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#HURDLEMOMENT: An OBGYN Answers Your Feminine Wellness Questions · Hurdle with Emily Abbate

0:00
Speaker 1: Normalized saying the word vagina, talking about you vagina, and
0:04
Speaker 1: getting a mirror and looking at you vagina, so that
0:06
Speaker 1: you know that the queen is okay.
0:23
Speaker 2: Hey everyone, Emily body here. You are listening to another
0:28
Speaker 2: installment of Hurdle. Moment from Hurdle today's episode. Wow, that's
0:35
Speaker 2: really where where we have to start off. Here, I
0:39
Speaker 2: am chatting all things feminine wellness with doctor Jacqueline Walters,
0:46
Speaker 2: better known to many as doctor Jackie.
0:49
Speaker 1: She is in.
0:50
Speaker 2: Atlanta based Board certified OBG y N And I know
0:55
Speaker 2: I have some male identifying hurdlers in the mix, but
0:58
Speaker 2: this episode in particular for the ladies.
1:02
Speaker 3: Wow.
1:02
Speaker 2: Keep I keep coming back to this word because I
1:05
Speaker 2: feel uncomfortable to say the next word I'm going to
1:09
Speaker 2: say eight thousand times in today's episode, which is vagina.
1:15
Speaker 3: Oh my gosh.
1:16
Speaker 2: If I was uncomfortable saying that word before I recorded
1:18
Speaker 2: this episode, to be honest, I am incapable of being
1:20
Speaker 2: uncomfortable saying that word after recording this episode because we
1:25
Speaker 2: say it a lot, and it's important that we say
1:27
Speaker 2: it a lot, because we're talking all about the things
1:30
Speaker 2: that you need to know to take care of yours.
1:34
Speaker 3: If you happen to have one.
1:36
Speaker 2: Doctor Jackie makes it completely accessible and really breaks down
1:41
Speaker 2: a lot of the things that we need to know.
1:43
Speaker 2: We cover questions like, is it normal to have irregular
1:46
Speaker 2: periods when training? What are some irregularities that should have
1:50
Speaker 2: us scheduling a doctor's a visit. What is considered a
1:54
Speaker 2: normal amount or color of Oh my god, the word discharge?
2:00
Speaker 3: Oh so weird? Is there a proper way to cleanse down?
2:04
Speaker 3: There are there.
2:05
Speaker 2: Certain types of fabrics that we should be looking at
2:08
Speaker 2: when it comes to what we choose for our underwear.
2:11
Speaker 2: We cover it all breast health as well. I mean,
2:14
Speaker 2: nothing's off limits here. Doctor Jackie is a wealth of knowledge.
2:19
Speaker 2: And despite me being the most awkward turtle ever and
2:23
Speaker 2: we certainly get into a little TMI at times, she
2:29
Speaker 2: made me feel really comfortable. And that's something we actually
2:32
Speaker 2: touch upon when it comes to working with an obgui
2:36
Speaker 2: N that is right for you, that expert, that person
2:39
Speaker 2: is going to be someone who does just that, who
2:42
Speaker 2: makes you feel comfortable, because when you feel comfortable in
2:46
Speaker 2: this space, then you can really talk about.
2:48
Speaker 3: What's going on with you and what's going on with.
2:50
Speaker 2: Your body, and that is important before we get to
2:54
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Speaker 2: Make sure you're following along with Hurdle over on social
4:14
Speaker 2: It's at Hurdle Podcast. I am over at Emily a
4:16
Speaker 2: Body and I just kind of alluded to this.
4:19
Speaker 3: But there's a lot going on in the world right now,
4:21
Speaker 3: and I know.
4:22
Speaker 2: I can feel frustrating to feel as though you don't
4:25
Speaker 2: know the right way to help or how you can
4:27
Speaker 2: get involved, or where you should be getting your information from.
4:30
Speaker 2: Like I get it, I feel the same way. I
4:33
Speaker 2: would encourage you to continue on in your day to
4:36
Speaker 2: day doing one thing that we can all do, which
4:39
Speaker 2: is just being kind and compassionate to the people that
4:42
Speaker 2: you come across, those that you're interacting with.
4:45
Speaker 3: It can make a really big difference. And with that,
4:48
Speaker 3: Oh man, here we.
4:49
Speaker 4: Go, let's get to hurdling.
5:07
Speaker 1: Today.
5:07
Speaker 2: I am sitting down with doctor Jacqueline Walters.
5:10
Speaker 3: She is an obg y N. How are you doing today?
5:14
Speaker 1: I'm having a super day and it's Monday, So you know,
5:17
Speaker 1: I make it a good day.
5:19
Speaker 3: I make it a good day. You make a conscious
5:21
Speaker 3: choice to have a good day.
5:22
Speaker 1: I wake up every day and I set my thermostat
5:25
Speaker 1: for a good day.
5:27
Speaker 3: I love that.
5:28
Speaker 2: I love that well, I said to you right before
5:30
Speaker 2: we started recording. I'm going to say it again. I
5:33
Speaker 2: know that this conversation is going to be a lot
5:35
Speaker 2: more natural for you than it is for me, because
5:37
Speaker 2: I don't actually say the word vagina.
5:39
Speaker 1: A lot you don't say the word vagina. I say
5:42
Speaker 1: the vagina.
5:43
Speaker 3: All day, all day.
5:46
Speaker 1: Now. The truth is, I get so many different words
5:50
Speaker 1: for the vagina now that I know different cultures call
5:53
Speaker 1: it different things. A lot of women will whisper the
5:57
Speaker 1: word vagina because I'm like, I said, nobody tell you
5:59
Speaker 1: for me, you and oh god, it's okay, and so
6:02
Speaker 1: you're not by yourself. Most women don't like saying the
6:05
Speaker 1: word vagina.
6:06
Speaker 2: There's a lot of I feel like there's a couple
6:08
Speaker 2: of other words that fall into this arena, including a
6:11
Speaker 2: word that could be associated with the vagina, moist.
6:15
Speaker 1: Oh yeah, they don't like saying that because you know,
6:17
Speaker 1: I do ask and I'm like, are you getting moist?
6:19
Speaker 1: And they look around the room and they like, uh yeah,
6:24
Speaker 1: I said, it's okay, it's okay, we want it moist.
6:26
Speaker 1: I said, I want it like your mouth, and you
6:29
Speaker 1: know what, it feels like they have a dry mouth.
