The Hole Shebang
Brazenly and unashamedly exposing the truth about all things pelvic health including pee, poop, pain and sex and shining a light on our holes in knowledge to help empower us to be healthier, wealthier and wiser. Kristen Parise is a Pelvic Health Physiotherapist and owner of Blueberry Therapy a multidisciplinary clinic that specializes in the treatment of pelvic health issues. Kristen’s goal has always been to make sure her clients understand their own bodies and and they have all the tools and information they need to reach their goals. Her passion is the rehabilitation of the pelvic floor and she provides treatment for men and women and children with incontinence, chronic constipation, pelvic pain and women pre and postnatally. Kristen is an avid podcast listener and is excited to bring forward the latest research and information to The Hole Shebang audience. Kristen has a deep interest in research and evidenced based practice and continues to teach at McMaster University in Hamilton, Ontario to stay current with evolving practice trends.
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47: Rewiring Pain: From Velociraptors to Victory with Dr. Laura Katz
08/07/2025
47: Rewiring Pain: From Velociraptors to Victory with Dr. Laura Katz
Episode Overview Join Kristen Parise as she sits down with Dr. Laura Katz, a health, rehabilitation, and clinical psychologist who's revolutionizing how we understand and treat chronic pelvic pain and endometriosis. From the evolutionary biology of pain signals to groundbreaking interdisciplinary treatment approaches, Dr. Katz shares her expertise on helping women reclaim their lives from chronic pain through the power of pain science and neuroplasticity. What You'll Learn Why our pain signals haven't evolved past the "velociraptor era" and how this impacts chronic conditions The critical difference between acute and chronic pain in the nervous system How pain sensitization works and why chronic pain isn't always a sign of tissue damage The revolutionary science behind neuroplasticity and pain rewiring Why cognitive behavioral therapy is a game-changer for chronic pain management The innovative Endometriosis360 program combining psychology, physiotherapy, and nutrition Practical tools and homework assignments that create lasting change Episode Highlights Dr. Katz's Journey: From Pain Lab to Patient Care Dr. Katz describes her path from clinical psychology training in a specialized pain lab focusing on bladder pain syndrome and pelvic pain conditions to becoming a registered health psychologist. Her unique background combines traditional clinical psychology with specialized expertise in chronic health conditions, pain management, and helping patients stick to treatment plans. The Evolutionary Mismatch: Why Our Pain System is Outdated Learn why our nervous system's danger detection mechanisms, perfectly designed for escaping predators, can become problematic in modern life. Dr. Katz explains how chronic pain conditions like endometriosis involve a sensitized nervous system that sends danger signals even when there's no actual tissue damage, creating a cycle of fear and avoidance. The Science of Pain: Acute vs. Chronic Discover the critical 12-week transition point where acute pain can become chronic, and understand how the nervous system becomes "sensitized" over time. Dr. Katz breaks down complex neurobiology into understandable concepts, explaining how chronic pain involves mixed-up chemical messengers rather than ongoing tissue damage. Cognitive Behavioral Therapy: Rewiring Your Pain Response Explore how CBT helps patients examine and change their relationship with pain-related thoughts and beliefs. From "pain equals danger" to "pain is uncomfortable but not dangerous," learn how shifting these core beliefs can dramatically impact functioning and quality of life. The Endometriosis360 Revolution: Interdisciplinary Care at Its Best Get an inside look at this innovative 6-week virtual program that combines the expertise of Dr. Katz (psychology), Jill Mueller (physiotherapy), Dr. Matthew Leonardi (gynecological surgery), and Emily Arthur (nutrition). Discover how this "master class" approach addresses endometriosis from multiple angles simultaneously, leading to profound transformations in just six weeks. Beyond Pain Relief: Identity Transformation Learn about the surprising "identity crisis" many patients experience when they're no longer defined by their pain. Dr. Katz shares how successful treatment can lead to profound questions about purpose, relationships, and life goals when chronic pain no longer dominates daily existence. Episode Chapters 00:00-11:00: Introduction and Dr. Katz's Background – From pain lab research to clinical practice 11:01-24:00: Understanding Pain Science – Evolutionary biology meets modern neuroscience 24:01-32:00: The Acute to Chronic Pain Transition – When protective mechanisms go wrong 32:01-45:00: Cognitive Behavioral Therapy for Pain – Changing thoughts to change outcomes 45:01-58:00: The Endometriosis360 Program – Revolutionary interdisciplinary care 58:01-68:00: Practical Tools and Home Practice – What patients do between sessions 68:01-75:00: Success Stories and Transformations – From pain patient to empowered individual Connect with Dr. Laura Katz Endometriosis360 Program: @endometriosis360 on Instagram Private Practice: MindFit (Director of Health Psychology) Academic Role: Assistant Professor at McMaster University Clinical Work: Michael G. DeGroote Pain Clinic at McMaster University Connect with The Hole Shebang Website: Instagram: @blueberrytherapyepelvichealth Dr. Katz's Theme Song for Her Life and Career "Shake It Off" by Taylor Swift – representing the resilience needed in trauma work, parenting young children, and innovating in healthcare. As Dr. Katz explains, "Part of resiliency is just being able to shake it off" whether dealing with challenging patient sessions, demanding toddlers, or healthcare system obstacles. Key Resources Mentioned : Ontario's online CBT program with self-guided modules : CBT book by Padesky and Greenberg Pain-specific CBT books: (Available through Dr. Katz's recommendations) : 90-minute interdisciplinary virtual assessment : 6-week evidence-based virtual program
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46: PAUZ Before You Perimenopause: The Reset Your Body Is Begging For with Natalie Perkins
08/01/2025
46: PAUZ Before You Perimenopause: The Reset Your Body Is Begging For with Natalie Perkins
Special Listener Offer Follow on Instagram and DM "hole shebang" to receive: 3 months free of the PAUZ Health community Entry to win $50 off at the PAUZ Health marketplace Episode Overview Join Kristen Parise as she reconnects with her former McMaster University classmate, Dr. Natalie Perkins, who traded her VP role at a major telemedicine company to launch PAUZ Health, a revolutionary platform supporting women through perimenopause and menopause. From life-threatening health scares to marriage endings to career pivots, Natalie shares her raw, authentic journey of self-discovery and how it led her to create a much-needed resource for women navigating this life transition. What You'll Learn How to recognize when perimenopause is calling you to pause and reassess your life Why "it's not selfish to be happy" and how to prioritize your own well-being The three pillars of PAUZ Health: education, clinical access, and curated products Essential health recommendations for perimenopausal women (spoiler: strength training tops the list) Why vaginal estrogen should be considered as routine as face cream How to advocate for yourself in healthcare settings when providers lack menopause expertise The importance of viewing perimenopause as "a gift" rather than a burden Episode Highlights From Success to Soul-Searching: The Great Life Pivot Natalie opens up about her "big kaboom" moments - realizing she was drowning in a 20-year marriage while climbing the corporate ladder, only to discover she didn't even know if she liked cheese, let alone what brought her joy. Her candid discussion about choosing happiness over societal expectations will resonate with anyone who's ever felt lost in their own life. The Life-Threatening Wake-Up Call During an Ironman race, Natalie experienced a cardiac episode that landed her in the hospital and fundamentally changed her perspective on life's finite nature. This brush with mortality became the catalyst for her complete life transformation and the eventual founding of PAUZ Health. "Grab Life by the Ovaries": The PAUZ Philosophy Learn why Natalie chose the name PAUZ - it's all about taking that crucial pause to reflect, educate yourself about your options, and then step boldly into the next phase of your life. The conversation explores how perimenopause can be reframed as an opportunity for course correction rather than something to endure. The Healthcare Gap That Sparked a Business With her digital health background, Natalie recognized that the lack of accessible, comprehensive menopause care could be solved through virtual platforms. She breaks down the three pillars of PAUZ Health: affordable education with world experts, access to specialized clinicians, and a curated marketplace of clean, effective products. Top 5 Non-Negotiables for Perimenopausal Women Natalie shares her evidence-based recommendations: Strength training with heavy weights (8-12 rep range) Protein first - make it the first thing you eat Fiber focus for overall health benefits Hormone therapy education - both systemic and vaginal estrogen Sleep optimization - the foundation of everything else Breaking the Taboo Around Women's Health The conversation tackles the critical need for women to advocate for themselves, especially when healthcare providers lack specialized menopause training. Natalie emphasizes that women often know more about their bodies and available treatments than their doctors do. Episode Chapters 00:00-05:58: Introduction and Natalie's Journey from Exercise Physiology to Healthcare Executive 05:58-09:07: The Birth of PAUZ Health and Its Three-Pillar Mission 09:07-11:53: The Challenges of Leaving Established Careers and Choosing Personal Happiness 11:53-14:52: Embracing Perimenopause as a Gift and Opportunity for Life Reset 14:52-18:05: The Intersection of Mental and Physical Health During Life Transitions 18:05-20:55: Navigating the Gray Areas of Life Decisions 20:55-23:54: Building Confidence and the Importance of Community Support 23:54-29:43: The Genesis of PAUZ Health and Its Core Philosophy 29:43-31:12: The Entrepreneurial Journey and Maintaining Joy in Business 31:12-32:49: Finding Balance Between Business Growth and Personal Well-being 32:49-34:52: Life-Changing Impact: Feedback from PAUZ Health Community Members 34:52-36:15: The Critical Importance of Education in Women's Health 36:15-39:16: Access to Care and the Need for Self-Advocacy 39:16-40:52: Shifting Mindset: Investing in Health vs. Managing Symptoms 40:52-45:14: The Power of Movement and Expert-Guided Exercise 45:14-49:22: Top Health Recommendations for Perimenopausal Women 49:22-50:33: Simplifying Health: Prioritizing What Matters Most 50:33-52:29: Exciting Developments at PAUZ Health 52:29-53:53: Understanding Non-PFA Products and Estrogen Disruptors 53:53-56:46: Connecting with PAUZ Health and Special Listener Offer Connect with Dr. Natalie Perkins and PAUZ Health Website: Instagram: Podcast: Available through PAUZ Health platform Connect with The Hole Shebang Website: Instagram: Upcoming Event: The Pleasure Principle Conference Natalie's Theme Song for Her Life and Career "Everything is Everything" by Lauryn Hill - embodying fierce female energy, resilience, growth, and trusting yourself through life's journey. Key Takeaways Perimenopause is your body's alarm system telling you to pause and course correct It's not selfish to prioritize your happiness - everyone benefits when you're thriving Strength training and protein are non-negotiable for maintaining health through hormonal changes Vaginal estrogen should be considered preventive care, like face cream for your genitals You often know more about menopause than your healthcare provider - advocate for yourself Life exists in gray areas, and that's actually freeing once you accept it Small, consistent changes build confidence better than trying to overhaul everything at once "Your happiness is worth it, and the price you pay to not listen and keep squashing that inner voice - it really is your health that you're compromising." - Dr. Natalie Perkins
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45: Exhausted to Energized: Real Nutrition Talk for Real Moms with Laura Lima
07/23/2025
45: Exhausted to Energized: Real Nutrition Talk for Real Moms with Laura Lima
Episode Overview Are you tired of feeling exhausted all the time as a mom? Wondering if you'll ever feel like yourself again? This episode is your wake-up call! Join Kristen Parise as she chats with Laura Lima, a holistic nutritionist and soon-to-be mom of four, who's cracking the code on how busy moms can ditch the fatigue and reclaim their energy—without complicated meal plans or impossible routines. Laura brings real-world wisdom from the trenches of motherhood, sharing practical strategies that actually work when you're sleep-deprived, overwhelmed, and just trying to keep everyone fed (including yourself!). If you've ever eaten a protein bar for breakfast while standing in your kitchen, this conversation is for YOU. What You'll Learn The Energy-Boosting Essentials That Actually Matter: Why that water bottle needs to become your new best friend (and the simple trick to drink more) The power of protein and fat combinations that keep you satisfied for hours How to avoid the blood sugar roller coaster that's making you feel like garbage Meal Prep Hacks for Real Life: The slow cooker strategy that will save your sanity Why boiled eggs in the fridge are a game-changer Laura's "anything goes" approach to the newborn phase (because perfectionism can take a hike!) Breaking the Snack Attack Cycle: The truth about why you're craving sugar all day long How to eat three solid meals without feeling deprived The mindset shift that transforms your relationship with food Staying Consistent When Life is Chaos: Laura's morning ritual that sets the tone for success The "future self" technique that stops bad decisions in their tracks Why asking "How do I want to feel when my head hits the pillow?" changes everything Episode Highlights From Spa Days to Mom Life Laura's journey from aesthetician to holistic nutritionist wasn't planned, but when her then-boyfriend (now husband) spotted an opportunity at the Institute of Holistic Nutrition, she knew she'd found her calling. Now as a busy mom expecting her fourth baby, she's living proof that you can feel vibrant even in the thick of motherhood chaos. The Water Bottle Revolution It sounds basic, but Laura's passionate about this: always have water with you. At your nursing station, in your car, on your nightstand. "When you bring your water with you, you will automatically drink more water," she explains. It's the foundation that makes everything else work. The Almond Butter Nightstand Strategy Sometimes you need easy wins. Laura's honest about bringing a jar of almond butter and a spoon to her nightstand during the newborn phase. "That's a snack. That's just some extra booster protein that will help get me through the night." No judgment, just nourishment. The Blood Sugar Truth Bomb "When we rely on things like bars... they just make our blood sugar spike. And when it goes up, it goes down fast. And when it goes down fast, we're feeling tired, lethargic, probably mood swingy." Laura breaks down why those convenient snacks are actually working against you. The Cravings Mind Shift This is where it gets deep. Laura's approach to emotional eating isn't about willpower—it's about recognizing that "food will not actually make this better. I will not actually feel happier when I eat that food." It's a game-changing perspective that addresses the real root of cravings. Episode Chapters 00:00-02:22: Laura's Origin Story - From spa life to nutrition passion 02:22-04:05: The Energy Crisis - Why new moms don't have to suffer 04:05-08:04: The Hydration Foundation - Water as your secret weapon 08:04-11:35: Smart Snacking Strategies - Protein and fat combinations that work 11:35-16:55: Blood Sugar Mastery - Three meals, better choices, lasting energy 16:55-21:29: Meal Prep Reality Check - Slow cookers, leftovers, and homemade dressings 21:29-24:42: The Snacking Spiral - How to break free from constant grazing 24:42-28:17: Craving Control - Physical vs emotional hunger 28:17-30:54: Consistency Secrets - Morning rituals and future-self thinking 30:54-32:32: Laura's Practice - Virtual support through the New Mama Nutrition Manual 32:32-35:28: Real Life Moments - Playroom disasters and lived-in houses 35:28-35:42: Theme Song - "Happy Together" by The Turtles Laura's Top Tips for Busy Moms Always carry water - If it's with you, you'll drink it Stock boiled eggs - Perfect grab-and-go protein Make extra dinner - Leftovers are your friend Keep homemade salad dressing ready - You'll actually eat the salad Add almond butter to everything - Yogurt, smoothies, fruit Use your slow cooker - 20 minutes of prep = dinner done Ask yourself: "How do I want to feel tonight?" - Let your future self guide your choices Connect with Laura Lima Instagram: - Follow for real-life mom nutrition tips, behind-the-scenes motherhood moments, and practical recipes Online Course: New Mama Nutrition Manual - Get all of Laura's strategies in one comprehensive program at newmamanation.com/courses Website: Connect with The Hole Shebang Ready for more honest conversations about women's health? Follow us on Instagram: for more episodes of The Hole Shebang and pelvic health insights Upcoming Event: The Pleasure Principle Conference returns May 8th, 2026 - Don't miss this groundbreaking event! Website: Blueberry Therapy Pelvic Health and Pediatrics Laura's Theme Song "Happy Together" by The Turtles - Because as Laura says, "As long as we're together, whatever we do, it's gonna be fun today." Family first, always. This episode is a must-listen for any mom who's tired of feeling tired. Laura's approach is refreshingly honest, beautifully practical, and proof that small changes can create massive shifts in how you feel every single day.
