Latest / I Choose Me with Jennie Garth / BONUS CONTENT with Dr. Sara Reardon (aka The Vagina Whisperer)
Transcript
- 0:01Speaker 1: You're listening to I Choose Me with Jenny Garland. Welcome
- 0:09Speaker 1: back to I Choose Me. Doctor Sarah Reardon, also known
- 0:12Speaker 1: as the Vaginal Whisper, is a board certified pelvic floor
- 0:17Speaker 1: physical therapist with over eighteen years of experience. So, doctor Sarah,
- 0:22Speaker 1: let's talk about what we can do today. Let's get practical.
- 0:26Speaker 1: Let's go through. If you don't mind what we talked about,
- 0:29Speaker 1: let's do some rapid fire just to bring it home.
- 0:32Speaker 1: What are the small daily choices people can make to
- 0:36Speaker 1: support their pelvic floor starting today.
- 0:40Speaker 2: First thing is I'm going to tell you how to
- 0:42Speaker 2: pee and poop so that you can change that immediately.
- 0:44Speaker 3: Okay, good.
- 0:45Speaker 2: When you pee, you need to sit down on the
- 0:47Speaker 2: toilet instead of hover, unless it's like Novy supergrowth no huk.
- 0:51Speaker 3: Yeah.
- 0:51Speaker 1: I used to be able to hover. This is gonna
- 0:53Speaker 1: get TMI for our listeners, maybe not for you. I
- 0:56Speaker 1: used to be able to hover, and now with the hips,
- 0:59Speaker 1: I can't have anymore. So I guess that's a good thing.
- 1:01Speaker 3: It's a good thing.
- 1:02Speaker 2: Your hips are moving you in the right direction, so
- 1:05Speaker 2: sit down and then don't push. So don't push when
- 1:08Speaker 2: you pee, your bladder pushes your urine out when you pee.
- 1:12Speaker 2: If you're pushing, I call it power peeing. You're weakening
- 1:14Speaker 2: your pelvic floor. You're gonna lead to it's gonna end
- 1:17Speaker 2: up incontinence and prolaps. So just sit and chill and
- 1:21Speaker 2: let your bladder empty, and if you feel like it
- 1:23Speaker 2: doesn't empty all the way, then like wiggle your hips,
- 1:26Speaker 2: rock your hips back and forth, and then stand up
- 1:28Speaker 2: and sit down again, and then see if a little
- 1:30Speaker 2: more urine comes out.
- 1:31Speaker 3: Don't push when you pee.
- 1:33Speaker 1: Have you ever heard of the stop start technique?
- 1:35Speaker 3: Yeah, don't do that.
- 1:36Speaker 1: Don't do that.
- 1:37Speaker 3: No, don't do that.
- 1:38Speaker 2: Oh no, okay, okay, Because so the stop star technique
- 1:41Speaker 2: is that when you're thinking, like, do kegel contraction to
- 1:45Speaker 2: tighten your pelvic floor, to strengthen it.
- 1:46Speaker 1: Yeah, like stop peeing mid flow and you can do it,
- 1:50Speaker 1: pee again and then and then be again.
- 1:53Speaker 3: I'm so glad you brought this up. You can do
- 1:55Speaker 3: it once.
- 1:56Speaker 2: And that's to see how you do a kegel contraction,
- 1:59Speaker 2: because stopping your stre is a kegel contraction, and so
- 2:02Speaker 2: it's just making sure you feel like you're doing it correctly.
- 2:05Speaker 2: But when you're peeing, you should be relaxed. Stopping and
- 2:08Speaker 2: starting your stream is like the wrong message to your
- 2:11Speaker 2: bladder and can lead to problems, so like incomplete bladder
- 2:14Speaker 2: emptying things like that. So just sit, chill and breathe
- 2:17Speaker 2: and let your bladder empty. And that's pushing ping and
- 2:20Speaker 2: no pushing, no pat Just say no to power ping.
- 2:23Speaker 2: Tell me about poohing, my other favorite topic. You sound excited,
- 2:29Speaker 2: I am. So when you're pooping, you should put a stool,
- 2:35Speaker 2: a step stool, or those little squatty potties under your feet.
- 2:37Speaker 1: I was going to ask you should we all be
- 2:39Speaker 1: using a squatty poties?