6:31
Speaker 1: I want your vagina just like it and think about it.
6:33
Speaker 1: The vagina looks like the mouth of nose lips. You know.
6:37
Speaker 2: Well, we are here today to talk about feminine wellness.
6:41
Speaker 2: Let's coin it that term. And before I start to
6:44
Speaker 2: ask you the hard hitting questions, tell me a little
6:47
Speaker 2: bit about yourself. Tell me about how you got into
6:50
Speaker 2: this field of medicine.
6:52
Speaker 1: So i am. I was known as doctor Jaqueline Watches.
6:56
Speaker 1: I have somehow lost that name and I'm known as
6:58
Speaker 1: doctor Jackie. Now I've been in obgyn for twenty five years.
7:03
Speaker 1: I chose wellness, and the reason I chose a feel
7:07
Speaker 1: where it was well woman health is I grew up
7:10
Speaker 1: in a small town in Mississippi, and we didn't talk
7:12
Speaker 1: about it. We didn't say the word vagina. Your mother
7:16
Speaker 1: whispered about it. We badger shamed, like when you talked
7:20
Speaker 1: about the vagina, it was something dirty or something nasty.
7:24
Speaker 1: And I just kept thinking, one day, I'm going to
7:25
Speaker 1: grow up and I am going to normalize the vagina.
7:29
Speaker 1: I am going to make it where nobody is embarrassed
7:32
Speaker 1: to talk about it. And that's where I really want
7:34
Speaker 1: us as women to become it. Don't be embarrassed about it.
7:38
Speaker 1: I've had enough to happen in my life. Now that
7:40
Speaker 1: I have no shame, and so I try and educate, like,
7:44
Speaker 1: your vagina's not making history. It has been done before.
7:48
Speaker 1: If you go back to the Bible, there are things
7:50
Speaker 1: in the Bible that they did to and with their vaginas.
7:53
Speaker 1: So your vagina's not making history. You are not the
7:56
Speaker 1: first person to have been cheated on. You're not the
7:59
Speaker 1: first person having accident with your period. You're not the
8:02
Speaker 1: first person to go, what's that smell going on down there?
8:05
Speaker 1: You are not the first person. So I wanted to
8:09
Speaker 1: do well women. So I went to college wanting to
8:13
Speaker 1: become a doctor. I fell in love with this guy.
8:15
Speaker 1: I could drink a gallon of his bath water. So
8:18
Speaker 1: I decided I didn't want to be a doctor. I
8:20
Speaker 1: would just do medical technology. And I got into medtech
8:24
Speaker 1: and he dumped me, and so I wanted to go
8:27
Speaker 1: back to medical school, but my mother's punishment was, you
8:30
Speaker 1: have to complete this program and then you can go back.
8:33
Speaker 1: Went there four years of residency, I moved to Atlanta,
8:36
Speaker 1: where we did some of our training. I was at
8:38
Speaker 1: Mercer and Macon, Georgia, and here I am and I
8:42
Speaker 1: have been practicing obgyn since that time and loved every well.
8:47
Speaker 1: Most of there are some days that is not always
8:50
Speaker 1: a happy job because I have to give bad news.
8:52
Speaker 1: But for the most part, I love what I do.
8:55
Speaker 1: All my best friends have come through as patients and
8:57
Speaker 1: I just fall in love with the patient and it's
9:00
Speaker 1: my best friend.
9:01
Speaker 3: I love it. I love it well.
9:02
Speaker 2: It sounds like you're certainly in the right field for you,
9:06
Speaker 2: and I'm sure the hurdlers, as I call my audience,
9:08
Speaker 2: are grateful for you today, especially because you're going to
9:11
Speaker 2: give them some of the intel that they really need. So,
9:14
Speaker 2: like I said, we're talking about feminine wellness. Maintaining your
9:17
Speaker 2: vaginal health and feminine wellness as a whole is an
9:20
Speaker 2: important part of living an overall healthy lifestyle period end
9:24
Speaker 2: of sentence. So are there certain things that we should
9:27
Speaker 2: be keeping in mind when it comes to general feminine hygiene.
9:32
Speaker 1: Well, one, Knowing the anatomy is important. You know, a
9:35
Speaker 1: lot of women are very confused when I use the
9:39
Speaker 1: proper terminology, So when I say clitterists, they mean you
9:42
Speaker 1: mean you right here, Yes, So just get familiar with
9:46
Speaker 1: your normal anatomy. Labia majora, labia manurea, the thinner inner
9:53
Speaker 1: lips the glitteris is the clitteral hood the vagina, the paraneum,
9:58
Speaker 1: and the in the rectum, and just knowing how to
10:01
Speaker 1: have a conversation about it, and then knowing that the
10:04
Speaker 1: vagina is actually cleaner than the mouth. A lot of
10:07
Speaker 1: people look at the vagina as if it's nasty and
10:10
Speaker 1: the mouth is fine. You have way more bacteria in
10:14
Speaker 1: your mouth than you have in your vagina, and so
10:18
Speaker 1: part of feminine health is to know that the vagina
10:21
Speaker 1: is designed as a self cleaning of it. You don't
10:25
Speaker 1: have to do a lot to it to make sure
10:27
Speaker 1: that your vagina is healthy. The other parts is your
10:30
Speaker 1: nutrition and your water intake is all as important to
10:35
Speaker 1: it to vaginal health. And to know that there are
10:39
Speaker 1: certain bacteria that should be in the vagina, I call
10:42
Speaker 1: it the ecosystem is your defense of the vagina. It's
10:46
Speaker 1: just to know that that is all a part of
10:48
Speaker 1: normal being a normal female, and that it is not
10:52
Speaker 1: supposed to smell like strawberries and roses, that it has
10:56
Speaker 1: its own specific muskye, not musty, a musky odor that
11:01
Speaker 1: comes along with a healthy vagina. A lot of women
11:04
Speaker 1: want to scour the vagina out like it's a pot.
11:07
Speaker 1: You know, I got a clean clean you don't you
11:10
Speaker 1: allow it to clean itself and not to add a
11:13
Speaker 1: whole lot of addatives to the vagina. And then you're
11:16
Speaker 1: in there with you know, now, if you are doing
11:19
Speaker 1: things to the vagina, putting things, people, places, and things
11:24
Speaker 1: in the vagina, you may disrupt your normal ecosystem and
11:28
Speaker 1: that's when we start to get into vaginitis.
