Latest / ADHD with Confidence | Overcome Anxiety & Self-Doubt, Christian ADHD Coach, ADHD in Women / 177 // How ADHD, the Pelvic Floor & Prolapse are Connected, with Jenn Lormand
Transcript
- 0:00In today's episode, we are talking all about the pelvic floor.
- 0:05Now, this is going to be a different conversation than I've typically had,
- 0:08but this is a very fascinating conversation and one that is much needed.
- 0:1320 to 25% of women over 40 have at least early stage prolapse, and it gets worse.
- 0:20One in three women will develop clinically significant prolapse,
- 0:25and that jumps to one in two for those who've given birth.
- 0:29Another thing about prolapse is that it's a progressive condition.
- 0:32So if nothing is done about it, it will continue to worsen.
- 0:36But there is hope. So Jen Lorman, who I'm interviewing today,
- 0:40she has a program called Tighten Your Tinkler.
- 0:43So in their signature program, you get lifetime access and they build community around it as well.
- 0:49So the community of other people taking the course and then the instructors
- 0:53as well so that you have that consistency of people with you walking you through this journey.
- 0:59Now, if you are interested in checking out that program, you can go to Tighten
- 1:03Your Tinkler and you can look it up. I also have a code ADHD that you can use
- 1:08for $50 off of their program.
- 1:11So remember, write it down, the code ADHD for $50 off.
- 1:15I hope you enjoyed today's conversation. I learned a lot and I hope you do too.
- 1:22Are you tired of feeling like you don't fit in? Like you're not good enough the way you are?
- 1:26In this podcast, I will give you the strategies to build God-centered confidence
- 1:30so you can know in your heart that you do belong.
- 1:32You are enough and you are made on purpose and with a purpose.
- 1:37Hey, I'm Kelsey Spronk, fellow ADHD mom and entrepreneur. Join me in building
- 1:41confidence so you can experience successful.
- 1:51Hey friends, welcome to the ADHD with Confidence podcast. I'm your host and
- 1:55today I'm joined by Jen Lorman. She's an exercise physiologist,
- 1:59a published medical researcher, an author, and the co-founder of Tighten Your Tinkler.
- 2:04I'm so excited to talk to her today all about the connections between ADHD,
- 2:09perimenopause, and pelvic floor health. Jen, welcome to the show.
- 2:13Thanks so much for having me, Kelsey. It is such an honor being here.
- 2:18Well we are so glad to have you I think this will be a really fascinating topic
- 2:22to cover and one that I have definitely not covered on the podcast so far so
- 2:26can you start us off by telling us what are your connections with ADHD personally and professionally,
- 2:34Yeah, well, you know, I think I'm like a lot of the ladies listening in.
- 2:38I grew up and didn't know that I had ADHD.
- 2:42I wouldn't say that I was super rambunctious. I did like to hang out with the
- 2:46boys and climb trees and do those kinds of things.
- 2:50But I really struggled with math and discovered when my son,
- 2:56my middle son, was in middle school that he had ADHD.
- 3:02He was tested for that, and that's when I discovered that I also had ADHD and dysgraphia.
- 3:10And so it was hard, for sure, in the beginning to navigate all that, but I have to say,
- 3:18being diagnosed has helped recognize the gifts that are wrapped up in ADHD and,
- 3:26really has just drawn me to some absolutely beautiful people, including Dr.
- 3:30Edward Hallowell, who I am just forever grateful for, for all of his books and
- 3:36just the way that he really embraces it and talks about all of the different,
- 3:40phenomenal aspects of having ADHD and really just builds you up.
- 3:45And the real strengths and gifts that we have in terms of how we see people
- 3:51and how we see the world and the creativity that we bring to the world and the creative solutions.
- 3:57And so that is part of my journey professionally as well.
- 4:01After having my third son, I was diagnosed with stage 2 pelvic organ prolapse of my,
- 4:08bladder, uterus, and rectum, and basically was referred for surgery and told
- 4:14that I would probably need to
- 4:17have surgery 10 years later because of how young I was at 35 at the time.
- 4:22And, you know, after crying my eyeballs out when I got in my car,
- 4:27my heart just got really convicted that, you know, what do I have to lose in
- 4:31trying to figure out a different solution as a Christian in my faith?
