NO SUCH THING AS TMI Dr. Sabrina

Join Dr. Alex and I as we talk about the role pelvic rehab providers can have with oncology patients. We discuss the common cancer treatments and how it can affect genital tissue and pelvic floor muscles in both men AND women. Topics we cover throughout the episode:

Why would some with cancer need pelvic floor therapy?
What types of cancer could benefit from pelvic floor therapy?
Why should a doctor refer a patient with cancer to pelvic floor therapy ASAP?
BREAST CANCER and vulvovaginal changes, vaginal estrogen, role of pelvic therapy
PROSTATE CANCER urinary incontinence + erectile dysfunction, role of pelvic therapy
What Dr. Alex wishes MORE pelvic providers KNEW!
Short + long term effects of radiation and how providers can formulate a plan of care accordingly
Redefining sex and regaining libido, when to consider sex therapy and seek professional help

Thank you Dr. Alex!
@oncopelvicpt
www.oncopelvicpt.com

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit nosuchthingastmi.substack.com

“I live so comfortably in my body and my being”. The power of tapping into your menstrual cycle with PMDD and endometriosis. Listen to this raw conversation with Domunique Lashay on how she navigated her diagnoses and created a lifestyle to live in harmony with them. She touches upon the “75 Divine Movement” SHE started on TikTok, her journey with cycle syncing and herb cycling, positive self-talk and embodiment. Domunique is an inspiration to all of us, period problems or not, to be in touch with our menstrual power.

Subscribe to her substack for weekly newsletters and period templates: https://domunique.substack.com/?utm_campaign=subscribe-page-share-screen&utm_medium=web&utm_source=direct

Follow her on TikTok: @domuniquelashay

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit nosuchthingastmi.substack.com

I know you are going to LOVE this conversation between Dr. Yeni and I. We discuss all things preconception health, ways to optimize fertility, and how pelvic floor therapy can impact mechanical infertility.


Who struggles with fertility?
When should you start preparing for conception?
“The modern woman is not self-aware”
What to get for bloodwork?
Benefits of a transvaginal ultrasound
What NOT to eat for optimal fertility
What type of exercise is safe in preparation for conception
Have your male partner get a SEMEN ANALYSIS!


Find Dr. Yeni on IG @triggeredPT
https://www.triggeredpt.com/

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit nosuchthingastmi.substack.com

Ever wondered how you support your cycle holistically ON or OFF birth control? Dr. Paria shares her tips! In this episode we go over:

* Difference between western medicine vs. functional vs. naturopathic medicine
* Body’s response to hormonal contraceptives
* How to support your body ON hormonal birth control (pills and IUD)
* What role does the liver play and how can we support it?
* Copper IUD side effects, how to support your body on it
* What kind of tests should we be seeking out for hormone health? “My doctor says my labs are normal but I don’t feel normal” - CLASSIC!
* PMS / PMDD Recommendations
* Cramping and Pelvic Pain Recommendations
* How to Achieve Period and Hormonal Harmony

Watch our conversation on Youtube: https://youtu.be/EATVBz5RwmE

Work with Dr. Paria: doctorparia.com
Follow Dr. Paria: @doctor.paria
Learn more about her Period Harmony course!: doctor-paria.teachable.com/p/period-harmony

My IG: @drsabrinabaxter
Website: drsabrinabaxter.com

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit nosuchthingastmi.substack.com

A sex therapist and pelvic floor therapist walk into a bar…..

Is it really fair to give up on sex?
Do men really have a harder time with long-term monogamous relationships, or do women?
You CAN have great sex by yourself!
USE IT OR YOU LOSE IT!
Spontaneous vs scheduled Sex
Lack of sex creates secondary problems
Becoming comfortable with masturbation
Do vibrators really desensitize? What’s with all the hate around them?

Watch our conversation on YouTube: https://youtu.be/emAYVWxv5Lo

Work with sex therapist, Dr. Bat Sheva: https://drbatsheva.com/
Follow Dr. Bat Sheva: https://www.instagram.com/drbatsheva/
Buy her book!: https://drbatsheva.com/the-book/

My IG: @drsabrinabaxter
Website: drsabrinabaxter.com

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit nosuchthingastmi.substack.com

HAPPY NEW YEAR! ♥
The energy for this year is staying true to our authentic self, slowing down and reaping the growth and opportunity that comes from going out our own pace.

Vaginismus is a condition where your muscles involuntarily contract with the act of penetration. People usually report discomfort with penetration, inability to tolerate penetration, your partner is “hitting a wall”, sensations of burning and stinging especially around the opening. These are the questions you asked from my IG Q+A with my responses.

Side note: vaginismus is 100% curable, with the right resources and the right people on your team. ♥

Q+A TIMESTAMPS:
6:00: Should I take a center healing mindset or give into penetrative sex for husbands benefit?
8:20 I’ve had it and worked through it, but sometimes it comes back, what do I do in those moments?
9:50 Is it seriously mostly the nervous system as the cause? Same as vulvodynia.
10:45 Treatment won’t stick. Been in PT for 3 years. I do well until I don’t, advice?
13:25 The dick just won’t enter my vagina, how to curse this? Ahhhh
14:20 Is it possible to heal (without dilators) by regulating your nervous system on a deeper level?
15:30 Is it common just to have pain/burning just at the entrance with vaginismus?
16:56 Is a common side effect burning and stinging?
17:15 Does any penetration pain count as vaginismus or is there a severity/frequency threshold?
18:25 Is the burning feeling normal, does it have anything to do with the hymen?
19:19 If you’re able to get pregnant with vaginismus, can vaginal delivery be typical? Or could vaginismus cause issues for a vaginal delivery? If a typical vaginal delivery is possible, could it cause more issues post delivery?
21:20 Who can diagnose me?
22:30 Does vaginal pH have to do anything with why intercourse is so painful?
23:26 I don’t know where to start. I have been in a relationship for 3 years and we haven’t had sex
25:15 Is it possible to have if you are a virgin? Or do you need to be “stretched out”? *** I COMPLETELY FORGOT TO MENTION TAMPONS! PEOPLE EVEN NOTICE SYMPTOMS OF VAGINISMUS WHEN THEY ARE UNABLE TO TOLERATE TAMPONS! THAT IS THE FIRST SIGN WITH PRIMARILY VAGINISMUS! YOU DEFINITELY DO NOT NEED TO BE SEXUALLY ACTIVE TO HAVE VAGINISMUS
26:06 What if you can get a couple inches in without pain but it won’t go all the way?
26:59 Relationship between vaginismus and hypermobility/connective tissue disorders.

Linked here is my course on OVERCOMING PAINFUL INTERCOURSE: https://drsabrinabaxter.com/painfreepenetration

♥ #nosuchthingasTMI

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit nosuchthingastmi.substack.com