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44: Rock Star to Pelvic Floor Revolutionary with Dr. Bruce Crawford
07/16/2025
44: Rock Star to Pelvic Floor Revolutionary with Dr. Bruce Crawford
Episode Overview Get ready for one of the most fascinating origin stories you'll ever hear! Join Kristen Parise as she sits down with Dr. Bruce Crawford, the maverick urogynecologist who went from drumming in rock bands to revolutionizing pelvic floor health worldwide. This isn't your typical medical journey—it's the story of a surgeon who discovered that "It's a fitness problem, not a surgical problem" and completely transformed how we approach bladder control, prolapse, and pelvic health. From playing drums in successful rock bands to becoming the ONLY urogynecologist in the United States to develop a comprehensive pelvic floor fitness program, Dr. Crawford's path proves that sometimes the most unconventional routes lead to the most groundbreaking discoveries. What You'll Discover The Email That Changed Everything: How one random email in 2003 led Dr. Crawford to West Africa and completely transformed his medical philosophy The Pfilates Revolution: The fascinating EMG research behind 120 movement studies that identified the 10 most effective pelvic floor exercises Why Traditional Medicine Gets It Wrong: The eye-opening revelation that pelvic floor disorders are fitness problems being treated as surgical ones The Power of Co-Recruitment: How your glutes, inner thighs, and deep abdominals can save your pelvic floor (without you even thinking about it!) Real Results: Why 80% of clients see 50% improvement in bladder function in just 28 days Global Impact: Stories from training 7,000+ instructors worldwide, including 1,700 in Japan alone Episode Highlights From Janitor to Rock Star to Surgeon: The Most Unlikely Medical Journey Ever Dr. Crawford opens up about his unconventional path—from being an 18-year-old hospital janitor with no college plans, to touring Europe as a drummer, to acing the MCAT and attending NYU School of Medicine. His greatest childhood fear? Being bored at work. Spoiler alert: that never happened! "My greatest childhood fear was being bored in my work. Kids are scared of the boogeyman—I was afraid of being bored as an adult." The Life-Changing Email: When Destiny Calls from West Africa In 2003, Dr. Crawford opened what seemed like a routine email. Next thing he knew, he was performing life-changing fistula repairs in Niger and Rwanda. This humanitarian work became the catalyst for his revolutionary discovery that would challenge everything he thought he knew about pelvic floor treatment. "You just never know which email it's gonna be. You never know what interaction is gonna totally change the path of your life." The Great Medical Revelation: "They're Not Surgical Problems!" After years of performing successful surgeries and watching the same problems return, Dr. Crawford had a professional existential crisis. His work with women suffering from obstetric fistulas in Africa made him realize that most pelvic floor disorders aren't surgical problems—they're fitness problems that deserve fitness solutions. The Science Behind the Magic: EMG Research That Changed Everything Discover how Dr. Crawford and his team used groundbreaking video EMG synchronization technology to study 120 different movements from Pilates, yoga, and personal training routines. The result? Ten specific movements that passively engage the pelvic floor through reflex relationships with other muscle groups. "75-80% of people are glute dominant. That's their best co-recruiter. But we didn't know that before the research." Why Your Stride Length Might Predict Your Sex Life In a fascinating tangent, Dr. Crawford shares a Japanese study showing that men with longer natural stride lengths had less erectile dysfunction. The reason? Hip extension engages glutes, which are the dominant pelvic floor recruiters. Mind = blown! Breaking the Incontinence Silence: "How's Your Bladder Working?" Learn Dr. Crawford's direct, no-nonsense approach to breaking down barriers around embarrassing health topics. His secret? Unwavering eye contact, matter-of-fact delivery, and understanding that if you're uncomfortable, your patient will be too. "You need to coax it gently and with kindness. You can't feel fear and shame and embarrassment." The Fitness Revolution vs. The Medical Machine Dr. Crawford doesn't hold back about the medical industry's relationship with Big Pharma and the profit motives that keep surgical solutions at the forefront. His controversial take: we've got it completely backwards, treating exercise and nutrition as "radical therapy" instead of first-line treatment. "There might be exploitation taking place here. We put everyone on a med. If that doesn't work, we operate. And if that doesn't work, we try radical therapy like exercise and nutrition. This might be completely upside down." The Lonely Road of Medical Innovation Discover what it's like to be a pioneer in a field resistant to change, especially when that change threatens income streams. Dr. Crawford's honest reflection on choosing to "effectively put himself out of business" rather than continue the status quo. Episode Chapters 00:00-07:17: Introduction to Dr. Bruce Crawford – Meet the rock star turned revolutionary surgeon 07:17-15:39: Bruce's Unique Journey to Medicine – From drummer to janitor to medical maverick 15:39-21:32: The Importance of Movement in Pelvic Health – The science behind functional movement and pelvic floor recruitment 21:32-28:28: Breaking the Stigma of Incontinence – How to have those difficult conversations with confidence 28:28-36:29: The Role of Exercise in Health – Why fitness should be first-line treatment for almost everything 36:29-40:16: Reflections on Global Health Work – Life-changing experiences in Niger and Rwanda 40:16-End: The Future of Pelvic Floor Rehabilitation – Where Pfilates is headed and how to get involved Transformative Quotes That Will Change How You Think "It's a fitness problem, not a surgical problem." "You should be working your pelvic floor muscles all your life, just like you work your biceps." "It's never too late to work on muscles." "The answer is always to exercise." "Instead of 28 days, you need to think 90 days for prolapse—but it CAN be done." "We sell more pads for bladder control problems than for menstruating women. And we don't talk about it." Ready to Transform Your Approach to Pelvic Health? Whether you're a healthcare provider looking to offer better solutions to your patients, someone struggling with pelvic floor issues, or just fascinated by medical innovation, this episode will completely shift your perspective on what's possible with the right approach. Learn More About Pfilates: Visit to explore programs for women, men, prolapse coaching, and instructor certification. Dr. Crawford's Challenge to You: Before considering surgery, give fitness a chance. Five minutes in the morning, five minutes in the evening. What do you have to lose? Connect with The Hole Shebang Website: Instagram: Upcoming Event: The Pleasure Principle Conference May 8th 2026 Dr. Crawford's Theme Song for His Career "Don't Back Down" by Tom Petty – perfectly capturing his refusal to compromise on doing what's right for patients, even when it meant going against the medical establishment. Close second: "Wheels on the Bus Go Round and Round" because "it's just been a lot of repetition over and over again." Ready to have your mind blown about pelvic health? This episode proves that sometimes the most revolutionary ideas come from the most unexpected places. Dr. Crawford's journey from rock stages to operating rooms to fitness studios is proof that creative expression and medical innovation can change the world—one pelvic floor at a time.
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43: Body Brilliance: Connecting the Dots Between Emotional Eating, Hormones and Pelvic Health with Amber Romaniuk
07/10/2025
43: Body Brilliance: Connecting the Dots Between Emotional Eating, Hormones and Pelvic Health with Amber Romaniuk
Connect with Amber Romaniuk Website: Podcast: The No Sugarcoating Podcast (available on all podcast platforms) Social Media: @AmberRomaniuk (Instagram) Free Resources: Emotional eating quiz and workshop replay available on her website Consultations: Free consultation bookings available through her website Join the Body Brilliance Workshop Date: Tuesday, July 29th Time: 2:00-3:30 pm EST Location: Online via Zoom Investment: $47 CAD Register: Can't attend live? No problem! All participants receive access to the recording. What You'll Discover in Body Brilliance: Emotional Eating & Hormonal Health (with Amber): How hormonal fluctuations disrupt hunger cues and trigger emotional eating Strategies for managing perimenopause mood swings and emotional challenges Why conventional diet methods fail during hormonal transitions Tools for addressing body image struggles and building self-worth Pelvic Health & Physical Wellness (with Kristen): Solutions for bladder issues including leaks and urgency Relief strategies for pelvic organ prolapse and pelvic pain Techniques to enhance sexual comfort and return to exercise with confidence How to properly support your pelvic floor during life's changes Episode Overview Join Kristen Parise as she reunites with emotional eating expert Amber Romaniuk for an inspiring conversation about their groundbreaking collaboration: the Body Brilliance Workshop. This dynamic duo explores the powerful connections between emotional eating, hormonal health, and pelvic floor dysfunction—areas that profoundly impact women's lives yet are often overlooked or dismissed. From the shame surrounding both food struggles and pelvic health issues to the interconnected roots of these challenges, this episode reveals why addressing both physical and emotional health together is the key to true healing. What You'll Learn How emotional eating and pelvic health issues share surprising common roots in shame and unworthiness Why hormonal changes during perimenopause require completely new approaches to health and healing The connection between people-pleasing, boundary-setting, and both food and pelvic health struggles How physical pain can drive emotional eating patterns and vice versa Why creating safe spaces for women to discuss these "taboo" topics is essential for healing What the Body Brilliance Workshop offers for women struggling with these interconnected issues Episode Highlights Breaking the Shame Cycle Around Women's Health Amber and Kristen explore how shame surrounding both emotional eating and pelvic health issues keeps women isolated and prevents them from seeking help. They emphasize that these struggles are far more common than women realize and that breaking the silence is the first step toward healing. The Mind-Body Connection: When Physical and Emotional Health Collide The hosts reveal fascinating connections between mental and physical health. When women experience pelvic pain, they often reduce activity and seek comfort in food. Similarly, hormonal fluctuations can trigger both emotional eating and pelvic floor dysfunction, showing why comprehensive approaches work better than treating symptoms in isolation. Why Perimenopause Changes Everything Amber explains how perimenopause represents a fundamental shift requiring completely new strategies. The restrictive diets and exercise routines that worked before suddenly become ineffective, demanding a more holistic approach that addresses hormonal changes, emotional patterns, and physical symptoms together. Introducing Body Brilliance: Where Pelvic Health Meets Emotional Wellness Kristen and Amber unveil their collaborative workshop that fills gaps in traditional healthcare. Body Brilliance connects the dots between cravings, hormones, emotional health, and pelvic function, providing women with comprehensive support in a safe, judgment-free environment. Episode Chapters 00:00-01:03: Welcome Back Amber - Reintroduction and collaboration excitement 01:03-03:55: Amber's Expertise - Emotional eating, hormones, and the No Sugarcoating Podcast 03:55-07:59: Creating Safe Spaces - Why shame keeps women from seeking help 07:59-09:22: The Roots of Emotional Eating - Addressing unworthiness and self-sabotage 09:22-12:57: Perimenopause Game-Changer - Why old strategies stop working 12:57-16:29: Mind-Body Connection - How physical and emotional health intertwine 16:29-20:39: Body Brilliance Workshop - Connecting cravings, hormones, and pelvic health 20:39-23:19: Pelvic Health and Emotional Well-being - The pain-comfort food cycle 23:19-26:25: Resources and Theme Songs - Where to find Amber and her perfect life soundtrack Key Takeaways Your triggers are teachers - Instead of fighting against emotional eating triggers, learn to see them as valuable information about what your body and mind need. "None of your old tricks are going to work" - Perimenopause requires a complete shift in approach, moving away from restrictive methods toward supportive, holistic strategies. "It's so easy to get in your head" - The stress-eating cycle perpetuates itself, but understanding this pattern is the first step to breaking free. Safe spaces save lives - Creating environments where women can openly discuss their struggles without shame is essential for healing and empowerment. Connect with The Hole Shebang Website: Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference Amber's Theme Song for Her Career "Life is a Highway" by Tom Cochrane – "I'm gonna ride it (during the day, not the night, because I'm sleeping!)" – perfectly capturing her journey of helping women navigate their health challenges while prioritizing rest and self-care. This episode is brought to you by the shared mission of breaking taboos and changing lives through open, honest conversations about women's health. Knowledge is power, and talking openly about women's bodies is revolutionary.
