The Hole Shebang

Kristen Parise
  • 4.7 (25)
  • Medicine
  • Updated Weekly

The Hole Shebang is the pelvic health podcast that goes where others won't. Hosted by Kristen Parise, a Registered Physiotherapist and owner of Blueberry Therapy Pelvic Health & Pediatrics, each weekly episode tackles the real truths about your pelvic floor, bladder, bowel, and sexual health, with zero shame and full clinical authority. From painful sex and postpartum recovery to endometriosis, prolapse, incontinence, and menopause, Kristen brings on leading experts and breaks down the evidence so you can advocate for your own body. Whether you're a new mom, navigating perimenopause, or simply wondering why nobody told you this stuff sooner, this is your permission to ask the questions you've been holding in. New episodes every week. Based in Hamilton, Ontario, Canada. Serving pelvic health truth-seekers everywhere. 🎧 Ep 1: Why Good Sex Matters: The Brain Science of Pleasure with Dr. Nan Wise — The neuroscientist who proved pleasure is medicine. This is where it all started. 🎧 Ep 5: Heavy Periods: When Your Period Isn't Normal with Dr. Meghan O'Leary — If you've ever been told your painful periods are "just how it is," this episode will change everything. 🎧 Ep 16: Exercise and Mental Health: How Movement Heals Your Brain with Dr. Jennifer Heisz — The science of how exercise rewires your brain for better mental health. 🎧 Ep 14: Protein in Perimenopause: How Much You Really Need with Dr. Stuart Phillips — One of the world's top protein researchers explains why muscle is your secret weapon after 40. 🎧 Ep 66: Postpartum Exercise: Why the 6-Week Rule Is Outdated with Dr. Margie Davenport — The outdated 6-week rule is officially dead. Here's what the research actually says. 🎧 Ep 74: Why Your Relationship Needs Just 60 Seconds a Day with Dr. Jessica O'Reilly — Sexologist Dr. Jess reveals why micro-moments matter more than grand gestures.

  1. 4d ago

    92: Menopause and Muscle: It is NOT Too Late to Get Strong with Dr. Stuart Phillips

    Building muscle in menopause is not only possible, it might be the single most important thing a woman can do for the next 30 years of her life. In this episode of The Hole Shebang, Kristen Parise sits down again with muscle scientist Stuart Phillips, PhD to unpack what really happens to a woman's muscle through perimenopause and menopause, how much protein women actually need and why lifting weights matters far more than any supplement. They also get into the part that lands closest to home for pelvic health: why continence is the number one self reported disabling condition of aging, and what that means for the pelvic floor as skeletal muscle. In This Episode [02:05] Why the ACSM resistance training guidelines were finally refreshed after 17 years [05:54] Lifting bakes the cake, protein is the sprinkles: getting the order right [07:18] How Stuart publicly changed his mind on animal versus plant protein [10:06] Busting the 30 minute anabolic window myth [15:23] What actually happens to a woman's muscle through perimenopause and menopause [17:13] Why women build muscle as well as men before menopause [20:22] The zone of chaos: why perimenopause is not a light switch [29:00] You do not have to lift heavy, you just have to lift [31:00] Why bone loves impact and 20 stomps a day does the job [34:11] How much protein a woman really needs, in real food [38:37] The McCall MacBain gift and why healthspan beats longevity [46:03] The continence reveal: the number one disabling condition of aging What You Will Learn You will walk away knowing why resistance training is the real driver of strength in midlife, why getting started matters more than getting it perfect and how much protein to aim for without obsessing over timing or supplements. You will understand what menopause does to muscle, why it is never too late to begin and how all of this connects to bladder, bowel and pelvic floor health. About Stuart Phillips Stuart M. Phillips, PhD is a Distinguished University Professor and the Tier 1 Canada Research Chair in Skeletal Muscle Health at McMaster University in Hamilton, where he also chairs the Department of Kinesiology and directs the Physical Activity Centre of Excellence. He has published more than 400 papers, chaired the 2026 ACSM resistance training position stand and co-hosts the Real Exercise Science podcast. Theme Song: We Are the Champions by Queen Key Topics Covered Menopause and muscle, perimenopause muscle loss, resistance training for women, protein needs for women, the anabolic window myth, bone health and impact, healthspan versus longevity, incontinence and aging, pelvic floor as muscle. Resources and References Mentioned 2026 ACSM resistance training guidelines (Stuart was the chair) The McCall MacBain Kinesiology and Healthspan Institute at McMaster Nutrient Timing by John Ivy, the book behind the anabolic window idea Canadian Longitudinal Study on Aging Real Exercise Science podcast, Stuart's show with Martin Gibala Listen to More Episodes Like This Find every episode of The Hole Shebang at podcast.blueberrytherapy.ca. Protein in Perimenopause: How much you really need with Dr. Stuart Phillips Sleep, Sex and Menopause with Dr. Woganee Filate (Episode 89) Inflammation, Hormones and the Foods That Heal with Julie Daniluk (Episode 90) Blueberry Therapy pelvic floor physiotherapy services Blueberry Therapy perimenopause and menopause support Connect with Stuart Phillips Instagram: @mackinprof LinkedIn: stuartphillipsmcmaster Link hub: linktr.ee/mackinprof Keep Listening New episodes of The Hole Shebang drop every week. Subscribe wherever you listen, leave a review and visit blueberrytherapy.ca to learn more about pelvic health physiotherapy in Hamilton, Ontario. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

