The Hole Shebang

Episode Overview Natalia, founder of Dott, joins the podcast to discuss why clitoral vibration should be considered healthcare for menopause—not just pleasure. As an industrial designer who experienced Premature Ovarian Insufficiency in her thirties, Natalia breaks down the physiology of estrogen loss, decreased blood flow to pelvic tissues, and how vibration therapy supports tissue health, natural lubrication, and nervous system regulation during hormonal transitions. What You'll Learn Why blood flow to your vulva and vagina decreases during perimenopause and menopause—and what that means for tissue health How vibration therapy prevents the thinning, dryness, and sensitivity loss that many people accept as "normal aging" The three-phase ritual (regulate, release, restore) and why nervous system regulation comes before addressing the vulva The difference between using vibration therapy preventatively versus therapeutically once symptoms have started Why standards matter in the intimate wellness industry—and what Health Canada licensing actually means Guest Bio Natalia is an industrial designer and founder of Dott, a Health Canada licensed intimate wellness company focused on perimenopause and menopause care. After watching her mother suffer through menopause in silence and experiencing Premature Ovarian Insufficiency herself in her thirties (which led to bone density loss before diagnosis), she founded Dott to treat vibration therapy as real healthcare for women's bodies. She designs tools and education that support hormone balance, pelvic floor health, nervous system regulation, and sexual comfort during hormonal change. Natalia collaborates with menopause clinics and pelvic floor therapists to integrate evidence-based vibration therapy into treatment protocols. Theme Song: The Chain by Fleetwood Mac Key Topics Covered The physiology of estrogen depletion and decreased pelvic blood flow How vibration therapy increases circulation to vulvar and vaginal tissues Nervous system regulation as the foundation of the three-phase protocol Why preventative care matters before symptoms become severe The lack of standards in the intimate wellness industry Partnering with healthcare providers to integrate vibration therapy into pelvic health treatment Connect with Natalia Website: Dott Wellness Instagram: @dott.wellness LinkedIn: Natalia B. Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Overview Dr. Jordin Wiggins is a naturopathic doctor, author of The Pink Canary, host of The Pleasure Principles podcast, and an intimacy coach for high-achieving women. Her journey into women's sexual health started in grade 10 with debilitating pelvic pain that felt like "somebody was shoving a knife in between my vagina and my rectum." Doctors dismissed her pain as psychological, offering antidepressants because they couldn't see the problem on imaging. It wasn't until naturopathic medical school that she learned about pelvic floor physiotherapy—the answer she'd been searching for. That experience of being dismissed by healthcare, combined with horrible reactions to birth control, shaped her mission: understanding why 50% of women globally suffer from sexual dysfunction and why so many successful women have everything they thought they wanted but feel completely unfulfilled. In this conversation, Jordin introduces super traits—personality strengths like empathy, loyalty, tolerance, and hard work that make you extraordinary in your career and relationships. But when there are no boundaries around these traits, women build their entire relationship around their partner's moods and comfort, carrying all the emotional labor while their own needs shrink smaller and smaller. What happens in the bedroom becomes a mirror of what happens outside the bedroom. What You'll Learn: How being gaslit about pelvic pain shaped Jordin's approach to women's health, why she ran a successful 7-figure women's health clinic that almost swallowed her whole, what super traits are and why conventional advice doesn't work for women who have them, the four hidden patterns that destroy intimacy in relationships, why "just communicate better" doesn't address power dynamics, the difference between desire that's gone versus desire buried under resentment, how to start examining your relationship without making things worse, why accountability requires checking for safety first, what it means to come home to your head, heart, and body, and why sex being "for him" while connection is "for us" keeps women stuck. Resources Mentioned: Super Traits Research: Sandra Brown's original research on super traits as personality strengths Free Resource: Super Traits Quiz — Take the quiz to discover your super traits. Jordin notes the quiz sends your top trait, but she can send all results profiles if you DM her on Instagram, as most women have three or four super traits. Theme Song: River by Bishop Briggs Connect with Dr. Jordin Wiggins: Website: Dr. Jordin Wiggins Instagram: @drjordinwiggins Podcast: The Pleasure Principles Book: The Pink Canary by Dr. Jordin Wiggins Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