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42: From Dry to Delighted - The Vaginal Moisturizer Revolution with Angelique Montano-Bresolin
06/30/2025
42: From Dry to Delighted - The Vaginal Moisturizer Revolution with Angelique Montano-Bresolin
Episode Highlights 🌟 🧬 The Science Behind Midlife Changes: Discover why vaginal tissue goes from 20+ layers to just 2 post-menopause—and what you can do about it 💡 Lubes vs. Moisturizers Decoded: Finally understand the difference between "lubes for love" and "moisturizers for maintenance" 🌱 From Clinician to Entrepreneur: How a pelvic health physio created FemSense Balm after struggling to find effective products for her clients 🔬 pH Balance Matters: Learn the exact pH range (3.5-5.0) your vulvar area needs to stay healthy and infection-free 🩺 Beyond Menopause: Why postpartum, post-cancer, and incontinence patients also need to know about vaginal moisturizers 🎵 Theme Song: "Don't Stop Believing" by Journey (because innovation in women's health never stops!) Episode Summary In this enlightening conversation, host Kristen Parise sits down with fellow pelvic health physiotherapist Angelique Montana-Breslin to dive deep into a topic that's often overlooked but desperately needed: vaginal moisturizers. From the entrepreneurial journey of creating FemmeSense Balm to the science behind vulvar health, this episode is packed with practical insights that could be life-changing for many listeners. Meet Our Guest Angelique Montano-Bresolin, PT, BSc PT, HBA Kin Registered Physiotherapist and Clinic Director at in Toronto Adjunct Lecturer at University of Toronto Creator of FemmeSense Balm and founder of Treating all genders and ages for pelvic health concerns since 2009 Angelique's journey into pelvic health began through treating low back pain, where she discovered the strong correlation between pelvic floor dysfunction and spinal issues—a discovery that changed her career trajectory forever. Key Takeaways That Will Change How You Think About Intimate Care The Lube vs. Moisturizer Revelation Lubricants: "Lubes for love" - fast-acting, short-term friction relief for sexual activity Moisturizers: "Moisturizers for maintenance" - ongoing skin support, just like face cream for your vulva The Midlife Reality Check One powerful visualization shared: pre-menopause vaginal tissue has approximately 20 layers of skin cells, while post-menopause may have only 2. This dramatic change explains why so many experience that "razor blade" sensation during intimacy. Beyond Menopause: Who Else Needs to Know This Postpartum individuals (especially those breastfeeding) Post-cancer treatment patients Anyone with urinary incontinence Those with vulvar dermatological conditions like lichen sclerosus What Makes a Good Vaginal Moisturizer? Angelique breaks down the science-backed essentials: pH Balance: 3.5-5.0 range to maintain healthy microbiome Emollient Properties: Softens and lubricates skin Occlusive Properties: Creates barrier to prevent moisture loss Humectant Properties: Draws and retains water in skin Chapter Breakdown 00:00 - Introduction to Pelvic Health and Angelique's Journey 02:58 - The Creation of FemmeSense Balm (From idea to market reality) 05:51 - Understanding Vaginal Moisturizers vs. Lubricants 09:03 - Key Considerations for Choosing a Vaginal Moisturizer 11:52 - The Importance of Moisturizers in Midlife 14:49 - Vulvar Vaginal Dryness Across Different Life Stages 18:06 - Lichen Sclerosus and Its Impact 20:47 - FemmeSense Balm: A Solution for Sensitive Skin 24:05 - Where to Find FemmeSense Balm and Closing Thoughts Resources Mentioned Where to Find FemmeSense Balm: (Direct from manufacturer) (Canada) and other select pelvic health clinics Connect with Angelique: Instagram: Facebook: Pelvic Health Hub: Why This Episode Matters This isn't just another product discussion—it's about filling a critical gap in women's healthcare knowledge. As Angelique reveals, many people suffering from vulvar discomfort have never even heard that moisturizers exist for intimate care. For some clients, discovering this solution has been "life-changing." Whether you're approaching midlife, navigating postpartum changes, or supporting clients in your practice, this episode provides the science-backed information needed to make informed decisions about intimate skincare. Theme Song Spotlight: Angelique's choice? "Don't Stop Believing" by Journey—perfectly capturing her entrepreneurial spirit and dedication to advancing pelvic health care. Ready to transform your understanding of intimate wellness? Press play and discover why this conversation is resonating with healthcare professionals and patients alike.
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41: Exercise as Medicine: Stroke, Recovery, Strength Training, and Healthy Aging with Dr. Ada Tang
06/24/2025
41: Exercise as Medicine: Stroke, Recovery, Strength Training, and Healthy Aging with Dr. Ada Tang
Episode Overview Join Kristen Parise as she sits down with Dr. Ada Tang, a physiotherapist, professor, and researcher at McMaster University who's transforming how we think about exercise for stroke survivors and older adults. From her unexpected journey from clinical practice to groundbreaking research, Ada shares evidence-based insights on how the right exercise can be life-changing medicine for recovery, independence, and healthy aging. What You'll Learn Why aerobic exercise should be a standard part of stroke rehabilitation (just like cardiac rehab) The surprising benefits of high-intensity interval training (HIIT) for stroke survivors How power training differs from traditional strength training and why it matters The truth about what strength training should look like for older adults (hint: it's not bean bag weights) How to recognize pre-frailty and why early intervention with exercise can prevent decline The mental health, cognitive, and social benefits of exercise programs Why women are underrepresented in stroke research and what's being done about it Episode Highlights Ada's Journey: From Bedside to Bench Science Ada shares her unexpected path from planning a career in private practice to becoming a leading researcher in neurorehabilitation. Her clinical experience working with stroke survivors and older adults directly informs her research mission: proving that exercise truly is medicine for recovery and healthy aging. Exercise After Stroke: Breaking Down Barriers Learn why stroke rehabilitation should mirror cardiac rehabilitation when it comes to exercise prescription. Ada explains how her research bridges the gap between stroke care and cardiac care, showing that people with stroke face similar cardiovascular risks but don't receive the same exercise-focused interventions. HIIT for Stroke Survivors: Challenging Assumptions Discover the groundbreaking findings from Ada's multi-site study showing that stroke survivors can safely perform high-intensity interval training using recumbent steppers. With just 19 minutes of training (10 one-minute high-intensity intervals), participants achieved greater fitness gains than those doing 30 minutes of moderate exercise. Power Training: The Next Frontier Ada introduces the concept of power training for stroke recovery—combining strength with speed to better mimic the demands of daily activities. From standing up quickly to crossing the street when the light changes, power movements are essential for functional independence. Preventing Frailty: Moving Beyond Bean Bag Weights Learn how Ada's research challenges traditional assumptions about exercise for older adults. Instead of seated exercises with light weights, her studies show that older adults can safely perform complex, weight-bearing movements that challenge multiple systems simultaneously—and the results are transformative. The Social Prescription: Exercise as Community Medicine Explore the profound mental health, cognitive, and social benefits Ada has observed in her exercise programs, from improved memory and executive function to caregiver respite and community connection. Episode Chapters 00:05-05:00: Introduction and Ada's Winding Journey – From physiotherapy student to stroke rehabilitation researcher 05:01-13:00: Exercise and Stroke Recovery – Why stroke rehab should look more like cardiac rehab 13:01-16:30: Power Training for Stroke Survivors – Combining strength with speed for functional recovery 16:31-20:00: HIIT Research Breakthrough – Revolutionary findings on high-intensity exercise after stroke 20:01-25:00: Understanding Frailty and Pre-Frailty – Early intervention strategies for healthy aging 25:01-31:00: Strength Training Reimagined – Moving beyond bean bags to functional movements 31:01-35:00: The Prescription for Exercise – Frequency, progression, and getting professional guidance 35:01-39:00: Mental Health and Social Benefits – The non-physical benefits of physical activity 39:01-43:00: Research on Research – Improving women's representation in stroke studies 43:01-End: Future Directions and Final Thoughts – Ada's theme song and research vision Connect with Dr. Ada Tang Lab: MacStroke Canada at McMaster University Social Media: Instagram, X (Twitter), Facebook LinkedIn: Ada Tang Research Focus: Exercise, stroke recovery, frailty prevention, and inclusive research practices Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @theholeshebang Upcoming Event: The Pleasure Principle Conference Ada's Theme Song for Her Career "Ain't No Mountain High Enough" by Motown – perfectly capturing her belief that there's always somewhere to go and that we can tackle mountains together!
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40: Beyond the Numbers - How Retirement Planning Affects Your Mental Health & Soul with Gillian Stovel Rivers
06/19/2025
40: Beyond the Numbers - How Retirement Planning Affects Your Mental Health & Soul with Gillian Stovel Rivers
Episode Summary In this final installment of our three-part financial wellness series, Kristen and Gillian dive deep into retirement planning—but not in the way you'd expect. While we cover the essential numbers (spoiler: Canadians need $1.5-1.7 million for comfortable retirement), this conversation explores the profound connection between financial security and mental wellbeing in your golden years. From understanding why social isolation hits retirees as hard as smoking and obesity, to discovering how whole life insurance can become a tax-free investment vehicle, this episode challenges every assumption you have about what retirement really means. Gillian shares her revolutionary "Five Good Adventures" program and explains why "retirement means stopping" is one of the most dangerous misconceptions Canadians hold. Warning: This episode may cause you to completely rethink your definition of wealth. Key Takeaways That Will Change How You Think About Retirement ✨ The Magic Number Revealed: Current retirement goals for Canadians ($1.5-1.7 million) and why millennials need even more ($2-2.5 million) ✨ The Love Language Strategy: How understanding your emotional drivers can create the perfect retirement transition plan ✨ Social Isolation = Health Crisis: Research shows loneliness impacts health as severely as smoking and obesity ✨ Money ≠ Wealth: Gillian's powerful manifesto point that will shift your entire perspective on financial planning ✨ The Tax Blend Method: Smart strategies for drawing from RRSPs, TFSAs, and other accounts to minimize tax burden ✨ Whole Life Insurance Secrets: How to create a tax-sheltered investment vehicle that grows at 6%+ tax-free Chapter Breakdown [00:00] The Retirement Reality Check Current economic climate and recommended savings amounts Why the "magic number" keeps growing for younger generations Understanding the building blocks: CPP, OAS, pensions, and personal savings [03:01] The Legacy vs. Living Balance How early planning increases your chances of leaving something behind Strategies for enjoying retirement while preserving wealth The luxury conversation: when legacy planning becomes possible [06:00] Tax Strategy Masterclass The RRSP to RIF conversion at age 71 (5.28% mandatory withdrawal) Blending tax-free and taxable income sources Why drawing down everything tax-free first can backfire [09:13] Beating Inflation While Living Longer Planning for 45-50 years of expenses in retirement Real return expectations: 4-5% after inflation Why that $300,000 kitchen renovation needs to happen while you're working [12:09] The Mental Health Crisis No One Talks About Research on social isolation and health impacts Identity loss when leaving career behind The "first 100 days" retirement strategy [14:59] Building a Retirement That Flourishes Gillian's "Five Good Adventures" 12-week program Using love languages to design your ideal retirement Case study: The retired physician who found purpose in insurance consulting [17:50] Busting Dangerous Retirement Myths Why retirement isn't a "holding pattern" The all-or-nothing work misconception Finding the conversation partners you need for this transition [20:56] Planning for Long-Term Care Reality Home equity as the primary funding source for most Canadians Memory care costs: up to $20,000-25,000 monthly The trade-off conversations every couple needs to have [23:58] Whole Life Insurance as Investment Vehicle How to create tax-sheltered growth at 6%+ annually Borrowing strategies for long-term care funding Why Gillian finally got her own policy after 15 years of recommending them Resources & References Gillian's Contact Information Email: LinkedIn: Website: Instagram: Canadian Government Resources Canada Pension Plan (CPP): Old Age Security (OAS): Tax-Free Savings Account (TFSA): Registered Retirement Savings Plan (RRSP): Research References Social Isolation & Health: Robert Putnam & Julianne Holt-Lunstad's research on social isolation impacts Art Reference: "Precipice" by Diane Twombly (Hamilton artist) Theme Song 🎵 "Suddenly I See" by KT Tunstall - "There are moments in your life where you feel like you're digging through murkiness... then one day you wake up and it all feels clear." Why This Episode Matters If you've been putting off retirement planning because the numbers feel overwhelming, or if you're approaching retirement and feeling anxious about what comes next, this episode offers a completely different framework. Gillian doesn't just talk about money—she talks about flourishing, about creating a life of meaning and connection that happens to be financially secure. This isn't your typical retirement planning conversation. It's a masterclass in designing a life worth living, with the financial foundation to support it. Catch Up on the Series [Part 1]: Financial Wellness & Mindset Shifts [Part 2]: Investing, Growing Wealth & The Power of Compounding [Part 3]: Retirement Planning & Mental Health (this episode) Ready to transform your relationship with money and retirement planning? This episode will change everything you thought you knew about what it means to plan for your future.
