Episode Description:
Pelvic floor dysfunction is one of the most common yet least talked-about issues women face—and it affects everything from intimacy and confidence to basic daily comfort. In this episode, we’re back with Dr. Erica Lambert, board-certified urologist and founder of Uplift Medical Aesthetics, to break the silence around what’s really going on “down there.”
We cover what the pelvic floor actually is, how to know if yours might not be functioning the way it should, and the treatments that go far beyond kegels. Kristina shares her own experience of realizing symptoms she thought were “just normal” were actually signs of pelvic floor dysfunction—and how addressing them made her feel more connected to her body again.
This is part two of our conversation with Dr. Lambert (catch part one in Episode 30 for her background and a deep dive into perimenopause and hormones).
What You’ll Learn in This Episode
- What the pelvic floor actually is and why dysfunction is so common
- The biggest myths about pelvic floor health (and why shame keeps women quiet)
- Treatment options, from physical therapy to advanced procedures
- How pelvic floor health affects intimacy, confidence, and relationships
- A rapid-fire “Is this normal?” segment covering everything from leaking when you sneeze to low libido after babies
💗 Pink Spotlight
Each week, we highlight a moment, product, or practice that’s bringing us joy:
✨ Erica: Uberlube — her go-to recommendation for vaginal dryness (beyond intimacy).
✨ Kristina: Rhode — especially the Milk and lip products she’s loving. Link —>https://liketk.it/5p3II
✨ Christina: Custom kids’ rings from BaubleBar — 18k gold and completely personal. She has this ring for Leo and this ring for Layla. They have a whole section of custom demi-fine jewelry -- don't sleep on it!
Hey PIPAS! Send us a text for episode feedback, ideas, and questions!
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
I'm Christina and I'm t and thisis the Pretty and Pink again
podcast where motherhood meetsrediscovery.
Hello, we're back.
Hi again.
Hi.
(00:20):
We are back.
Thank you for having me back.
Of course.
We have a lot more to unpackhere.
I know we couldn't even scratchthe surface.
So for all of our listeners whohaven't listened last week, who
are just tuning in this week, wegot to share our listeners a
little bit about you and how wemet, how we were friends, and we
talked a lot about hormonereplacement therapy.
And the misconceptionsassociated with that.
(00:42):
This week we're gonna get intothe nitty gritty of pelvic floor
health sexual health.
Intimacy.
Yeah.
All the things.
Yeah, all the things down there.
That's what we were calling thatepisode.
We were calling it the downthere truth.
Good times.
So I could start by saying, bytrade I'm a urologist.
As a urologist and treatingfemale patients over the years,
(01:04):
we deal a lot with for moreyoung people.
A lot of urinary incontinencefrom childbirth.
As we age, we treat a lot oflike recurrent urinary tract
infections, urgency, frequency,which is how I really got into
pelvic floor health.
And which is how we becamepatient doctor relationship.
(01:27):
Exactly right.
I have a lot of people coming tome looking for, how do I stop
the incontinence?
A lot of, the younger people,probably more for your audience
right after childbirth is thecoughing, sneezing.
I just started exercising again,so excited.
But I go to the gym and I pee inmy pants, like, how do I stop
(01:49):
that?
And what's the cause of that?
How do you stop that?
Let's hear it all.
Let's go back.
'cause I feel like pelvic floor,again, it's a very buzzy term.
I think even with the rise ofsome of these exercise programs,
I feel like Pilates is having abig moment.
Yoga, they talk a lot aboutpelvic floor in those exercises,
and so you always hear that asyou're doing those workouts
(02:11):
prior to kids, but what is yourpelvic floor and what does that
mean when it's not functioningproperly?
So the way I like to explain thepelvic floor is almost like your
muscles of your pelvic floor.
It's like a hammock.
Okay, so prior to childbirth andlife, but mostly childbirth,
(02:33):
your bladder and your uterus siton top of the hammock.
As the babies go through thevaginal canal, it destroys those
muscles.
So it's like anything, if younotice, not so much with your
pelvic floor, but as the babiesgrow in your belly, if you've
ever heard of the term likediastasis or recti, because the
(02:55):
babies have pushed so muchagainst these muscles.
At during childbirth, thathammock that is up like this,
goes like this, okay?
So because of that, the urethra,which is where you pee from that
becomes weaker and starts tobecome mobile.
So then when you have pressureon that hammock, it's just
(03:19):
easier to let out urine.
So this gets worse not only withvaginal deliveries, but just the
carrying of the baby can upsetthe pelvic floor?
Or is it really just the vaginaldelivery that really upsets it?
It's mostly the vaginaldelivery.
Okay.
That's the biggest trauma to thepelvic floor.
But even women that.
Have not had vaginal delivery.
(03:40):
Some women will say to me, I'venever had a vaginal delivery.
Why is my pelvic floor weak?