- 4:36I really believed and knew that God created our bodies for healing.
- 4:40God created our bodies to have babies. And, you know, I just believed that there was a better way.
- 4:47And I think, you know, having ADHD and that creativity to see things differently
- 4:53and also feel things differently, right, kinesthetically, I just started looking for a solution.
- 5:00And over the next couple years, my business partner now and I went to a conference.
- 5:05We found this tool, this external exercise tool.
- 5:10I started playing with a protocol for myself and then started utilizing it with clients.
- 5:15And then we decided, hey, let's see if we can get this research validated.
- 5:21So then we did a two and a half year medical research study and were published
- 5:25in several different journals proving that, in fact, you can help your pelvic
- 5:29floor without having to penetrate yourself with devices or doing Kegels.
- 5:35So I do definitely credit my ADHD to that creativity of looking for those solutions.
- 5:44And I think that's such an incredible way to start is that reminder of,
- 5:47once we have that self-understanding we can lean into those strengths like you said we can,
- 5:55think outside the box or even the fact that you see a problem and you say how
- 6:00can I solve this and how can I solve it in a different way than maybe what was presented to you,
- 6:06so yes as far as the kind of research that you've done, how would you say ADHD,
- 6:14is connected to our pelvic floor health?
- 6:18Oh, that's a great question. Take it any direction you want.
- 6:25I think most of us with ADHD have these sensory nuances, right?
- 6:30And what I think is really cool is that the vast majority of the women that
- 6:35I have gotten to work with, which is where I started noticing anecdotally that
- 6:40I was working with more neurodivergent women who were having these same issues.
- 6:46But a really cool exercise that we could all do together right now is if you
- 6:51kick your shoes off, place your feet on the ground, and press your big toe into the floor.
- 7:02There is a connection between the little cells, the neural, the proprioceptors
- 7:11in our big toe that connect all the way up to our pelvic floor.
- 7:16And so having ADHD, when I put this external exercise tool on called the Pelvicore,
- 7:24it's the tool that we utilized in our research and in our signature program,
- 7:30I immediately could feel something happening in my body.
- 7:35And I think that's the thing that most of the women with ADHD have told me is,
- 7:41oh, my gosh, like, I feel like my pelvic floor is lifting. I feel like I'm getting
- 7:45taller. I feel like I'm getting lighter.
- 7:47We are very sensitive to those things, that kinesthetic touch.
- 7:53And so I think ADHD women feel these connections faster. And I think they,
- 8:00in many ways, start gaining the benefits faster.
- 8:04But so I don't think that's really what you asked me, but I went off on my little tangents.
- 8:11No worries. In regards to, you know, the connection between ADHD and pelvic
- 8:17floor issues, it's really a nervous system dysregulation.
- 8:21That is the correlation that we see between women with ADHD and having these pelvic floor issues.
- 8:29And so, particularly regarding bladder, urgency, frequency, and stress incontinence leaks.
- 8:38And we know that that's connected to being stuck in fight or flight or having
- 8:42a higher vagal tone, as most women with ADHD do have.
- 8:49Another question within this that I was going to ask earlier was,
- 8:52what are some of the signs or symptoms of pelvic floor health?
- 9:00Whether you're doing well or not, what should we be looking out for?
- 9:05This is a great question, and the list is quite lengthy.
- 9:10It can be peeing more than 10 times a day is a symptom, regardless of how much water you're drinking.
- 9:18It can be urgency, feeling that gotta-go feeling, and then you know if you don't
- 9:22get to the restroom in time, you're going to have a leak.
- 9:25It can be leaks with jumping, sneezing, coughing, laughing.
- 9:31It can also be pressure, pressure in the lower abdomen, pressure in the pelvis.
- 9:39It can be back and hip pain or discomfort.
- 9:44And that can manifest in a lot of different ways because of the muscular imbalances,
- 9:50because the pelvic floor,
- 9:52is a piece of a very large system that includes the muscles of the core,
- 9:58which include the abdominals, deep abdominals, back extensors.
- 10:04Hip rotators, glutes.
- 10:07And so there's muscular imbalances that can occur there from either injury,
- 10:11childbirth, pregnancy.
- 10:14The other issues might be pain with intimacy. And again, this is kind of a wide
- 10:19range of symptoms. So that can mean pain during sex, or often women will describe it as a pressure.