11:31
Speaker 3: Got it.
11:32
Speaker 2: You mentioned hydration can impact vaginal health. Talk to me
11:35
Speaker 2: a little bit about what hydration's role is in that regard.
11:39
Speaker 1: So we're mostly water as people. It takes water for
11:43
Speaker 1: everything in your body to work. Also, it cleanses the body.
11:48
Speaker 1: I mean you're drinking water and you're you know, you're
11:51
Speaker 1: turning over sails and that's all important. You need the
11:54
Speaker 1: cells to be hydrated. And just like the dust is
11:58
Speaker 1: skin cells, vaginal discharge is all epithelial cells that are
12:04
Speaker 1: shedding along with the mucus. And then some women, what
12:08
Speaker 1: you eat, you will smell it again in your vagina
12:11
Speaker 1: because we have certain women who don't break down oils
12:15
Speaker 1: and different aromas through the vagina. So drinking water will
12:18
Speaker 1: help purify that, help dilute that out. So water, water, water, water.
12:23
Speaker 2: Super interesting that you would smell that perhaps in an
12:26
Speaker 2: odor as opposed to just I know, like for example,
12:29
Speaker 2: I literally just had asparagus with my dinner, a great
12:32
Speaker 2: example of a food that people are always like, Well,
12:35
Speaker 2: you can smell that in your urine after you consume it.
12:38
Speaker 1: Yes, and same for the vagina. You can smell some women,
12:41
Speaker 1: you will smell onions. A lot of women can't bring
12:44
Speaker 1: down the oils in fish and seafood, and they get
12:48
Speaker 1: that seafood odor a day or two after having eaten
12:51
Speaker 1: seafood and it tends to pass. So you are you know,
12:55
Speaker 1: it is important to hydrate again. It just kind of
12:57
Speaker 1: help move that smell alone.
13:00
Speaker 2: Now, for a super active woman, oftentimes we hear about
13:05
Speaker 2: that activity level can disrupt her regular cycle. Let's talk
13:11
Speaker 2: a little bit about that and if there's a point
13:13
Speaker 2: perhaps where someone should be especially concerned with that irregularity.
13:18
Speaker 1: So it takes a certain amount of body fat for
13:22
Speaker 1: those proper hormones. You need body fat, and when women
13:27
Speaker 1: are super thin and they don't have body fat, it
13:31
Speaker 1: disrupts the production of certain hormones, and so your hormones
13:34
Speaker 1: are thrown off, hents your cycles thrown off because it's
13:37
Speaker 1: important to have estrogen and progesterone, and your ovaries will
13:41
Speaker 1: make the estrogen and pogestone, but you need that body fat.
13:45
Speaker 1: And so when you're not getting when you don't have
13:47
Speaker 1: that and those hormones are disrupted, hence your cycle's totally
13:51
Speaker 1: thrown off as well. And in order to have a cycle,
13:55
Speaker 1: you have to have estrogen to stimulate that endometrial, the
14:00
Speaker 1: inside lining of the uterus, because it's really just sitting
14:02
Speaker 1: there waiting on a baby, like come on, come on,
14:05
Speaker 1: wait on you to get pregnant. And each month when
14:08
Speaker 1: you're not getting pregnant, you shed that lining and start
14:11
Speaker 1: all over again. But if your hormones are disrupted, you
14:14
Speaker 1: don't have body fat, you may not be taking any
14:17
Speaker 1: proper nutrition. Then you're not getting that enough indimutual lining
14:22
Speaker 1: to even have a period.
14:24
Speaker 2: Interesting, and so I mean, I'll bring a little personal
14:27
Speaker 2: experience to the show. You are welcome everyone, But for me,
14:30
Speaker 2: I have had irregular cycles for as long as I
14:33
Speaker 2: can remember, sometimes getting something one month, sometimes not getting
14:38
Speaker 2: something the next month. And every single time I've seen
14:41
Speaker 2: many different physicians at this point they will reference, well,
14:45
Speaker 2: it's probably a combination of the fact that you are
14:47
Speaker 2: super active.
14:48
Speaker 3: I'm probably running.
14:50
Speaker 2: I would say maybe six days a week and whatever
14:53
Speaker 2: birth control you're on, right, So I've been on the
14:55
Speaker 2: pill for a very very long time now.
14:57
Speaker 3: But no one seems to be phased.
14:59
Speaker 2: So how do you know when you should maybe be
15:02
Speaker 2: worried about this versus not so concerned about it.
15:05
Speaker 1: So, on an average, a woman will have a twenty
15:09
Speaker 1: eight day cycle, and what do I mean by that,
15:11
Speaker 1: that's the beginning of this period to the beginning of
15:14
Speaker 1: the next period, which will occur every twenty eight days.
15:16
Speaker 1: And we'll correct, and I will correct a woman who
15:19
Speaker 1: goes but I had a period twice in the month, Well, sure,
15:22
Speaker 1: you had it on the first of the month, and
15:23
Speaker 1: then you got it again on the twenty ninth. And
15:25
Speaker 1: they're like, oh my god, they're very frazzle. And so
15:28
Speaker 1: it's not necessarily about it happened in the same month,
15:31
Speaker 1: it's how many days apart. So on an average, a
15:35
Speaker 1: woman will have about a twenty one to thirty thirty
15:38
Speaker 1: five day cycle, and as long as she is in
15:41
Speaker 1: that range, and you will see your cycle change with
15:45
Speaker 1: different phases in life. Like you said, I'm a runner,
15:48
Speaker 1: I'm on birth control. Pills, and they really have redesigned
15:51
Speaker 1: birth control pills now where a woman really doesn't get
15:54
Speaker 1: much of a period at all. And if you are
15:57
Speaker 1: irregular taking the birth control pill, getting back the estrogen
16:00
Speaker 1: and progester on your knee is to your benefit because
16:04
Speaker 1: bone health is important as well. But regular is about
16:08
Speaker 1: twenty one to thirty five. And if you say every
16:12
Speaker 1: twenty five days I get a period, then you're regular.
16:15
Speaker 1: You know, it just happens to fall in the same
16:17
Speaker 1: month sometimes because of the number of days in the month.