    50 min

  2. Jun 18

    91: Pelvic Pain Is a Symptom, Not a Diagnosis, with Dr. Alopi Patel

    You have been told there is nothing else to try for your pelvic pain. Dr. Alopi Patel is the reason that sentence is wrong. She is a dual board certified anesthesiologist and interventional pain physician based in New York, a Fellow of the American Society of Anesthesiologists, certified in lifestyle medicine, co-author of the Pelvic Pain Journal, and one half of The Female Pain Docs with her partner Dr. Meera Kirpekar. She walked into a fellowship where only 18% of attending pain physicians were women, decided that "we can offer medications and that is about it" was not going to be her answer, and built the next room. This is the conversation every pelvic pain patient and clinician needs. What You Will Learn Alopi's five part approach to pelvic pain in order: lifestyle, physical therapy, medications, injections, surgical considerations, and why physical therapy is the foundation, not the last resort What an interventional pain physician actually offers: trigger point injections, peripheral nerve blocks like pudendal and ilioinguinal, and sympathetic blocks like ganglion impar and superior hypogastric for endometriosis How she approaches trans pelvic health, the suppositories almost no one is talking about openly, and the research she is building because the evidence base is missing In This Episode [00:01] Welcome to The Hole Shebang [00:57] From anesthesiology to pain medicine: why she missed the continuity of care [02:30] The 18% statistic and the moment she felt the disconnect in the room [03:14] "We can offer medications and that is about it" and the decision to learn everything [04:49] A real day in clinic: pelvic congestion syndrome, post-op pelvic floor dysfunction, postpartum pelvic pain [06:50] Pelvic pain is a symptom, not a diagnosis: her favourite part of the job [07:24] Abdominal pelvic pain matters too: trigger points above and below the belly button [08:00] The peripheral nerves she can block in office: pudendal, ilioinguinal, iliohypogastric, genitofemoral, lateral femoral cutaneous, plus the fluoroscopic blocks in the OR [08:48] Patient education on a blank piece of paper: muscles, peripheral nerves, nerve roots, sympathetic chain [10:16] Endometriosis pain: ganglion impar for rectal pain, superior hypogastric plexus for uterine pain [11:01] Are nerve blocks one and done? The bajillion dollar question [12:16] The three legged stool: injections plus lifestyle plus physical therapy [13:25] The Pelvic Pain Journal with Dr. Meera Kirpekar, and why a journal was the right tool [15:38] The Hurt podcast and the topics drawing the biggest listener response: perimenopause, menopause, sex after menopause [17:40] The psychology degree and biopsychosocial care: connecting fast, being a coach and collaborator [20:29] Pride Month and trans pelvic health: the five part approach for transfeminine and transmasculine surgical patients [24:41] Suppositories explained: baclofen and diazepam for muscle relaxation, mixed evidence, strong patient reports [26:32] Direct message to the woman listening with pelvic pain: ask questions and advocate for yourself [27:36] Research with medical students: trigger point injection outcomes, pudendal nerve block duration, botulinum toxin in the pelvic floor [29:33] Where The Female Pain Docs is going next: international reach, and men have pelvic pain too [31:37] Upcoming: American Society of Anesthesiologists in October, women's health in the workplace in December [34:00] The new clitoral mapping from Amsterdam, 30 years after the penis was mapped [35:53] Where to find Alopi, plus her theme song About Dr. Alopi Patel Dr. Alopi Patel, M.D., FASA, is a dual board certified anesthesiologist and interventional pain physician, certified in lifestyle medicine. She graduated from Rutgers New Jersey Medical School, completed anesthesiology residency at Mount Sinai West and Morningside, and her pain medicine fellowship at Mount Sinai Hospital in New York. She practices in NYC, holds an academic appointment with Rutgers Robert Wood Johnson, treats chronic pelvic pain, women's pain conditions, transgender health, and a wide range of musculoskeletal pain, and is a women's health advocate and LGBTQ ally. She speaks English, Gujarati, and Hindi fluently and Spanish conversationally. Connect with Dr. Alopi Patel Website: thefemalepaindocs.com Instagram: @alopipatelmd and @thefemalepaindocs Podcast: The Hurt by The Female Pain Docs (with Dr. Meera Kirpekar) on Apple Podcasts, Spotify. NotesBook: Pelvic Pain Journal (co-authored with Dr. Meera Kirpekar, Wellness Warrior Press) A Note from Blueberry Therapy, If pelvic pain, bladder urgency, bowel trouble, painful intercourse, or post-surgical pelvic floor symptoms are part of your picture, the physical therapy leg of Dr. Patel's three legged stool is what we do every day.  Blueberry Therapy's pelvic health physiotherapists work alongside pain physicians, gynecologists, and surgeons to build the multidisciplinary plan she described. Book at blueberrytherapy.ca.  Connect with The Hole Shebang Visit blueberrytherapy.ca  Subscribe to The Hole Shebang Podcast on Apple Podcasts, Spotify, or wherever you listen   Follow on Instagram: @blueberrytherapypelvichealth