- 2:40Speaker 2: Everybody should be using one, and even your kids, like
- 2:43Speaker 2: even little kids need to have their feet on a stool.
- 2:46Speaker 2: When you put your feet on a stool, that elevates
- 2:48Speaker 2: your knees, and when you kind of lean forward and
- 2:51Speaker 2: relax in your elbows you it puts.
- 2:54Speaker 3: You in a squatting position.
- 2:55Speaker 2: And swatting is the best position to relax your pelvic floor,
- 2:58Speaker 2: which is your anal opening, so you don't have to
- 3:01Speaker 2: strain with bomb movements. Pushing and straining during pooping weakens
- 3:05Speaker 2: your pelvic floor more than jumping, coughing, running, like all
- 3:08Speaker 2: of these things.
- 3:09Speaker 3: And if you're pooping.
- 3:10Speaker 2: Once a day and straining it will cause hemorrhoids and
- 3:13Speaker 2: prolapse and hernias and things like that. So you know,
- 3:17Speaker 2: feed on the stool, lean forward. You can push when
- 3:20Speaker 2: you're pooping, not peeing, but you can push, but just
- 3:23Speaker 2: don't hold your breath. Make sure that you're exhaling, like
- 3:25Speaker 2: you're blowing out a bunch of candles or something.
- 3:28Speaker 1: Okay, I'll be thinking of you later. What about what
- 3:33Speaker 1: about just in case peeing? Like you're gonna leave and
- 3:36Speaker 1: you don't really have to pee, but you should pee
- 3:38Speaker 1: before you get in the car?
- 3:39Speaker 2: Also a no, also a negative when you I know.
- 3:43Speaker 2: So it's good to pee when you have the urge,
- 3:46Speaker 2: which normal peeing should be every two to four hours
- 3:49Speaker 2: during the day or zero or two times at night.
- 3:51Speaker 2: The only times that are good to just in case
- 3:53Speaker 2: p are like before you work out, after sex, or
- 3:56Speaker 2: before sex, or maybe before bed. But otherwise you should
- 4:00Speaker 2: wait for your bladder.
- 4:01Speaker 3: To fill and then empty.
- 4:03Speaker 2: If you go just in case all the time, then
- 4:05Speaker 2: your your bladder only fills a little bit and then
- 4:08Speaker 2: empties feels a little bit and then empties, and so
- 4:10Speaker 2: you're training your bladder to like be small and then
- 4:13Speaker 2: you'll have to go pee all the time.
- 4:16Speaker 3: So go when you have the urge.
- 4:17Speaker 1: What if you already have a small bladder. I am
- 4:20Speaker 1: asking for someone who might be listening right now, not me,
- 4:24Speaker 1: but I know somebody that has to pee a lot
- 4:27Speaker 1: all the time, and they say, oh, it's because I
- 4:29Speaker 1: have a small bladder.
- 4:31Speaker 2: So I would there's a way that you can, like
- 4:32Speaker 2: it's called stretching your bladder or bladder training. You start
- 4:36Speaker 2: increasing your kind of intervals between peeing by fifteen minutes,
- 4:40Speaker 2: so say you go every thirty minutes, I'd be like
- 4:42Speaker 2: set a time or just go every thirty minutes, and
- 4:44Speaker 2: then after that you go every forty five minutes, and
- 4:47Speaker 2: then after that you go every hour, So you kind
- 4:48Speaker 2: of like are gradually it's like training to run a race.
- 4:51Speaker 3: You kind of gradually.
- 4:52Speaker 2: Increase the time until you get to the two hour mark.
- 4:56Speaker 2: And if you pee and then you feel like I'm
- 4:58Speaker 2: not sure I got it all out and you go
- 5:00Speaker 2: back and only have a little bit, then you know
- 5:02Speaker 2: that that second one was a false urge, and then
- 5:04Speaker 2: next time you just kind of ignore it.
- 5:06Speaker 3: And I give a lot.
- 5:07Speaker 2: Of tips in the book for like urge suppression and
- 5:10Speaker 2: how to like quiet the urge when you have it,
- 5:13Speaker 2: because you need to train your bladder to be bigger
- 5:15Speaker 2: so that you can sit through a movie.
- 5:17Speaker 1: Well, I tried to quiet my daughter's urge to pee
- 5:20Speaker 1: once when she was back in the back of my car,
- 5:22Speaker 1: and it didn't work and she peed in my car.