When cancer treatment forces you into menopause overnight, the experience is drastically different from natural menopause. Your hormones don't gradually decline—they stop. And the symptoms? They hit hard and fast. In this episode, I sit down with Dr. Ashley Chauvin, a Naturopathic Doctor and Menopause Society Certified Practitioner who has built her practice around cancer survivorship and menopause support. Ashley shares her journey from radiation therapy intern to naturopathic doctor specializing in integrative cancer care, and why she's passionate about helping patients feel like themselves again after treatment. What You'll Learn: The physiological differences between medical menopause and natural menopause—and why symptoms are more intense when treatment shuts down your hormones overnight What to ask your healthcare providers before cancer treatment begins, and why establishing your baseline matters Ashley's non-restrictive approach to nutrition for cancer survivors (spoiler: it's not about eliminating gluten, dairy, and coffee) Why muscle mass is critical for cancer survivorship, longevity, and bone health The truth about hormone therapy for cancer survivors—including when vaginal estrogen might be an option How to collaborate with your oncology team without feeling like you're asking for permission to feel better What gives Ashley hope in this work, and why her patients inspire her to try adult gymnastics at 40 This conversation challenges the narrative that cancer survivors just have to suffer through menopause symptoms. You don't. There are options, and quality of life matters. Theme Songs: Can't Stop by Red Hot Chili Peppers (family friendly) Till I Collapse by Eminem (non-family friendly version) Connect with Dr. Ashley Chauvin: Website: Clarity Health Burlington Instagram: @ashleychauvin_nd Practice: Clarity Health, Burlington, Ontario (Virtual and in-person appointments available across Ontario) Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Why Muscle Is Your Longevity Organ with Barbara Birke When your body stops responding to the same old strategies, it's not because you're broken—it's because your hormones are changing, and your body needs something different now. Barbara Birke is a German sports scientist and nutritionist who specializes in supporting women through perimenopause, menopause, and beyond. She studied sports science with a focus on psychology and motivation, managed an orthopedic rehab center, and has spent years teaching women how to build strength, optimize nutrition, and thrive through hormonal transitions. But her most powerful lesson came from her own body in her 40s, when she realized that muscle wasn't just professional advice—it was personal survival. In this episode, you'll learn: Why muscle loss accelerates when estrogen declines (and why muscle quality degrades if you don't actively work against it) How strength training acts as metabolic medicine—pulling sugar from your bloodstream, releasing protective myokines, and improving blood work markers The connection between strength training and bone health, brain health, and mood Why managing stress becomes harder in perimenopause and how to set better boundaries What "strength training" actually means for women who've never lifted weights before How building outer strength creates inner strength and empowerment Theme Song: "Unstoppable" by Sia Connect with Barbara: Website: Optimum-U.com Instagram: @strongwithbarbara Programs: Power & Balance (strength training), Clean Up (nutrition), Thrive Formula (12-week holistic program) If you're feeling dismissed by conventional medical advice or struggling with a body that suddenly won't cooperate, this conversation will give you the framework to understand what's actually happening—and what you can do about it. Subscribe to The Hole Shebang Podcast wherever you listen, and visit blueberrytherapy.ca for more resources on pelvic health and wellness. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

In this powerful episode, Kristen sits down with Michiko Tsukada Caringal, a pelvic health physiotherapist in British Columbia who brings both clinical expertise and deeply personal experience to her work. Michiko spent three years recovering from vulvodynia before becoming a physiotherapist, and that journey shapes everything about how she treats patients today. What You'll Learn: Michiko opens up about her non-linear recovery from pelvic pain, including the moments she gave up hope and how she eventually found her way to being symptom-free for over 10 years. She shares the golden nuggets from her journey—particularly the critical role of hope, finding your own advocate, and believing recovery is possible even when the path isn't clear. You'll hear about Michiko's unique approach to gender-inclusive pelvic care, her work as a subject matter expert with TransCare BC, and how she navigates the tension between maintaining professional boundaries while creating genuine human connection with patients. She explains her "detective cap" approach to understanding each person's unique story and why relationships are the foundation of all healing. The conversation also covers practical topics like post-prostatectomy incontinence recovery, functional pelvic floor training that makes sense in real life (not just on a treatment table), and why the best healthcare professionals can be both your cheerleader and your source of evidence-based facts. About Michiko Tsukada Caringal: Michiko is a pelvic health physiotherapist with a master's in bioethics who treats people of all ages and genders at two clinics in BC: Inner Circle Physio in Burnaby and Kaia Health Care Center. She specializes in gender-inclusive care, works as a subject matter expert for TransCare BC, and is passionate about empowering anyone with a pelvic floor to understand and heal their bodies. Theme Song: I'm a Believer by The Monkees Connect with Michiko: Website: Happy Down There Email: Available on her website Clinics: Inner Circle Physio (Burnaby) and Kaia Health Care Center (BC) Visit blueberrytherapy.ca to learn more about pelvic health services in Hamilton, Ontario. Subscribe to The Hole Shebang Podcast and connect with us on Instagram @blueberrytherapypelvichealth