I think that's why with Pilatesand yoga, why that's so
important is that core strength.
So core strength isn't just yourabdominal muscles, but it's also
your pelvic floor muscles.
So I have a question.
I'm a Pilates girl.
(04:00):
I've heard all about the pelvicfloor.
I definitely had a strong pelvicfloor.
I've had two babies.
My first was a C-section and mysecond was a vba.
I'm one of those people thatdidn't notice any sort of pelvic
floor issues with my firstdelivery.
And all of my pelvic floorissues have come afterwards.
(04:21):
Honestly, something that I likeI hate, it's something that I
don't think I was prepared for,especially, you're not alone.
Yeah.
I'm sure.
And that's why we thought thatthis was such an important
topic.
Mm-hmm.
And it's, again, another one ofthose taboo topics that you
might not wanna talk about.
I openly talk about it with myfriends.
It's just something that I can'tstand, it's just a complication
(04:43):
after childbirth that I havepersonally dealt with the second
time around, and I did Pilatesin between and had an extremely
strong pelvic floor between mybirths and I don't know I really
just felt like there was severedamage done to it the second
time around.
So are you wondering if Pilatescan help with your pelvic Yeah,
or are there exercises Yeah,that can help.
(05:05):
When is it an exercise likePilates that can help?
When is it physical therapy?
When is it surgicalintervention?
When is it some of thesemodalities that you have?
Like when can all thesedifferent things come into play?
I think that's an importantquestion and a lot of it is
subjective, how much bother thatyou have.
(05:26):
But I would say that when you'retalking about Pilates and yoga
and the pelvic floor, it's moreof a core strength.
So every time you work on yourcore, they tell you always to
strengthen like the lowerabdomen.
That all helps to contract thepelvic floor as well.
You can do specific exercisestargeting the pelvic floor in
(05:51):
Pilates and in yoga.
But what we're really discussingwhen we talk about pelvic floor
is kegel exercises.
That's what you'll hear fromyour obs or other doctors that
you need to do Kegel exercises.
The way I explain Kegels, whichI think is I think easier to
understand'cause people say, oh,just squeeze your pelvic floor
(06:11):
and you'll be great.
And everyone's like, well whatis the pelvic floor?
What am I trying to do?
So if you think about it, if youwere in the bathroom and someone
barged in on you and you werepeeing you right away tense up
all of those muscles down in thepelvic floor to stop yourself
from urinating.
That is your pelvic floor.
It's not in the tush.
(06:32):
Some people will squeeze theirtush.
Those aren't the'cause.
That's a whole separate.
And a separate issue that youcould also have problems with,
but we'll focus on the urinarysystem, but it's not so much the
back.
A lot of people will clenchtheir butt muscles, but it's not
that it's those front musclesand the vaginal muscles.
(06:54):
So that's what I tell people.
I think it's an easy way ofunderstanding it.
If you wanna practice doingthem, you could do them.
If you're urinating and youwanna stop yourself from
urinating, just if you're in thebathroom just to figure out what
those muscles are, those arethose muscles to stop yourself
from urinating the other thingsthat you can do.
(07:16):
How many times a day in a weekwould you suggest doing this?
And for how long?
So I recommend doing them threetimes a day as sessions, and
then 10 times an hour, so threetimes a day.
Wow.
If that makes sense.
That's so a lot.
That's a lot.
So that's a lot.
(07:36):
Yeah.
Yeah.
I think if you really want tostrengthen your pelvic floor and
have an impact on theincontinence, I think you're
gonna have to really do theexercises a lot.
Does everyone do that?
No, and that's probably why itdoesn't hurt.
But like I'll say, I'll begrocery shopping and while I'm
standing in line, I'll rememberto do my cables.
(07:58):
You just squeeze a couple times.
Wow.
That kind of answers my questionbecause I've done, when I was in
between my pregnancies, I wasmaybe going to Pilates once or
twice a week before kids.
I was going a lot more, but thatkind of answers my question.
So I probably thought I had avery strong pelvic floor, but I
clearly did not.
So I guess that, that'sinteresting that you're saying
(08:20):
it really does require a lotmore thought and it's not
something that you can just do asporadic Pilates here and there.
It's something that you need toactively engage multiple times a
day, every single day.
I think if you're having issues,you know you're having issues if
you're real.
Okay.
Probably after your c-section, Iknow after my C-sections, that's
(08:41):
something I don't have, I don'tleak when I cough or sneeze
unless I'm very full like wealways are.
But but really, I don't have anyof those problems because I
didn't have, vaginal birth.
But I bet you are having thoseissues now just because,
especially you're pretty closeto when you had the baby.
They just they destroy thepelvic floor.
(09:01):
I always make jokes with womenwhen they come to see me in the
office.
And they're complaining ofstress incontinence.
I'm like, how many babies do youhave?
Three.