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39: Floored by the Truth: Demystifying Pelvic Health from Teens to Menopause with Dr. Sara Reardon
06/12/2025
39: Floored by the Truth: Demystifying Pelvic Health from Teens to Menopause with Dr. Sara Reardon
Episode Overview Join Kristen Parise for a compelling conversation with Dr. Sara Reardon, pelvic floor physical therapist and author of the groundbreaking book "Floored." Dr. Reardon challenges the dangerous myths surrounding pelvic health, from the misconception that Kegels are a universal solution to the harmful narrative that pelvic floor dysfunction is just part of aging and motherhood. This episode is a rallying cry for women's health advocacy and a comprehensive guide to understanding your pelvic floor at every life stage. What You'll Learn Why balance, not strengthening or relaxing, is the key to pelvic floor health How to identify whether you have a hypertonic (high tension) versus hypotonic (low tension) pelvic floor The surprising connection between stress, emotions, and pelvic floor dysfunction Why 90% of female orgasms occur through clitoral stimulation and what this means for sexual health The critical importance of pelvic health education during the teenage years How childhood experiences and trauma can manifest as adult pelvic floor issues The integrated approach needed to treat pelvic floor dysfunction effectively Episode Highlights From Misconceptions to Empowerment Dr. Reardon reveals the three biggest misconceptions she encounters: women not knowing they have a pelvic floor, believing dysfunction is "normal," and assuming Kegels are always the answer. She emphasizes that many women actually have pelvic floor tension rather than weakness, requiring completely different treatment approaches. The Emotional Barometer Exploring the profound mind-body connection, Dr. Reardon shares how the pelvic floor serves as an "emotional barometer." She recounts powerful patient stories and her own experience during Hurricane Ida, demonstrating how stress and trauma directly impact pelvic floor function. Sexual Health Revolution Breaking down barriers around sexual education, Dr. Reardon explains the anatomy of arousal, orgasm, and why painful sex is never normal. She advocates for comprehensive sexual health education that goes far beyond "sperm meets egg" to include pleasure, function, and the pelvic floor's central role. The Teenage Years: A Critical Window Dr. Reardon makes a compelling case for pelvic health education starting in adolescence, addressing everything from painful periods (which are NOT normal) to the 40% of high school female athletes who experience urinary incontinence. She emphasizes how early education can prevent decades of silent suffering. Beyond the Pelvic Floor: An Integrated Approach Using her "layers of an onion" metaphor, Dr. Reardon explains how effective treatment must address posture, breathing, abdominal function, and emotional health alongside pelvic floor muscles. She challenges the medical system's tendency to isolate symptoms rather than treating the whole person. The Healthcare Revolution Needed Dr. Reardon calls for systematic changes in medical education and practice, advocating for screening tools, better provider training, and the integration of pelvic health into standard women's healthcare rather than treating it as a last resort. Episode Chapters 00:00-03:12: Introduction and Book Launch Celebration – Dr. Reardon returns to discuss her new book "Floored" 03:12-05:59: Breaking Down the Biggest Misconceptions – Why most women don't know they have a pelvic floor 05:59-08:57: The Balance Principle – Understanding hypertonic vs. hypotonic pelvic floors and why Kegels aren't universal 08:57-12:07: The Power of Advocacy – Why your voice is your most powerful tool in healthcare 12:07-14:54: Sexual Health Deep Dive – The pelvic floor's role in arousal, lubrication, and orgasm 14:54-17:57: The Emotional Connection – How the pelvic floor serves as an emotional barometer 17:57-20:49: Stress and Trauma Impact – Personal stories and Hurricane Ida's effect on pelvic floor tension 20:49-23:11: Integrated Treatment Approaches – Why comprehensive care includes mental health support 23:11-24:09: The Comprehensive Philosophy – Moving beyond isolated pelvic floor treatment 24:09-26:25: Teenage Years as the Critical Window – Why pelvic health education should start early 26:25-29:09: Breaking the Shame Cycle – Creating open conversations about bodies and function 29:09-31:42: The "Layers of an Onion" Approach – Understanding the pelvic floor as part of an integrated system 31:42-35:42: Resources for Healthcare Providers – Screening tools and outcome measures 35:42-40:50: The Mesh Crisis That Changed Everything – Dr. Reardon's pivotal experience with surgical complications 40:50-End: Advocacy and Action – The mission to make pelvic health standard care Key Takeaways Pelvic floor dysfunction affects women at all life stages, not just after childbirth or during aging Balance between strength and relaxation is more important than just doing Kegels Painful periods, painful sex, and urinary incontinence are never normal and always treatable Stress and emotional trauma directly impact pelvic floor function Early education during teenage years can prevent decades of dysfunction Comprehensive treatment must address the whole person, not just isolated symptoms Healthcare providers need better training and screening tools for pelvic health issues Women deserve better care and must advocate for themselves within the medical system Connect with Dr. Sara Reardon Instagram: @the.vagina.whisperer TikTok: @thevagwhisperer Website: thevaginawhisperer.com Book: "Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage" (Available at all major bookstores) Online Platform: V-Hive membership with pelvic floor workouts and free trial available Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference Dr. Sara's Theme Song "Who Runs the World? Girls" by Beyoncé - A powerful anthem that captures her mission to advocate for women's health and the belief that women are leading the charge in demanding better healthcare.
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38: The Scoop on Kids Poop: The Secret World of Pediatric Pelvic Health with Clare Bourne
06/05/2025
38: The Scoop on Kids Poop: The Secret World of Pediatric Pelvic Health with Clare Bourne
Episode Overview Join Kristen Parise as she dives into the often-overlooked world of pediatric pelvic health with Clare Bourne, a London-based pelvic health physiotherapist and author. From bedwetting misconceptions to constipation crises, Clare shares her expertise on helping children and families navigate pelvic floor challenges while breaking down the shame and taboos that often surround these essential bodily functions. What You'll Learn Why potty training should be viewed as a developmental process, not a quick fix The surprising connection between constipation and bedwetting in children How pediatric pelvic assessments differ dramatically from adult evaluations Why education and communication are more powerful than hands-on treatment for kids The rising rates of pediatric constipation and what's really behind them How childhood pelvic issues can impact menstrual health and sexual function later in life Episode Highlights Clare's Journey: From Adult to Pediatric Pelvic Health Clare shares her unique career path as someone who's been in pelvic health for her entire career, rather than transitioning from other areas. Her journey into pediatric work was reignited by her own children's potty training experiences and her realization that many adult pelvic issues trace back to childhood patterns that were never properly addressed. The Detective Work of Pediatric Assessment Unlike adult pelvic health where physical examination is central, Clare explains how pediatric assessment is primarily about education, understanding, and "unpicking" what's happening. She describes feeling like a detective, gathering clues about bowel habits, bladder patterns, and family dynamics rather than relying on internal examinations. Bedwetting: Breaking Down the Biggest Misconceptions Clare tackles the widespread misunderstanding that once a child is potty trained, they should automatically be dry at night. She explains the hormonal maturity, bladder capacity, and sleep factors that make nighttime dryness a completely different process, emphasizing that bedwetting isn't a problem until age 7 or later. The Constipation Crisis: More Than Just Diet Moving beyond the oversimplified "eat more fiber" narrative, Clare reveals the complex factors contributing to rising pediatric constipation rates. From lack of parental support to bathroom access issues at schools, from stress impacts to inappropriate potty training pressures, she paints a comprehensive picture of this growing problem. The Mind-Body Connection in Little Bodies Clare and Kristen explore how children's pelvic health issues often arise during life transitions—new siblings, starting school, family moves—as children exert control over what they can: their eating, peeing, and pooping. This leads to a discussion about the importance of multidisciplinary care including play therapy. From Tampons to Intercourse: The Long-Term Impact In a particularly enlightening segment, Clare traces how childhood constipation and holding patterns can lead to increased pelvic floor tension, making tampon insertion painful in adolescence and potentially contributing to painful intercourse later. She emphasizes how 30 years of pelvic health history matters long before someone gives birth. Episode Chapters 00:00-02:30: Introduction to Clare and Her Pelvic Health Journey – A career-long specialist shares her path 02:30-05:17: The Connection Between Pelvic Floor and Continence – How children learn bladder and bowel control 05:17-08:25: Pediatric vs. Adult Assessment Approaches – Why education trumps examination with kids 08:25-11:23: Common Pediatric Pelvic Issues – Bedwetting, constipation, and beyond 11:23-16:41: The Importance of Education and Breaking Shame – Teaching kids proper anatomy and function 16:41-21:09: Practical First Steps for Parents – What to try before seeking professional help 21:09-24:47: Understanding the Pediatric Constipation Epidemic – Statistics and contributing factors 24:47-28:22: The Role of Stress and Family Support – How global events impact children's health 28:22-30:21: Medication Management and Treatment Approaches – Why "long enough" matters 30:21-34:32: The Unique Challenges of Pediatric Treatment – Growth, development, and family dynamics 34:32-38:13: The Connection Between Childhood Issues and Adult Health – From constipation to sexual function 38:13-End: Empowering Through Education and Resources – Making pelvic health accessible to all Key Takeaways Start monitoring your child's bowel habits regularly - knowledge is power Create an environment where talking about bodily functions is normalized and shame-free Potty training timelines vary enormously and shouldn't be rushed Many adult pelvic health issues have roots in childhood experiences Bedwetting before age 7 is completely normal Constipation management requires sustained, thorough treatment Multiple factors beyond diet contribute to pediatric constipation Sound Bites "Start with monitoring that bowel" "It's almost like a checklist, isn't it?" "The kid's not being naughty" "We need to improve perinatal care, but we also need to give them the 24 hours before" "Kids don't have shame, we create the shame for them" Connect with Clare Website: Instagram: Book: "Strong Foundations: Why Pelvic Health Matters" Also on: TikTok and LinkedIn Resources: Webinars, eBooks, and educational materials for all financial situations Connect with The Hole Shebang Website: Instagram: Upcoming Event: The Pleasure Principle Conference - May 8th, 2026 Clare's Theme Song "There She Goes" - A go-getter anthem that captures her approach to tackling taboo topics in pelvic health with determination and joy!
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37: Sex, Pelvic Health and Breaking Taboos with Dr. Rachel Gelman
05/29/2025
37: Sex, Pelvic Health and Breaking Taboos with Dr. Rachel Gelman
Get ready for a conversation that pulls no punches! In this episode, we dive deep with Dr. Rachel Gelman, a pelvic floor physical therapist and certified sexuality counselor who's making waves in San Francisco's sexual health scene. From painful sex to leaky laughs, Rachel breaks down everything you've wondered about but were afraid to ask. About Dr. Rachel Gelman Dr. Rachel Gelman is a Doctor of Physical Therapy and AASECT-certified sexuality counselor based in San Francisco. She's the owner and founder of Pelvic Wellness & Physical Therapy, where she specializes in treating pelvic pain, bowel, bladder, and sexual dysfunction across all gender identities. With over 15,000 clinical hours and extensive training from the University of Michigan's sexuality counseling program, Rachel is also an adjunct instructor at Samuel Merritt University and works with companies in the sex tech and femtech space. Contact Info: Website: Instagram: Email: Episode Highlights 🔥 Why Rachel prescribes vibrators more than Kegels - spoiler alert: your pelvic floor might need the opposite of what you think 💡 The chocolate cake technique for rediscovering pleasure when sex has been painful 🚽 How your bathroom habits are sabotaging your sex life (and the simple $15 fix that could change everything) ⚡ The clitoris vs. penis truth bomb that explains why most sex education gets it wrong Chapter Breakdown [00:00] From Biology Student to Pelvic Health Pioneer How Rachel fought university pushback to specialize in the "taboo" field of pelvic health [05:30] Solo Sex as Self-Care Why masturbation isn't just about pleasure—it's essential healthcare [12:15] The Great Orgasm Education Gap Breaking down the clitoris-penis connection and why anatomy education is failing us [18:45] When Your Tailbone Ruins Your Sex Life The surprising connection between tailbone pain and sexual dysfunction [24:00] Breathing Your Way to Better Sex Simple techniques that calm your nervous system and unlock pleasure [29:30] Creating Your Sexual Menu Rachel's game-changing approach to moving beyond vanilla penetration scripts [35:15] The Leaky Sex Dilemma Addressing incontinence during intimacy (spoiler: it might not be what you think) [41:00] Painful Erections Aren't Normal What's happening when erections hurt and how pelvic floor dysfunction affects all genders [46:30] Sex Tech Recommendations Rachel's favorite brands and why your vibrator should look like modern art Resources Mentioned Sex Toy Brands Rachel Recommends: - Women-owned, versatile products (try the "Bender") - Sleek, modern art aesthetic - Research-backed products for people with pelvic pain Tools & Techniques: Squatty Potty or toilet stool for better bowel movements Yes/No/Maybe lists for sexual communication Romance novels and audio erotica as pleasure research Child's pose and happy baby positions for pelvic floor relaxation Professional Resources: (American Association of Sexuality Educators, Counselors & Therapists) Why You Need to Listen This isn't your typical health podcast episode. Rachel doesn't just talk about pelvic floors—she revolutionizes how we think about pleasure, pain, and the connection between our bodies and our sex lives. Whether you're dealing with painful sex, curious about pelvic health, or just want to understand your body better, this conversation will leave you with actionable insights and a completely new perspective on sexual wellness. Warning: This episode contains frank discussions about sex, anatomy, and bodily functions. Perfect for anyone ready to have real conversations about real bodies. Subscribe to The Hole Shebang wherever you get your podcasts, and don't forget to follow us for more taboo-breaking conversations about pelvic health and sexual wellness.