- 10:28Issue where they feel pressure higher up in their abdominals during sex.
- 10:34Pain with insertion is usually due to either an overly tight pelvic floor or vaginal dryness,
- 10:43which many women in perimenopause, postmenopause deal with, which can be a little
- 10:48bit of a separate, more nuanced issue.
- 10:52But pain with sex can also mean if you feel sore after having sex or if you
- 10:56have swelling after sex.
- 10:59All of those things are considered under that umbrella of pain with sex.
- 11:04It can also be losing the ability or you pass gas without knowing it,
- 11:11right, with position change.
- 11:13Or oftentimes women might actually pass a little stool when they bend over or have a loose stool.
- 11:21Pressure in the rectum. So, I mean, it is a very wide variety of symptoms that
- 11:28women can be dealing with.
- 11:30Yeah, thank you for sharing that. I feel like there are, as you said,
- 11:34there are so many different things to look out for.
- 11:37So if somebody is dealing with any of these symptoms that you just listed,
- 11:43what would you recommend? What are the first steps? How do we go about getting
- 11:48support in order to work on that?
- 11:50Yeah. So first of all, if any of that sounds familiar, the best thing that you
- 11:54could do and the direction that we point all women is to go to our website and
- 11:59take our five-minute quiz. because our five-minute quiz is actually based on our research.
- 12:06So it will give you a score to let you know your severity of symptoms.
- 12:12And it also, you know, what we've heard from women taking that quiz is.
- 12:17There's validation there and what they've been dealing with.
- 12:20And it also really does help connect the dots of, you know, oftentimes medicine
- 12:25and ourselves, we've compartmentalized these different issues as my back's hurting.
- 12:29This is my orthopedic issue.
- 12:31You know, I'm having these bowel issues. That's for my gastroenterologist.
- 12:35You know, here's this part is for my my gynecologist.
- 12:38But they are all connected. So the first step would be to go take that quiz
- 12:43and know that if you're in the green or gold zone, there is hope for you in
- 12:49terms of help with an online DIY program.
- 12:53We also offer recommendations for ladies who do end up in the red zone because
- 12:57unfortunately there are better candidates for one-on-one in-person care or oftentimes surgery.
- 13:05The next thing that I love to talk about is some action steps that ladies can start taking today.
- 13:12And so I'll go through a couple of those. Things that you want to watch out
- 13:17for is if you know that you have had back pain,
- 13:22hip pain, neck pain also, because our bladders actually hang from our necks.
- 13:29The fascial tissue that holds up our bladder actually wraps all the way around our neck.
- 13:34So oftentimes this position where we're sitting in front of a computer doing
- 13:39this is actually making our bladder issues worse.
- 13:45So the first two things that I would say is stop wearing heels because they
- 13:51pitch your pelvis forward and they create more downward pressure on your pelvic floor.
- 13:56You want to stop wearing tight, compressive garments. So all of your cute little
- 14:02yoga pants and Spanx and all that, like, I love Sarah Blakely so much. Like, I adore her.
- 14:10I don't like Spanx. They're so bad for your pelvic floor.
- 14:14So sorry, Sarah Blakely, but no Spanx.
- 14:20And what you want to do with those compressive garments is roll down the waistband past your hip bone.
- 14:26Because that will really help alleviate that downward pressure.
- 14:29The next thing I would tell women is to use a squatty potty or a toileting stool,
- 14:37for both peeing and pooping.
- 14:40Because if you are chronically constipated and you're straining,
- 14:44which many women are dealing with, it really does a number on your pelvic floor.
- 14:50It creates more downward pressure.
- 14:54Sorry, I was going to ask earlier. Is constipation one of the signs of pelvic floor dysfunction?
- 15:02So it is not.
- 15:04It can be. The real answer is if you have an enterocele, which is the falling
- 15:09and dropping of the intestines due to other types of prolapses,
- 15:14yes, that can create slower digestive motility in the digestive tract and constipation.
- 15:21But most times women are dealing with other digestive diagnoses such as Crohn's
- 15:28or IBS or something like this that then...
- 15:32You know, has this domino effect in causing pelvic floor issues as well.
- 15:38Oh, okay. I love that you asked that because women who are dealing with chronic
- 15:43constipation, it's one of those things where we want to get our hands around that first.