    38 min

  3. Jun 11

    90: Inflammation, Hormones and the Foods That Heal with Julie Daniluk

    Pain is not always mechanical. Sometimes it starts on your plate. Julie Daniluk, RHN, NNCP, the anti-inflammatory nutritionist, four-time bestselling author, and longtime resident nutritionist on The Marilyn Denis Show, joins Kristen to connect blood sugar, hormones, and inflammation to the bladder, bowel, and pelvic symptoms women are so often told to live with. After a contaminated meal in Thailand at 30 left her with infectious colitis that cascaded into arthritis and bursitis, Julie rebuilt her health through food and is now in full remission. This is a practical, hopeful conversation about eating to lower pain at the root. What You Will Learn The fibre, fat, protein eating order Julie uses to flatten a blood sugar spike by up to 37%, and why visceral fat drives pain How high insulin feeds estrogen dominance, heavy periods, and endometriosis flares, and where Julie starts with a food diary and direct food swaps Why willpower is the wrong target after 50, what the sandwich generation and poor sleep do to your weight, and how to use a glucose monitor to find your own triggers In This Episode [01:20] Thailand, the bad pad thai, and the ABC of inflammation: arthritis, bursitis, colitis [02:44] Where Julie and Kristen's patient stories overlap [04:02] From healing herself to two TV shows: Healthy Gourmet and 13 years with Marilyn Denis [05:20] The Dr. Oz story: how "just solve their problem" got Julie on the show [07:27] First food changes that move the needle: fibre, fat, protein, then carbs last [10:46] The three causes of pain: chemical, mechanical, and emotional [12:29] Endometriosis, estrogen dominance, hidden food allergies, and the food diary [15:37] The anti-inflammatory plate: olive oil, fennel, cruciferous vegetables, and monk fruit [17:34] Menopause, the 93% who are metabolically imbalanced, and the case for a glucose monitor [21:30] Real-world strategy: soup instead of dessert, the keto mojito, and being bold at restaurants [25:34] Why willpower runs out, emotional eating, and an introduction to LumaBody [30:16] Success stories: 38 pounds in 12 weeks, and Marg who lost 110 pounds and ran a half marathon [33:37] The seaplane accident that reset everything [35:54] Where to find Julie, plus her theme song About Julie Daniluk Julie Daniluk, RHN, NNCP, is an award-winning anti-inflammatory nutritionist and bestselling author with more than 26 years of clinical experience. She was the resident nutritionist on The Marilyn Denis Show for 13 years, hosted Healthy Gourmet in 42 countries, and has been featured on The Dr. Oz Show, CBC, The Globe and Mail, and Oprah Winfrey Network. Her current work, LumaBody and the Personalized 100-Day Transformation Program, helps women in the second half of life calm inflammation and feel strong again. Connect with Julie Daniluk Website: juliedaniluk.com (also thrivewithjulie.com) Instagram: @juliedaniluk Books: Meals That Heal Inflammation, Slimming Meals That Heal, Hot Detox, Becoming Sugar-Free A Note from Blueberry Therapy If bladder urgency, bowel trouble, endometriosis pain, or pelvic pain are part of your picture, the chemical inflammation Julie talks about and the mechanical side go hand in hand. Blueberry Therapy's pelvic health physiotherapy can help with the mechanical piece. Book at blueberrytherapy.ca. Listen to More Episodes Like This Endometriosis and pelvic pain: what you were never told Perimenopause, pelvic health, and the changes nobody warns you about Hormones, weight, and what midlife is really doing to your body Connect with The Hole Shebang Visit blueberrytherapy.ca Subscribe to The Hole Shebang Podcast on Apple Podcasts, Spotify, or wherever you listen Follow on Instagram: @blueberrytherapypelvichealth Join us at The Pleasure Principle Conference for even more women's health education