Dee Hartmann is a pelvic health physical therapist who spent nearly three decades specializing in chronic vulvar pain. After treating thousands of women in her Chicago practice, she discovered that conventional approaches were missing critical connections - between old injuries and current pain, between visceral tension and pelvic floor dysfunction, and between pain elimination and pleasure cultivation. In this conversation, Dee shares her journey from treating incontinence to becoming a leading voice in vulvar pain treatment. She explains why pelvic floor dysfunction is a symptom rather than a cause, how seemingly unrelated issues throughout the body contribute to vulvar pain, and why her approach now centers on pleasure as a pathway to healing. What you'll learn: How Dee's own experience having five children in six years led her to specialize in pelvic health Why treating just the vulva or just the pelvic floor isn't enough The five exercises that can decrease vulvar pain before penetration of any kind How pleasure and arousal fit into physical therapy treatment What to look for (and avoid) when seeking pelvic health care Why a multidisciplinary approach matters for chronic pain Dee retired from clinical practice in 2017 and co-authored "The Pleasure Prescription" with Elizabeth Wood. She now travels internationally teaching her approach and speaking about the intersection of physical therapy, sexual health, and pleasure. Theme Song: Don't Stop by Fleetwood Mac Connect with Dee Hartmann: Dee Hartmann Physical Therapy Website: Dee Hartmann Physical Therapy Book: The Pleasure Prescription on Amazon:  Find Dee on Facebook and LinkedIn Connect with Blueberry Therapy: Website: Blueberry Therapy Instagram: @Blueberrytherapypelvichealth Subscribe to The Hole Shebang Podcast on your favorite podcast platform

Episode Overview Breathwork facilitator Jenn Mansell joins The Hole Shebang to talk about how intentional breathing can shift everything from chronic illness to pelvic floor dysfunction to trauma patterns. If you've ever felt trapped in your body or caught in stress loops that keep you stuck, this conversation offers both the science and the hope you need. What You'll Learn In this episode, we explore how breathwork actually works in your body and why it's become such a foundational practice across healthcare disciplines. Jenn breaks down the physiology of breathing, from oxygen as your brain's primary fuel to how breath shifts your nervous system state and creates space for tension release. We discuss practical applications for pain management, pelvic health, and accessing emotions that live in your body beyond cognitive memory. You'll hear Jenn's powerful story of growing up chronically ill with severe eczema, allergies, and asthma, and how she moved from fear and disconnection to becoming a facilitator who's breathed with thousands of people. We talk about the moment she realized her body wasn't the enemy, how breathwork bridges the gap between feeling trapped and feeling wild, and why this simple practice keeps showing up in conversations with neuroscientists, physiotherapists, and trauma specialists. About Jenn Mansell Jenn Mansell is a breathwork facilitator and mentor who has been guiding people through intentional breathing practices for eight years. Her work combines breathwork with somatic therapy, internal family systems, and nervous system healing. She also DJs conscious dance spaces and has recently expanded her practice to include low dose cannabis and ketamine work for trauma and attachment healing. Based in Toronto, Jenn runs regular events and works with clients privately to help them reconnect with their body's innate intelligence. Theme Song: "Keep Going" by HRRTZ SHELLS Key Topics Covered The physiology of breathwork and nervous system regulation How stress is held as tension in the body Breathwork for chronic illness, pain management, and pelvic floor dysfunction Shifting from the default mode network (survival brain) to the limbic system Trauma release and accessing nonverbal body memory The role of oxygen in brain function and energy Somatic therapy and body intelligence Connect with Jenn Mansell: Website: jenmansell.com Instagram: @jenmansell Find Jenn's guided breathwork sessions on Insight Timer Ready to explore more? Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast wherever you listen. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Overview Dr. Margie Davenport is rewriting the rules on exercise during pregnancy and postpartum—and the outdated advice about waiting six weeks or avoiding heavy lifting is officially being replaced with actual evidence. As an exercise physiologist at the University of Alberta and the lead researcher behind the 2025 Canadian Postpartum Exercise and Sleep Guidelines, Margie shares the groundbreaking research that's changing how we support people through this massive life transition. What You'll Learn Why the six-week postpartum checkpoint has been completely removed from the new guidelines and what replaced it (hint: it's way more individualized and actually useful) How the Get Active Questionnaire for Postpartum helps you determine when YOU'RE ready to start moving—not when some arbitrary timeline says you should be The shocking research showing that people who lifted heavy (>80% of their 1RM) throughout pregnancy had a 51% reduction in adverse pregnancy outcomes Why the "don't lift more than 20 pounds" advice during pregnancy is based on occupational lifting literature and doesn't apply to intentional strength training How to gradually and safely progress toward 120 minutes of moderate to vigorous physical activity per week postpartum using symptom-based cues Why starting exercise during pregnancy is beneficial even if you've never been active before Resources Mentioned Get Active Questionnaire for Postpartum - Use this self-screening tool to determine when you're ready to start your postpartum exercise journey About Dr. Margie Davenport Dr. Margie Davenport is an exercise physiologist and researcher at the University of Alberta, where she founded the Program for Pregnancy and Postpartum Health in 2013. A former national team athlete, Margie has dedicated her career to pushing the boundaries of what we know about exercise during pregnancy and postpartum. She led the development of the 2019 Canadian Pregnancy Exercise Guidelines and the groundbreaking 2025 Canadian Postpartum Exercise and Sleep Guidelines. Theme Song: Survivor by Destiny's Child and My Way by Frank Sinatra Connect with Dr. Margie Davenport: Website: Exercise in Pregnancy Instagram: @DrMargieDavenport Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast wherever you listen. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth.

