimal core health. Now, she extends her unique physical therapy protocol through an online program, fulfilling her dream of helping as many people as possible achieve optimal core health.

Disclaimer

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor. Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

Originally Published October 25, 2021.

Inspired by an upcoming episode with Dr Prior about perimenopause, specifically, I thought it important to revisit the need to understand the important roles of BOTH estrogen AND progesterone.

We’ve all been told about the powerful effects of estrogen on a woman’s reproductive cycle. But more people are now learning that progesterone is equally as important. With so much research and discussion regarding hormone imbalances in women today, experts confirm that these two female sex hormones are critical to more than just sex and pregnancy— they’re vital to every woman’s health.

In this episode, Dr. Jerilynn Prior of the Centre for Menstrual Cycle and Ovulation Research (CeMCOR) shares essential information about the roles that estrogen and progesterone play in not only ovulation but basic health. She explains why hormone imbalance is so important to confront, and how hormones impact overall wellness from heart health to bone health to mood. She offers some insight into how women’s hormones change throughout various stages of life, from puberty to menopause. 

Discussed in this episode:

• The difference between estrogen and progesterone
• Understanding estrogen vs progesterone in the menstrual cycle
• The role of estrogen and progesterone in bone health, breast and endometrial cancer risk, fertility, weight, and heart health
• Why balancing hormones in women is so important (regardless of whether or not you want to get pregnant!)
• Clearing up confusion on the common question: does stress impact fertility?
• Why it’s hard for women to be aware of some of this research
• How your hormone balance is defined at different ages and stages of life

Related to this episode:

• CeMCOR website: Centre for Menstrual Cycle and Ovulation Research
• Sign up for the CeMCOR Newsletter for the latest on women’s health
• Learn more about your Hormones and Menstrual Cycle
• Dr. Jerilynn Prior’s book: Estrogen Storm Season: Stories of Perimenopause
• Recommended book: Period Repair Manual
• Recommended book: Hormone Repair Manual
• Recommended book: Sex Matters
• More on ovulation: Women’s Health and the Ovulation Cycle

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Speaker Bio

Dr. Jerilynn Prior is a Professor of Endocrinology and Metabolism at the University of British Columbia, with 40 years of experience in women’s health. She specializes in women’s hormones and peri/menopause treatments. Read more in her book, Estrogen Storm Season: Stories of Perimenopause

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Are there ways to find pain relief for endometriosis? Listen as Dr. Allyson Shrikhande shares her expert insights on a whole-person approach to pain management. 

Episode Summary

In this episode of Fempower Health, Georgie Kovacs hosts Dr. Allyson Shrikhande, a specialist in pelvic rehabilitation medicine. They explore the important topic of managing pelvic pain associated with endometriosis. 

Dr. Shrikhande discusses the complex symptoms and challenges of diagnosing endometriosis, which often go beyond typical menstrual discomfort and can even affect areas such as bladder function and sexual health. They discuss innovative, non-surgical approaches to pain management, incorporating targeted treatments and lifestyle modifications. Listen to gain insights into holistic, patient-centered methods that make significant relief possible for those battling chronic pelvic pain.

Key Discussion Points:

• The diverse and often misunderstood symptoms of endometriosis
• Endometriosis’ impact on the menstrual cycle, bladder, bowel functions, and pain during intercourse
• Non-surgical methods for pelvic pain management when living with endometriosis 
• Why detecting endometriosis early can change the course of treatment and potentially lessen the need for invasive procedures
• Nerve and muscle rehabilitation treatment options that provide relief without the complications associated with surgery
• Benefits of a whole-person approach to managing endometriosis, which includes nutritional support, behavioral health, and physical therapy
• Dr. Shrikhande emphasizes the need for greater awareness and education about endometriosis among both healthcare providers and patients

Related to this episode:

• Resources on Pelvic Health
• Read Beating Endo
• Try Your Pace Yoga
• Learn more about Pelvic Rehabilitation Medicine and follow them on Instagram.
• Stay in touch with Dr Allyson Shrikhande and follow her on Instagram and LinkedIn.

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Guest Bio

Dr. Allyson Shrikhande is a board-certified Physical Medicine and Rehabilitation specialist, Chief Medical Officer of Pelvic Rehabilitation Medicine, and an expert in women’s and men’s health and sexual health. A leading expert on pelvic health and a respected researcher, author and lecturer, Dr. Shrikhande is a recognized authority on female and male pelvic pain diagnosis and treatment.