    38 min

  4. Jun 4

    89: Sleep, Sex and Menopause with Dr. Woganee Filate

    Why does sleep fall apart in midlife, and why does nobody seem able to explain it? Dr. Woganee Filate, respirologist, sleep medicine physician, and co-founder of Lume Women + Health, joins Kristen to break down the four reasons women stop sleeping during perimenopause and menopause, the sleep disorders that go undiagnosed, and what actually works to fix it. What You Will Learn The four buckets behind midlife sleep disruption and how they stack Why sleep apnea is as common in postmenopausal women as in men, and why it gets missed How hormone therapy and new non-hormonal medications affect sleep Why CBT-I beats sleeping pills for chronic insomnia The two-way connection between sleep and libido in midlife A healthier way to handle separate bedrooms as a couple In This Episode [00:35] How Woganee ended up in sleep medicine, from chief medical resident to a fellowship rotation that changed everything [03:05] The women her colleagues kept referring with unexplained insomnia, and the perimenopause realization that flipped her career [05:18] The research was there all along. Why her training skipped it, and why she refused to keep gatekeeping the information [06:54] Her book Sleep Well, a consumer guide to sleep in perimenopause and beyond, coming December 2026 [07:05] The four buckets: changing physiology, menopause symptoms, new sleep disorders, and life stress [09:34] How genitourinary symptoms and avoidance behaviours quietly wreck sleep [13:16] Sleep apnea in women: same risk as men after menopause, with very different symptoms [13:46] Why progesterone's effect on airway muscle tone matters [14:17] Hormone therapy and sleep, plus the two non-hormonal medications available in 2026 [16:44] CBT-I explained: sleep restriction, sleep hygiene, and the cognitive restructuring that quiets 3 a.m. racing thoughts [19:33] The sleep and sex chapter: how libido and genitourinary changes are connected to sleep [22:25] Inside the Lume model: in-person care, 60-minute appointments, and eight pillars of women's health [25:16] Why she wants you to retire the phrase "sleep divorce" for a shared sleep action plan [28:51] The stakes: how chronic poor sleep raises the risk of cardiovascular disease, cognitive decline, and metabolic disease [32:15] Building menopause-inclusive workplaces, and the $3.5 billion Canada loses to unmanaged symptoms [35:39] What is next for Woganee and Lume, including expansion to Western Canada [37:27] Theme Song: Unstoppable by Sia About Dr. Woganee Filate Dr. Woganee Filate, MD, FRCPC, MSCP, is a respirologist and sleep medicine physician and a co-founder of Lume Women + Health in Toronto. University of Toronto trained, she holds a Master of Health Science in Community Health and Epidemiology, has published more than 20 peer-reviewed papers, and is a Menopause Society Certified Practitioner. In 2025 she was named an RBC Canadian Women Entrepreneur Awards Ones to Watch recipient. Her book, Sleep Well, arrives December 2026. Connect with Dr. Woganee Filate Instagram: @wfilatemd Clinic: Lume Women + Health and @lumewomenshealth Book: Sleep Well (pre-order wherever you buy books, out December 2026) Listen to More Episodes Like This Menopause hormone therapy and what you need to know Perimenopause, pelvic health, and the changes nobody warns you about The genitourinary syndrome of menopause, explained Connect with The Hole Shebang Visit blueberrytherapy.ca Subscribe to The Hole Shebang Podcast on Apple Podcasts, Spotify, or wherever you listen Follow on Instagram: @blueberrytherapypelvichealth Join us at The Pleasure Principle Conference for even more women's health education