Episode Overview Dr. Daiana Castleman, naturopathic doctor and menopause specialist, joins Kristen to talk about Genitourinary Syndrome of Menopause (GSM)—a condition that affects up to 85% of women by 20 years post-menopause but remains dramatically underdiagnosed. This conversation goes beyond vaginal dryness to explore the full impact of estrogen decline on sexual, urinary, and overall health. What You'll Learn In this episode, we discuss the real symptoms of GSM including painful intercourse, recurrent UTIs, urinary urgency and frequency, and vaginal irritation. Daiana explains how estrogen loss changes the vaginal and urinary microbiome, increasing susceptibility to infection and why vaginal estrogen is a game-changer for prevention and treatment. We also dive into sleep disruption during perimenopause and menopause—why waking up multiple times to urinate isn't normal aging, how sleep apnea presents differently in women (often without snoring), and what proper assessment looks like before reaching for supplements. Finally, Daiana shares the incredible stat that over 90% of cardiovascular disease is preventable, making perimenopause and menopause the ideal time to focus on longevity, heart health, bone density, and cognitive function. About Dr. Daiana Castleman Dr. Daiana Castleman is a naturopathic doctor specializing in menopause, hormone therapy, and women's sexual health. She was inspired to pursue naturopathic medicine after her own transformative experience with an ND, and found her passion for menopause care through conversations with her own mother about perimenopause. Daiana was a keynote speaker at The Pleasure Principle Conference 2025 and is deeply committed to helping women get the evidence-based support they deserve during this life transition. Theme Song: "Rise Up" by Andra Day Connect with Dr. Daiana Castleman: Website: Dr. Daiana Castleman Instagram: @dr.daiana.castleman Newsletter: Subscribe through her website for expert menopause education Additional Resources: Menopause Foundation Canada - Evidence-based menopause information and resources Visit blueberrytherapy.ca to learn more about pelvic health physiotherapy and multidisciplinary care in Hamilton, Ontario. Subscribe to The Hole Shebang Podcast for more honest conversations about women's health topics others whisper about. Connect with The Hole Shebang on Instagram: @blueberrytherapypelvichealth

Episode Overview: When was the last time you actually looked at your vulva? If you're like most people, the answer is "never" or "I don't even know what I'm looking for." In this eye-opening conversation, nurse practitioner Kathryn Flanigan, Nurse Practitioner,  breaks down everything we should have learned about vulvar health—but didn't. What You'll Learn: The crucial difference between vulva and vagina (and why it matters for your health) How to talk to kids about their anatomy using correct terms without awkwardness Common vulvar conditions like lichen sclerosus and when to seek treatment Why the vagina is self-cleaning and what products to avoid How hormonal changes affect vulvar health across the lifespan—from postpartum to menopause Proper vulvar care practices (spoiler: ditch the scented soaps) How to recognize what's normal aging versus what needs medical attention About Our Guest: Kathryn Flanigan is a nurse practitioner with over 25 years of experience in primary care. She's been recognized as Preceptor of the Year three times and specializes in vulvar health and pelvic conditions. After recognizing that her elderly patients lacked the vocabulary to describe vulvar changes, Kathryn dedicated herself to educating both patients and healthcare providers about this under-addressed area of health. She's passionate about giving women across the lifespan the language and knowledge to advocate for themselves. Key Topics Covered: Vulvar anatomy 101 • Stigma and health literacy • Teaching children body autonomy • Vulvar skin conditions • Hormonal changes and vulvar health • Proper vulvar care practices • Patient advocacy • Canadian health resources Resources Mentioned: GynQI.com - Canadian gynecologist-developed resource for vulvar care, lichen sclerosus, menopause, and more FemmeSense Balm  The Body Book by Kathy Stinson Connect with The Hole Shebang: Instagram: @blueberrytherapypelvichealth Visit: blueberrytherapy.ca Subscribe to The Hole Shebang Podcast wherever you listen to podcasts