Dr. Shrikhande is passionate about this cause and dedicated to helping women and men with pelvic pain who often suffer without anyone willing to listen, understand, or find the cause of their pain. That’s why she has traveled the world to work with expert gynecologists, urologists, physiatrists, and interventional pain physicians. Dr. Shrikhande has distilled this global expertise into an office-based, cutting-edge approach to the treatment of pelvic pain and pelvic floor muscle dysfunction.

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Learn about the pelvic floor after hysterectomy as Dr. Jocelyn Wallace, Doctor of Physical Therapy and pelvic floor specialist, shares her insights.

Episode Summary

In this episode, Dr. Jocelyn Wallace, a Doctor of Physical Therapy and pelvic floor specialist, discusses the importance of the pelvic floor in women's health. She sheds light on the pelvic floor, especially in the context of hysterectomy. 

Dr. Wallace talks about managing pelvic floor changes that can occur after a hysterectomy. She discusses the value of comprehensive preoperative and postoperative care, including strategies for preventing complications like pelvic organ prolapse and urinary incontinence. Dr. Wallace also offers practical advice on pelvic floor therapy for women, lifestyle changes, and advocating for personalized care for the pelvic floor.

Key Discussion Points on the Tie Between Hysterectomy and Pelvic Health:

• The fundamental role of the pelvic floor in supporting essential organs and maintaining women's health.
• Common pelvic floor exercises after hysterectomy and how to seek pelvic floor therapy.
• How a hysterectomy can affect pelvic floor function and increase the risk of complications like pelvic organ prolapse, urinary incontinence, and sexual function.
• Why preoperative pelvic floor therapy is crucial for strengthening muscles and reducing potential complications post-surgery.
• The importance of a structured recovery plan including exercises, therapy, and lifestyle changes to optimize pelvic health after surgery.
• How to advocate for comprehensive pelvic care before and after a hysterectomy to find an approach that suits your unique health needs.
• Ways to navigate changes in sexual health post-hysterectomy.

Related to this episode:

• Resources and episodes on Pelvic Health
• Resources and episodes on Perimenopause & Menopause and sign up for the Perimenopause and Menopause newsletter
• Listen to Life Before and After Hysterectomy with Dr. Zoe Rodriguez
• Learn more about Dr. Jocelyn Wallace and follow her on Instagram
• Take the Pelvic Floor Questionnaire

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Guest Bio

Dr. Jocelyn Wallace is on a mission to redefine the care people receive before and after pelvic surgery. As a Doctor of Physical Therapy, pelvic floor specialist + long time fitness coach, she helps women find healing after hysterectomy, so they can get back to the things they love with safety and confidence.

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Listen as Dr. Zoe Rodriguez shares her medical and patient-advocating expertise about life before and after hysterectomy.

Episode Summary

Join Fempower Health as we discuss hysterectomies with Dr. Zoe Rodriguez, the Assistant Professor of Obstetrics, Gynecology, and Reproductive Science at the Icahn School of Medicine at Mount Sinai. 

In this episode, we address the misconceptions, diverse cultural perspectives, and crucial insights surrounding hysterectomies. We talk about different hysterectomy options, recovery expectations, and the significant impact of surgical choices on women's health. Whether you are considering this procedure or seeking deeper understanding, this discussion offers valuable guidance to navigate your health decisions confidently.

Key Takeaways

• The different types of hysterectomy surgery—including total, supracervical, and partial hysterectomy—and why it’s so important to know the different options.
• How cultural backgrounds influence perceptions of healthcare and surgical decisions, particularly within the Latina community.
• The importance of setting realistic expectations and being well-informed about post-surgical recovery, hormonal impacts, and sexuality after hysterectomy.
• Debunking common misconceptions that Western physicians are “eager to perform surgeries,” plus ethical considerations and patient-centric approaches adopted by modern medicine.
• Minimally invasive procedures for fibroids and other conditions that can be alternatives to hysterectomy.
• The role of informed consent and ensuring patients are fully aware of what their surgery entails, including the potential removal of ovaries and subsequent hormonal implications.
• Tips for patients on how to interact effectively with healthcare providers to ensure all their concerns are addressed.
• Dr. Rodriguez’s vision for accessible, high-quality healthcare for all, regardless of immigration or citizenship status.

Related to this episode:

• Resources and episodes on Pelvic Health
• Resources and episodes on Perimenopause & Menopause and sign up for the Perimenopause and Menopause newsletter
• Learn about ACOG (American College of Obstetricians and Gynecologists): A leading organization in women's health care, providing guidelines and practice bulletins for medical practitioners.
• Learn about The Menopause Society: Likely referring to The North American Menopause Society (NAMS), which provides guidance and information on menopause management.
• Learn about ASRM (American Society for Reproductive Medicine): An organization dedicated to advancing knowledge and expertise in reproductive medicine, including fertility preservation.