    40 min

  5. May 28

    88: Painful Sex: When Your Body is Not the Problem with Dr. Jordin Wiggins

    Sexual coercion is the missing piece in almost every conversation about painful sex, low desire and sexual dysfunction, and in Part Two of this conversation Dr. Jordin Wiggins names it without flinching. Jordin is a Naturopathic Doctor, author of The Pink Canary and host of the globally ranked Pleasure Principles podcast, and she has spent more than 12 years helping women reclaim pleasure, health and power in their relationships. This episode bridges directly into pelvic health, because so many women arrive with painful sex and a completely normal exam. Jordin explains what is actually happening underneath, and why the body was often never the problem at all. What You Will Learn Kristen and Jordin unpack why sexual dysfunction works like the canary in the coal mine for a woman's whole health, how super traits such as over empathy, over tolerance and relentless hard work set women up for extractive relationships, and what the pleasure void looks like in the body. You will learn why the orgasm gap persists, how to recognise everyday coercion, and why Jordin believes every clinician treating sexual pain should start by screening for it. You will also get a handful of simple pleasure practices you can begin today. Timestamps [01:52] The Pink Canary, and why sexual dysfunction signals deeper health issues [06:25] The systemic devaluation of women's pleasure, from Viagra to The Pink Pill documentary [13:44] Super traits explained, and how your strengths quietly drain your desire [18:37] The pleasure void and anhedonia, and what shows up on an MRI [21:51] Where to start, the small daily pleasure practices that turn pleasure back on [27:10] Pleasure centred sex, checkbox sex and the orgasm gap [30:54] Why screening for sexual coercion belongs at the start of every assessment [40:00] Why more men are reaching out, and what accountability really requires Theme Song Little Girl Gone by Chinchilla and Devotion by Justin Bieber Topics Covered Sexual coercion and how to recognise it Painful sex with a normal pelvic exam Super traits and how strengths drain desire Anhedonia and the pleasure void The orgasm gap and pleasure centred sex Daily pleasure practices for reconnection Relationship and sexual equity in clinical care Resources Mentioned The Pink Canary by Dr. Jordin Wiggins Free Super Traits Quiz 50 Pleasure Practices Guide, available through The Pleasure Collective Women Who Love Psychopaths, the Sandra Brown research behind super traits The Pink Pill: Sex, Drugs and Who Has Control, the Cindy Eckert documentary on Paramount Plus Related Episodes Ep 72: Super Traits and the Real Reason Your Sex Drive Disappeared with Dr. Jordin Wiggins (Part One) Ep 2: Mindfulness to Improve Sexual Desire with Dr. Lori Brotto Ep 37: Sex, Pelvic Health and Breaking Taboos with Dr. Rachel Gelman Connect with Dr. Jordin Wiggins Website: thepleasurecollective.com Instagram: @drjordinwiggins Podcast: The Pleasure Principles Substack: The Pleasure Path, available through The Pleasure Collective Clinic: Health Over All in Fonthill, Ontario Connect with The Hole Shebang Subscribe to The Hole Shebang Podcast, leave a review and visit blueberrytherapy.ca. If painful sex or low desire is part of your story, our team offers pelvic health physiotherapy and virtual consultations across Ontario. We would love to see you at The Pleasure Principle conference on May 14, 2027. Follow on Instagram @blueberrytherapypelvichealth