16:21
Speaker 2: What would you say, perhaps other irregularities are that may
16:25
Speaker 2: have a woman looking into scheduling a consultation or a
16:29
Speaker 2: special visit.
16:31
Speaker 1: So if there's a woman who has one who's late
16:34
Speaker 1: starting her period, she's eighteen years old and she has
16:37
Speaker 1: breast and she's never had a period, we do want
16:39
Speaker 1: her to check in with us. But if there's a
16:41
Speaker 1: woman who's had a period, started a period at thirteen,
16:45
Speaker 1: and all of a sudden she stops having a period
16:47
Speaker 1: and there's no explanation for no period, then we think
16:52
Speaker 1: that person should come in because your thyroid function or
16:55
Speaker 1: dysfunction could definitely throw your cycle off. A lot of
17:00
Speaker 1: women were seeing now because we know more about it,
17:02
Speaker 1: may have something called polycystical variant syndrome or metabolic syndrome
17:09
Speaker 1: or insulin resistance, and those ladies are not secreting the
17:13
Speaker 1: proper amount of estrogen and progesterone, the insulin levels high,
17:18
Speaker 1: those women may not get periods for years. That's not
17:22
Speaker 1: healthy because we want to make sure that endometrial lining
17:25
Speaker 1: that we were talking about isn't very thick because a
17:29
Speaker 1: thickened the lining that's not shedding every month could potentially
17:33
Speaker 1: become what we call hyperplasia and could become malignant. So
17:37
Speaker 1: if you're not getting if you once had normal periods
17:40
Speaker 1: and then all of a sudden you stopped your period,
17:42
Speaker 1: you should definitely have an evaluation. Or if your period
17:46
Speaker 1: went from being a moderate flow for the first day
17:49
Speaker 1: to a light flow and now all of a sudden,
17:52
Speaker 1: you're just bleeding and non stop bleeding, we want you
17:54
Speaker 1: to check in with us as well. But there may
17:57
Speaker 1: be medical reasons that women are not having a period,
18:01
Speaker 1: or oftentimes having them too much. Fibroids, individual polyps, anything
18:09
Speaker 1: that could cause an a tropian or what's another word
18:13
Speaker 1: for may cause your cervix to be a little abnormal.
18:15
Speaker 1: We do want to make sure that you are safe.
18:19
Speaker 2: It seems as though a lot of the things that
18:21
Speaker 2: you are highlighting can also be points of conversation in
18:23
Speaker 2: your annual visit, which would be why your annual especially
18:27
Speaker 2: into your obgion is super important.
18:30
Speaker 1: Absolutely, and that's I encourage women to almost journal their wellness.
18:35
Speaker 1: You know, this is something to come and most of
18:37
Speaker 1: the time you go. I come in and I'm like,
18:40
Speaker 1: I'm a rooty to the twob doctor mental health. We've
18:42
Speaker 1: been in a pandemic. How's it going? Because oddly enough,
18:46
Speaker 1: if you're super stressed out, then you will also have
18:50
Speaker 1: your hypothalamus thrown off. And when the hypothalamus is not
18:54
Speaker 1: secreting certain hormones and the porturitary is thrown off, and
18:58
Speaker 1: when the petary is thrown off, the ovaries won't do
19:00
Speaker 1: what they need to do. So we do encourage mental
19:04
Speaker 1: health as one of those things we want to talk about.
19:07
Speaker 1: And then heart smart, you know, leading cause of death
19:09
Speaker 1: and women now heart disease. So we do talk about
19:13
Speaker 1: heart smart and obviously that's not what I'm there for,
19:16
Speaker 1: but I'm there definitely to make a suggestion for a referral.
19:20
Speaker 1: And then good health is important and then for me,
19:22
Speaker 1: you know, I'm always like the June is everything, okay.
19:26
Speaker 2: I also think that a lot of women like I
19:28
Speaker 2: can certainly speak to this, although in recent years have
19:31
Speaker 2: been much better with it. But there were years that
19:33
Speaker 2: like my annual doctor's visit so to speak, was going
19:36
Speaker 2: to see my obgyn, because that was one I knew
19:38
Speaker 2: that I never wanted to skip. It was always really
19:41
Speaker 2: important for me, especially considering some of my past health history.
19:44
Speaker 3: So I can totally understand.
19:46
Speaker 2: And I think it's really important that you know you're
19:49
Speaker 2: starting to pulse check in some of these other areas
19:51
Speaker 2: because it could bring up, as you mentioned, something that's
19:54
Speaker 2: worth talking about with another physician, and it's really great
19:56
Speaker 2: that that physician can then give you a referral to
19:59
Speaker 2: someone else in their network.
20:00
Speaker 1: Absolutely, and women are not as open and transparent because
20:06
Speaker 1: they feel like I'm going to judge or somebody may
20:09
Speaker 1: judge them, or they're embarrassed by what I do day
20:12
Speaker 1: to day with my vagina. I don't want to share it,
20:15
Speaker 1: but it is. You know, I tell women I'm the
20:16
Speaker 1: Olivia Pope of the vagina. If you get into trouble,
20:20
Speaker 1: I can get you out, So you really want to
20:24
Speaker 1: have a relationship, which is important. Have a relationship with
20:28
Speaker 1: your obgyn so that you can come in and they go, girl,
20:33
Speaker 1: you know what I did, And I'm like, girl, we
20:36
Speaker 1: need to check for this or check for that, or
20:38
Speaker 1: you know, I'm smelling this or I feel that, and
20:41
Speaker 1: then I give suggestions. You know, I talk about my
20:43
Speaker 1: favorite things, and I have a whole list of some
20:47
Speaker 1: of my favorite things for the vagina, and we'll definitely
20:50
Speaker 1: talk about a few of those things. But that's why
20:52
Speaker 1: I tell women have a relationship with an obgyn and
20:56
Speaker 1: try not to shop around too much, because you never
21:00
Speaker 1: really get to develop a relationship with your doctor.
21:02
Speaker 2: I do think that that's a super important note, is
21:06
Speaker 2: finding someone that truly makes you feel comfortable, because it
21:09
Speaker 2: is again it's your body.
21:11
Speaker 3: Holding back isn't going to do you any favors.