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36: Growing Your Wealth with Gillian Stovel Rivers
05/22/2025
36: Growing Your Wealth with Gillian Stovel Rivers
Summary In this enlightening follow-up conversation, host welcomes back , Senior Wealth Advisor and creator of The Muscle Money Mindset®, for a deep dive into investing and wealth building strategies. Building on their previous discussion about financial wellness, Gillian breaks down complex investment concepts into digestible frameworks that anyone can understand. This episode reveals the powerful connection between personal growth and financial growth, emphasizing that investing isn't just about stocks and bonds—it's about investing in yourself and your community. Gillian shares her three-principle approach to investing: mechanics, consistency, and intensity, while highlighting the "eighth wonder of the world"—compounding—and the importance of defining what "enough" means to you. Whether you're just starting your investment journey or looking to optimize your current strategy, this conversation provides practical wisdom and actionable insights for taking control of your financial future. Key Takeaways Before approaching investments with intensity, master the mechanics and practice consistency Understanding the fundamentals of different investment vehicles (cash instruments, stocks, bonds, mutual funds) creates confidence Compounding is the "eighth wonder of the world" that allows your money to grow exponentially over time It's never too late to start investing, regardless of your age Defining "enough" helps set realistic financial goals and celebrate milestones along the way Registered savings vehicles like RRSPs and TFSAs offer significant tax advantages for Canadians The most sustainable investment plans include meaning and connection Investing in yourself and your community creates returns that extend beyond financial growth Episode Chapters 00:00 - Introduction to Growing Wealth 03:23 - The Framework: Mechanics, Consistency, Intensity 05:18 - Understanding Investment Mechanics 09:23 - Building Consistency in Your Investment Practice 11:26 - The Power of Compounding: The Eighth Wonder of the World 15:49 - It's Never Too Late to Start 16:33 - Defining "Enough" in Wealth Planning 20:37 - Registered Savings Vehicles Explained 25:28 - Strategies for Successful Investing 27:40 - Broadening Your Definition of Investing 30:05 - The Connection Between Financial and Personal Growth Featured Guest Gillian Stovel Rivers is a Senior Wealth Advisor at Assante Wealth Management with over twenty years of experience in the industry. She is also the creator of The Muscle Money Mindset®, where she coaches professional women and men to transform from "chronically overwhelmed endurance athletes" to "shot-calling performance athletes" in business and life. As a CF-L2 Coach and Certified High Flow Coach, Gillian brings a unique perspective to financial planning that integrates physical and financial wellness. Connect with Gillian: Email: LinkedIn: Instagram: and Resources Mentioned - Learn more about this powerful tax-sheltered investment vehicle - Information about Canada's registered retirement savings plan - The fitness methodology Gillian references in her investment framework - Gillian's motivational theme song (explicit content) Connect with Kristen Website: Instagram: Don't Miss Out! Join Kristen at - a groundbreaking event exploring the intersection of health, wellness, and sexual pleasure. Get your tickets now! The Hole Shebang is produced by Kristen Parise. The information provided in this episode is for educational purposes only and is not intended as financial advice. Always consult with a qualified financial advisor before making investment decisions.
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35: Unfuckwithable: The Art of Receiving with Haley Bowler-Cooke
05/15/2025
35: Unfuckwithable: The Art of Receiving with Haley Bowler-Cooke
"The art of receiving is everything. It's not another thing to do. It actually creates more easefulness in your life." — Haley Bowler Episode Summary Bestselling author Haley Bowler shares her journey from physiotherapy to becoming a channel for profound wisdom. She introduces "the art of receiving"—a practice that helps high-achieving women balance feminine and masculine energies. Through personal stories, including her near-death experience, Haley offers practical guidance on accessing "the dimension of openness" where manifestation becomes instantaneous and healing is profound. Key Insights From Physiotherapy to Psychic Channel Trained in kinesiology before discovering her psychic gifts Wrote "Unfuckwithable" through channeled wisdom The Art of Receiving Balance of receptivity with empowered action Learning to receive while giving transforms everyday experiences The Vulnerability Breakthrough Near-death experience in 2024 taught her to receive help "It was the best gift I could have ever asked for" Holistic Success Success in just one area never creates true fulfillment "We have evidence through quantum physics that shows there's no separation" Practical Tools Breathe Like You're Playing Hide and Seek: Slow, quiet breathing Lie on the Floor: Simple practice to attune to joy Radical Responsibility: The power of saying "I chose this" Thank You More Please: Shifting from extraction to reception Chapters 00:00 - Introduction to Unfuckwithable 02:40 - Haley's Journey and Background 05:33 - The Art of Receiving 15:07 - Vulnerability and Personal Growth 25:34 - Holistic Success Paradigms 29:22 - Holistic Wellness and Success 32:05 - The Dimension of Openness 38:41 - Practical Steps to Connect with Your Body 42:59 - Radical Responsibility and Self-Care 46:27 - Theme Song and Personal Connection Resources & Mentions – Haley's book – Haley's website – Upcoming event – Haley's theme song Connect with Haley Website: Instagram: Email: Connect with The Hole Shebang Host: Kristen Parise, Pelvic Health Physiotherapist The Hole Shebang explores themes of personal empowerment, holistic wellness, and embodied wisdom.
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34: Healing Below the Belt: The Missing Piece in Cancer Care with Alex Hill
05/09/2025
34: Healing Below the Belt: The Missing Piece in Cancer Care with Alex Hill
"We have to do better for our patients." – Alex Hill Episode Summary In this enlightening conversation, Kristen Parise speaks with Alex Hill, a specialized pelvic health and oncology physiotherapist, about the critical yet often overlooked connection between cancer treatment and pelvic health. Alex shares her journey into this specialized field, the importance of lymphedema management, why exercise during cancer treatment is essential, and how healthcare providers can better serve cancer survivors through improved education and collaborative care. This episode offers valuable insights for healthcare professionals, cancer survivors, and anyone interested in comprehensive cancer care. Chapters 00:00 - Introduction to Pelvic Health and Oncology 02:18 - Alex's Journey into Pelvic Health and Oncology 05:24 - Understanding Lymphedema and Its Treatment 10:45 - The Importance of Exercise During Cancer Treatment 14:32 - Addressing Hormonal Changes and Pelvic Health 19:45 - Education and Collaboration in Oncology Rehabilitation 24:40 - Late Effects of Cancer Treatment 30:24 - Connecting with Alex Hill Alex's Path to Pelvic Health & Oncology Alex's journey into this specialized field combines professional curiosity with personal experience: Discovered pelvic health and oncology during PT school clinical rotations Minimal formal education on these specialties (only a few hours in a 3-year doctoral program) Personal history with misdiagnosis fueled her passion for patient advocacy Currently practices in both hospital and private settings through OncoPelvic PT Focused on validating patient experiences that are often dismissed "I had one orthopedic surgeon tell me that it was in my head and it ended up being an actual labral tear... I have felt not heard when I was in pain and I knew something was wrong with my body." Understanding Lymphedema: Beyond Cancer Lymphedema is one of the most common yet misunderstood side effects in cancer care: What It Is Buildup of protein-rich lymphatic fluid that doesn't resolve without treatment Different from typical swelling (like a sprained ankle) Can affect specific body areas based on lymphatic system damage Common Causes Lymph node removal during cancer surgeries Radiation therapy damage to lymphatic vessels Some cases develop from congenital lymphatic system issues Treatment Approach Complete Decongestive Therapy (gold standard treatment): Compression bandaging and garments Manual lymphatic drainage massage techniques Specific therapeutic exercises Comprehensive skincare regimen to prevent infection Access Challenges Approximately one certified lymphedema therapist per 1,000 patients who need treatment Even fewer therapists specialize in genital lymphedema Exercise During Cancer: Myth-Busting Alex passionately advocates for appropriate physical activity throughout cancer treatment: Old Misconception Cancer patients should rest and avoid physical activity Current Evidence Exercise improves treatment outcomes Helps manage treatment-related fatigue May reduce cancer recurrence rates Safe even for patients with metastatic cancer (with proper modifications) Clinical Considerations Timing matters (avoid 2 hours before/after radiation or chemotherapy) Monitor blood counts and adjust intensity accordingly Telehealth options for high-fatigue days Individualized programming based on specific needs "If we as providers under-dose exercise, we are part of the problem. We have to really look at what our patient needs who's in front of us and individualize their plan of care." Hormonal Changes & Pelvic Health Cancer treatments frequently cause significant hormonal disruptions with profound pelvic health impacts: Common Triggers Tamoxifen and other hormone therapies Chemotherapy-induced menopause Surgical removal of ovaries or testes Resulting Pelvic Health Issues Vaginal dryness and atrophy Pain with intercourse Tissue fibrosis (especially after radiation) Pelvic floor muscle dysfunction Therapeutic Approaches Dilator Therapy Medical devices in graduated sizes Maintains vaginal tissue flexibility Enables comfortable pelvic examinations Supports sexual function recovery Pelvic Floor Rehabilitation Often focuses on relaxation rather than strengthening Addresses trauma responses in the nervous system Retrains coordination and function "A lot of times we'll need to work on relaxing the pelvic floor, getting it more coordinated before we then start strengthening if we do need to do that." Understanding Radiation Fibrosis Alex provided a clear explanation of how radiation affects tissues: Radiation can be delivered externally or internally (brachytherapy) Creates a "scattering effect" that impacts surrounding tissues Results in scarring, hardening and thickening of tissue (fibrosis) Reduces tissue flexibility and elasticity Can cause pain with movement, urination, bowel movements, and sexual activity Early intervention helps minimize progression Timeline of Treatment Effects Cancer treatment effects follow distinct patterns that patients should understand: Acute Effects Occur during active treatment Often anticipated and addressed in treatment plans Long-Term Effects Continue beyond the treatment period Example: Persistent fatigue or neuropathy Late Effects Develop months or years after treatment ends Often unexpected and psychologically challenging Examples: Lymphedema (can appear up to 15-20 years post-treatment) Progressive fibrosis Cardiac or pulmonary toxicity Sexual dysfunction "It just kind of kicks you when you're down. You're out from treatment, you're done, you're maybe going to the oncologist just for your yearly checkup and then like, bam... It's still coming back for you with these other late side effects." Healthcare Provider Education & Collaboration Alex emphasizes the importance of improved education and team approaches: Current Gaps Minimal pelvic health and oncology training in most medical and rehabilitation programs Lack of automatic referral pathways for pelvic cancers (compared to breast cancer) Providers often uncomfortable discussing intimate health concerns Progress Being Made Rehab specialists now included in tumor board meetings at some hospitals Increasing integration of rehabilitation into cancer centers More evidence supporting early intervention Ideal Approach Baseline assessments at diagnosis Ongoing monitoring throughout treatment Regular follow-up to catch late effects early Collaborative care among oncology, primary care, and rehabilitation specialists "We as healthcare providers have to do better for our patients besides only focusing on, for example, like the scar tissue or the lymphedema or the shoulders." Resources & Mentions - Alex Hill's practice and educational platform Resources for cancer survivors Blog with evidence-based information Continuing education courses for clinicians Complete Decongestive Therapy (CDT) - Gold standard treatment for lymphedema - Certification and information Vaginal Dilators - Medical devices for maintaining vaginal health (widely recommended brand) (silicone options) Professional Organizations: Alex's Theme Song: "Get Back Up Again" from Trolls - Representing her optimistic approach to challenges Connect with Alex Hill: Website: Social Media: @OncoPelvicPT on all platforms Monthly newsletters available for both healthcare providers and patients For more episodes of The Hole Shebang podcast with Kristen Parise, visit or subscribe wherever you get your podcasts.
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33: Hot Flashes, Happy Vaginas, and Hormone Heroes with Jessica Caceres
05/02/2025
33: Hot Flashes, Happy Vaginas, and Hormone Heroes with Jessica Caceres
Episode Overview Join Kristen Parise as she sits down with Jessica Caceres, a nurse practitioner with 15 years of experience who's revolutionizing women's hormonal health care. From frustrating dismissals in traditional medicine to pioneering a holistic approach to hormone therapy, Jessica shares her journey and expert insights on navigating the often turbulent waters of perimenopause and menopause. What You'll Learn Why the infamous Women's Health Initiative study created decades of fear—and why much of it was unfounded The critical differences between synthetic and bioidentical hormones How to recognize when your body is entering the "zone of chaos" known as perimenopause Why joint pain might be your first clue that hormonal changes are happening The life-changing (and potentially life-saving) benefits of vaginal estrogen When to seek help for hormonal changes and what to expect Episode Highlights Jessica's Transformation from Traditional Medicine to Hormone Hero Jessica describes her awakening to the gaps in women's healthcare after years in family medicine, where she noticed women's hormonal concerns being consistently dismissed or treated with band-aid solutions like antidepressants. Her own frustration with her inability to truly help these patients led her to extensive training in functional medicine and hormone optimization, completely transforming her approach to patient care. The Women's Health Initiative: Setting the Record Straight Learn why this 20-year-old study created widespread fear around hormone replacement therapy despite major flaws in methodology. Jessica breaks down how the study used women who were too old, synthetic hormones instead of bioidentical ones, and oral medications instead of safer topical options—all leading to misleading conclusions that have impacted millions of women's health decisions. The Perimenopausal Roller Coaster: What to Expect When Everything's Unexpected Jessica vividly describes perimenopause as a "treacherous valley" of hormonal peaks and troughs, explaining why symptoms can vary so wildly and change so quickly. From heavy periods to joint pain, brain fog to sleep disturbances, she offers clear guidance on recognizing the signs and knowing when to seek help. Beyond Hot Flashes: The Musculoskeletal Syndrome of Menopause Discover the surprising connection between estrogen decline and joint pain, frozen shoulder, back pain, and other musculoskeletal issues. Jessica and Kristen discuss how these symptoms are often overlooked despite being some of the earliest and most common complaints among perimenopausal women. "Vaginal Estrogen Saves Lives": Breaking the Taboo In perhaps the most powerful segment of the conversation, Jessica passionately advocates for vaginal estrogen as a game-changing treatment that's safe for everyone—even breast cancer survivors. She shares moving stories of women in their 70s, 80s, and 90s whose lives were transformed by this simple intervention, and why breaking the stigma around discussing vaginal health is literally a matter of life and death. Episode Chapters 00:00-08:00: Introduction to Hormonal Health and Jessica's Journey – From family medicine to women's hormone specialist 08:01-19:18: The Shift in Women's Health Perspectives – How outdated studies created fear and confusion 19:19-25:27: Understanding Perimenopause and Hormone Replacement Therapy – The basics of bioidentical hormones 25:28-28:28: Addressing Heavy Periods and Hormonal Changes – More than just "take some iron" 28:29-31:55: Understanding Perimenopause Symptoms – From hot flashes to brain fog and beyond 31:56-35:03: The Chaos of Hormonal Changes – Navigating the unpredictable "zone of chaos" 35:04-37:24: Hormone Replacement Therapy: Lifelong Considerations – Is it forever? (Spoiler: it can be!) 37:25-40:56: The Importance of Vaginal Estrogen – A passionate case for this life-changing treatment 40:57-46:40: Breaking the Stigma Around Women's Health Conversations – Educating ourselves and future generations Connect with Jessica Website: Instagram: Email: Location: New facility in St. Jacob's Connect with The Hole Shebang Website: Instagram: Upcoming Event: Jessica's Theme Song for Her Career "Still Standing" by Elton John – perfectly capturing her journey through clinical practice and commercial renovation!