    45 min

  6. May 21

    87: Clitoris Anatomy: What We Still Got Wrong Until 2026 with Anita Brown-Major

    The clitoris was mapped from cadaver sections in 1998, imaged on MRI in 2005, its nerve fibres counted in 2023 and its full nerve network mapped in 3D for the first time in March 2026. In this episode, occupational therapist and Cliterate model creator Anita Brown-Major joins Kristen to talk about what all of that actually means for your body, your pleasure and your clinical care. Anita has spent 30 years integrating sexuality into rehabilitation practice and founded Thrive Rehab in Melbourne, Australia. Together they break down the sexual response cycle, the difference between psychogenic and reflexogenic arousal and why understanding your own anatomy is the foundation of both pleasure and consent. In This Episode [00:00] Welcome and introductions. Anita shares her background as a neuro rehab OT and how she came to specialize in sexuality and disability. [03:00] The Cliterate model origin story. How a fluffy vulva puppet failed a client who was blind and led to the creation of the world's first pull-apart anatomical vulva model. [12:00] The history of the clitoris and why it keeps disappearing. From the 1300s to 1998 to 2026: political erasure, Professor Helen O'Connell's mapping and Dr. Ju Young Lee's 3D nerve research. [16:00] Expansion packs and the pelvic floor insert. Labia diversity, the glow-in-the-dark clitoris and the upcoming pelvic floor muscle insert. [25:00] The sexual response cycle explained: psychogenic vs reflexogenic arousal. [29:00] Why this matters for sexual assault survivors. The reflexogenic response is not consent. [33:00] Orgasms, muscle tone and the tennis analogy. How orgasms reduce tone for up to 24 hours and why less than 20% of vulva owners orgasm from penetration alone. [40:00] Pleasure as a health prescription. Why if orgasm were a pill, we'd prescribe it. [44:00] OT assessments for sexuality. Dr. Beth Ann Walker's OPISI tool. [47:00] Sensory menus, neurodivergence and adaptive equipment for intimacy. What You Will Learn This episode will change how you think about your own anatomy, how your body responds to touch regardless of what your brain wants and why pleasure deserves to be a clinical goal across every health discipline. You will learn the two pathways to clitoral engorgement, why arousal during sexual assault is physiology and not consent, how orgasms can reduce muscle tone for people with neurological conditions and why designing for disability creates solutions that work for everyone. About Anita Brown-Major Anita Brown-Major (she/her) is an occupational therapist with over 25 years of experience in neurological rehabilitation based in Melbourne, Australia. She splits her clinical time between inpatient rehab at Royal Melbourne Hospital and her own practice at Thrive Rehab, which she founded in 2016. She is the founder and CEO of Cliterate, a sex-education social enterprise built around the world's first pull-apart anatomical model of the vulva and clitoris. Cliterate was launched in 2023 in collaboration with RMIT University and has been recognized in the 2024 Good Design Awards and the Victorian Premier's Design Awards. Anita is a member of the International Cliterati and has given evidence to the Australian Senate advocating for a sexuality framework inside the NDIS. Her core thesis: sex is an Activity of Daily Living. Key Topics Covered Clitoral anatomy and 3D nerve mapping The sexual response cycle: psychogenic and reflexogenic arousal Sexuality, disability and occupational therapy Orgasm and muscle tone management Sensory profiles and neurodivergence in intimacy Vulva diversity and the politics of anatomy Consent, physiology and sexual assault Adaptive sexual aids and equipment Resources Mentioned Cliterate model and education resources Thrive Rehab courses for health professionals Professor Helen O'Connell's original clitoral mapping research Dr. Ju Young Lee's 3D nerve mapping research (March 2026) Professor Jenny Hayes and the Grey's Anatomy textbook update on vulva diversity Dr. Beth Ann Walker's OPISI (Occupational Performance Inventory of Sexuality and Intimacy) Good Design Award 2024, Product and Lifestyle and Sporting categories Victorian Premier's Design Awards Related Episodes Episode 1: Why Good Sex Matters: The Neuroscience of Pleasure with Dr. Nan Wise Episode 37: Sex, Pelvic Health and Breaking Taboos with Dr. Rachel Gelman Episode 60: Perimenopause as Your Sexual Debut with Taylor McConnachie Episode 68: Why Your Vulvar Pain Might Not Be What You Think with Dee Hartmann Episode 73: Clitoral Vibration as Healthcare Not Just Pleasure with Natalia Banton Theme Song: "We're All in This Together" from High School Musical Connect with Anita Brown-Major Cliterate: cliterate.com.au Thrive Rehab: thriverehab.com.au Instagram: @cliteratemodel Connect with The Hole Shebang Subscribe to The Hole Shebang Podcast wherever you listen and leave a review on Apple Podcasts or Spotify. Visit blueberrytherapy.ca to learn more about pelvic health services in Hamilton, Ontario. Follow on Instagram @blueberrytherapypelvichealth