21:13
Speaker 2: So finding someone similar to like searching around for the
21:16
Speaker 2: right therapist, Like find someone and stick with them if
21:19
Speaker 2: you feel really comfortable in that situation. I love what
21:22
Speaker 2: you had to say about a list of my favorite
21:24
Speaker 2: things for the vagina, which obviously means that I'm gonna
21:27
Speaker 2: have to ask you what some of these are. Although
21:29
Speaker 2: I do feel like I'm deviating from where I'm trying
21:31
Speaker 2: to go with this, but I couldn't let that one slide.
21:34
Speaker 1: Well, favorite things for the vagina one is I don't
21:36
Speaker 1: use soap, you know, as men and women go what.
21:40
Speaker 1: I don't believe in putting additives into the vagina. That's
21:43
Speaker 1: going to throw off that normal pH that you should
21:46
Speaker 1: have in the vagina. And I'm a big believer. And
21:49
Speaker 1: if I can bring any names in, I'll bring you
21:51
Speaker 1: refresh and refreshes a jail that I love, love, love,
21:54
Speaker 1: and I do this doctor Jackie's favorite things gifts for
21:58
Speaker 1: my friends and in that is always refresh. I'm like, okay,
22:02
Speaker 1: you need refresh because you want to refresh her but
22:07
Speaker 1: also stabilize the pH and the vagina. So that's one
22:11
Speaker 1: of my favst. Probiotics, love love love probiotics. And I
22:15
Speaker 1: have to distinguish between gut health and vaginal health because
22:18
Speaker 1: there are a little bit of differences between the two.
22:21
Speaker 1: But I do talk about probiotics for gut health and
22:24
Speaker 1: vaginal health. You know, I don't like women using towels
22:31
Speaker 1: over and over and again, so I'm like, just use
22:33
Speaker 1: your hand to slush out the vagina. So I do
22:36
Speaker 1: those things, and then just some of the other girl
22:39
Speaker 1: things I like having in my life is you know,
22:42
Speaker 1: certain cologns. So I give all those things out to
22:45
Speaker 1: my friends that I have come to like. You know
22:47
Speaker 1: that Oprah's Favorite Things.
22:49
Speaker 3: I love, Doctor Jackie's favorite things.
22:51
Speaker 1: I have a doctor Jackie favor Yes, for my brides,
22:55
Speaker 1: doctor Jackie's favorite things for women who have breast cancer.
22:58
Speaker 1: But I do the same thing with especially my teens
23:01
Speaker 1: going away to college, you know, even poopery. You know,
23:05
Speaker 1: like if you got a new girl in the dorm,
23:07
Speaker 1: you don't want to get bad, you know, use some
23:09
Speaker 1: of this. So I just give them a gift bag
23:12
Speaker 1: of these favorite things that I love.
23:14
Speaker 3: You mentioned probiotics.
23:16
Speaker 2: Now, is there a difference between a probiotic or a
23:19
Speaker 2: probiotic that could be in a daily supplement that I
23:22
Speaker 2: take versus something that may be specifically for my feminine health.
23:25
Speaker 1: Yeah, the vaginal probiotics will give you back that good
23:29
Speaker 1: lacto bascillas that you have. Some of the gut probiotics
23:33
Speaker 1: may not necessarily provide the actual bacteria you need for
23:37
Speaker 1: the vagina target specific again, you know, I love I'm
23:42
Speaker 1: a refreshed girl. They have pro b as one of theirs,
23:46
Speaker 1: and I'm certainly. And then supplements, you know, I do
23:49
Speaker 1: tell women, so we're going from probiotics to make sure
23:52
Speaker 1: you're taking the right supplements. We're in a pandemic, you know,
23:56
Speaker 1: DC and zinc will be your friend.
23:58
Speaker 2: Something we haven't specifically talked about yet, although I do
24:01
Speaker 2: believe you mentioned the D word discharge. Everyone I know
24:06
Speaker 2: is very different, can have different amounts consistencies.
24:10
Speaker 3: This is so awkward to talk about, but we're going
24:14
Speaker 3: to talk about it.
24:15
Speaker 2: So for someone who is active, is there a certain amount,
24:20
Speaker 2: so to speak, that would be normal versus a certain
24:23
Speaker 2: amount that should be something that you should perhaps reach
24:26
Speaker 2: out to an obgian about. And for someone who may
24:29
Speaker 2: be getting a heavier amount of discharge, what would you
24:32
Speaker 2: recommend for them to navigate that on the day to day.
24:37
Speaker 1: So we normalize vaginal discharge by one mentioning around the
24:40
Speaker 1: time of ovulation, should you not take birth control, peels, rings, patches,
24:45
Speaker 1: or anything that would stop ovulation, you may notice a
24:49
Speaker 1: bit more of an egg consistency where it just kind
24:54
Speaker 1: of comes out of the vaginant, you know, if you
24:56
Speaker 1: pull it. And that's important to us, that whole string
25:00
Speaker 1: effect during that time, you may notice more watery discharge. Now,
25:05
Speaker 1: if you're having a copious amount of discharge where you
25:08
Speaker 1: stand up and you're just pouring discharge, especially if it
25:11
Speaker 1: has an odor and it has a color to it. Now,
25:15
Speaker 1: I do believe in the mirror. I mean when I
25:18
Speaker 1: wrote the Queen Bee, I'm like, get your mirror out
25:21
Speaker 1: and look at it. You know, if you feel like
25:23
Speaker 1: something's not right, please put your eyes on it. Because
25:26
Speaker 1: you can't necessarily use your underwear as the color test
25:30
Speaker 1: because by the time you go throughout the day and
25:33
Speaker 1: the oil and the dirt from the skin on the
25:36
Speaker 1: labia has changed the color of the underwear or drying
25:40
Speaker 1: effect has changed the color. So I tell women, if
25:42
Speaker 1: there's an odor, if there's irritational itching, if it's copious
25:47
Speaker 1: amounts where it is kind of just running out of
25:49
Speaker 1: the vagina, that may not be normal. But you are
25:52
Speaker 1: right when you said earlier. Every woman's a little different.
25:56
Speaker 1: I'm a big panty lineerware you know, I'm sharing am
26:00
Speaker 1: but I like wearing panty liners because I'm really about
26:03
Speaker 1: staying drunk. That's important too. So if you're walking around
26:08
Speaker 1: throughout the day and you're just wet all day, then
26:11
Speaker 1: you're setting yourself up for things like yeast infection. So
26:15
Speaker 1: you want to make sure that you're you know, you're dry,
26:18
Speaker 1: and that's a catch twenty two. We don't want the
26:21
Speaker 1: actual vagina dry, but we want to feel dry throughout
26:25
Speaker 1: the day. And it's like wearing your gym clothes all day.