- 15:50Oftentimes women will end up in our inbox and be like, I'm having these awful,
- 15:55you know, rectal prolapse symptoms.
- 15:57And our first question is, well, are you dealing with some other diagnoses?
- 16:01Because you've got to get your hands around either the diarrhea or the chronic
- 16:05constipation to really help those downstream consequences.
- 16:09So basic things like we talk about in our signature program of using electrolytes
- 16:15to help with stool consistency, but also for the women,
- 16:19who are dealing with they're peeing more than 10 times a day,
- 16:22they're having urgency, they don't want to drink a ton of water.
- 16:26So, you know, you can make better use of the water that you are drinking with that.
- 16:30And then, of course, getting soluble fiber into your diet to help with softening
- 16:36stool consistency and making that ease of passage of stool a little bit easier.
- 16:42And I imagine that's because you don't want down the road, if you've worked
- 16:46on your pelvic floor, you don't want to be bearing down with constipation.
- 16:50That's going to put more pressure. Is that why?
- 16:52Yes, that's correct. Because that constant downward straining and holding of
- 16:57breath. Because if we think of the...
- 17:02The abdominal and pelvic kind of area as a canister, the respiratory diaphragm controls that.
- 17:12It's the pressure valve at the top of the canister, and the pelvic floor is
- 17:17the pressure valve at the bottom of the canister.
- 17:20And they influence one another. So it's also why like a great,
- 17:24another great tool that women could start utilizing, and in fact we give away
- 17:29a freebie is this position.
- 17:33It's called a 90-90 position that puts your body anatomically correct to decompress your back and hips.
- 17:40And then we teach you the diaphragmatic breath work, which really helps get those.
- 17:46Two pressure valves, so to speak, in sync with one another and help rebalance
- 17:52and restore that pressure, which is a huge issue for so many women,
- 17:57especially those dealing with prolapse.
- 17:59I think something you said earlier
- 18:01that was very validating was the not wearing really tight garments.
- 18:06And I think about like I have, so I'm quite tall, I'm five foot 11,
- 18:10but I have trouble finding pants that fit properly because I am tall.
- 18:15And so they just jeans don't fit right and all these things.
- 18:17But when I wear a pair of pants that it will sit tight kind of around my hips
- 18:23I will have back pain for days afterwards it is just it's not worth it for me,
- 18:29so I just completely avoid that but I was also curious kind of.
- 18:33Within that is it connected so you were talking about,
- 18:37how do I know if lower back pain is or isn't connected so for example I had
- 18:42gone to a health care specialist the other day and they said it was a really
- 18:46tight iliopsoas So kind of like underneath your hip there. And I was...
- 18:52Amazed. This was technically a massage therapist, but they knew a lot more about this.
- 18:58And by releasing that, my horrible back pain was gone so quickly.
- 19:04Like I stood up after and I could not believe it. Is that connected at all to the pelvic floor? Yes.
- 19:11Yes. So we're talking about all of the muscles that basically insert on,
- 19:18in, and through the pelvis that are connected to the pelvic floor.
- 19:21So it is a vast array of muscles. It is a very busy area.
- 19:27So yes, your hip flexors are definitely a part of that system.
- 19:32And you are not alone with many women, especially postpartum.
- 19:39Our abdominal muscles, our deep abdominal muscles have gotten so stretched out and are weak.
- 19:45And then your rectus muscles, which we tend to think of as those six-pack muscles,
- 19:50during pregnancy they separate.
- 19:52And so I feel like we need to include in here, if you've been diagnosed or know
- 19:58that you have a separation of those abdominal muscles, that is also a piece of this puzzle.
- 20:05It's also a sign and symptom of pelvic floor dysfunction because if your abdominals
- 20:12are not working properly, you have pelvic floor weakness for sure.
- 20:17So, yes, oftentimes post-pregnancy or even depending upon what your exercise
- 20:24protocol was before that.
- 20:26The hip flexors can often end up stepping in and trying to do the job of stabilization
- 20:34of the abdominals when they have kicked off and turned off,
- 20:38particularly during the beginning stages of pregnancy, but possibly beyond that
- 20:45if you've not ever healed and rebalanced the strength in your pelvis and your core.