    54 min

  7. May 14

    86: Sex After Menopause: The Truth Your Doctor Won't Say with Shirley Weir

    Sex after menopause is not a joke and vaginal dryness is not just an inconvenience you have to live with. In this episode of The Hole Shebang Podcast, Kristen Parise sits down with Shirley Weir, founder of Menopause Chicks, Amazon bestselling author of Mokita: How to Navigate Perimenopause With Confidence and Ease, and one of Canada's most recognized voices in midlife women's health. Shirley shares the framework she has built over 13 years of advocacy: a health bus model that puts you in the driver's seat of your own care team, a Speak Menopause script that gets you real answers in a 12 minute appointment, and the unapologetic clinical truth about vaginal dryness, hormone therapy access in Canada, and why "normal is a setting on your dryer." Episode Breakdown [02:14] When perimenopause hit in her 40s and the system had no answers [04:11] Why she named her book Mokita, the word for "the truth we all know but agree not to talk about" [06:52] The Joy of Menopause, her forthcoming book this fall [08:36] What it means to own your health decisions [10:03] The health bus framework, who belongs on it, and why your dentist made the cut [13:08] The Speak Menopause script for your next appointment [19:18] The vaginal dryness statistic that started a movement [21:46] The origin of "yes there's sex after menopause sometimes even with a partner" [25:46] The biggest menopause lie women are still being told in 2026 [27:16] Normal is a setting on your dryer [30:24] The lawyer analogy that will change how you book every appointment [32:55] Why your dentist belongs on your health bus [35:45] Speak Menopause launching this spring, plus BC and Manitoba menopause hormone therapy coverage [39:23] Shirley's theme song What You'll Learn How to walk into a medical appointment informed and confident. Why "normal" and "common" are not the same word. How to build a health team that actually serves you in midlife. Why less than 4 percent of women with vaginal dryness have a solution and what to do about it. The current state of menopause hormone therapy access in Canada. Topics Covered Menopause and perimenopause Vaginal dryness and genitourinary syndrome of menopause Sex after menopause Menopause hormone therapy access in Canada Patient advocacy in 12 minute medical appointments Building a multidisciplinary midlife health team Women's health research and education in Canada Resources and References Mentioned Menopause Chicks website Mokita: How to Navigate Perimenopause With Confidence and Ease by Shirley Weir Feel Amazing Vulva and Vaginal Moisturizer at Intimate Wellbeing Menopause Chicks private community The Choice by Dr. Edith Eger Speak Menopause platform, launching spring 2026 at menopausechicks.com Guest's Theme Song Brave by Sara Bareilles Related Episodes from The Hole Shebang Episode 12: Perimenopause and Hormone Replacement with Dr. Alison Shea Episode 60: Perimenopause as Your Sexual Debut: Rewriting the Narrative with Taylor McConnachie Episode 77: Why Vaginal Dryness Isn't Something You Have to Figure Out Alone with Dr. Dolores Fernandez Episode 48: Hydrate, Lubricate, and Vibrate: Empowering Midlife Women's Sexual Health Episode 3: The Intersection of Menopause and Sexual Health with Dr. Maureen Slattery Connect with Shirley Weir Website: menopausechicks.com Instagram: @menopausechicks Community: menopausechickscommunity.com Podcast: Menopause Chicks on Apple Podcasts and Spotify Connect with The Hole Shebang Subscribe to The Hole Shebang Podcast wherever you listen. Visit blueberrytherapy.ca to book a consult or learn more about pelvic health physiotherapy in Hamilton Ontario. Follow on Instagram @blueberrytherapypelvichealth. Join us at The Pleasure Principle 2027 on May 14, 2027.

    40 min

  8. May 7

    85: Always Tired: The Hormones Your Doctor Isn't Testing with Dr. Margot Lattanzi