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32: Growing Beyond Religious Constraints: Exploring Sexuality with Alyssa Howard
04/25/2025
32: Growing Beyond Religious Constraints: Exploring Sexuality with Alyssa Howard
In this episode of The Hole Shebang, host Kristen Parise welcomes Alyssa Howard, a registered psychotherapist specializing in helping individuals reconnect with their authentic selves. Together, they explore the complex interplay between strict religious upbringings and sexual development, offering practical insights for individuals and couples looking to redefine their relationship with pleasure. About Our Guest Alyssa Howard is a registered psychotherapist who transitioned from an 8.5-year career in education tech to focus on mental health. She works with clients throughout Ontario, both virtually and in-person, specializing in supporting: Racialized individuals, particularly Black women Members of the queer community People navigating the intersection of these identities Adults from early adulthood to midlife (approximately ages 18-50) Alyssa helps clients develop healthy relationships with work, authentic identity, and living according to their true values. Exciting News Catch Alyssa Howard at the Pleasure Principle Conference on May 30th, where she'll be diving deeper into the themes discussed in this episode! Episode Chapters 00:00 - Introduction to Alyssa Howard Meet Alyssa Howard, a registered psychotherapist who found her calling after transitioning from a career in education technology. Alyssa shares her passion for helping others reconnect with their authentic selves. 02:46 - Navigating Identity and Values Alyssa discusses her work with racialized individuals and members of the queer community, helping them explore what it means to "live authentically through values" and develop healthy engagement with their careers and identities. 05:50 - The Impact of Strict Upbringings on Sexuality Exploring how religious and strict backgrounds can create tension between taught beliefs and personal experiences, particularly around sexuality and sensuality. Alyssa notes how these environments often enforce specific "core tenants" around physical modesty and sexual engagement. 09:00 - Understanding Sexual Shame and Guilt Alyssa reveals how sexual shame develops when sex becomes a taboo topic: "When you don't speak about something... that creates very easily a sense of shame." She explains how this shame can manifest as anxiety, tension, and negative self-talk. 12:01 - Communication and Relationship Dynamics "Communication is super key" when working through sexual issues as a couple. Alyssa emphasizes the importance of acknowledging discomfort and creating safe spaces to discuss sexuality openly. 14:50 - Education and Exploration in Sexuality Many clients lack basic knowledge about sexual anatomy. Alyssa shares how she provides fundamental education: "Do you know what we're referencing when we're saying vagina? Do you know that there's actually an external portion, the vulva?" This education builds a foundation for healthier sexual experiences. 18:11 - Therapeutic Techniques for Redefining Sexuality Alyssa outlines techniques for challenging negative core beliefs about sexuality, helping clients identify self-talk patterns, understand their origins, and develop healthier alternatives. 20:59 - Working with Couples on Shared Beliefs When working with couples, Alyssa helps them identify individual beliefs, compare them side by side, and determine "what are the beliefs as a unit that we want to carry forward in our relationship." 24:04 - Mindfulness and Somatic Practices The importance of being present in the moment during sexual experiences. Alyssa explains how mindfulness practices help people "understand what you're experiencing mentally and physically" and respond accordingly to increase pleasure. 27:07 - Practical Steps for Overcoming Sexual Pain Alyssa discusses how addressing psychological components of sexual pain can complement physical treatments, helping clients recognize anxiety cues and develop strategies to reduce tension. 30:08 - Cultivating Sensuality and Pleasure For those who never explored sensuality growing up, Alyssa recommends three key approaches: Self-compassion and kindness around what you don't know Education through books, movies, and other resources Personal exploration to discover "what feels good for you" 32:50 - Recommended Resources for Sexual Education Top book recommendations from Alyssa: "Come As You Are" by Emily Nagoski - "Fantastic book, really goes into depth about sex, sexuality, sensuality, the physiology of the body" "Sex Talks: Five Conversations That Will Transform Your Love Life" by Vanessa Marin and Xander Marin - An accessible guide to conversations about sexuality 35:59 - Conclusion and Connection Alyssa shares that her personal theme song is "i" by Kendrick Lamar, which speaks to "resilience and just sort of the durability of the human spirit." Find Alyssa at . Key Takeaways Religious teachings often create mixed messages about sex that can lead to shame, anxiety, and even physical pain during sexual experiences Communication is the foundation for healthy sexual relationships, especially for those overcoming restrictive beliefs Education about sexual anatomy and physiology is crucial but often lacking for those from strict backgrounds Mindfulness helps reconnect mind and body during sexual experiences, leading to greater pleasure and reduced pain Self-compassion is essential when exploring sexuality after years of restrictive beliefs Practical Tips from Alyssa For better communication: Schedule dedicated 10-15 minute check-ins about sex with your partner For mindfulness: Practice simple breathing exercises - breathe in through your nose, out through your mouth For couples: Practice reflective listening where you repeat back not just what your partner said, but the emotions behind it For self-exploration: Approach learning about your own pleasure with curiosity rather than judgment Don't miss Alyssa Howard at the Pleasure Principle Conference on May 30th. For more information about her practice, visit . The Hole Shebang is a production of Blueberry Therapy Pelvic Health and Pediatrics, providing multidisciplinary care for people with bladder, bowel, or sexual dysfunction.
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31: The Fertility Factors Nobody Talks About with Rachel Corradetti Sargeant
04/18/2025
31: The Fertility Factors Nobody Talks About with Rachel Corradetti Sargeant
For more information on The Pleasure Principle Conference Episode Summary In this eye-opening conversation, naturopathic doctor Rachel Corradetti-Sargeant takes us on her personal and professional fertility journey. From experiencing an ectopic pregnancy to discovering her own premature ovarian insufficiency, Rachel's path led her to become a fertility-focused naturopathic doctor at Conceive Health. She shares powerful insights about the often-overlooked aspects of fertility health—from the impact of environmental toxins to the crucial role of vitamin D. Rachel explains why fertility patients are "the ultimate bodybuilders" (they're literally building another human!) and why preconception planning deserves as much attention as wedding planning. This episode bridges the gap between conventional and naturopathic approaches to fertility, offering practical wisdom for anyone on their conception journey. Key Takeaways Rachel's own fertility struggles with ectopic pregnancy and premature ovarian insufficiency (POI) shaped her specialized practice The 3-6 month preconception window is crucial yet often overlooked by couples eager to conceive Understanding your body's fertility signals (particularly cervical mucus changes) is more reliable than apps alone Sperm health is dramatically underemphasized but equally important as egg health Environmental toxins in everyday products significantly impact fertility outcomes Nearly all patients Rachel tests are vitamin D deficient, affecting both egg and sperm quality 75% of Rachel's patients have PCOS, which is frequently misunderstood as simply "cysts on ovaries" An integrated approach between conventional fertility treatments and naturopathic medicine provides optimal results Chapters 00:00-02:49 - Introduction to Pelvic Health and Fertility 02:50-05:47 - Rachel's Journey into Naturopathic Medicine 05:48-08:55 - Understanding Premature Ovarian Insufficiency (POI) 08:56-12:10 - Why Preconception Planning Should Be Like Wedding Planning 12:11-14:54 - The Underestimated Impact of Sperm Health 14:55-17:50 - Decoding Your Body's Fertility Signals (Cervical Mucus & Basal Temperature) 17:51-20:49 - Inside a Naturopathic Fertility Consultation 20:50-26:07 - The Hidden Culprits: Environmental Toxins & Vitamin D Deficiency 26:08-27:31 - Blood Sugar Control: The Fertility Factor You're Missing 27:32-31:23 - PCOS Demystified: Beyond the Misleading Name 31:24-34:36 - Advanced Fertility Support: When You've Been Trying for a While 34:37-38:34 - The Integration of Naturopathic & Conventional Fertility Medicine 38:35-41:57 - Three Essential Steps to Start Your Fertility Journey Today 41:58-45:34 - Fertility Myths Busted: Pineapples, Marijuana & Lubricants 45:35-48:14 - Rachel's Theme Song: "Started From the Bottom" & How to Connect Memorable Quotes "We really should be preparing for our pregnancies like we prepare for our weddings." - Dr. Rachel on preconception planning "So much of that impact comes from the sperm." - On the overlooked male factor in fertility "You are the ultimate bodybuilders - you're literally growing a whole other human body!" - Dr. Rachel's unique perspective on fertility patients "I'm usually Dr. Killjoy for a lot of people. I just take away all their fun... for a short period of time so they can have more fun later." - On lifestyle modifications for fertility Resources Mentioned Fertility Signs Masterclass: Available on Dr. Rachel's website to help women understand their body's fertility signals Free Email Series: Sign up on Dr. Rachel's website for information on the "pillars of preconception health" Conceive Health Clinic: Where Rachel practices, affiliated with fertility centers across Ontario TRIO Fertility Centers: Fertility clinics that partner with naturopathic doctors for integrated care Niagara Fertility Clinic: Where Rachel currently practices Fertility-Safe Lubricants: Mentioned as important for couples trying to conceive Ovulation Predictor Kits & Progesterone Testing Kits: Tools that can complement body awareness Connect with Dr. Rachel Corradetti-Sargeant Instagram: @dr_rachel_nd Website: Sign up for her bimonthly newsletter featuring fertility research, recipes, and tips Practice Location: Conceive Health at Niagara Fertility Clinic in Stoney Creek, Ontario About Dr. Rachel Rachel Corradetti-Sargeant is a naturopathic doctor specializing in fertility and preconception care. After experiencing her own fertility challenges including an ectopic pregnancy and discovering her premature ovarian insufficiency, she became passionate about helping others optimize their fertility health. Coming from a family where her grandmother and aunt also experienced early menopause, Rachel understands both the genetic and lifestyle factors that impact reproductive health. Her background in a family of bodybuilders gives her a unique perspective on fertility—seeing her patients as "the ultimate bodybuilders" who are creating an entirely new human being.
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30: The Missing Link in Endometriosis Care with Physiotherapist Jill Mueller
04/11/2025
30: The Missing Link in Endometriosis Care with Physiotherapist Jill Mueller
For more information on The Pleasure Principle Conference In this engaging conversation, Kristen Parise speaks with Jill Mueller, a pelvic health physiotherapist, about her journey into pelvic health, the complexities of endometriosis, and the importance of understanding sensitization in chronic pain. They discuss the connection between endometriosis and gastrointestinal dysregulation, the evolution of diagnostic methods, and the innovative Endometriosis 360 program that takes a holistic approach to treatment. Jill shares practical tips for managing pain and emphasizes the need for a comprehensive understanding of the patient's experience. Key Takeaways Jill's journey into pelvic health was influenced by her own fertility struggles and endometriosis diagnosis Sensitization plays a crucial role in chronic pain, affecting how the nervous system responds Endometriosis is complex and can manifest in various ways, including outside the pelvis GI dysregulation is common among endometriosis patients and can exacerbate symptoms Diagnosis of endometriosis is evolving, with less invasive methods like ultrasound gaining traction Endometriosis 360 offers a holistic, interdisciplinary approach to treatment involving physiotherapy, psychology, and nutrition Understanding the patient's life context is crucial for effective care Pain management should consider both physical and psychological factors The tissue is just one aspect of understanding pain; the brain's role is significant Chapters 00:00 - Journey into Pelvic Health Physiotherapy 03:20 - Understanding Sensitization and Chronic Pain 05:37 - Exploring Endometriosis: Definition and Perception 10:17 - The Connection Between Endometriosis and GI Dysregulation 14:50 - Diagnosis of Endometriosis: Traditional vs. Modern Approaches 23:25 - Introducing Endometriosis 360: A Holistic Approach 27:14 - One-on-One Client Care: Addressing Sexual Pain 32:44 - Cutting Edge Care for Endometriosis 35:51 - Practical Tips for Managing Pain and Sensitization 41:46 - Future Directions and Resources for Patients Resources Mentioned Natasha Orr - Researcher focused on sensitization and endometriosis - "Healing Pelvic Pain" by Dr. Peta Wright "Tame the Beast" - Educational video on YouTube about pain science Endometriosis 360 - Endo Together - About Jill Mueller Jill Mueller has been a physiotherapist since 2001 and is the founder of Endo Together and a lead physiotherapist at Endometriosis 360. After her own experiences with endometriosis and fertility challenges, she shifted her focus to pelvic health. She practices at Healthy Balance Physiotherapy and Wellness in Oakville, Ontario, and is dedicated to empowering people with pelvic health conditions. Connect with Jill Clinic: Healthy Balance Physiotherapy & Wellness, Oakville, Ontario Instagram: @endotogether, @endometriosis360, @oakvillephysio Websites: , , Connect with The Hole Shebang Instagram: @blueberrytherapypelvichealth Website:
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29: Moving from Surviving to Thriving in the Perinatal Period with Dr. Arielle Buch-Frohlich
04/04/2025
29: Moving from Surviving to Thriving in the Perinatal Period with Dr. Arielle Buch-Frohlich
For more information about The Pleasure Principle Conference: Episode Description In this powerful episode of The Hole Shebang, host Kristen Parise sits down with Dr. Arielle Buch-Frohlich, a clinical psychologist specializing in perinatal mental health, sex and couples therapy. Together they explore the often unspoken challenges of pregnancy, birth, and postpartum life. Dr. Buch-Frohlich shares insights from both her professional expertise and personal experiences, offering valuable guidance for couples navigating the complex emotional terrain of new parenthood. From redefining intimacy after baby to processing birth trauma and managing postpartum emotions, this conversation breaks the silence on topics many suffer through alone. About Our Guest Dr. Arielle Buch-Frohlich is a Clinical Psychologist licensed with the College of Psychologists of Ontario and Quebec. She completed her doctorate in Clinical Psychology (Psy.D) from the Université du Québec à Montréal (UQAM) and clinical training at the Sex and Couple Therapy Service at the Allen Memorial Institute. Dr. Buch-Frohlich provides inclusive Sex and Couples Therapy using a combination of Emotionally Focused Therapy (EFT), Cognitive Behavioural Therapy, and Acceptance and Commitment Therapy (ACT). She specializes in helping couples navigate communication challenges, infidelity, and transitions into parenthood, from fertility to perinatal and postpartum care. Key Takeaways Perinatal mental health issues are far more common than most people realize The postpartum period should be treated as a survival period before thriving can begin Both partners may experience birth trauma, though often in different ways Self-care is essential for new parents and should not be viewed as selfish The pressure to "bounce back" after pregnancy is unrealistic and harmful Intimacy can be redefined beyond sexual intercourse through emotional and physical connection Communication is key to maintaining intimacy and navigating challenges in relationships Processing emotions like anger is healthy; it's the behaviors that need to be appropriate Prioritizing your relationship during parenthood is vital for long-term success Chapters 00:00 Introduction to Perinatal Mental Health 03:04 The Journey of a Clinical Psychologist 05:57 Navigating Emotional Changes in Pregnancy 09:04 Creating a Supportive Environment for Couples 11:48 Surviving the Postpartum Period 14:57 The Pressure to Bounce Back 17:59 Self-Care Strategies for New Parents 21:03 Resuming Intimacy After Baby 24:02 Communication and Intimacy in Relationships 26:41 Creating Safe Spaces for Vulnerability 27:34 Understanding Birth Trauma and Its Impact 30:03 Preparing for Birth: Communication and Expectations 32:10 Processing Trauma Together: The Partner's Perspective 33:53 Navigating Anger and Reconnection Postpartum 35:56 Self-Care Strategies for New Parents 39:34 Emotional Regulation and Healthy Expression 43:14 Resources for Postpartum Support 45:29 Prioritizing Relationships in Parenthood Resources Mentioned Big Little Feelings (Instagram and podcast) Dr. Becky Goodenstein Fertility Oasis/The Oasis Network (support groups for Ontario) Dr. Arielle's website: drarieltherapy.com Coming Soon: Anna and Solomon's Sex and Couples Health (launching May 2025) Connect With Dr. Arielle Buch-Frohlich Website: Coming soon: Anna and Solomon's Sex and Couples Health Instagram: @annaandsolomon (launching May 2025) Connect With The Hole Shebang Host: Kristen Parise, Pelvic Health Physiotherapist Clinic: Blueberry Therapy Pelvic Health and Pediatrics Website: Instagram: This episode contains discussions about birth trauma, mental health challenges, and intimate relationships. While we aim to provide helpful information, this podcast is not a substitute for personalized medical or psychological care.