- 20:52Hmm i haven't okay as you talk i'm thinking of more and more questions more
- 20:57things that i want to find out this is great um another question would would something like.
- 21:03Bloating be a part of this at all or does that have more so to do with you said
- 21:08the other chronic conditions Crohn's ibs things like that,
- 21:12yeah so for sure women who are dealing with pelvic floor dysfunction,
- 21:19especially prolapse, will often say that as the day goes on,
- 21:24they feel more bloated in their lower abdomen.
- 21:27And this can be due to the pressure differential that we talked about.
- 21:32And so their bellies feel more distended and they feel more discomfort, more pressure there.
- 21:40And, you know, women know if this is happening, right?
- 21:43If you wake up in the morning and your stomach is flatter and you're feeling
- 21:46great, you know, and as the day goes on, the longer that you're on your feet,
- 21:50you're experiencing that.
- 21:51That too is a symptom of pelvic floor dysfunction.
- 21:54It's also a big time symptom of having a DR or a diastasis recti,
- 22:00that separation of the abdominal muscles, as well as the back pain piece is also a symptom of that.
- 22:07Interesting. Okay, this is such good information. I think this is really important for us to have.
- 22:12Another question that I have as far as if somebody is dealing with some of these
- 22:17symptoms, they're feeling frustrated, they go to start some of these recommendations that you have.
- 22:24How long does it take before they're going to see a noticeable change or feel a noticeable change?
- 22:31Okay, so, you know, many of the things that we discussed earlier in regards to,
- 22:36you know, not wearing compressive garments, utilizing a squatty potty,
- 22:39all of those different things, they're going to help with stopping the triggers
- 22:44that can be causing a progression of symptoms.
- 22:48But, you know, the real solution is going to be pairing that with.
- 22:55A movement protocol of sorts to functionally strengthen the pelvic floor,
- 23:01the core, all of the muscles that we discussed earlier, rebalancing the pressure.
- 23:06And that's what's going to ultimately turn this around for women.
- 23:11And so that can take, you know, it really depends on severity of symptoms.
- 23:15Going back to the quiz that we talked about earlier, I can confidently say that
- 23:20women who score in the green zone can expect to,
- 23:25see great changes in the first 30 days of beginning to implement that protocol
- 23:32that we just talked about, which is the protocol we offer in our signature program
- 23:36where we balance the recovery tools,
- 23:39stopping triggers, and utilizing that muscular skeletal functional movement
- 23:45program to help strengthen things.
- 23:48So 30 days for the green zone, you know, if it's a woman who has been diagnosed
- 23:54with prolapse, stages zero to two, it can take a little bit longer.
- 23:5960 to 120 days is probably the most realistic time frame. And again,
- 24:07it really depends upon consistency and, you know, following the protocol as best as they can.
- 24:15Now, for those that are listening, you had mentioned earlier something about
- 24:19your website. What is the website that they can go to to learn about this?
- 24:23Sure, so the website is tightenyourtinkler.com.
- 24:28We also are on Instagram, titan.your.tinkler. And I suspect that your audience
- 24:37is much like us and will want to consume more information.
- 24:42The best place for that is YouTube.
- 24:45We have tons of videos over there, teaching videos, breaking all of these different
- 24:50things down, nuanced. And so you can find us over there as well.
- 24:54Wonderful. Another question I had before, I wanted to make sure if people are
- 24:58listening and they're saying, this sounds great, sign me up.
- 25:02You had mentioned a gift for my audience. Are you able to share that with us
- 25:06now? And then we'll continue on into the connections between perimenopause and pelvic floor health.
- 25:12Yeah. For anyone that's interested in our signature program,
- 25:16we are offering a $50 discount to your listeners.
- 25:19They can use the coupon code ADHD at checkout and get $50 off.
- 25:27Amazing. And thank you so much for that. I'm going to have to check this out
- 25:31too. And just, you know, even you said that quiz that people can start with,
- 25:34figure out what zone they're in. And I think this all sounds very,
- 25:38very thorough, which will be very helpful for any questions that people have.
- 25:43Are you able, go ahead. I was just going to say, I do want to mention,
- 25:47we have an incredibly robust resources page on our website.
- 25:53Really, we walk you through all of the different issues and everything is curated
- 25:58by symptom there. So a lot of YouTube videos, a lot of our freebies that we offer.