What if sex was supposed to feel good—but your body won't let you get there? In this episode, Kristen sits down with Dr. Janelle Frederick, a pelvic floor physical therapist known as the Vagina Rehab Doctor, to talk about vaginismus, sexual pain, and how virtual pelvic health treatment is changing lives. Dr. Frederick shares her journey from working in orthopedics to specializing in sexual dysfunction—and why she left her dream job at a top hospital to build a remote coaching practice focused on patient empowerment. If you've ever wondered how pelvic PT could possibly work over Zoom, this conversation will blow your mind. What you'll learn in this episode: What vaginismus actually is (hint: it's a pelvic floor muscle disorder, not a psychological problem) Why early signs like difficulty with tampons or pap smears matter—and shouldn't be ignored How religious upbringing, cultural messaging, and even childhood constipation can contribute to vaginismus Why "just relax" is terrible advice when your pelvic floor is in overdrive The three first steps to take if you think you're dealing with sexual pain or vaginismus How Dr. Frederick's virtual model gives patients more agency and often leads to faster healing What "Vaj Stretch Labs" are (and why moving your body matters for pelvic floor release) This episode is for anyone who's been told their pain is "in their head," who's tried treatment that didn't work, or who's just starting to realize that painful sex isn't something you have to live with. About Dr. Janelle Frederick: Dr. Janelle Frederick is a Doctor of Physical Therapy who specializes in treating vaginismus and sexual pain. After completing her pelvic health residency at Loyola in Chicago, she built a thriving remote coaching practice that's helped over 300 people experience pain-free, pleasurable intimacy. Her approach focuses on patient empowerment, self-assessment, and addressing both the physical and mental aspects of healing. Connect with Dr. Janelle Frederick: Instagram: @vaginarehabdoc Visit Blueberry Therapy: blueberrytherapy.ca Subscribe to The Hole Shebang Podcast Follow us on Instagram: @blueberrytherapypelvichealth

Episode Overview What if the future of pelvic health looks more like Invisalign than one-size-fits-most devices? In this episode, Kristen sits down with Derek Sham, biomedical engineer and founder of Cosm Medical, to explore how precision medicine is finally coming to women's pelvic health. Inspired by his grandmother's struggle with pelvic organ prolapse, Derek is revolutionizing vaginal pessary technology with custom devices designed using AI, digital scanning, and data from thousands of women. What You'll Learn How custom pessaries work and why 1-2 millimeters actually matters for patient outcomes and comfort The shocking innovation gap between men's and women's pelvic health (hint: the prostate market is 10X larger) Why the same surgery gets reimbursed 30% less when performed on women versus men The future of postpartum recovery: "gynothotics" that could prevent prolapse through tissue remodeling How AI is transforming pessary fitting from an art based on experience to data-driven precision medicine What digital scanning technology could mean for moving beyond finger measurements in urogynecology About Derek Sham Derek Sham is a biomedical engineer and founder of Cosm Medical. He previously built the world's most utilized urodynamics system and brings over a decade of experience in medical device development to women's health. Driven by his grandmother's experience with pelvic organ prolapse, Derek is on a mission to bring precision, innovation, and digital technology to a field that has been underserved for decades. Key Topics Covered Custom pessary design and fitting • Postpartum tissue remodeling • Women's health innovation gaps • Healthcare reimbursement disparities • AI-assisted clinical decision making • Digital gynecology platforms • Access and affordability in pelvic health • The entrepreneurship journey in medical devices Connect with Derek Sham and Cosm Medical Website: COSM.care Instagram: @cosm.medical LinkedIn: Derek Sham Resources Visit blueberrytherapy.ca to learn more about pelvic health physiotherapy in Hamilton, Ontario Subscribe to The Hole Shebang Podcast for honest conversations about women's health topics Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Overview What's the connection between how you eat and how you experience intimacy? In this episode, Kristen sits down with Emily Arthur, a registered dietitian specializing in women's health, to explore the surprising intersections between nutrition, body image, sexual health, and endometriosis. What You'll Learn How disordered eating patterns affect intimacy and sexual expression—not just with partners, but with yourself Why people with endometriosis are five times more likely to struggle with disordered eating, and how pain becomes tangled with attempts at control What interdisciplinary endometriosis care actually looks like, and why it's so effective (yet so rare in Canada) The spectrum of eating behaviors—from intuitive eating to eating disorders, and all the messy stuff in between How cultural expectations around gender literally shape what we put on our plates and how we relate to our bodies Practical approaches to addressing nutrition in pelvic health without falling into restrictive diet culture About Emily Arthur, RD Emily Arthur is a registered dietitian who specializes in nutrition for women's health "from first period to last period and everything in between." She