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28: It's More Complicated: Understanding Hormones with Dr. Stacey Ritz
03/28/2025
28: It's More Complicated: Understanding Hormones with Dr. Stacey Ritz
For More Information about The Pleasure Principle Conference In this enlightening episode of The Hole Shebang, host Kristen Parise sits down with Dr. Stacey Ritz, Associate Professor at McMaster University, to challenge our understanding of hormones and their roles in health across all bodies. Dr. Ritz shares her expertise on how cultural narratives have shaped our misconceptions about hormones like estrogen and testosterone, and explains why moving beyond binary thinking is essential for both healthcare and scientific research. Episode Highlights: The myth of "male" and "female" hormones and why this framing is scientifically inaccurate How testosterone and estrogen function in all bodies, regardless of gender The reverse relationship: how behavior can influence hormone levels Why hormonal levels vary throughout life stages and aren't as dimorphic as commonly believed The complex feedback mechanisms between different hormones How gender diversity research enhances our understanding of hormonal health Practical approaches to discussing hormones with children without reinforcing stereotypes Key Takeaways: Testosterone and estrogen are present and important in all bodies There's significant overlap in hormone levels between different sexes The relationship between hormones and behavior is bidirectional Cultural narratives often misrepresent the roles of hormones in behavior Understanding hormonal complexity helps dismantle harmful stereotypes The social and biological aspects of hormones are deeply entangled Chapters: 00:00 - Introduction to Dr. Stacey Ritz and Her Journey 02:50 - The Intersection of Sex, Gender, and Health Research 05:47 - Myths About Hormones: Understanding Testosterone and Estrogen 08:55 - The Reality of Hormones in All Bodies 12:03 - Cultural Narratives and Hormonal Stereotypes 15:11 - Talking to Children About Hormones 18:01 - The Reverse Relationship: Behavior Influencing Hormones 26:53 - Understanding Hormones and Their Interactions 32:30 - The Complexity of Hormonal Balance 36:43 - Hormones and Female Sexual Health 40:37 - Evolving Perspectives on Gender and Hormones 45:42 - The Interplay of Biology and Society 48:31 - Future Directions in Hormonal Research About Dr. Stacey Ritz: Dr. Stacey Ritz is an Associate Professor in the Department of Pathology and Molecular Medicine at McMaster University. Her research focuses on how sex and gender should be considered in health research, particularly developing approaches that account for the nuance, complexity, diversity, and dynamicism of sex and gender-related factors beyond binary comparisons. Resources: Dr. Ritz's research on hormones associated with gender and sex (HAGS) The concept of sex contextualism in biomedical research The understanding of hormone receptors and their function across different bodies
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27: Empowering Financial Wellness with Gillian Stovel Rivers
03/19/2025
27: Empowering Financial Wellness with Gillian Stovel Rivers
For more about Women's Sexual Health To connect with Gillian , or email [email protected] In this engaging conversation, Kristen Parise and Gillian Stovel Rivers explore the intricate relationship between financial wellness and personal health. They discuss the importance of understanding financial stability, the mindset shifts necessary for overcoming financial anxiety, and the unique perspectives women bring to financial discussions. The conversation also delves into practical steps for building long-term financial security, particularly in the context of education savings for children. Through personal anecdotes and professional insights, the episode aims to empower listeners to take control of their financial futures. Guest Bio Gillian Stovel Rivers is a Senior Wealth Advisor at Assante Wealth Management and the creator of The Muscle Money Mindset. With over twenty years in wealth management, Gillian acquired her wealth business from her father in 2007 and tripled it before partly monetizing it to her fellow founding partners at SurroundWealth.com in 2020. She holds CFP® and CEA designations, is certified as a CF-L2 Level 2 Coach in CrossFit, and is also a Certified High Flow Coach through the Flow Research Collective. When not advising clients, Gillian competes as a Masters CrossFit athlete and Olympic weightlifter, and is the mother of two teenage sons and two dogs. Gillian Stovel Rivers is a Senior Wealth Advisor with Assante Financial Management Ltd. The opinions expressed are those of the presenter and Financial Advisor and not necessarily those of Assante Financial Management Ltd. Please obtain professional financial advice or contact Gillian Stovel Rivers at (905) 335 - 1950 or visit to discuss your particular circumstances prior to acting on the information presented. Episode Chapters 00:00 Introduction to Financial Wellness 05:57 Understanding Financial Stability 10:54 Mindset Shifts Around Money 16:32 Unique Perspectives of Women in Finance 20:32 Building Long-Term Financial Security 24:50 Concrete Steps for Education Savings 27:07 Starting Over Financially: Navigating Life Changes 30:20 The Importance of Advisors and Networking 32:35 Building Resilience Through Financial Challenges 38:36 Practical Budgeting for Everyday and Long-Term Goals 46:31 Practical Tips for Increasing Savings 51:48 Tax Efficiency in Saving and Investing Resources Mentioned The Muscle Money Mindset by Gillian Stovel Rivers DIY financial planning software: – there are literally few if not no other personal financial planning programs available to Canadians, everything else is a budgeting app! Ray Dalio on You Tube
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26: The Art of Community Building with Sharlene Louden
03/14/2025
26: The Art of Community Building with Sharlene Louden
For more information about The Pleasure Principle For more information about Right At Home In the podcast interview Kristen Parise speaks with Sharlene Hogeterp Louden, a dynamic serial entrepreneur and registered kinesiologist with a passion for movement as medicine. Sharlene's journey began as a gymnastics coach and developed through her work in a multidisciplinary clinic setting, where she emphasized the importance of movement for all ages. Her entrepreneurial spirit led her to create Louden Kinetics, focusing on rehab and health promotion, alongside other ventures. In 2018, Sharlene sought a legacy project and partnered with Right at Home, a franchise providing in-home care services, especially valuable during the COVID-19 pandemic. Sharlene’s approach is grounded in building compassionate, client-centered care teams by hiring individuals with personal caregiving experiences. Her leadership philosophy is to create a supportive work environment, celebrating staff achievements and fostering a spirit of connection and respect. Sharlene is committed to volunteering and community building, often seen leading initiatives like women's health summits and advocating for mental health services through the Canadian Mental Health Association board. Her belief in taking risks and her love for community interaction have been instrumental in her success. Sharlene has faced personal health challenges, including navigating a total hysterectomy, but she advocates for self-care, movement, and being one’s own health advocate. Her passion for movement continues through her longstanding fitness group, Louden Kinetics, which she started to support and connect with other mothers. Throughout the interview, Sharlene emphasizes the importance of building networks, volunteering, and taking risks. Her life motto, underscored by songs like "Courage" by The Tragically Hip, reveals her dedication to continuous personal and community growth, making a meaningful impact wherever she can.
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25: Cultural Perspectives on Sexual Desire with Dr. Sari van Anders
03/07/2025
25: Cultural Perspectives on Sexual Desire with Dr. Sari van Anders
For more information on The Pleasure Principle Conference For more information on Dr. Sari van Anders In this engaging episode of The Hole Shebang podcast, host Kristen Parise welcomes Dr. Sari van Anders from Queen's University. Dr. van Anders shares her impressive academic journey, which began with a passion for teaching sex education to younger students and evolved into a career as a Canada 150 Research Chair at Queen's University. She specializes in social neuroendocrinology, sexuality, and gender sex, weaving these interests into a complex tapestry of research that includes feminist and queer science perspectives. Dr. van Anders discusses her groundbreaking Sexual Configurations Theory (SCT), which aims to address gaps in traditional understandings of sexual orientation. SCT provides a framework that separates identity, orientation, and status, capturing the complexity of human sexuality beyond binary definitions. This theory is particularly useful for individuals whose identities do not align with conventional labels. Dr. van Anders and her team are developing materials for clinicians and educators to help them utilize SCT in practical settings. Another significant topic covered in the interview is the societal impact on women's sexual desire, particularly in heteronormative relationships. Dr. van Anders challenges the notion that low desire in women is primarily due to biological factors like testosterone levels. Instead, she posits that gender inequities and cultural expectations play a significant role, affecting women's sexual experiences and desires. This perspective shifts the focus from individual issues to broader societal structures that influence intimate dynamics. The conversation also explores Dr. van Anders' research on orgasms, revealing how these experiences are often viewed as achievements tied to gender roles rather than purely personal pleasure. Her work suggests that cultural expectations can distort relationships and sexual satisfaction. Regarding pornography and sexual norms, Dr. van Anders acknowledges the branched nature of sexual fantasies, desires, and real-life experiences. Her research emphasizes that what arouses in fantasy or pornographic content doesn't necessarily align with in-person desires, highlighting the importance of recognizing and respecting these differences. Throughout their discussion, Kristen and Dr. van Anders emphasize the power of open communication in relationships to navigate and challenge outdated sexual norms. Dr. van Anders is working on developing pragmatic tools and language around these issues for clinicians and educators to improve understanding and acceptance in various sexual and relational contexts. For those interested in learning more about her work, Dr. van Anders' research and resources on Sexual Configurations Theory are accessible online, promising fresh insights and practical applications for those looking to deepen their understanding of sexuality and gender dynamics.
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24: Empowering Perinatal Health Through Naturopathy with Dr. Carly King
02/28/2025
24: Empowering Perinatal Health Through Naturopathy with Dr. Carly King
For more information on The Pleasure Principle Conference For more information on Dr. Carly King Dr. Carly King, a passionate and experienced naturopathic doctor, joins me on the Podcast to share her remarkable journey and insights into perinatal health. With a background as a high-level athlete at McMaster University, Dr. King's personal health challenges led her to explore naturopathic medicine after conventional treatments failed to alleviate her severe migraines. Dr. King's passion for perinatal health was ignited by her personal experiences during the perinatal period. Her challenging pregnancy, including being diagnosed with kidney failure and undergoing close monitoring, taught her the importance of being proactive. Researching ways to improve pregnancy outcomes through lifestyle, nutrition, and holistic approaches became her mission. In this episode, Dr. King discusses the significance of early intervention in pregnancy and emphasizes the proactive measures that can be taken to ensure a healthy outcome for both mother and child. She highlights the importance of addressing nutritional deficiencies early in pregnancy, particularly focusing on iron, vitamin D, and omega-3s, which are crucial for placental and fetal development. Dr. King shares valuable tips on maintaining health through a Mediterranean diet, known for its benefits in reducing risks like gestational diabetes and enhancing fertility. Listeners will be captivated by Dr. King's inspirational story of resilience through her medical challenges, including a recent kidney transplant. Her dedication to combining naturopathic practices with conventional medicine offers a comprehensive approach to perinatal care, and her insights are sure to resonate with those seeking a more informed and holistic path through pregnancy. This episode promises to be a beacon of knowledge and a source of empowerment for expecting mothers and healthcare providers alike. Whether you're interested in holistic health approaches or captivated by Dr. King's journey, this episode is a must-listen.
