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The Pelvic Floor Project
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The Pelvic Floor Project

Author: Melissa Dessaulles from Mommy Berries

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This podcast is for anyone with a pelvic floor. Pssst….. everyone has a pelvic floor. The pelvic floor is a group of muscles responsible for controlling our bodily functions. I refer to myself as a physiotherapist for embarrassing issues. I routinely help clients address symptoms like incontinence, prolapse, diastasis, pelvic pain, intimacy issues and the list goes on. A theme that stands out to me is how little we learn about our private parts and the muscles surrounding. This podcast is for you if you are interested in learning more about your body. Focused on the female, I cover topics pertinent to puberty, athletics, pregnancy, birth, postpartum recovery, menopause, surgery and so much more.I promise to share evidence based information through discussion with other health care experts in their field with the goal to showcase a holistic and empowering approach to taking care of the only body you will ever have. I hope you enjoy! 

96 Episodes
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In this episode I sit down with dual board certified general and colorectal surgeon, Dr. Ritha Belizaire to discuss: What are hemorrhoids? What causes anal fissures?Anal itchinessHow the pelvic floor is related to these conditionsTreatment options including creams, physio, botox, stress management, bowel hygiene, surgery and moreDr. Ritha Belizaire is a dual board certified general and colorectal surgeon in Houston, Texas and the owner of Houston Community Surgical, a solo colorecta...
In this episode I sit down with speech language pathologist (SLP) Ashley Michaelis to discuss: Similarities between the voice box and pelvic floor Relationship between voice, breathing and pelvic floorMissed connections in the researchWays we can use the pelvic floor to train the voice and the voice to train the pelvic floorHow sounds we make in birth influence the pelvic floorNoises we make in sport to increase performance Ashley Michaelis (she/her/hers) embarked on her underg...
In this episode I sit down with physiotherapist and olympic weight lifter, Brittney Klingmann and Dietician Melissa Hardy to discuss: Common symptoms women experience (tired, low mood, decreased performance, low libido, pelvic floor symptoms)How do we know if they are due to hormones, stress. Lack of sleep, nutritional deficiency?The difference between RED (relative energy deficiency) and LEA (low energy availability)Low energy availability in the perinatal, athletic, perimenopausal popu...
In part 2 of this 2 part episode, I sit down with Sexual Health Education Teacher, Jenny Rabinovich to discuss:Ways that habits, beliefs and knowledge from our childhood carries forward to adult related pelvic floor issues The Sexual Health Education curriculum Middle years and high school focus focus (grades 7-12) healthy vs unhealthy relationshipsconsentsexual decision makingcontraception prevention of sexually transmitted infections.Suggestions for parents (how to ask t...
In part 1 of this 2 part episode, I sit down with Sexual Health Education Teacher, Jenny to discuss:Ways that habits, beliefs and knowledge from our childhood carries forward to adult related pelvic floor issues The Sexual Health Education curriculum Elementary years focus (grades 4-6) puberty education (periods, hormones, pimples, hair, body odour)reproduction and pregnancyhygiene (vulvar and penile considerations)personal safety/consent for touch (self touch, good vs bad secr...
In this episode, I sit down with New Westminster BC based Urogynecologist, Dr. Merry Gong to discuss: Operative vaginal birth (vacuum, forceps, episiotomy)What do these instruments look like and indications for their useIndications for operative vaginal birth vs. Cesarean birthRisks associated with vacuum and forcepsCanada has the highest rates of obstetrical traumaC-section rates risingWays to decrease rates of operative vaginal birth Ways to support those with pelvic floor injurie...
In this episode, I sit down with psychotherapist, Lucy Snider to discuss:How the pelvic floor is related to previous sexual traumaWhat you can expect at a pelvic physiotherapy appointmentWhat may take place at a psychotherapy appointment What is EMDR therapy?Suggestions to help progress to pleasurable sexual activityHow do you know when you are ready to process sexual trauma?Differences in how survivors process sexual traumaHow previous sexual trauma may affect your preparation for birth...
In this episode, I sit down with physiotherapist clinician/researcher Dr. Sinead Dufour and Sinead O’Donovan from SRC to discuss:The evidence based benefits of compression The quality garments SRC has developed for incontinence, prolapse and the perinatal populationAustralian trends for use of compressionGiven the data to support, some reasons why we may not be implementing this as well in North America Details on the use of compression (how much, how tight, how long)To check out SR...
In this episode I sit down with Dr. Lori Brotto; Professor in the UBC Department of Obstetrics and Gynaecology, Registered Psychologist and Executive Director of the Women’s Health Research Institute of BC and Principal Investigator in the HER-BC Research Study on Midlife Women and Menopause to discuss:The impacts of perimenopause/menopause on midlife women The lack of current researchAims of the HER-BC Research Study on Midlife Women and Menopause:To describe the health experiences and ...