- 5:26Speaker 2: Yeah, that's gonna happen. I would say for kids, it's
- 5:28Speaker 2: a different set of rules, so but for the adult bladder,
- 5:34Speaker 2: I would say, try to stretch it and also think
- 5:37Speaker 2: about what you are drinking, like sparkling waters and alcohol
- 5:43Speaker 2: and sugary drinks and artificial sweeteners, acidic drinks.
- 5:46Speaker 3: Those will all cause you to.
- 5:48Speaker 2: Pee more often. And then this is the other thing.
- 5:51Speaker 2: If you're constipated, you're going to have more bladder urgency
- 5:54Speaker 2: because all that poop in your pelvis is pushing on
- 5:57Speaker 2: your bladder. So often when people will come in for
- 6:01Speaker 2: bladder issues, I like work with them when they're pooping
- 6:04Speaker 2: and that can help their bladder emptying as well.
- 6:08Speaker 3: I know it's your mind blown right now.
- 6:10Speaker 1: So you just said I work with them when they're pooping.
- 6:14Speaker 1: That is very intimate doctor patient relationship.
- 6:20Speaker 3: I work with them on pooping.
- 6:22Speaker 1: On Okay, it's different. Oh my gosh. Okay, for someone
- 6:35Speaker 1: listening who's overwhelmed and wants to start today, what's a simple,
- 6:38Speaker 1: like five minute routine they can do to try to
- 6:41Speaker 1: connect with their peblic floor. Like, I know, we can
- 6:43Speaker 1: visit your website on your instagram the vagina whisper, But
- 6:47Speaker 1: what's an easy, like five minute thing we can do.
- 6:50Speaker 2: Breathe is the first one. A lot of us whole tension,
- 6:52Speaker 2: So just taking big, deep, diaphragmatic breaths helps our pelvic
- 6:55Speaker 2: floor relax. Other things are watch how you're sitting. Make
- 7:00Speaker 2: sure that you're not clenching your bat you're not twisting
- 7:02Speaker 2: your legs up like a pretzel kind of sit with
- 7:04Speaker 2: your feet flat or cross at the ankles. That can
- 7:07Speaker 2: release a lot of tension in your pelvic floor.
- 7:09Speaker 3: Move.
- 7:10Speaker 2: So many of us are sitting for too long throughout
- 7:12Speaker 2: the day, so taking a break every thirty minutes or
- 7:15Speaker 2: an hour can bring blood flow to.
- 7:16Speaker 3: The pelvic floor.
- 7:18Speaker 2: We talked about how to pee and poop, and then
- 7:20Speaker 2: if you're exercising, like you don't have to carve out
- 7:23Speaker 2: separate times to do pelvic floor exercises. If you're doing yoga,
- 7:28Speaker 2: you're working on pelvic floor relaxation already. If you're doing
- 7:31Speaker 2: strength training or weightlifting, bring that pelvic floor contraction into
- 7:35Speaker 2: that weightlifting routine so that you get the bang for
- 7:38Speaker 2: your buck and your pelvic floor while you're strengthening already.
- 7:42Speaker 2: So there are ways to like really easily bring this
- 7:44Speaker 2: into things you're already doing.
- 7:46Speaker 3: I feel like we have so many things to worry about.
- 7:49Speaker 2: There's a fire hose of health information coming out. But
- 7:52Speaker 2: if we learn these tips early or whenever we do,
- 7:56Speaker 2: they just become part of our lifestyle, like brushing our
- 7:58Speaker 2: teeth or you know, flossing our teeth, they just become
- 8:01Speaker 2: part of our daily routine.
- 8:03Speaker 1: Every time I work out, I usually end it with
- 8:07Speaker 1: pelvic thrusts. You know when you lay on your back
- 8:09Speaker 1: and you push your pelvis put down. I think I'm
- 8:12Speaker 1: doing that for like my glutes, yep, but I guess
- 8:16Speaker 1: it's also.
- 8:17Speaker 2: It's also if you contract your pelvic floor, like you're
- 8:20Speaker 2: sipping up a smoothie with a vagina, like with your vagina.
- 8:24Speaker 2: So I always tell people think of sipping up a
- 8:25Speaker 2: smoothie with your vagina, and that's like they're drawing up.