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23: Understanding Pelvic Organ Prolapse: Myths and Facts with Dr. Carolyn Best
02/21/2025
23: Understanding Pelvic Organ Prolapse: Myths and Facts with Dr. Carolyn Best
For more information on The Pleasure Principle Conference For more information on Dr. Carolyn Best In this engaging episode of The Hole Shebang, Kristen Parise welcomes Dr. Carolyn Best, a seasoned urogynecologist, for an in-depth discussion about pelvic organ prolapse (POP), surgical options, and the misconceptions surrounding these conditions. Dr. Best shares her journey into urogynecology and her passion for impactful, tangible results in women's health. Her experience ranges from Mount Sinai Hospital in Toronto to her current position at Halton Healthcare, where she continues to perform surgeries and educate others in the field. Throughout the conversation, Dr. Best emphasizes the importance of understanding the symptoms of pelvic organ prolapse, such as a feeling of pressure or bulging in the vagina, which can significantly impact a person's quality of life. The discussion highlights that while these symptoms are common, they often remain misunderstood, leading to unnecessary distress among those affected. Dr. Best provides clarity on the causes of prolapse, pointing to pregnancy, gravity, chronic constipation, and heavy lifting as potential contributors. While hormones play a role, the exact mechanism remains under study, with changes in estrogen levels affecting tissue integrity and muscle tone more than directly causing prolapse. Listeners will gain insight into how Dr. Best approaches treatment, considering surgery only when prolapse significantly affects a patient's life and when non-surgical options prove insufficient. She explains the nuances of grading prolapse, focusing on quality of life rather than numerical severity. This approach ensures that treatment is highly personalized, acknowledging the diversity of patient experiences. Prolapse surgeries, as Dr. Best describes, are typically done through the vagina, minimizing recovery time and the need for invasive procedures. She elaborates on the steps involved in these surgeries, including vaginal hysterectomy and repairing the vaginal walls, while emphasizing non-surgical measures like pelvic floor exercises and pessaries when appropriate. Dr. Best addresses common concerns about the longevity of surgical outcomes, explaining that while prolapse can recur, each case is unique. She reassures listeners that treatment options remain open, even if prolapse returns, providing a balanced perspective on surgical success rates. The episode concludes with Dr. Best's theme song choice, "Get Up, Stand Up" by Bob Marley and the Whalers, reflecting her advocacy for women's health and the continuous fight for improved awareness and care. This episode is a must-listen for anyone interested in women's health, providing expert insights and practical advice on managing pelvic organ prolapse with warmth, humor, and a wealth of experience.
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22: Caregiving with Susan Alexander
02/14/2025
22: Caregiving with Susan Alexander
For more information on Blueberry Therapy For more information on The Pleasure Principle Conference In this episode Susan Alexander, a registered psychotherapist and Kristen's cousin discuss Caregiving. They discuss Susan's journey into psychotherapy, starting from her personal experience with therapy at 18 after a high school betrayal. Susan's career began in massage therapy, where she noticed clients opening up about stress and anxiety. Her interest in psychotherapy deepened after her son was diagnosed with leukemia, leading her to connect with professionals in the field during his treatment. The conversation shifts to caregiving, highlighting the challenges faced by the "sandwich generation" managing care for both children and aging parents. Susan emphasizes the importance of recognizing and addressing caregiver burnout, which can manifest as exhaustion and stress. She shares strategies for setting healthy boundaries and the significance of self-awareness in preventing burnout. Mindfulness techniques, such as the 5-4-3-2-1 grounding exercise, are suggested as methods to manage stress and stay present. Kristen and Susan discuss the societal pressures on women to balance caregiving and other responsibilities, often resulting in guilt. They stress the importance of communication and self-compassion, encouraging women to ask for help and prioritize their well-being. Susan mentions the benefits of seeking psychotherapy and support networks, particularly in times of caregiving challenges. The podcast also touches on self-talk and reframing thoughts towards self-compassion and kindness. Susan concludes by sharing her theme song, "Hallelujah" by Leonard Cohen, as a representation of her journey, symbolizing hope and resilience.
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21: Pessaries with Kristen Parise and Dr. Maureen Macdonald
02/07/2025
21: Pessaries with Kristen Parise and Dr. Maureen Macdonald
For more information about Blueberry Therapy For more information about The Pleasure Principle Conference In this engaging episode of The Hole Shebang Podcast, Dr. Maureen Macdonald hosts an insightful conversation with Kristen Parise, a pelvic health physiotherapist specializing in women's health issues, particularly pelvic organ prolapse and pessaries. Pelvic organ prolapse, a common condition affecting up to 50% of women, involves the descent of pelvic organs due to weakened support structures. Kristen emphasizes that this condition is prevalent but often unaddressed, partly due to a lack of awareness and conversation. The discussion starts with a detailed introduction to vaginal pessaries, devices used to support pelvic organs, much like how a knee brace supports a weakened knee. Pessaries are presented as a versatile solution for women of all ages, from those in their twenties postpartum to women over 100 years old. Kristen highlights their effectiveness not only in managing symptoms but also in potentially preventing further progression of prolapse by providing necessary structural support. Kristen and Maureen explore the anatomy and function of the pelvic floor, emphasizing its vulnerability to gravity and life's physical demands. They discuss how prolapse can manifest differently in women, with varying symptoms such as the sensation of heaviness, urinary difficulties, and bowel issues. Kristen explains the grading of prolapse severity and underscores that even minor prolapse can significantly impact a woman's quality of life, making day-to-day activities challenging. The podcast delves into the assessment process for pelvic floor health, demystifying what might seem an intimidating experience. Kristen describes a comprehensive approach that includes lying and standing assessments to understand the true extent of prolapse and ensure effective treatment planning. Emphasizing a holistic approach, Kristen talks about collaborating with other healthcare professionals to provide well-rounded support for women, acknowledging the role of teamwork in optimal pelvic health management. Preventive measures are also a critical component of the conversation. Kristen advocates for early education and pelvic floor health awareness, suggesting that pelvic health assessments should be as routine as annual physicals, especially before childbirth. Proper understanding and strengthening of the pelvic floor, managing constipation, maintaining healthy weight, and mindful physical activity are recommended to minimize the risk of prolapse. Another key point of discussion is the innovation in pessary design. Kristen shares her excitement about new developments in custom pessaries, which offer more comfortable, personalized fits compared to standard models. This innovation provides hope for those who previously struggled with standard pessary discomfort. Overall, this episode is a valuable resource for anyone seeking to understand pelvic organ prolapse better and explores the role of pessaries as a supportive, effective solution. The key takeaway is clear: there is hope and help available, and conversations like these are the first step in lifting the veil on women’s pelvic health issues.
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20: Muve Forward with Michelle Wolfe
01/31/2025
20: Muve Forward with Michelle Wolfe
To learn more about Kristen Parise and Blueberry Therapy To learn more about Michelle Wolfe and the Muve Forward Podcast To learn more about The Pleasure Principle Conference In this episode of The Hole Shebang Podcast, Kristen Parise interviews Michelle Wolfe, an inspiring entrepreneur and the creative force behind Muve Forward and Muve Life. Michelle shares her journey from growing up in a small town to establishing her activewear brand and launching her podcast. Her passion for movement and health was influenced by her experience as a massage therapist, working particularly in a neurological rehab facility where she learned the significance of movement in overcoming illness and pain. Michelle's brand, Muve Life, arose from a personal history of struggling with body image and the absence of her mother, who passed away when Michelle was just eight. Wanting to create clothing that embraces various body types, she designs activewear that fits well and motivates people to feel confident and comfortable in their skin. Throughout the interview, Michelle emphasizes the importance of consistency, a lesson she learned from producing over 460 episodes of her podcast, Muve Forward. This consistency, combined with her courage to reach out and connect with diverse individuals, has enriched her professional life and expanded her reach. A notable moment in the conversation is when Kristen relates to Michelle about working in traditionally male roles, reflecting their shared experiences of empowerment. They discuss the valuable lessons learned from various jobs that shape personal and professional growth. Michelle shares the personal challenges she's faced, from family tragedies to navigating the complexities of entrepreneurship. Her podcast was born out of a difficult period, serving as a channel to heal and help others. This experience reinforced the power of controlling one's mood and thoughts for personal well-being. The discussion touches on the intersection of physical and emotional health, with Michelle sharing insights from her massage therapy days about the mind-body connection and the power of positivity in healing. Her approach aligns with Kristen's work in physiotherapy, emphasizing reframing thoughts to overcome pain and distress. Later in the episode, Michelle reveals her newfound awareness of habits that held her back, like a tendency to prioritize helping others over her own growth. This realization is fueling her journey toward balancing altruism with self-focus, ensuring her business and personal endeavors align with her values. Michelle's vision for Muve Life is expansive, aiming to make a global impact by providing quality activewear that fits and empowers diverse body types. The conversation closes with Michelle's refreshing philosophy on embracing change and the anticipation of future growth for her brand, including partnerships with spaces like Blueberry Therapy to broaden her reach. Kristen concludes by reflecting on how their discussion highlights themes of movement, connection, and the power of choice and curiosity. She expresses admiration for Michelle's authenticity and resilience, reinforcing the positive impact of Michelle's work and personality. The episode wraps up with a fun question about theme songs, where Michelle humorously relates her life to "Just Dance" and the liberating simplicity of movement.
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19: The Ugly Triad with Dr. Nicole Wilson
01/24/2025
19: The Ugly Triad with Dr. Nicole Wilson
For more information on Blueberry Therapy For more information on The Pleasure Principle Conference For more information on Dr Nicole Wilson In this engaging conversation, Dr. Nicole Wilson shares her journey from suffering debilitating migraines to becoming a passionate chiropractor. She discusses the importance of posture, breathing, and the interconnectedness of physical and mental health. Dr. Wilson highlights the 'ugly triad' of neck pain, digestive issues, and anxiety, emphasizing how proper alignment and breathing techniques can alleviate these problems. She also delves into prenatal and postpartum care, the significance of meditation, and strategies for addressing osteoporosis and pelvic floor issues. This insightful dialogue offers valuable perspectives on holistic health and wellness. In this conversation, Dr. Nicole discusses the critical role of core strength and proper posture in overall health, particularly in relation to back pain and children's health. She emphasizes the importance of posture in daily activities, the impact of technology on children's alignment, and the necessity of good sleep for healing. Dr. Nicole shares real-life examples of how improving posture can lead to significant transformations in health and performance, and she reflects on her journey in the health field, highlighting the importance of resilience and strength. takeaways Dr. Nicole's journey into chiropractic was driven by personal pain. Posture significantly impacts not just physical health but mental well-being. The diaphragm plays a crucial role in stress management and digestion. Chiropractic care can help improve posture and alleviate pain. Prenatal yoga is beneficial for maintaining health during pregnancy. Meditation and deep breathing can change brain structure and reduce anxiety. Proper spinal alignment is essential for effective breathing. Postpartum care requires gentle core exercises and spinal alignment. Osteoporosis patients need tailored strategies for maintaining posture. Breathing techniques can stimulate the vagus nerve and promote relaxation. Core strength is essential for proper posture. Avoid relying on braces for support; strengthen your core instead. Changing positions frequently is crucial for spinal health. Posture reminders can help reinforce good habits. Children's posture is affected by technology use. Proper alignment can improve digestion and mental health. Sleep is vital for healing and overall well-being. Good posture can enhance athletic performance. Education on posture should start at a young age. Resilience and strength are key themes in health. Chapters 00:00 Introduction to Chiropractic and Personal Journey 03:03 Understanding the Ugly Triad: Posture, Pain, and Mental Health 06:10 The Role of Breathing and Diaphragm in Health 08:55 Chiropractic Techniques for Pain Relief and Posture Improvement 11:45 Prenatal and Postpartum Care: Supporting Women Through Changes 15:10 The Importance of Meditation and Breathwork 17:59 Addressing Osteoporosis and Pelvic Floor Issues 25:04 Core Strength and Posture Alignment 29:56 Posture Tips for Kids and Technology 34:55 The Importance of Sleep and Rest 40:06 Real-Life Transformations Through Posture 42:52 Dr. Nicole's Journey and Theme Song
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18: Secrets to a Healthy Pregnancy Journey with Dr. Kristi Adamo
01/17/2025
18: Secrets to a Healthy Pregnancy Journey with Dr. Kristi Adamo
For more information on Blueberry Therapy For more information about Dr. Kristi Adamo In this conversation, Dr. Kristi Adamo discusses her journey from muscle physiology to her current research on the intergenerational cycle of obesity, the importance of physical activity during pregnancy, and the role of diet and gut microbiome in maternal and fetal health. She emphasizes the benefits of exercise for both mothers and their babies, debunking myths about pregnancy and physical activity, and highlights the significance of a healthy lifestyle for long-term health outcomes. In this engaging conversation, Kristi Adamo and Kristen Parise explore the intricate connections between microbiota, prenatal care, and women's health. They discuss the impact of delivery methods on microbiota, the development of the Smart Moms app to support pregnant women, and ongoing research into placenta biology and physical activity. Additionally, they highlight the challenges faced by women in the Canadian Armed Forces, particularly regarding pelvic floor health and postpartum support. The discussion emphasizes the importance of evidence-based approaches in women's health and the need for supportive resources for mothers and military personnel alike. Takeaways Dr. Adamo's journey into research was influenced by her mentor. The intergenerational cycle of obesity can start in utero. Physical activity during pregnancy reduces risks of complications. Weight gain recommendations vary based on pre-pregnancy weight. Exercise can improve both maternal and fetal health outcomes. The placenta is a key communication conduit between mother and baby. Sperm health can impact placental quality and offspring health. Diet and physical activity are crucial for healthy pregnancy outcomes. Gut microbiome changes during pregnancy are an emerging area of research. Healthy behaviors can mitigate risks associated with higher pre-pregnancy weight. Fecal transplants can significantly impact health outcomes. The mode of delivery affects a baby's microbiota. The Smart Moms app aims to support pregnant women. Evidence-based resources are crucial for maternal health. Pelvic floor disorders are common in military women. Postpartum support is essential for women's careers. Physical activity influences placenta biology. Research is ongoing to improve women's health resources. The military is working to retain female members. Life as a female scientist can be overwhelming but rewarding. Chapters 00:00 Introduction to Dr. Kristi Adamo and Her Journey 06:04 The Importance of Weight Gain During Pregnancy 16:52 The Role of Sperm in Placental Health 23:02 Exploring Gut Microbiome Changes During Pregnancy 32:41 Exploring Placenta Biology and Physical Activity 44:41 Connecting with Kristi: Research and Resources
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