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Guest Bio

Zoe Rodriguez, MD, serves as Assistant Professor of Obstetrics, Gynecology, and Reproductive Science at the Icahn School of Medicine at Mount Sinai and holds the position of Vice Chair of Operations at Mount Sinai’s Downtown campus. Dr. Rodriguez is a board-certified obstetrician-gynecologist and a fellow of the American College of Obstetricians and Gynecologists. She is recognized for her expertise in minimally invasive gynecological surgery and is an APGO (Association of Professors of Gynecology and Obstetrics) Surgical Scholar specializing in hysteroscopic procedures.

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Women with pelvic congestion syndrome experience chronic pelvic pain pelvic varicose veins, and more. Learn about this underrecognized condition from Dr. Mari Tassarotti.

Episode Summary

In this episode of Fempower Health, we’re joined by Dr. Mari Tassarotti, an expert in interventional radiology from Columbia University. We discuss the complexities of Pelvic Congestion Syndrome (PCS), a condition characterized by chronic pelvic pain arising from varicose veins in the pelvis. 

We explore why Pelvic Congestion Syndrome remains underrecognized and often misdiagnosed. Dr. Tassarotti shares her insights on PCS diagnosis, innovative treatment options, and why seeking a second opinion can be crucial for patients navigating this condition.

Key Discussion Points

• What is Pelvic Congestion Syndrome (PCS) and why is it so hard to get the right diagnosis?  
• Symptoms that distinguish PCS from other conditions and why it's a hidden cause of chronic pelvic pain.
• Questions women should be asking their healthcare providers if concerned about PCS or pelvic varicose veins.
• Pelvic congestion syndrome radiology and other Innovative, minimally invasive PCS treatments that are changing the game for PCS patients, and why these options might be preferable to traditional surgical methods.
• Challenges of getting PCS recognized by the medical community and insurance providers.
• Real-life stories shared by Georgie and Dr. Tassarotti that highlight the profound impact proper diagnosis and treatment can have on women's lives. 

Related to this episode:

• Resources and episodes on Pelvic Health
• Learn more about Dr. Mari Tassarotti
• Follow Dr. Tassarotti on LinkedIn and Twitter.
• Learn about Interventional Radiology and Pelvic Congestion Embolization
• Looking for an interventional radiologist?  Check out this list from the Society of Interventional Radiology.

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Guest Bio

Dr. Mari Tassarotti is an assistant professor of radiology and an interventional radiologist at Columbia University Irving Medical Center, also attending at NewYork-Presbyterian Hospital. Specializing in a broad range of conditions, her interests focus on hepatic malignancies, uterine fibroids, pelvic congestion syndrome in women, venous disease, and more. 

Her medical training spans Integrated Interventional Radiology and Diagnostic Radiology at Massachusetts General Hospital/Harvard Medical School, with a medical degree from Georgetown University. She holds a BA from Harvard College.

Beyond patient care, Tassarotti contributes to pelvic congestion syndrome research, advocates for gender diversity in her field, and resides in Manhattan with her family.

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

How do you know which products and ingredients are safe to use? Are nontoxic ingredients also eco-friendly? In this episode, we interview Amy Ziff, founder of MADE SAFE: the first human health and eco-friendly nontoxic certification program. Amy shares why nontoxic options are so important to health and the planet, where to find affordable chemical free products, and simple ways you can start choosing cleaner options today. 

Amy Ziff is an ingredient expert, healthy living educator, writer, and mother who helps people transform their consumer decisions. The MADE SAFE platform helps you reduce the use of harmful chemicals and find certified products that are safe and clean for the whole family. 

Discussed in this episode:

• Why safe ingredients matter
• How to tell if an ingredient is safe
• What the MADE SAFE certification is and how to use it
• The science on harmful chemicals in products today
• What happens when people eliminate chemicals to live a nontoxic lifestyle
• How to detox your home (and the #1 chemical to remove immediately)
• Skincare, makeup, and nontoxic beauty products
• Several basic rules and “poison P’s” we all should be aware of

Related to this episode:

• Visit MADE SAFE: www.madesafe.org 
• Follow @MadeSafeHQ and @Amy.Ziff on Instagram
• Connect with @MADESAFE on Facebook
• App for sleep: Breethe App 
• Resources and episodes on Breaking Taboos
• Resources and episodes on Pregnancy & Motherhood

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Learn how your vaginal flora and gut microbiome contribute to your reproductive health. Dr. Caroline Mitchell shares her expertise and research on this important but overlooked topic.