    Fatigue that persists despite adequate sleep is one of the most common and most dismissed complaints in women's healthcare. In this episode, pelvic health physiotherapist Kristen Parise sits down with Dr. Margot Lattanzi, a board certified naturopathic doctor in Toronto and creator of the Hormone Cornerstone Method, to explore why standard bloodwork often misses the hormones driving chronic fatigue and what a naturopathic approach can uncover. From thyroid antibodies and insulin to cortisol rhythm and gut inflammation, Margot walks through what a fuller hormone picture actually reveals. We also dig into postpartum depletion, why perimenopause involves far more than estrogen and progesterone, and the simple nervous system resets you can start today. If you have been told your labs are fine but your body disagrees, this conversation is your starting point. Timestamps [00:00] Welcome and introduction to Dr. Margot Lattanzi [01:00] Margot's origin story: from chronic health struggles to naturopathic medicine [03:15] The Hormone Cornerstone Method: six systems that drive hormonal health [05:00] Why testing and tracking are always step one [07:00] "Your labs are fine" and what that actually means [09:05] The thyroid deep dive: TSH, T3, T4, antibodies and the HPT axis [11:25] Gut health, inflammation and nutrient absorption [15:15] Meeting patients where they are: the easy, medium, hard approach [16:50] Postpartum depletion: what real recovery looks like [20:25] Sleep quality versus quantity [22:05] Sleep is a 24 hour event: calming the nervous system during the day [24:00] Vagus nerve exercises: deep breathing, gargling, singing [26:40] Postpartum meets perimenopause: the double whammy [30:45] Omegas, brain fog and why even fish eaters benefit from supplementation [32:00] Cortisol: what it actually does and why social media gets it wrong [35:15] Continuous glucose monitors: helpful or information overload? [39:10] The Why Am I Always Tired Hormone Quiz [43:05] Theme song: Man! I Feel Like a Woman by Shania Twain What You Will Learn This episode walks through the hormone testing your family doctor may not be running, including thyroid antibodies, insulin and a full iron panel. Margot explains what postpartum depletion actually looks like from a naturopathic lens, why perimenopause involves far more than estrogen and progesterone, how cortisol follows a 24 hour rhythm that most of us are sabotaging, and the simple nervous system resets you can do throughout your day to keep your stress response in check. Key Topics Covered Hormone Cornerstone Method and the six cornerstones of health Thyroid testing beyond TSH: T3, T4 and thyroid antibodies Cortisol rhythm, the cortisol awakening response and "wired and tired" Postpartum depletion and nutrient recovery Perimenopause as more than estrogen and progesterone Gut health, inflammation and leaky gut Nervous system regulation and vagus nerve exercises Omegas, brain fog and healthy fats for hormone production Sleep quality versus quantity PCOS, insulin resistance and irregular cycles Supplement strategy: magnesium, L-theanine, ashwagandha, vitamin D Resources Mentioned Why Am I Always Tired? Hormone Quiz (free download from Dr. Margot) The Fatigue Fix Guide (6 week self-paced online course) Related Episodes from The Hole Shebang Episode 7: Healing the Gut for Hormone Balance with Stephanie Singh Episode 12: Perimenopause and Hormone Replacement with Dr. Alison Shea Episode 45: Exhausted to Energized: Real Nutrition Talk for Real Moms with Laura Lima Episode 59: Your Vagina Is Shrinking and Nobody Told You with Dr. Carrie Jones Episode 76: The Four Pillars of Hormone Balance for Women Over 40 with Daphne Kostova Guest Bio Dr. Margot Lattanzi is a board certified naturopathic doctor and acupuncture provider practicing at Body Co Toronto in The Junction and virtually across Ontario. She is the creator of the Hormone Cornerstone Method and The Fatigue Fix Guide. She holds additional training in hormone therapy, fertility, prenatal and postnatal care, paediatric care and women's health. Theme Song: Man! I Feel Like a Woman! by Shania Twain Connect with Dr. Margot Lattanzi Website: doctormargotnd.com Instagram: @doctormargotnd Email: margot@doctormargotnd.com Booking: doctormargotnd.janeapp.com Connect with The Hole Shebang Visit blueberrytherapy.ca and subscribe to The Hole Shebang Podcast. Follow on Instagram @blueberrytherapypelvichealth Listen and subscribe: blueberrytherapy.ca/podcast Join us at The Pleasure Principle Conference on May 8, 2026 in Hamilton, Ontario. Visit blueberrytherapy.ca for details.

    45 min
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4.7
out of 5
25 Ratings

About

The Hole Shebang is the pelvic health podcast that goes where others won't. Hosted by Kristen Parise, a Registered Physiotherapist and owner of Blueberry Therapy Pelvic Health & Pediatrics, each weekly episode tackles the real truths about your pelvic floor, bladder, bowel, and sexual health, with zero shame and full clinical authority. From painful sex and postpartum recovery to endometriosis, prolapse, incontinence, and menopause, Kristen brings on leading experts and breaks down the evidence so you can advocate for your own body. Whether you're a new mom, navigating perimenopause, or simply wondering why nobody told you this stuff sooner, this is your permission to ask the questions you've been holding in. New episodes every week. Based in Hamilton, Ontario, Canada. Serving pelvic health truth-seekers everywhere. 🎧 Ep 1: Why Good Sex Matters: The Brain Science of Pleasure with Dr. Nan Wise — The neuroscientist who proved pleasure is medicine. This is where it all started. 🎧 Ep 5: Heavy Periods: When Your Period Isn't Normal with Dr. Meghan O'Leary — If you've ever been told your painful periods are "just how it is," this episode will change everything. 🎧 Ep 16: Exercise and Mental Health: How Movement Heals Your Brain with Dr. Jennifer Heisz — The science of how exercise rewires your brain for better mental health. 🎧 Ep 14: Protein in Perimenopause: How Much You Really Need with Dr. Stuart Phillips — One of the world's top protein researchers explains why muscle is your secret weapon after 40. 🎧 Ep 66: Postpartum Exercise: Why the 6-Week Rule Is Outdated with Dr. Margie Davenport — The outdated 6-week rule is officially dead. Here's what the research actually says. 🎧 Ep 74: Why Your Relationship Needs Just 60 Seconds a Day with Dr. Jessica O'Reilly — Sexologist Dr. Jess reveals why micro-moments matter more than grand gestures.

Information

  • Creator
    Kristen Parise
  • Years Active
    2024 - 2026
  • Episodes
    93
  • Rating
    Explicit
  • Copyright
    © 2024
  • Show Website
    The Hole Shebang

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