- 8:29Speaker 2: Then it also becomes a pelvic floor workout.
- 8:31Speaker 1: Oh my gosh, sorry about the sound effect. Okay, Yeah,
- 8:35Speaker 1: this is all so so interesting how it really does
- 8:37Speaker 1: come back to daily choices, from how we sit to
- 8:41Speaker 1: how we pee and food, how we breathe, what we eat.
- 8:44Speaker 1: It's not just about fixing something, it's about choosing to
- 8:46Speaker 1: feel better long term.
- 8:48Speaker 3: Right exactly.
- 8:49Speaker 2: And that was one of the reasons for the book.
- 8:51Speaker 2: It was like, I don't as much as social media
- 8:54Speaker 2: it's just been amazing for disseminating health information. There's not
- 8:58Speaker 2: always credentials behind that, and I think it's really important
- 9:00Speaker 2: that we kind of go to sources that are using
- 9:03Speaker 2: evidence and science and clinical experience to help us with
- 9:07Speaker 2: our health care.
- 9:08Speaker 1: Absolutely, you talked about tightness in the woodle. That's what
- 9:15Speaker 1: I call it. I've ever heard that before.
- 9:18Speaker 3: Now that's a new one for me.
- 9:21Speaker 1: We always call it a woodle around here. Lots of
- 9:24Speaker 1: oodles in this house. What about people who complain of
- 9:28Speaker 1: having a loose woodle.
- 9:30Speaker 2: Yeah, So that's one of the things that I think
- 9:32Speaker 2: people expect to happen after pregnancy and breath and kind
- 9:36Speaker 2: of with aging, is like my vagina is going to
- 9:38Speaker 2: be loosey, goosey and sex is just not going to
- 9:40Speaker 2: be pleasurable and I'm going to let my partner down.
- 9:42Speaker 2: In fact, more people have tension and pain with sex
- 9:45Speaker 2: after birth than tightness, I mean than weakness. But you
- 9:49Speaker 2: can have more weakness with the more babies you have
- 9:51Speaker 2: and getting into menopause, So this is where you want
- 9:55Speaker 2: to focus on strengthening. And other types of weakness could
- 9:59Speaker 2: be like your tampon falling out or you feel like
- 10:01Speaker 2: something's falling out of your vagina, So this is where
- 10:04Speaker 2: you really want to focus on, like strengthening your pelvic floor,
- 10:08Speaker 2: so just like we would strengthen your bicep. There's so
- 10:11Speaker 2: many different ways to do it. You can, of course,
- 10:13Speaker 2: do what we always think of as kegel exercises that
- 10:16Speaker 2: kind of tighten and close the vagina, but you can't
- 10:19Speaker 2: just do those like sitting in the car poolane. You
- 10:21Speaker 2: need to do those standing and walking with squats and
- 10:25Speaker 2: lunches and lifting weights, like use those muscles and load
- 10:29Speaker 2: them and just like we do other muscles in our
- 10:31Speaker 2: body and then turn them on before a cough or
- 10:34Speaker 2: a sneeze or a workout.
- 10:36Speaker 1: But it's okay to do them in the carpooling. I'm
- 10:39Speaker 1: just asking away for a friend.
- 10:40Speaker 2: Yes, the car puolane, the shower, while you're brushing your teeth,
- 10:45Speaker 2: while you're reheating coffee. Anytime you can work them in.
- 10:48Speaker 1: It's a good. It's a good. It's an easy workout.
- 10:53Speaker 2: And nobody will nobody will even know you're doing it.
- 10:56Speaker 3: It's the beauty of it.
- 10:57Speaker 1: No. I loved it. I loved our conversation. Thank you
- 11:00Speaker 1: so much for being with us and talking about all
- 11:04Speaker 1: these fascinating things that have to do with our pelvic floor.
- 11:08Speaker 3: Thanks for having me, Jenny, Bye bye.
- 11:11Speaker 1: Okay, So, if this episode hit home for you, maybe
- 11:14Speaker 1: you've been leaking a little when you laugh, or sex
- 11:17Speaker 1: doesn't feel the same anymore. I want you to know this.
- 11:21Speaker 1: You don't have to just live with it. You don't
- 11:24Speaker 1: have to push it down, ignore it, or blame yourself.
- 11:29Speaker 1: Today can be the day you choose something different.