Episode Summary

In this episode, we take an in-depth look at the delicate balance of the vaginal microbiome. Dr. Caroline Mitchell, distinguished reproductive health researcher and faculty member at the Vincent Center for Reproductive Biology at Massachusetts General Hospital, shares her profound insight on why a healthy vaginal microbiome is crucial in women's health. 

With a background in Women’s Studies at Harvard College and groundbreaking research funded by prestigious organizations, Dr. Mitchell brings a wealth of knowledge and experience to the discussion. She explains the complexities of understanding vaginal flora, the challenges posed by bacterial vaginosis (BV), and the intriguing connections between gut health and vaginal health. 

Listen to learn about some of the most significant yet overlooked aspects of women's reproductive health. We discuss how to balance the vaginal microbiome, what to do about chronic bacterial vaginosis, use cases for a vaginal microbiome transplant, and what innovative treatments are emerging in women’s health. 

Key Discussion Points

• Why a healthy vaginal microbiome is crucial for women's overall health and how imbalances can lead to conditions such as bacterial vaginosis (BV).
• The difficulties of limited funding and the complexity of research regarding the vaginal microbiome.
• Symptoms of BV, its limited treatment options, and common misdiagnoses such as vulvodynia.
• Yeast infection vs. BV vs. UTI symptoms.
• The impact of antibiotic use on the vaginal and gut microbiomes, plus the need for caution and further research.
• Vaginal microbiome transplants and the potential of lactobacillus crispatus in treating BV, plus the future of an at-home vaginal microbiome test.
• What to consider when looking for the best women's probiotics for vaginal health, and how to avoid unnecessary products and irritants.
• The importance of accurate diagnosis, treatment, and management for vaginal health.

Related to this episode:

• Resources and episodes on the Gut and Vaginal Microbiome
• Follow Dr. Caroline Mitchell on Instagram and  LinkedIn. Follow her lab on Instagram.
• Learn more about Dr Mitchell’s research and consider enrolling in her clinical trials 
• MOTIF (be a donor recipient)
• MOTIF (be a donor)  
• VIBRANT study, looking at a live biotherapeutic
• Learn about the VITA Study
• Companies working on products include Osel, Freya Biosciences, and BioNTech
• Test kits for women with altered vaginal flora: Evvy

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Guest Bio

Dr. Caroline Mitchell, a distinguished faculty member at the Vincent Center for Reproductive Biology at Massachusetts General Hospital (MGH) in Boston, has a remarkable career that bridges clinical practice with groundbreaking research. After earning her BA in Women's Studies from Harvard College and serving in the Peace Corps in Southern Africa, she returned to Harvard Medical School for her MD, followed by OB/Gyn residency and an MPH degree at the University of Washington in Seattle. At MGH since 2014, Dr. Mitchell dedicates her research to understanding the vaginal microbiota's role in reproductive health, supported by prestigious grants from organizations like NIH, the Doris Duke Foundation, and the Bill and Melinda Gates Foundation. As the Director of the Vulvovaginal Disorders Program and chair of the OB/Gyn Diversity, Equity, and Inclusion Committee at MGH, her clinical and research work includes pioneering the first randomized trial of vaginal fluid transplant for recurrent infections and investigating novel vaginal biotherapeutics, underlining her commitment to advancing women's health globally.

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Learn about endometriosis and pelvic health physical therapy to manage chronic pelvic pain. Dr. Caitlyn Tivy shares her experience and expertise to help women find relief.

Episode Summary

In this final episode of Fempower Health's four-part series on endometriosis, Dr. Caitlyn Tivy, a distinguished pelvic health physical therapist, shares the intricacies of managing endometriosis and pelvic pain. With a foundation in biomedical research and specialized training in pelvic floor physical therapy, Dr. Tivy emphasizes the importance of patient involvement, holistic treatment strategies, and the role of emotional health in physical well-being. She highlights innovative developments in telemedicine and the exploration of the vaginal microbiome as promising avenues for future advancements in pelvic health care. We discuss the intersection of physical health, PTSD, and trauma history in pelvic pain treatment. 