completed a graduate certificate in sexual health education and has specialized training in endometriosis and pelvic health. Emily is part of the Endometriosis 360 interdisciplinary team, which provides comprehensive group programming combining nutrition, physiotherapy, and psychology for people with endometriosis. She also provides one-on-one nutrition counseling through Brandt Nutrition and is actively involved in endometriosis research. Key Topics Covered Disordered eating and its impact on intimacy | Endometriosis and nutrition | Body image and sexual health | Gender expectations and food | Intuitive eating | Interdisciplinary pelvic health care | The Endometriosis 360 program Connect with Emily Instagram: @emilytheperiodrd Website: emilytheperiodrd.ca Resources Visit blueberrytherapy.ca to learn more about pelvic health physiotherapy and comprehensive care. Subscribe to The Hole Shebang Podcast wherever you listen to podcasts. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Overview: What if perimenopause wasn't the end of your sex life—but the beginning of something completely new? In this honest, educational conversation, Kristen sits down with psychotherapist and sex therapist Taylor McConnachie to talk about what's really happening to your body, your desire, and your voice during perimenopause. What You'll Learn: Why perimenopause can be a "sexual debut"—a chance to completely transform how you experience pleasure How the non-linear model of sexual response explains why your desire has changed (and why you're not broken) What pleasure mapping is and how to rediscover what feels good in your changing body Why that "bullshit meter" you're suddenly feeling is actually a gift—and how to use it The role of differentiation in maintaining sexual connection while honouring your individual experience Practical tools like lube, sex toys, and new ways of communicating about sex About Taylor McConnachie: Taylor McConnachie is a registered psychotherapist, AASECT-certified sex therapist, and certified sexologist. She's the founder of Embodied Sexual Wellness and Psychotherapy, with a physical practice in Simcoe, Ontario, supporting people across the province with sex therapy, pelvic pain support, and sexual wellness education. Taylor's own experience with endometriosis and sexual pain drives her passion for creating safe, shame-free spaces to talk about sex and sexuality. Key Topics Covered: Sexual pain and pelvic health during perimenopause Medical gaslighting and being told "you're too young" for perimenopause Body changes, weight gain, and shifting self-image Vaginal dryness and arousal changes Finding your voice and setting boundaries during midlife The connection between caregiving roles and sexual desire Connect with Taylor: Instagram: @embodiedsexualwellness Website: embodiedsexualwellness.com Resources Mentioned: Climax Conference (Ottawa, November) Non-linear model of sexual response Visit blueberrytherapy.ca to learn more about pelvic health support in Hamilton, Ontario. Subscribe to The Hole Shebang Podcast on Apple Podcasts, Spotify, or wherever you listen. Connect with The Hole Shebang on Instagram: @blueberrytherapypelvichealth

Episode Overview: What if everything you thought you knew about hormone therapy was based on a misunderstood study from 2002? In this conversation with Dr. Carrie Jones—naturopathic doctor, hormone specialist, and host of the Hello Hormones podcast—we unpack the real data behind hormone replacement therapy, why perimenopause might be starting earlier than you think, and what's actually happening to your body during this transition. What You'll Learn: The truth about the 2002 Women's Health Initiative study and why "estrogen causes cancer" isn't the full story How perimenopause can start in your late 30s (and what other conditions to rule out first) The specific hormone labs you should request from your doctor—and why "everything looks normal" isn't good enough What genitourinary syndrome of menopause (GSM) is and why nobody talks about vaginal atrophy until it's too late Why pain during sex is common but absolutely not normal, and what you can do about it How to advocate for yourself when doctors dismiss your symptoms as "just stress" or "too young for hormones" About Dr. Carrie Jones: Dr. Carrie Jones is a naturopathic medical doctor with a passion for women's hormones and helping people understand their bodies. She graduated from the National University of Natural Medicine (NUNM) in Portland, Oregon, and has been practicing for over 20 years, specializing in hormone health through all life stages. Dr. Jones is the host of Hello Hormones with Dr. Carrie Jones podcast and has an upcoming book (Fall 2026) that promises to make perimenopause education fun, accessible, and actually useful. Her mission is simple: help women not feel so crazy and understand what's happening in their bodies. Key Topics Covered: Hormone replacement therapy, bioidentical hormones, perimenopause symptoms, menopause, estrogen, progesterone, hormone testing, FSH, LH, estradiol, thyroid function, genitourinary syndrome of menopause (GSM), vaginal atrophy, painful sex, Women's Health Initiative study Connect with Dr. Carrie Jones: Website: drcarriejones.com Free hormone labs ebook: drcarriejones.com/labs Podcast: Hello Hormones with Dr. Carrie Jones Connect with The Hole Shebang: Visit blueberrytherapy.ca for pelvic health resources Subscribe to The Hole Shebang Podcast wherever you listen Follow us on Instagram @blueberrytherapypelvichealth

