The Hole Shebang Podcast Por Kristen Parise arte de portada

The Hole Shebang

The Hole Shebang

De: Kristen Parise
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Brazenly and unashamedly exposing the truth about all things pelvic health including pee, poop, pain and sex and shining a light on our holes in knowledge to help empower us to be healthier, wealthier and wiser. Kristen Parise is a Pelvic Health Physiotherapist and owner of Blueberry Therapy a multidisciplinary clinic that specializes in the treatment of pelvic health issues. Kristen's goal has always been to make sure her clients understand their own bodies and and they have all the tools and information they need to reach their goals. Her passion is the rehabilitation of the pelvic floor and she provides treatment for men and women and children with incontinence, chronic constipation, pelvic pain and women pre and postnatally. Kristen is an avid podcast listener and is excited to bring forward the latest research and information to The Hole Shebang audience. Kristen has a deep interest in research and evidenced based practice and continues to teach at McMaster University in Hamilton, Ontario to stay current with evolving practice trends.2024 Enfermedades Físicas Higiene y Vida Saludable
Episodios
  • 65: Why 85 Percent of Women Develop the Genitourinary Syndrome of Menopause with Dr Daiana Castleman

    65: Why 85 Percent of Women Develop the Genitourinary Syndrome of Menopause with Dr Daiana Castleman
    Dec 11 2025
    In this episode, I sit down with Dr. Daiana Castleman, naturopath and menopause specialist, to talk about something that affects most of us but rarely gets the attention it deserves: genitourinary syndrome of menopause (GSM). What you'll learn: GSM includes symptoms like vaginal dryness, painful intercourse, recurrent UTIs, urinary urgency, and frequency—all stemming from declining estrogen levels. It's chronic and progressive, meaning it gets worse over time if untreated. And here's the stat that should wake us all up: by 20 years post-menopause, 85% of women will experience GSM, yet it remains underdiagnosed and undertreated. We dig into why vaginal estrogen is such a game-changer—not just for sexual function, but for preventing UTIs by supporting healthy vaginal and urinary microbiota. Daiana explains how estrogen decline alters our protective lactobacilli, making us more susceptible to infection. We also talk about sleep, because when you're waking up four times a night to pee, your sleep quality tanks. Daiana shares why multiple nighttime bathroom trips aren't normal (despite what we've been told) and what to assess before reaching for supplements. Spoiler: sometimes it's sleep apnea, and it doesn't always include snoring. Finally, we touch on cardiovascular health—because over 90% of cardiovascular disease is preventable, and menopause is the perfect time to take action. (We're absolutely doing a part two on this.) About Dr. Daiana Castleman: Daiana is a naturopathic doctor specializing in menopause, hormone therapy, and women's sexual health. She's passionate about empowering patients to understand their bodies and advocate for the care they deserve. Daiana was a keynote speaker at The Pleasure Principle 2025 conference. Theme Song: "Rise Up" by Andra Day Connect with Dr. Daiana Castleman: Website: dianacastleman.comInstagram: @dr.dianacastleman Visit blueberrytherapy.ca to learn more about pelvic health services in Hamilton, Ontario. Subscribe to The Hole Shebang Podcast and connect with us on Instagram @blueberrytherapypelvichealth. Additional Resources: Menopause Foundation Canada - Evidence-based menopause information and resources
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    41 m
  • 64: Vulvar Health Basics Every Woman Should Know with Kathryn Flanigan

    64: Vulvar Health Basics Every Woman Should Know with Kathryn Flanigan
    Nov 27 2025

    Episode Overview: When was the last time you actually looked at your vulva? If you're like most people, the answer is "never" or "I don't even know what I'm looking for." In this eye-opening conversation, nurse practitioner Kathryn Flanigan, Nurse Practitioner, breaks down everything we should have learned about vulvar health—but didn't.

    What You'll Learn:

    • The crucial difference between vulva and vagina (and why it matters for your health)
    • How to talk to kids about their anatomy using correct terms without awkwardness
    • Common vulvar conditions like lichen sclerosus and when to seek treatment
    • Why the vagina is self-cleaning and what products to avoid
    • How hormonal changes affect vulvar health across the lifespan—from postpartum to menopause
    • Proper vulvar care practices (spoiler: ditch the scented soaps)
    • How to recognize what's normal aging versus what needs medical attention

    About Our Guest: Kathryn Flanigan is a nurse practitioner with over 25 years of experience in primary care. She's been recognized as Preceptor of the Year three times and specializes in vulvar health and pelvic conditions. After recognizing that her elderly patients lacked the vocabulary to describe vulvar changes, Kathryn dedicated herself to educating both patients and healthcare providers about this under-addressed area of health. She's passionate about giving women across the lifespan the language and knowledge to advocate for themselves.

    Key Topics Covered: Vulvar anatomy 101 • Stigma and health literacy • Teaching children body autonomy • Vulvar skin conditions • Hormonal changes and vulvar health • Proper vulvar care practices • Patient advocacy • Canadian health resources

    Resources Mentioned:

    • GynQI.com - Canadian gynecologist-developed resource for vulvar care, lichen sclerosus, menopause, and more
    • FemmeSense Balm
    • The Body Book by Kathy Stinson

    Connect with The Hole Shebang:

    Instagram: @blueberrytherapypelvichealth

    Visit: blueberrytherapy.ca

    Subscribe to The Hole Shebang Podcast wherever you listen to podcasts
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    36 m
  • 63: Vaginismus Isn't in Your Head and Here's Why with Dr. Janelle Frederick

    63: Vaginismus Isn't in Your Head and Here's Why with Dr. Janelle Frederick
    Nov 25 2025

    What if sex was supposed to feel good—but your body won't let you get there?

    In this episode, Kristen sits down with Dr. Janelle Frederick, a pelvic floor physical therapist known as the Vagina Rehab Doctor, to talk about vaginismus, sexual pain, and how virtual pelvic health treatment is changing lives.

    Dr. Frederick shares her journey from working in orthopedics to specializing in sexual dysfunction—and why she left her dream job at a top hospital to build a remote coaching practice focused on patient empowerment. If you've ever wondered how pelvic PT could possibly work over Zoom, this conversation will blow your mind.

    What you'll learn in this episode:

    • What vaginismus actually is (hint: it's a pelvic floor muscle disorder, not a psychological problem)
    • Why early signs like difficulty with tampons or pap smears matter—and shouldn't be ignored
    • How religious upbringing, cultural messaging, and even childhood constipation can contribute to vaginismus
    • Why "just relax" is terrible advice when your pelvic floor is in overdrive
    • The three first steps to take if you think you're dealing with sexual pain or vaginismus
    • How Dr. Frederick's virtual model gives patients more agency and often leads to faster healing
    • What "Vaj Stretch Labs" are (and why moving your body matters for pelvic floor release)

    This episode is for anyone who's been told their pain is "in their head," who's tried treatment that didn't work, or who's just starting to realize that painful sex isn't something you have to live with.

    About Dr. Janelle Frederick: Dr. Janelle Frederick is a Doctor of Physical Therapy who specializes in treating vaginismus and sexual pain. After completing her pelvic health residency at Loyola in Chicago, she built a thriving remote coaching practice that's helped over 300 people experience pain-free, pleasurable intimacy. Her approach focuses on patient empowerment, self-assessment, and addressing both the physical and mental aspects of healing.

    Connect with Dr. Janelle Frederick: Instagram: @vaginarehabdoc

    Visit Blueberry Therapy: blueberrytherapy.ca
    Subscribe to The Hole Shebang Podcast
    Follow us on Instagram: @blueberrytherapypelvichealth
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    39 m
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