26:28
Speaker 1: You don't want to do that or walking around in
26:31
Speaker 1: a bathing suit that's wet all day. Same thing with underwear. Well,
26:35
Speaker 1: if you feel like you're wet all day, then you
26:37
Speaker 1: may want to consider a panty liner.
26:45
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28:12
Speaker 2: You mentioned something that I'm sure a lot of listeners
28:14
Speaker 2: want to know a little bit about, which would be
28:16
Speaker 2: wearing your gym clothes around for too long, even if
28:19
Speaker 2: you're perhaps not doing it too long in one period,
28:21
Speaker 2: but you're constantly changing in and out of gym clothes,
28:24
Speaker 2: You're constantly running around.
28:26
Speaker 3: What's the concern with that?
28:28
Speaker 1: So yeast love hot, warm, wet spaces, and so if
28:34
Speaker 1: you're walking around with your you know you're perspiring and
28:38
Speaker 1: the heat is being contained in that area and you're
28:41
Speaker 1: not changing, you're just setting yourself up for a yeast infection.
28:46
Speaker 1: And so it is definitely if you have worked out
28:49
Speaker 1: and you especially if you're doing a commando style, you
28:52
Speaker 1: really need to get out of those wet, warm, soggy
28:56
Speaker 1: pants because yeast are like, this is the right environment,
29:02
Speaker 1: and if we want to avoid vaginitis of any sort,
29:05
Speaker 1: you want to make sure you're changing those underpants.
29:10
Speaker 2: I know that, you know so many times I have
29:13
Speaker 2: in the past. If I've experienced something like a yeast infection,
29:16
Speaker 2: everyone gives you like instant, like unsolicited advice. If you
29:20
Speaker 2: mention it to a friend, it's like, oh, well, you
29:22
Speaker 2: should be eating X or doing wire YadA YadA, yadad
29:25
Speaker 2: to make it past as fast as possible. Any quick
29:28
Speaker 2: tips for someone who may be navigating this issue and
29:31
Speaker 2: would love to as we all would make.
29:33
Speaker 3: It just go away asap.
29:35
Speaker 1: So what you mentioned, and I tease the patience, that's
29:39
Speaker 1: advice from the street committee. You know, we all have
29:42
Speaker 1: a whole committee of women in our lives that are
29:44
Speaker 1: telling us what to do. Especially to the woman who
29:46
Speaker 1: has recurrent vaginitis one. She wants to just kind of
29:51
Speaker 1: probe life and see what she may be doing that's
29:53
Speaker 1: setting her up. That goes back to medical conditions as well.
29:57
Speaker 1: If you know, make sure she's not a diabetic or
30:00
Speaker 1: maybe pcos where they're doing, you know, a little heavier
30:05
Speaker 1: and they're doing a lot of sweating there, but a probiotic.
30:08
Speaker 1: I go back to that, you want to keep that
30:10
Speaker 1: ecosystem in check so that you are not having an
30:14
Speaker 1: overgrowth of yeast or back to your vaginosis, and your
30:19
Speaker 1: diet is super important. What are you eating? Are you
30:21
Speaker 1: eating up? You know, you're doing gummies all day, You're
30:24
Speaker 1: drinking sugary drinks all day, so you want to make
30:27
Speaker 1: sure your diet is important. We talked about water. Water
30:31
Speaker 1: is the best thing you could flood your body with
30:33
Speaker 1: every day, but getting out of those wet underwear, and
30:38
Speaker 1: then around your period is to try and make sure
30:41
Speaker 1: you're not wearing tampons all day all the time. So
30:45
Speaker 1: hygiene is important and that around your period as well.
30:49
Speaker 1: I go back to my friend refreshed because I'm going
30:51
Speaker 1: to say that over and over because that is one
30:53
Speaker 1: of my favorite things which will help stabilize the pH.
30:56
Speaker 1: So if you can keep your pH in that acidic
30:59
Speaker 1: range that is should be and it will not allow
31:02
Speaker 1: yeast and bacteria agnosis to overtake you.
31:05
Speaker 2: And I know something that can contribute to perhaps a
31:09
Speaker 2: weird word I'm going to throw into the mix here,
31:11
Speaker 2: the climate down there could be what choice of underwear
31:16
Speaker 2: you lean into, especially for activities.
31:18
Speaker 3: So what advice do you have when it comes to that.
31:21
Speaker 1: So I'm a big believer in cotton underwear, or at
31:24
Speaker 1: least cotton lined underwear. And I love thongs, I mean,
31:29
Speaker 1: but I try to buy the ones where it's not
31:31
Speaker 1: just this stream. And the reason I've done that is
31:34
Speaker 1: you're rubbing from the back to the front to the back,
31:36
Speaker 1: and those two environments should not be connectored, you know,
31:40
Speaker 1: and we'll throw out you know, what goes on in
31:43
Speaker 1: Vegas should stay in Vegas. So even with intercourse and
31:46
Speaker 1: that type of activity is you want to make sure
31:50
Speaker 1: you're not dragging from the back to the front. So
31:53
Speaker 1: cotton lined underwear, breathable cotton lined underwear will be important.
31:58
Speaker 2: I'm like looking right now to see literally, like what
32:02
Speaker 2: fabric it doesn't say, oh light gra like gra four
32:05
Speaker 2: way stretch, breathable, breatheable, cotton guss it Okay, So you
32:08
Speaker 2: know what I think it is. I do think that
32:10
Speaker 2: a lot of like quote unquote athletic underwear they have
32:14
Speaker 2: cotton in it, but it just feels a little different
32:16
Speaker 2: obviously than like right now, I'm probably wearing like a
32:19
Speaker 2: mostly cotton dress. But like my cotton dress feels very
32:21
Speaker 2: different than my active underwear. It's just a different combination
32:25
Speaker 2: of fabrics, I would say.
32:27
Speaker 1: And you also have since we're talking about underwear. For
32:29
Speaker 1: the woman who has just recurrent vaginitis, sometimes we even
32:33
Speaker 1: tell them come out of the colored underwear. I try
32:36
Speaker 1: to find something that doesn't have a lot of dye
32:39
Speaker 1: in it and see if that doesn't help at all.