- 26:04So when you go to TightenYourTinkler.com, if you click on the resource page,
- 26:08it is quite long, but that is the best place to do the deep dive based on your
- 26:14symptoms that you're looking for help with.
- 26:17Perfect. Yeah, I think that is helpful because, as you mentioned earlier,
- 26:21there's a whole array of symptoms.
- 26:23And so to be able to deep dive into the specific ones and have a better understanding,
- 26:29like you said, of how it is all so connected in ways that I think most of us don't realize.
- 26:35Yes. As far as perimenopause and our pelvic floor, what are the connections there? Yeah.
- 26:44Yeah, it's pretty stunning. Some of the latest research shows incredibly strong
- 26:51correlations between the severity of perimenopausal symptoms for women with ADHD.
- 26:58So women with ADHD are 80% more likely to have severe perimenopausal symptoms,
- 27:07which, P.S., is what I'm living right now.
- 27:10No, no. I was like, I have not heard good things from people.
- 27:14That's not good news. Did you explain why?
- 27:17I have to say, I felt gobsmacked. I really didn't know.
- 27:22I discovered this research because I was looking for myself because I have several
- 27:27friends who are also in this time of life. And I feel like all my symptoms are
- 27:32way worse. And so it was kind of nice to get that validation and also kind of want-want.
- 27:39Did it say and i'm curious and i i have i mentioned this to you earlier i have
- 27:43somebody coming on in the next couple weeks specifically talking about the connection
- 27:47between hormones perimenopause and adhd but i was curious in the research that you did,
- 27:55did it explain why there's that connection for adhd because i met somebody the
- 28:00other day at a bookstore and she was saying,
- 28:04you know her sister I think I don't know how old she was but in her in her 50s
- 28:08I think and she said that yeah she reached perimenopause and just like completely
- 28:12fell apart and was saying you know my strategies are not working my supports
- 28:18are not working everything's way worse
- 28:20I need I need support and they were encouraging her to seek an ADHD diagnosis
- 28:26did the research say anything about why there's that connection yes.
- 28:30Well, not exactly. Not directly.
- 28:34You know, they are still, I mean, this was literally published in 2025.
- 28:40So there's still ongoing research that needs to be done.
- 28:45But what the research that I found was, first of all, which was stunning,
- 28:51that women with ADHD typically have an earlier onset of perimenopause.
- 28:57So what this research study found was ages 35 to 39 is where they started having
- 29:04those perimenopausal symptoms as opposed to the general population, which is more 45 to 49.
- 29:12You're just full of good news today.
- 29:15Hey? No. I just turned 37. I'm like, don't tell me that. No.
- 29:20Well, look, I am 48. So I fell into the normal bucket for once in my life with
- 29:28regards to my age of perimenopause.
- 29:32But still, what it shows is that, you know, women with ADHD just have,
- 29:39you know, it makes sense.
- 29:40Going back to what you were hearing from the other woman, we have higher swings
- 29:45of anxiety and depression to begin with, with just the nervous system dysregulation of having ADHD.
- 29:51So with the onset of, you know, spikes and drops in estrogen,
- 29:57progesterone, testosterone that are all very random, it's no surprise that women with ADHD.
- 30:05Are 80% more likely to have problems with depression, anxiety,
- 30:09fatigue, concentration, hot flashes, sleep problems, joint pain,
- 30:16problems with sex, bladder problems, and vaginal dryness.
- 30:20You know, when you just think about it from a higher level, we already have
- 30:26those issues at our baseline, right, because of our higher vagal tone and our
- 30:32different sensitivities to things.
- 30:34I think it also has to do with we report higher incidence of this because we
- 30:39feel things much more deeply.
- 30:41You know, our threshold for feeling is different than other people.
- 30:47So all of that really makes sense to me but your friend is right I think it
- 30:53you know I was having coffee with a friend not that long ago and talking about how
- 30:57I literally feel like I'm crazy because you know after living with this for
- 31:02decades you do develop these coping mechanisms and strategies,
- 31:07and all of a sudden you don't feel like they're as effective anymore and so
- 31:11it's definitely a challenge change.