Fact Check Fridays Episode Overview Muscle metabolism researcher Dr. Lauren Colenso-Semple joins Kristen to debunk fitness myths that are keeping women confused and away from strength training. This evidence-based conversation covers everything from cycle syncing to protein needs, with practical advice for building and maintaining muscle through perimenopause and beyond. What You'll Learn Why muscle building capacity remains strong at any age and how to harness it effectively The science behind why cycle syncing workout programs may actually hinder your progress Realistic protein recommendations that don't require obsessive tracking How to adapt your training as recovery needs change with age Simple strategies for consistent strength training with compound movements About Dr. Lauren Colenso-Semple Dr. Lauren is a muscle metabolism researcher with a psychology background who translates complex science into actionable fitness guidance. After working in business development and personal training, she pursued graduate research focusing on muscle physiology for women. She's passionate about evidence-based approaches that cut through industry confusion and help people exercise effectively throughout their lives. Key Topics Covered Anabolic resistance with aging and what it really means for your workouts Why consistency and progression matter more than perfect programming The truth about protein needs for muscle building (it's less than you think) Recovery differences in your 40s, 50s and beyond—and how to adapt Starting resistance training later in life and the powerful functional benefits Simple workout strategies that work: compound movements, shorter sessions, regular frequency Connect with Dr. Lauren Instagram: @drlaurencs1 Resources Mentioned Sign up for Dr. Lauren's evidence-based newsletter for weekly myth-busting fitness insights Visit blueberrytherapy.ca for pelvic health physiotherapy in Hamilton Ontario Subscribe to The Hole Shebang Podcast Connect with us on Instagram @blueberrytherapypelvichealth

Register for the Empowered Transitions Master Class (Nov 13th 2025, 7-8:30 PM Eastern) Connect with Jessica Caceres at Bonita Medical Aesthetics Episode Overview Kristen welcomes back nurse practitioner Jessica Caceres for an in-depth conversation about perimenopause, menopause, and the collaborative care that's transforming women's health. This episode tackles the symptoms, treatments, and myths surrounding this life stage while announcing an exciting new educational opportunity. What You'll Learn The real timeline for when to start monitoring hormonal changes and symptoms Why blood tests can't predict your menopause journey How estrogen decline affects your pelvic floor function The connection between hormones and joint pain, sleep, and brain fog Why vaginal estrogen is a game-changer for UTI prevention and tissue health How to become a better advocate for your own healthcare Featured Expert Jessica Caceres, Nurse Practitioner - Specializes in women's health with a focus on perimenopause and menopause care. Jessica provides virtual consultations across Ontario and is passionate about education and evidence-based treatment for hormonal health. Key Topics Covered Perimenopause symptoms that start in your late 30s and early 40s The musculoskeletal syndrome of menopause Hormone replacement therapy safety and effectiveness The role of vaginal estrogen in preventing infections Collaborative care between pelvic health physiotherapy and hormone specialists Patient advocacy and education Exciting Announcement Empowered Transitions Masterclass Join Kristen and Jessica for a 90-minute live educational session on November 13th 2025 from 7-8:30 PM Eastern. This interactive masterclass will dive deeper into the topics covered in this episode, plus live Q&A and downloadable resources. Connect with Jessica Caceres Follow Jessica for evidence-based menopause information and virtual consultation availability. Connect with Kristen Visit blueberrytherapy.ca for pelvic health physiotherapy in Hamilton and virtual consultations across Ontario. Subscribe to The Hole Shebang Podcast for more honest conversations about pelvic health, parenting, and healthy aging. Follow The Hole Shebang on Instagram @blueberrytherapypelvichealth The information in this podcast is for educational purposes and not intended to replace medical advice. Always consult with your healthcare provider about your individual situation.