32:43
Speaker 1: But I can always say to women, diet is extremely important.
32:47
Speaker 1: Nutrition and nutrition is important. Probiotics and what are you
32:51
Speaker 1: doing to your vagina? Now, we're gonna get a little risky.
32:55
Speaker 1: If you are having multiple partners, you are, I'm definitely
33:02
Speaker 1: more likely to have a disruption of the pH and
33:06
Speaker 1: your vagina because you're mixing different floras. You know, one
33:10
Speaker 1: guy has this girl, and then he goes to this girl,
33:12
Speaker 1: and so he's creating this whole combustion of flora that
33:17
Speaker 1: they're putting in place. So women who find themselves with
33:20
Speaker 1: recurrent imagine itis will have to also wonder what type
33:24
Speaker 1: activities they're participating in.
33:27
Speaker 2: And something that we haven't touched on yet, and the
33:29
Speaker 2: last thing that we're going to touch on today together.
33:32
Speaker 2: We haven't necessarily talked about the girls up top. We
33:34
Speaker 2: haven't talked about anything when it comes to breast health.
33:36
Speaker 2: So two questions. One something that I know the woman
33:40
Speaker 2: listening to this are probably curious about if they have
33:43
Speaker 2: not yet started to do annual mammograms. But they of course,
33:48
Speaker 2: at any age you're going to be when you go
33:50
Speaker 2: in for your annual obgian appointment, you're going to be
33:53
Speaker 2: doing regular breast exams. But if you haven't started getting
33:55
Speaker 2: mammograms yet, is there any guidelines that you can provide
33:58
Speaker 2: about when someone should really consider incorporating that into their
34:02
Speaker 2: annual routines, so to speak.
34:04
Speaker 1: So this one, yes, I can answer the question because
34:07
Speaker 1: I'm a two time breast cancer survivor. So let me
34:10
Speaker 1: shout out to women it's an early detection is your
34:12
Speaker 1: best protection. It's to say that if you talk about
34:17
Speaker 1: the American College of Obigy, in which governs obgyns, or
34:22
Speaker 1: I believe the American Cancer Society, we do recommend a
34:26
Speaker 1: mammogram starting at age forty. Now let me qualify if
34:29
Speaker 1: you have had a first degree relative with breast cancer,
34:33
Speaker 1: your mother or your sister, or your brother or your father,
34:38
Speaker 1: then you should get your mammogram ten years before that
34:41
Speaker 1: relative was actually diagnosed with it. If they you're not
34:44
Speaker 1: sure about the age, I will say thirty. You know,
34:47
Speaker 1: get your first mammogram at age thirty. Now, though, we
34:51
Speaker 1: can do genetic testing, and so if a woman presents
34:54
Speaker 1: and her mom or her sister, or her dad or
34:56
Speaker 1: brother had breast cancer, we can certainly screen them to
35:00
Speaker 1: if they have any genetic predisposition to developing breast cancer.
35:04
Speaker 1: But if you just came in my office and you're
35:06
Speaker 1: a woman who's forty years or older, we do recommend
35:09
Speaker 1: annual mammogram screenings to up up to about the age
35:14
Speaker 1: of sixty five. And I even tell a sixty five
35:16
Speaker 1: year old woman, your life isn't over, and this is
35:18
Speaker 1: something you want to do. You know, we can do
35:20
Speaker 1: it to sixty eight, we can do it to seventeen.
35:23
Speaker 1: But you do need an annual mammogram. You need to
35:25
Speaker 1: do self breast exams every month, and a good time
35:29
Speaker 1: to do it is the week after your period, when
35:31
Speaker 1: all those hormonal changes have gone away. Checking your breast
35:35
Speaker 1: in the tuble shower when your hands are soapy and wet,
35:38
Speaker 1: and multiple positions, you know, standing lying flat, you know,
35:42
Speaker 1: check your left with your right and you're right with
35:44
Speaker 1: your left because there are very few nerve endings on
35:47
Speaker 1: this side of the hand, and you want to do
35:49
Speaker 1: it more on this portion of the hand. And then
35:52
Speaker 1: taking vitamin D three has also been found to decrease
35:56
Speaker 1: the risk of breast cancer, so we're encouraging that as well.
36:00
Speaker 2: Wow, some really really great advice here. Thank you so
36:03
Speaker 2: much for for sharing bress.
36:04
Speaker 1: Health is super important. Like I started, early, detection is
36:08
Speaker 1: your best protection. And if we're dying more, we should
36:11
Speaker 1: be doing more.
36:12
Speaker 3: Yes, we should be doing more.
36:14
Speaker 2: The last thing that I want to ask you about again,
36:16
Speaker 2: when it comes to that active woman or honestly just
36:19
Speaker 2: any woman, I'm a fan of going without a bra,
36:22
Speaker 2: but obviously that's not an option when it comes to
36:24
Speaker 2: sport anything that we should be taking into consideration when
36:27
Speaker 2: it comes to appropriate sports bra or fit for taking
36:32
Speaker 2: care of our girls when we're getting active.
36:34
Speaker 1: And I will be honest, I'm not a big fan
36:37
Speaker 1: of underwire and why is it. I do believe that
36:39
Speaker 1: the underwire just kind of moves around and creates a
36:42
Speaker 1: calloused area underneath, which is always very confusing for the
36:46
Speaker 1: woman who's checking her breast. But it's stick in that
36:49
Speaker 1: area because it's responding to that wire constantly rubbing. So
36:53
Speaker 1: if you could find a good supporting broad it's comfortable
36:57
Speaker 1: to the back and hold the girls up and in place,
37:00
Speaker 1: that's important. But I do tell women take your bronze
37:02
Speaker 1: off when your home. You know, if you can just
37:06
Speaker 1: allow the lymphatic drainage to take place, just be free
37:10
Speaker 1: and not to wear a bra. You know, girls will
37:13
Speaker 1: try and sleep in bros and my mother never allowed it.
37:16
Speaker 1: Now she never gave me a reason why, but she
37:18
Speaker 1: just told us never to sleep in a bra. But
37:20
Speaker 1: there is something to just let those breasts go free
37:23
Speaker 1: and let the lymphatic drainage do what it needs to do,
37:27
Speaker 1: and then just make sure you know your breast like
37:29
Speaker 1: you know your way home. You can tell that this
37:32
Speaker 1: is always very thick in this area. If there is
37:36
Speaker 1: a mask, you want to report that to your doctor.