- 31:14So, yeah, I was thinking that as well as when you're talking about the changes
- 31:19in estrogen and progesterone and things like that,
- 31:22is that things that may have worked before now are just flipped upside down
- 31:27and you have to completely figure out a new approach to things.
- 31:31So where is the hope in this? I find that there's a couple of pieces that are
- 31:37usually helpful. One is that understanding piece of feeling validated in what
- 31:41we're experiencing. So if somebody's experiencing this, to feel that validation and understanding.
- 31:46And then the next piece is, what can they do to either prepare for,
- 31:53to handle, to deal with some of those symptoms of perimenopause?
- 31:58Yeah, I think this time of life, like no other community, is incredibly important.
- 32:06And I think that can be challenging. You know, this is also a season of life
- 32:11where you're pulled in a lot of different directions. I mean,
- 32:15I have kids who have graduated from college who are still in college,
- 32:19and I still have a middle schooler at home.
- 32:21We also have we're caring for my husband's sick parents.
- 32:25And so there's just a lot of responsibilities and it can be it can be very a
- 32:31very isolating time of life.
- 32:35But I do think that that finding community is so incredibly important.
- 32:40And I think, you know, this is a time of life where we need our faith.
- 32:45You know, I mean, I'm blessed. I have a women's ministry at my church,
- 32:49and those women are truly my soul sisters. They're who I really just plug into and lean on. And.
- 32:58There is a sense of peace and of calm, which I think is what we all need more
- 33:04of, particularly in this time of life.
- 33:07So I would encourage women, and community can look different for everyone.
- 33:11I mean, it can be, you know, being a part of a coaching community like yours
- 33:16or an online community of some type.
- 33:20Or just going and having a regular coffee date with a friend or a regular,
- 33:24you know, talk and walk, as I like to say.
- 33:27I've got lots of friends that live different places. And so just getting on
- 33:30my phone, heading outside, getting some sunshine, vitamin D,
- 33:33and just talking helps so much.
- 33:38Feeling seen and heard. I mean, I was sharing with you before we pressed record,
- 33:44just listening to your podcast, your pep talks.
- 33:47Feeling seen and heard and validated and knowing that we're not alone,
- 33:52I think is just such a big first step that cannot be overlooked this time of life.
- 33:58The other thing that I would say is, you know, find a really good doctor who
- 34:06is going to work with you and listen to you and not,
- 34:11overload you with hormones, you know, because we are in this delicate season.
- 34:17And while I really wanted to get sleep, I started taking way too much progesterone.
- 34:23And for me, that kind of made me even more spun up because we're just in this constant flux.
- 34:30So I would say, you know, find a physician who is really going to listen to
- 34:34you, work with you, be flexible, who is going to make sure that They're not
- 34:40just randomly giving you blood tests, but really,
- 34:43testing things at certain windows of time.
- 34:48And then I would say be proactive with taking care of your body and giving yourself
- 34:54grace. I mean, regardless of severity of symptoms, I feel like at this stage
- 34:58of life, everyone should be using a toileting stool.
- 35:02Everyone should be drinking water or whatever fluid you want with electrolytes
- 35:07in it, getting your fiber, getting outside.
- 35:12All of these things can have tremendous impacts on a lot of the different issues that we talked about.
- 35:19I know for me, prayer is a huge part of the practice of just connecting with
- 35:24self and connecting with God and opening up an invitation to be able to receive
- 35:30peace and joy amidst the storms.
- 35:34Mm-hmm. That's something when you're talking about that, too.
- 35:38The prayer piece, the God time, that's something, I mean,
- 35:42of course, I don't have the research for it, but in my own experience,
- 35:45I have found that that's one of the few times that I'm able to silence that inner,
- 35:50you know, chaos of my mind and how many thoughts that I have.
- 35:53It feels almost like, you know, a Holy Spirit medication for my brain where
- 35:59my brain is quiet and it feels peaceful.
- 36:02And it's one of the few times that I've ever really experienced that.
- 36:07So thank you for sharing that as well. I think your reminder,
- 36:09too, about the importance of community.
- 36:11I mean, in the book ADHD 2.0, they talk about loneliness and connection and
- 36:16community and how important that is. Or in Caroline McGuire's book talking about,
- 36:21friendships for neurodivergent people.