In this episode, I sit down with physiotherapy clinician and researcher Dr. Sinéad Dufour and Founder and CEO of Urospot, Erin Craven to discuss: Kegel chair (emsella) controversyVarious marketing strategiesPhysiotherapy skepticisms HIFEM technology and the evidenceHow we use other modalities as physiotherapists to help “reboot the system” (muscle stim, IMS or TENS)The Urospot care model (education, health coaching and technology)Where might HIFEM technology fit into our care plan?T...
In this episode, I sit down with Christie Uipi, a psychotherapist specializing in the treatment of chronic pain, anxiety and depression and the founder of The Better Mind Center to discuss: Pain is invisible and so are pelvic floor issuesHow pain works Why each person experiences pain uniquely Why sometimes pain goes away quickly and reasons why it persistsMessages to patients who feel they go between many health care practionersEmotional and physical aspects of pain How p...
In this episode I sit down with fellow pelvic health physiotherapist and leader in the field of diastasis, Munira Hudani to discuss:The increasing awareness around the topic of diastasis rectus abdominis and the confusion that comes with itConflicting messaging ranging from “be careful, you shouldn’t do those exercises” to “all exercises are good exercises”Trends in messaging and how these have changed over timeWhat the research is telling usThe importance of ‘zooming out’ to figure out what ...
In this episode, I sit down with clinician-researcher Sarah Lord Ferguson to discuss: Current trends in physiotherapyPhysiotherapy as a businessExpectations that patients may have of their physiotherapistPatients are not a blank slateThe importance of meeting patients where they are atBlending evidence based care with what our clients may be asking for or expectingHow can patients find the right physiotherapist for their needsSarah is a clinician-researcher from Vancouver, Canada who is ...
In this episode, I sit down with Beverly Hills based urogynecologist, Dr. Alexandra Dubinskaya to discuss: The importance of sex and difficulties when it comes to talking about itThe female sexual response cycleDesire: various types of sexual desires, common issues related to sexual desire, and available treatmentsArousal: Factors that can impact sexual arousal and strategies to enhance itOrgasm: Health issues that can affect the quality of orgasm and treatment optionsThe role tha...
In this episode, I sit down with Kelowna based OBGYN Dr. Kate Collins to discuss: Reasons/symptoms that may indicate a hysterectomy could be beneficialDifferent surgical procedures (vaginal, open abdominal, laprascopic) Types of hysterectomy Surgical menopause What can be expected after surgeryPostoperative suggestionsPain management Sexual intercourse after hysterectomyPhysiotherapy considerations before and after surgeryThe use of a compression garment after surgery...
In this episode, I sit down with Beverly Hills based urogynecologist, Dr. Alexandra Dubinskaya to discuss: What is prolapse?Typical sequence of events that happens when patients experience symptoms of prolapse and how they may end up in the office of a surgeon. Conservative management optionsHow the decision is made to proceed with surgeryTypes of repair and how this is individual to the patientDifferences between countries, centres and surgeonsDiscussion around meshRecovery ...
In this episode, I sit down with women health advocate and self proclaimed menopause chick, Shirley Weir to discuss: The negative stigma around the term ‘menopause’The relationship between perimenopause, menopause and post menopauseSymptoms commonly experienced in these stagesIs women’s health support experiencing a wave of momentum?What Shirley learned on her personal journey with menopause and the 50,000+ member women’s health community she has created to help othersThe very popular va...
In this episode, I sit down with registered nurse, Kirsten Curruthers who was curious to know ways she can better support her patients who undergo colonoscopy. Here are some of the things we discuss: Common patient symptom patterns Kirsten notices in the colonoscopy clinicAdvice typically given when colonoscopy results are negative How the pelvic floor is related to our gastrointestinal systemHow a pelvic floor physiotherapist can help with stool incontinence or feelings of inadequa...
In this episode, I sit down with Anniken Chadwick and Trish Gipson from the Cheerful Academy to discuss: Reasons why new physiotherapy graduates are starting off in niche areas like pelvic healthDifferences between practicing in orthopaedic vs pelvic health The gap that exists between what we learn in pelvic health courses and what is like in the treatment roomCommon struggles clinic owners experience when introducing a pelvic health practitioner to their teamAs a clinic that employ...
In this episode, I sit down with Kelowna based OBGYN Dr. Kate Collins to discuss: The stress that uncertainty and lack of control can have on an expecting momHow far out can moms planning a c-section expect to know their delivery date?The sequence of events that unfolds once you arrive at the hospitalHow is this different in an emergency situation?When is my husband/partner/support allowed in the room?How is the birth site prepared and anaesthesia administered? Who will the people b...
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