37:38
Speaker 1: If you have any nipple drainage, especially if it's bloody
37:42
Speaker 1: or green, you want to talk to the doctor. If
37:44
Speaker 1: you feel any unusual feelings in the accillary underneath the arms.
37:48
Speaker 1: You want to report that to your doctor. So anything
37:51
Speaker 1: that you suspect isntcorrect. But women who have fiber cistic breasts,
37:55
Speaker 1: the lumpy, bumpy breast, will kind of get to know
37:58
Speaker 1: their breast. They know that around their periods. It's kind
38:01
Speaker 1: of thicker, more tender. That's when I say know your
38:05
Speaker 1: breast like you know your way home.
38:08
Speaker 2: For any women who are perhaps having issues with leaking
38:14
Speaker 2: or incontinents, especially when it comes to activity, is there
38:18
Speaker 2: anything that they can do on their own perhaps before
38:22
Speaker 2: seeking alternative means or you know some of the things
38:25
Speaker 2: that we've heard about these days, vaginal rejuvenation.
38:29
Speaker 3: What can they do on their own before they get
38:31
Speaker 3: to that step.
38:32
Speaker 1: So, if you have any stress inconnents, which let me
38:35
Speaker 1: just tell you, because I have matured, you don't call
38:37
Speaker 1: it aging anymore. We're maturing, you will definitely encounter some
38:42
Speaker 1: stress incontinence. And when we say stress incontinents is if
38:45
Speaker 1: you cough or sneeze or jump, you may feel a
38:48
Speaker 1: little bit of a squirt or all out leak. For
38:50
Speaker 1: those women who may have some stress inconnents, I'm a
38:53
Speaker 1: big believer in doing keg golds, and they make all
38:57
Speaker 1: types of Cagle Sizers now make weighted cones. They make
39:02
Speaker 1: these little contractions where you can work your pelvic muscle,
39:05
Speaker 1: pelvic floor muscles to try to type. It's like doing weights.
39:08
Speaker 1: You know how we tone up the biceps. Just google
39:12
Speaker 1: it you'll find all types. So definitely do that, and
39:15
Speaker 1: then make sure you go to the bathroom. You know,
39:16
Speaker 1: as women, we do everything for everybody else and we'll
39:20
Speaker 1: wait till the last minute to go to the bathroom,
39:22
Speaker 1: So you're kind of putting a strain in that area.
39:24
Speaker 1: And then be careful with what you're drinking. Caffeine and
39:28
Speaker 1: those sugary drinks will sometimes make us go to the bathroom.
39:31
Speaker 1: But there are things you can do now. Pelvic floor
39:34
Speaker 1: physical therapy is really big and popular now and there
39:37
Speaker 1: are some wonderful physical therapists out there who can teach
39:40
Speaker 1: you how to exercise those muscles and show you what
39:43
Speaker 1: you need to do. I do believe I have this
39:46
Speaker 1: injection that I do. But you may have heard of
39:49
Speaker 1: the old shot, and I call it the Wow shot
39:53
Speaker 1: because by default, when you do an old shot, it
39:58
Speaker 1: definitely makes the or gasing tissue more sensitive, but it
40:02
Speaker 1: also helps with stress and continents. It increases collagen production,
40:07
Speaker 1: and that you're the neck around the bladderneck, the ring
40:11
Speaker 1: around the bladder neck, the sphincter is stronger. And I
40:15
Speaker 1: personally would tell women after an old shot. I had
40:19
Speaker 1: no inconments. It was like, Okay, this is a good thing,
40:22
Speaker 1: so a good thing.
40:23
Speaker 2: And it felt good. Apparently, I think it's I think
40:26
Speaker 2: it's interesting. Uh, I didn't know that they made like
40:30
Speaker 2: tools that or like, I mean, it sounds like it
40:33
Speaker 2: sounds like, I don't know, picking up a dumbbell or
40:35
Speaker 2: using a foam roller, like and that's.
40:37
Speaker 1: Exactly that's exactly what it looks like. Wait and let
40:40
Speaker 1: me let me warn your listeners. You think, oh, I'm
40:42
Speaker 1: gonna put this little light cone in my vagina, girl,
40:45
Speaker 1: it will fall right out if you don't have strong
40:48
Speaker 1: enough muscles to hold it. And some people even use
40:51
Speaker 1: them for fun because if you move them in and
40:54
Speaker 1: out of the vagina, you're gonna hit those zorogynous tissues.
40:57
Speaker 1: But yes, look for weighted cones or they call them
41:00
Speaker 1: cagle sizors like exercise.
41:03
Speaker 2: Amazing, amazing, Thank you so much for all this intel.
41:07
Speaker 3: I know I certainly learned a lot.
41:09
Speaker 2: I think there's probably we could probably keep talking for
41:11
Speaker 2: quite some time here. Is there anything else that we
41:14
Speaker 2: haven't touched on that you think is really important to
41:16
Speaker 2: kind of bring some awareness to before I let you
41:18
Speaker 2: go today.
41:19
Speaker 1: I want women to be free, and the reason I
41:21
Speaker 1: wrote my book The Queen Bee is to allow a
41:24
Speaker 1: certain amount of freedom around the vagina, like normalize saying
41:28
Speaker 1: the word vagina, talking about you vagina, and getting a
41:32
Speaker 1: mirror and looking at your vagina so that you know
41:34
Speaker 1: that the queen is okay.
41:37
Speaker 2: The queen is oh okay. Doctor Jackie, thanks so much
41:40
Speaker 2: for your time today. How do the hurdlers follow along
41:42
Speaker 2: with you? How do they keep up with you? Give
41:44
Speaker 2: us all the details.
41:46
Speaker 1: So if you go to Instagram, I'm the real doctor Jackie.
41:50
Speaker 1: If you do Facebook and Twitter, it is doctor Jackie Walters.
41:53
Speaker 1: And if you want to hear more about women's health,
41:56
Speaker 1: I do a podcast as well called Doctor Jackie's.
41:58
Speaker 2: Point of the Love It I am over at Emily
42:02
Speaker 2: a Body and at Hurdle Podcast Another Hurdle Conquered.
42:06
Speaker 3: Catch you guys next time.