The Pleasure Principle 2026 Coven Women's Health Sexual health after cancer treatment is a conversation that needs to happen more often and with much more nuance. In this episode, Dr. Michelle Jacobson brings her expertise as an OB-GYN and co-founder of Coven Women's Health to break down the real science behind sexual recovery after cancer. What You'll Learn: Dr. Jacobson explains the key differences between tamoxifen and aromatase inhibitors and how each affects sexual function differently. We dive into why some cancer treatments leave women feeling like they have "nothing"—no estrogen, increased joint pain, and profound vaginal dryness. She also addresses the safety of vaginal estrogen use post-breast cancer, debunking common misconceptions that prevent women from accessing effective treatment. The conversation covers practical, evidence-based solutions including the importance of hyaluronic acid moisturizers, choosing the right lubricants (hint: water-based isn't always best), and why coconut oil deserves a spot in your bedroom toolkit. We discuss the crucial role of pelvic floor physiotherapy in sexual recovery and break down the difference between DHEA and estrogen-based vaginal treatments. For women who've experienced radiation therapy, Dr. Jacobson explains the prevention and treatment of vaginal stenosis, emphasizing why early intervention with dilation and moisturizers makes all the difference. We also tackle the often-overlooked topic of orgasm difficulties after cancer treatment, including how antidepressants, weakened pelvic floor muscles, and changing nerve sensitivity all play a role. About Dr. Michelle Jacobson: Dr. Michelle Jacobson is an obstetrician-gynecologist from Toronto and co-founder of Coven Women's Health, a virtual clinic focused on perimenopause, menopause, and cancer survivorship care. Previously the director of the ovarian cancer prevention clinic with a 2.5-year wait list, she created Coven to scale personalized, evidence-based women's healthcare access across Canada. Visit blueberrytherapy.ca Subscribe to The Hole Shebang Podcast Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Resources Plan-a-palooza 2025 Annual Planning Event - $97 The TOP Program (Time Management, Organization, Productivity) Episode Overview Feeling like you're constantly behind and overwhelmed isn't a personal failing—it's a system problem. Time management expert Megan Sumrell joins The Hole Shebang to revolutionize how you think about planning, productivity, and putting yourself first. What You'll Learn Why 97% of time management advice doesn't work for women and the biological differences that require different systems How your daily task list is actually keeping you overwhelmed through unrealistic expectations and decision fatigue The TOP framework: Time management, Organization, and Productivity designed specifically for women's lives How to create an "uncertainty budget" and plan for life's inevitable disruptions without derailing your entire week The critical importance of putting yourself on your calendar first—and why this isn't selfish, it's necessary About Megan Sumrell Megan Sumrell is the CEO of The Pink Bee, a company dedicated to bringing work-life harmony to homes worldwide. With over 20 years in IT and software development, she brings a systematic, process-improvement approach to time management. After experiencing her own burnout as a working mother, Megan developed the TOP framework that has now served women in over 15 countries. She's also the host of a popular YouTube channel with over a million views and offers the annual Planapalooza event each October. Key Topics Covered The hidden cost of women's unpaid labor ($200,000+ annually) Why traditional time management systems fail women The connection between overwhelm and physical health Weekly vs. daily planning strategies Creating boundaries with your time and calendar Planning for uncertainty and life's disruptions The importance of prioritizing yourself without guilt Connect with Megan Website: ThePinkBee.com Free app: Search "The Pink Bee" in App Store or Google Play Planapalooza annual planning event: October 2025 Visit blueberrytherapy.ca Subscribe to The Hole Shebang Podcast Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Overview Walking isn't just transportation – it's a window into your future health. In this eye-opening conversation, physiotherapist and osteopathic manual practitioner Sharmila Kulkarni explains why walking speed is now recognized as the sixth vital sign and how small changes can dramatically impact your quality of life as you age. What You'll Learn: Why walking speed predicts everything from falls risk to hospital length of stay The specific speed thresholds that determine community vs. household mobility How age-related changes in gait patterns affect your independence Why your ankles are secretly controlling your aging process Practical exercises you can do at home to maintain walking efficiency The connection between ankle position and pelvic floor function How to properly dose resistance training for meaningful results Guest Bio Sharmila Kulkarni brings 25+ years of experience as a physiotherapist and osteopathic manual practitioner. During the pandemic, she earned her master's degree in aging and health from Queen's University, focusing on how resistance exercise improves walking speed in older community-dwelling females. She's the founder of Innova Health Clinic (soon to be Integration Health) in Hamilton and creates education programs for allied healthcare providers. Her Barbell Training Studio program specifically targets longevity and morbidity reduction through evidence-based movement protocols. Key Topics Covered: Walking speed as a clinical outcome measure Age-related gait changes and their implications The role of ankle dorsiflexion in efficient movement Resistance training protocols for walking speed improvement Kitchen counter exercises for mobility maintenance The multifactorial nature of walking mechanics Connect with Sharmila: New website: integrationhealth.ca Resources mentioned: One-rep max calculators for resistance training Kitchen counter lateral lunge exercise Research on walking speed thresholds Visit blueberrytherapy.ca for pelvic health services in Hamilton Subscribe to The Hole Shebang Podcast on your favorite platform Connect with us on Instagram @blueberrytherapypelvichealth