This episode discusses the often-overlooked overactive bladder (OAB) condition and its associations with other health conditions. The discussion is centered around two key studies based on survey data from the U.S. National Health and Nutrition Examination Survey. The first study examines the significant correlation between OAB and depression, highlighting the importance of recognizing mental health issues in patients with OAB. The second study investigates the relationship between cardiovascular health and stress urinary incontinence, emphasizing how better overall health can reduce the likelihood of incontinence. Due to its broader health implications, these findings underscore the importance of taking incontinence seriously.

For more information on these studies:

https://pubmed.ncbi.nlm.nih.gov/38642902/

https://pubmed.ncbi.nlm.nih.gov/39169591/

Timeline:

00:00 Introduction to Overactive Bladder

00:32 Study 1: Overactive Bladder and Depression

02:25 Study 1: Findings and Implications

05:19 Study 2: Overactive Bladder and Cardiovascular Health

07:14 Study 2: Findings and Implications

08:43 Conclusion and Final Thoughts

In this episode, I dive into the benefits, forms, and costs associated with vaginal estrogen for women at different stages of life. I discuss how vaginal estrogen can help during menopause, perimenopause, postpartum, and while using hormonal contraception. Discover the various forms available, including creams, suppositories, pills, and vaginal rings, and get insights into their application, advantages, and potential costs. I also address common concerns, such as irritation and waste, and provide practical tips on finding the best option for your needs and budget. Learn how to navigate medication websites for coupons and discounts, ensuring you get the most cost-effective and suitable treatment.

Additional information can be found at the following links:

https://www.premarin.com/

https://www.estring.com/

https://www.vagifem.com/

https://www.imvexxy.com/

https://www.goodrx.com/

Timeline

00:28 Introduction to Vaginal Estrogen

00:33 When to Use Vaginal Estrogen

01:09 Forms of Vaginal Estrogen

01:27 Benefits and Safety of Vaginal Estrogen

01:50 Different Methods of Administration

02:21 Cost Considerations

03:44 Detailed Overview of Creams

08:24 Suppositories and Pills

10:46 Vaginal Rings

12:42 Comparing Dosages and Efficacy

13:46 Conclusion and Recommendations

In this episode, I welcome Isaac Oppenheim, CEO of Zida, to discuss revolutionary solutions for overactive bladder (OAB). Isaac shares his personal motivation behind developing the Zida control sock, a device utilizing percutaneous tibial nerve stimulation designed to provide an accessible and effective treatment. We delve into the challenges of existing OAB treatments, patient-centered care, and the impactful results of clinical trials showing an 80% success rate in symptom relief. The conversation also explores the integration of neuromodulation, lifestyle changes, and pelvic floor therapy as comprehensive approaches to managing OAB. Emphasizing the importance of accessibility, we discuss the device's design, ease of use, and affordability through various purchasing options, including Medicare. Join us as we explore these innovative solutions aiming for 100% symptom improvement and the future of personalized medicine in treating overactive bladder.
Zida website https://livezida.com/

TimeLine:

00:28 Introduction to Overactive Bladder 

00:59 Isaac Oppenheim's Background and Inspiration 

02:21 Developing the Zida Control Sock 

09:12 Clinical Trials and Success Rates 

11:43 User Experience and Practicality 

13:46 Innovative Technology in Textiles 

16:10 Understanding the Fit and Sizing 

16:57 Overactive Bladder: Prescription vs. Over-the-Counter 

17:19 The Importance of Doctor-Patient Communication 

18:17 Challenges with Overactive Bladder Treatments 

20:46 Insurance Coverage and Costs 

25:06 How the Zida Control Device Works 

27:09 Future Goals and Research 

29:04 Conclusion and Final Thoughts

In this episode, we welcome Dr. Goli Ameri from COSM, a leading Toronto-based medical device company dedicated to revolutionizing pelvic health. Dr. Goli, Head of Research at COSM, holds a PhD in Biomedical Engineering specializing in image-guided therapy and surgery from the Robarts Research Institute at Western University. She has played a crucial role in COSM's growth, contributing to 4 peer-reviewed publications and 11 conference presentations. We explore the limitations of traditional pessaries and delve into COSM’s advanced technologies, such as 3D printing and AI-powered tools, which create personalized pessaries for conditions like pelvic organ prolapse and incontinence. The discussion also highlights the potential of non-invasive ultrasound imaging and accurate measurement tools. But what truly sets COSM apart is its data-driven platforms, which offer comprehensive digital support to physicians and patients. We examine the integration of educational apps, peer support, and remote monitoring to enhance overall care. Discover how COSM transforms pelvic health with precision-based solutions for unique bodies and needs, all underpinned by its robust data-driven platforms. For more information, be sure to check out their:

Website: https://www.cosm.care

Instagram: @cosm.medical

Facebook: Cosm.medical

Timeline:

00:00 Introduction to Golia Ameri and Cosm 

00:04 The Problem with Traditional Pessaries 

01:03 COSM's Innovative Solution 

02:05 Custom Pessary Fitting Process

04:21 Challenges and Measurements 

09:27 Provider and Patient Support 

13:27 Future Developments and Products 

13:36 Future Innovations in Personalized Pastries 

13:58 Postpartum and Post-Surgery Recovery Solutions 

14:41 Clinical Trials and Studies 

15:09 Personalized Devices for Different Needs 

16:06 Stabilizing Tissue for Better Healing 

17:37 Collaborations and Innovations 

19:19 AI and Machine Learning in Women's Health 

20:15 Advanced Measurement Tools 

22:41 Challenges and Future Directions 

23:32 Connecting with Cosm 

24:57 Conclusion and Gratitude

In this episode, Holly Mozak shares her lifelong struggle with bladder leaks and how it spurred her to create a line of leak-proof activewear. Holly discovered her passion for CrossFit at 39, which led to an empowering fitness journey but highlighted her incontinence issues during high-impact activities. Determined to find a solution, she developed Moxie Fitness Apparel—leak-proof shorts, capris, and leggings designed to offer both functionality and comfort. Holly discusses the challenges of starting a small business, the importance of openly addressing women's health issues, and her mission to help women stay active and confident.

For a discount on Moxie Fitness Apparel, use code: drsarah

Timeline:

00:28 Introduction to Holly Mozak's Story

00:56 Discovering CrossFit and Empowerment

03:39 The Embarrassing Incident

06:08 Seeking Solutions and Developing a Product

12:26 Challenges and Feedback

22:13 Future Plans and Final Thoughts

In this episode, we meet Dr. Margo Kwiatkowski, a physical therapist specializing in orthopedic and pelvic floor therapy, who shares her personal prolapse story after giving birth during the COVID-19 pandemic. Margo discusses the challenges of diagnosing and managing prolapse symptoms, including her experiences with bladder dysfunction, pelvic pain, and the emotional toll the condition took on her. She also highlights the importance of mental health support, the use of a pessary, and topical estrogen in her recovery. Margo has since founded a support group and created a tailored exercise program for women with prolapse, emphasizing the need for empathetic listening and factual information sharing. The conversation underscores the significance of community and professional support in navigating postpartum pelvic health issues. 

Want more information on Margo and her work, check out her:

Website https://www.p4moms.com/about

Instagram @postpartum_pop_pt

Timeline:

00:28 Introduction and Guest Introduction 

00:55 Margo's Background and Initial Prolapse Diagnosis 

02:41 Challenges and Symptoms Post-Delivery 

05:36 Mental Health and Support Systems 

08:55 Treatment and Recovery Journey 

10:00 Pessary and Estrogen Therapy 

13:32 Prolapse Staging and Long-Term Outlook 

16:13 Understanding Prolapse Dynamics 

16:31 Second Delivery Experience 

16:59 Decision for Elective C-Section 

18:53 Postpartum Recovery and Prolapse Management 

19:39 Living with Prolapse: Symptoms and Surgery 

21:26 Support and Advocacy for Women with Prolapse 

22:19 Creating a Prolapse Support Community 

23:20 Educational Resources and Visual Aids 

29:19 Joining the Prolapse Support Group 

30:10 Final Thoughts and Gratitude

In this episode, I join expert urogynecologist Dr. Rebecca McCrery from Omaha, Nebraska, to discuss the innovative Revi device from Blue Wind. Dr. McCrery discloses her involvement in the clinical trials that led to FDA approval and shares her insights on the benefits and functionality of this implantable tibial nerve stimulator for treating overactive bladder. We'll cover the procedure details, patient experiences, the advantages of this device over other treatments, and the consideration of insurance and billing challenges. She underscores the importance of providing patients with multiple therapy options. She highlights the non-invasiveness and effectiveness of the Revi device.

You can find more information on Dr. McCreary and the Revi at:

https://adultpediatricuro.com/our-providers/physicians/ https://bluewindmedical.com/

Facebook: https://www.facebook.com/bluewindmedical

Instagram @bluewindmedical

Timeline

00:28 Introduction and Guest Introduction

00:49 Disclosure of Conflicts of Interest

01:59 Overview of Overactive Bladder Treatments

02:57 Introduction to the Revi Device

04:36 Implantation Procedure Details

06:48 Device Features and Patient Experience

11:18 Availability and Insurance Considerations

15:26 Final Thoughts and Conclusion

 In this episode, I welcome Wanda Cotie, developer of the Femme Flexor, to discuss her journey in creating a product aimed at helping women strengthen their pelvic floor. She shares her background in commercial real estate, her experiences with pelvic floor issues, and her decision to develop the Femme Flexor as a non-invasive, resistance-based solution. 

We cover Wanda's insights on pelvic health's emotional and physical aspects, the product's development process, and the benefits of integrating movement and resistance training to improve pelvic floor strength. Wanda also emphasizes the importance of understanding one's body and provides practical advice on using the Femme Flexor effectively. 

For more information on The Femme Flexor be sure to check out their website: https://femmeflexor.com/

TimeLine:

00:28 Introduction and Guest Welcome 

00:46 Wanda's Background and Journey 

02:24 Personal Health Struggles 

06:00 Discovering Alternative Therapies 

09:37 Developing the FemFlexor 

16:36 Using the FemFlexor 

24:45 Future Plans and Final Thoughts

In this episode, I spoke with Cindy Santa Cruz, the CEO of Lady Patch, about the innovative product designed to help women with bladder leaks. Cindy shares the inspiring story of her mother's discovery that led to the creation of Lady Patch. We discuss the patch's development, effectiveness, and the challenges of addressing a taboo topic. Cindy provides insights into the product's mechanism, user feedback, and future plans, highlighting the ongoing efforts to make LadyPatch a common solution for bladder control issues.

Get more information at: https://www.ladypatch.com/

Timeline

00:28 Guest Introduction

00:46 The Origin Story of Lady Patch

02:38 Cindy's Journey with Lady Patch

04:55 Clinical Feedback and Challenges

11:01 Product Details and User Experience 1

6:00 Recognition and Future Plans

22:59 Conclusion and Final Thoughts

In this episode, I sit down with Jill Schiaparelli, CEO of Avation Medical, to discuss their groundbreaking device, Vivally. Vivally is designed to alleviate overactive bladder symptoms through noninvasive tibial nerve stimulation. Jill explains how Vivally works by continuously monitoring and personalizing electrical signals to effectively target the tibial nerve. 

We cover the challenges of current OAB treatments and reassure the audience about Vivally's convenience and effectiveness. We’ll also touch on how the device can be integrated into patients' lives with minimal disruption, instilling confidence in our audience.

For more information, visit Avation website HERE

Timeline

00:28 Introduction

00:35 Understanding Overactive Bladder

01:03 How Vivally Works

01:39 Challenges with Current Treatments

02:03 Innovations in Neuromodulation

04:18 Vivally's Unique Features

07:19 Patient Experience and Feedback

16:32 Clinical Studies and Effectiveness

19:29 Future Research and Real-World Data

22:09 How to Access Vivally

23:30 Conclusion and Final Thoughts