Key Takeaways

• How combining manual therapies, patient education, and at-home care can lead to significant improvements in managing endometriosis pelvic pain
• Why being an active participant in your endometriosis treatment plan can dramatically impact pain management 
• How telehealth is breaking barriers to access pelvic pain treatment, offering new hope to those in remote or underserved areas
• The latest research on how the vaginal microbiome impacts pelvic health and what it means for the future of pelvic pain treatment
• How the brain and nervous system contribute to your experience of endometriosis and pelvic pain
• Why consulting with a pelvic floor physical therapist post-surgery can improve your recovery process
• Myths around pelvic floor exercises like Kegels vs. their appropriate role and application in pelvic pain therapy
• A complex story about an endometriosis patient and the multifaceted approach to her recovery

Related to this episode:

• Resources and episodes on Endometriosis
• Follow Caitlyn Tivy on  LinkedIn and her website
• Part 1 of 4: Innovations in Endometriosis Diagnosis, Pelvic Pain Management, and Patient Support
• Part 2 of 4: Endometriosis Care, Treatment Options, and Patient Advocacy
• Part 3 of 4: Endometriosis Surgery, Recovery, and Personalized Care

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Guest Bio

Caitlyn is a medical communicator with a deep commitment to inclusive health care, bridging the gap between complex scientific data and accessible information for all genders. Her journey began in biomedical research, transitioning to clinical care as a pelvic health physical therapist, where she gained insights into the effects of endometriosis and similar conditions. Since 2021, Caitlyn has been innovating in the femtech and startup sector, co-creating a virtual women's health program that tackles pelvic pain and urinary incontinence. As the president of C Tivy Consulting, she champions effective communication for health companies serving women, men, and the LGBTQIA community. Connect with Caitlyn on LinkedIn and her website to explore the intersection of health communication and technology.

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Dr. Shanti Mohling shares the details of endometriosis surgery, recovery, and pelvic floor therapy as important treatment options for patients with this condition.

Episode Summary

In this third episode of Fempower Health's series on endometriosis, Dr. Shanti Mohling, a minimally invasive surgeon, who devotes her clinical activity to patients with pelvic pain and endometriosis, explores the importance of excision surgery, the challenges of diagnosing and treating endometriosis, and strategies for managing its recurrence. She emphasizes the need for early detection, multidisciplinary approaches, and personalized care in improving outcomes for those affected by this complex condition.

Key Takeaways

• Why surgery is the most effective treatment for endometriosis and how to find a doctor trained in endometriosis excision surgery. 
• Screening and early detection of endometriosis, especially in adolescence, to prevent more invasive procedures later in life.
• Advantages of taking a multidisciplinary approach to endometriosis treatment and healthcare in general.
• Difficulties in diagnosing endometriosis, especially through imaging tests.
• Surgery's role in improving fertility, debunking myths such as pregnancy as a cure for endometriosis.
• Benefits of pelvic floor physical therapy to manage endometriosis and pelvic pain effectively.
• What the healing process of endometriosis surgery entails.
• The complexity of healthcare for endometriosis patients and the value of raising awareness and understanding of the condition.

Related to this episode:

• Resources and episodes on Endometriosis
• Follow Dr. Shanti Mohling on Instagram
• Learn more about Northwest Endometriosis and Pelvic Surgery in Portland, Oregon
• Part 1 of 4: Innovations in Endometriosis Diagnosis, Pelvic Pain Management, and Patient Support
• Part 2 of 4: Endometriosis Care, Treatment Options, and Patient Advocacy

If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:

1. Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!
2. Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.
3. Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!
4. Engage with Our Community: Follow us on YouTube, Instagram and TikTok for the latest updates and engaging content. If you are interested in chronic pelvic pain or perimenopause & menopause, specifically, we've created specific social accounts: Peri/Menopause Instagram, Peri/Menopause Facebook, Peri/Menopause TikTok, Chronic Pelvic Pain Instagram, Chronic Pelvic Pain TikTok
5. Stay Informed: Sign up for our newsletter to receive the latest announcements, news, and research directly in your inbox.
6. Reach Out: We love hearing from you! Reach out for inquiries, outreach, or even to share your questions and topics of interest.

Together, let's build a stronger community dedicated to women's health. Your support is crucial in this journey!

Guest Bio

Dr. Shanti Mohling completed medical school and residency in Obstetrics and Gynecology at the University of Colorado and has been board certified since 2003. She spent 15 years in private practice in New Mexico. In 2014 she returned to training and completed a fellowship in Minimally Invasive Gynecology (MIGS) at the University of Tennessee College of Medicine, Chattanooga. She served as faculty and Director of Gynecology in Chattanooga through 2019. In Spring of 2021, Dr. Mohling joined Northwest Endometriosis and Pelvic Surgery in Portland, Oregon. She now devotes her clinical activity to patients with pelvic pain and endometriosis.

**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor.  Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**

**Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**