- 36:24It is so incredibly important to feel seen to feel heard to feel understood
- 36:30and i do think that is how we are created and i do think that that can be incredibly,
- 36:35helpful in in even helping support us in what our perspective is maybe we are
- 36:41still going through a hard time but it may not feel debilitating if we have
- 36:47those other people around us to support us.
- 36:51I so agree. So well said, Kelsey. As far as just to kind of end us off here.
- 36:57Oh, I had another question as well. You were talking about as far as taking
- 37:00care of ourselves, being proactive.
- 37:02Is exercise a part of that as well? How does exercise fit into this?
- 37:07Yeah, exercise is a part of that. Unfortunately, there are lots of,
- 37:14you know, when you've got pelvic floor dysfunction, particularly prolapse,
- 37:18which I know I've mentioned a couple of times, but I think it's worth,
- 37:21I don't know if your listeners are really understanding the distinction between those two things,
- 37:26but, you know, pelvic floor dysfunction is, okay,
- 37:30you've got a problem, some of these things are going on, but it's very fixable at that point.
- 37:35It's usually just a muscular imbalance.
- 37:38When I'm talking about pelvic organ prolapse, this is a progression of pelvic floor dysfunction.
- 37:45And this is where, excuse me, the pelvic organs are falling down into the pelvic compartment.
- 37:55And so that can look, usually each case of prolapse is incredibly unique.
- 38:02But this is a further progression of that muscular skeletal system not working properly.
- 38:11And so in regards to talking about exercise, it's really important that,
- 38:18you know, the exercises that we're choosing to do if we are dealing with these issues
- 38:24are going to be lower impact, you know, not lifting heavy, because we know that
- 38:29when we've got prolapse, we're dealing with that pressure differential that we talked about.
- 38:35We're dealing with a pressure issue as well.
- 38:38And so heavy lifting, things like repetitive air rowing.
- 38:44Pushing and pulling heavy things, running, jumping, all of those different things
- 38:51will cause a progression of symptoms.
- 38:54And if you have prolapse, it's going to cause a very quick progression of symptoms.
- 39:01So we want to really pay attention if, you know, any of the things that we talked
- 39:05about today, women are experiencing,
- 39:09you want to hit the pause button on activities is the way that Christina and
- 39:13I explain it, and you want to come back and shore up the foundation, right?
- 39:17Because your pelvic floor really does hold your guts up and in.
- 39:23You know, there's no bony tissue down there. So it's very important that if
- 39:29you're having dysfunction there, it is like a wound, right?
- 39:33So we want to make sure that we shore that up, that we functionally strengthen
- 39:38in the foundation of the body before we start trying to jump into aggressive exercise.
- 39:45Absolutely. Yeah, that's a good reminder, too. And even the fact that it's a
- 39:49pause, it's not a forever thing.
- 39:51And I know for me, it was hard. So I have three kids. They're three, five and seven now.
- 39:55But I remember, so all of my kids were quite, quite big.
- 39:59I didn't have gestational diabetes or anything like that.
- 40:03I'm just I'm quite tall. And my kids were all over nine pounds one of them was almost 10 pounds,
- 40:08and so after that I just remember yeah it took quite a while to feel normal
- 40:13again and you do you feel like everything everything's just gonna
- 40:15fall out and that can be such a scary such a scary thing so I appreciate this
- 40:20work that you're doing can you tell us where can we go remind us where can we
- 40:24go to find out more about you and what you do.
- 40:28Sure. You can head over to our website, tightenyourtinkler.com.
- 40:31That's where you can take the quiz.
- 40:33It's where so many of our great resources are located.
- 40:37You can find all of our teaching videos on YouTube, and our YouTube channel
- 40:43is tightenyourtinkler.
- 40:44And we're also over on Instagram, not as active anymore, but tighten.your.tinkler.
- 40:51So you can find us all those different places.
- 40:53Perfect. And then if they're interested in the signature program at tightenyourtinkler,
- 40:58then use the code ADHD and that is the gift of $50 off. Thank you so much for that.
- 41:04All right. Thank you for all of this information that you've shared.
- 41:07I will try to include in the notes at the bottom, all of the relevant links
- 41:12for the website and the gift coupon code and all of that stuff.
- 41:17I'm sure everyone will find this incredibly helpful. So thanks so much for taking the time to be here.
- 41:22Thanks so much, Kelsey, for having me.