For this episode, we have Dr. Amanda DiSarro. She is a board certified OB/GYN and is currently working at Hill Country OB/GYN at Austin, Texas.  

We will be talking about Human papillomavirus (HPV) because many people have a lot of questions about it and there isn’t a ton of education on it. During my pelvic floor training, this topic was touched on but not to the depth that Dr. Amanda knows.

It is something common that they see every day at Hill Country OB/GYN even if the vaccine for it has been around for a long time. That is why it is very important to educate people about this.

What made me decide to create this topic for this podcast was a question from Kelly. She is 35 years old and was recently diagnosed with HPV. She wants to know if it will affect her ability to have children in the future and what the treatments are.

Let’s talk about:  

• 00:36 – Introduction of the guest  
• 1:07 – Introduction to the topic  
• 2:07 – What is HPV and how is it transmitted  
• 4:10 – What is a Pap Smear, who has to get it, what is it testing for
• 7:32 – Where else can you get HPV aside from the cervix region
• 8:05 – HPV in men
• 9:27 – Using protection does not prevent HPV so get screened
• 10:34 – Other processes when there is an abnormality in your Pap Smear
• 14:55 – HPV does not affect fertility, but the procedures may
• 15:33 – HPV can affect the cell matrix in the cervix, which in turn can lead to cervical insufficiency
• 17:16 – Symptoms of cervical insufficiency
• 18:31 – What does it mean when you are diagnosed with HPV
• 20:41 – Understanding more about the HPV vaccine
• 22:12 – What age and under what circumstances should you get an HPV vaccine
• 25:11 – Factors that increase the risk of getting HPV
• 25:58 – How do you know if someone has HPV in the mouth or tonsils
• 26:47 – How often should you get a Pap Smear
• 29:40 – Other facts you should know about other STDs
• 34:11 – How warts look like if you have HPV
• 34:52 – Conclusion

If you want to know more about the work that Dr. Amanda does, follow their clinic on Instagram.

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

For this episode, we have Dr. Adrienne Gobe. She is an orthopedic and pelvic floor physical therapist. She also educates other healthcare providers on pelvic health and pelvic floor dysfunction. She has a practice here in Austin, Texas that specializes in complex orthopedic and pelvic pain as well as helping people with sexual dysfunction. 

We will be talking about why some people have difficult  reaching orgasm after having a baby. We received this question from Gina, who is in Rochester, New York. She shared that she is too embarrassed to ask this question to her healthcare provider so we will be helping her understand her situation more. 

Basically, Gina shares that she has three kids and her orgasm intensities have decreased. Her last child was born five years ago and she wants to know if the decrease in orgasm intensities is normal. 

Let’s get to it:

• 00:36 – Introduction to the topic 
• 2:34 – Initial take on the question 
• 3:38 – Sex is a major part of life but there is discomfort talking about it 
• 5:56 – The importance of clitoral stimulation and communication 
• 7:03 – Experimenting with touching other places other than the genitals, but knowing what your body wants 
• 9:26 – Pornography should not be used as education 
• 11:16 – Being postpartum can impact arousal in so many ways 
• 11:55 – Drop in estrogen levels when you are in menopausal, perimenopausal, and immediately postpartum can affect enjoyable sex; Options you have when there is a drop in your estrogen levels 
• 16:29 – How Hodgkin’s Lymphoma affected my estrogen levels 
• 17:47 – When there is pain, you will less likely want to do something you found enjoyable before 
• 19:24 – How weakness or tightness in the pelvic floor muscles can lead to decreased sexual satisfaction 
• 23:12 – The main types of orgasms 
• 25:42 – What you can do before vaginal penetration and understanding the physiology of your body 
• 30:37 – Is the G Spot real and is having an orgasm the end goal? 
• 36:23 – What can you do to calm your nervous system and increase the accelerators? 
• 37:54 – The difference between desire to have sex and arousal 
• 38:46 – Other factors that could affect the ability to orgasm and what you can do to make life more enjoyable 
• 41:56 – Conclusion 

If you want to know more about Adrienne and the work she does, follow her on Instagram.

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

For this episode, we have Dana Wicker, a women’s health nurse practitioner. She works with many people who have sexual dysfunctions. We will be tackling why you may have low libido.

We chose this topic after someone posted this question. She is eight months post-partum and has been experiencing low libido. This might be you so tune in and understand more about the reasons behind this and what you can do about it even if you haven't had a baby! 

Let’s talk about: 

• 00:37 – Introduction 
• 1:34 – Dana’s initial take on the topic 
• 2:23 – Estrogen changes and breastfeeding can affect libido 
• 4:01 – Thoughts around Hyaluronic acid
• 4:48 – More on deciding on continuing or stopping breastfeeding 
• 5:41 – Communication surrounding foreplay and thinking outside the box 
• 7:56 – Self-care and your nervous system 
• 10:04 – Reconnecting with your partner and non-sexual communication 
• 13:26 – Studying your and your partner’s love language 
• 15:00 – Your journey to navigating your new body, giving yourself a little bit of grace, setting standards for your partner 
• 17:15 – Hormone changes in your body, arousal, and exploring your needs 
• 23:54 – Orgasm changes after giving birth, due to medications, or conditions  
• 26:33 – Other factors that could cause low libido and some tips on what you can do to address them 
• 34:40 – Treatments that can help with low libido 
• 38:01 – Other points people should know about low libido 
• 40:23 – Summary 
• 41:53 – Conclusion 

If you want to know more about Dana and the work she does, follow her on Instagram.

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

Hey there! Welcome to the first episode of the Sex & Wellness podcast with me, Dr. Mary Grimberg.

I am a pelvic floor and orthopedic physical therapist. This initial episode will educate you on the foundations of pelvic health, why I am doing this podcast, and what to look forward to in the future. This is the groundwork of the future episodes so I hope you listen to it so that you get a good grasp of what we will be talking about in the next podcasts.

Let’s discuss:

• 00:10 – Introduction
• 01:09 – Introduction about me and my work
• 4:12 – Being diagnosed with Hodgkin’s Lymphoma and how it led me to understanding the nervous system as to how it functions in response to a person’s overall health
• 7:15 – What does the Nervous System have to do with Pelvic Floor Physical Therapy
• 11:09 – Healing when looking at our overall lifestyle
• 12:44 – What is the Pelvic Floor and how regulating our nervous system helps this area of our body
• 16:08 – Why I wanted to start this podcast

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.