Wow.
You can thank them.
You can thank, wow.
The precious jewel gave this toyou and Yeah.
Here we can do about that.
All right.
I have another question.
You have a patient that says toyou, Dr.
Lambert, I've been doing myKegel religiously.
(09:22):
I'm still, when I do a jumpingjack, it's a puddle.
What would be right?
Step two then, for that patient?
What is the what is anonsurgical option before you
would then go to surgery?
So the first thing we usually dojust I'll say in the insurance
world, is we'll start withpelvic floor physical therapy.
(09:43):
The nice thing about the pelvicfloor physical therapist is
they'll really teach you how todo the pelvic floor exercises.
They have different stimulationtechniques and where you can
really target the pelvic floor.
So that is very helpful.
It's usually paid for byinsurance, so a lot of people
like that option.
When I went to see you, ourfirst line of defense was
(10:06):
physical therapy and I had agreat experience with the pelvic
floor physical therapist.
And it was interesting'causewhen I went, I was like, what do
you mean when you think ofphysical therapy, you think of
like back rehabilitation or kneerehabilitation.
You don't necessarily think ofthis internal pelvic floor
rehabilitation that they wereoffering.
And she had all these differenttoys.
(10:28):
They looked like sex toys thatshe was using to help my pelvic
floor.
I'm like, what is this allabout?
I am I gonna subscribe to this?
And it did help tremendously.
But the thing that I thinkreally sealed the deal was that
in combination with this othermodality that Erica offered,
which I'll have you speak to.
Yeah.
Okay.
So I'll have you speak to thosetwo things.
(10:50):
So I'll say this at the pelvicfloor physical therapist, what I
think you were talking aboutChristina, was they have vaginal
weights that you can actuallyget them on Amazon or anything.
And basically they, the roundgoes inside the vagina and then
you try to keep it in Yes.
And hold it in.
Yes.
So that's, that's one of thethings that they do.
(11:11):
They also do stimulationdepending on what you're going
to the pelvic floor or physicaltherapist for, but they can also
do a lot with painfulintercourse and things like
that.
'cause they could do, sometimesyou have pelvic floor tightness
that can be an issue too, andhave different different
variations of pain orincontinence or.
(11:32):
All different things just fromthat.
So they'll do a lot of internalwork and pressure points and
things like that.
So definitely public floor,physical therapy is not just for
stress incontinence, but canreally help with a lot of
different issues, birth trauma,any type of sexual trauma,
really anything.
So I think they're very helpful.
I've also gone to see them, Ithink they're wonderful.
(11:55):
So big plug for pelvic floorphysical therapists.
A lot of the urologists,probably OBGYNs, have them on,
our work speed dial just becausethey are so helpful.
One of the things that I thoughtwas in interesting idea modality
was something called the Celichair.
I offer it now.
I live in New Jersey, so I havea lot of people doing the cel
(12:17):
and what the Celi chair is, it'sa chair you sit on that has
ultrasonic waves and it's like astimulation of your public
floor.
So it's almost like doing 11,000Kegel exercises at one time.
They're 28 minute sessions andit's six sessions.
And what I think this has beenreally helpful for our patients
(12:38):
with mild issues.
So these aren't patients thatare having seven pads a day.
These are patients with mildincontinence that it's
bothersome.
It's probably not so bad thatthey need surgery, but it's
annoying.
They don't like it.
They can only wear black pantsto the gym because, otherwise
they'll leak and they don't likeit.
(12:59):
So it's also been nice for thattransition.
So women that are looking tohave more babies instead of
going through surgery, that, ifyou were gonna have another
baby, it would ruin the surgery.
You can do the cell machine andit gets you through the next
childbirth.
So those are the indications.
I have older women who just havemild incontinence who they just
(13:23):
don't wanna go through underanesthesia or through surgical
procedures.
The next modality, up the chainwould be something that I have
done a lot with is somethingcalled bulk ofid or bulking
agents, which basically it's asurgical procedure, so you do go
under anesthesia, but with thelight anesthesia, a colonoscopy,
(13:44):
something like that, where we weput in a a gel material that
bulks up the urethra and itstops leaking.
I have done this with olderwomen, younger women, and people
will say it's life changing sothat you can do for more of your
severe.
Incontinence on postmenopausalperi or postmenopausal women?
(14:08):
I would say the gold standard instress urinary incontinence
would be a sling.
I'm sure you've heard it'sbasically a small piece of mesh
that goes under the urethra andjust is more stable.
For me personally, I don't dothis for post-menopausal women
just because I think you needgood vaginal tissue to put the
(14:30):
sling in just so you don't getsome of the complications, like
erosion and pain with the justany, issues with really erosion
or misplacement, things likethat.
But but that really helps also,women that have gone through
sling again, life changing.
So if you have a sling done whenyou're pre-menopausal is, and
(14:51):
then how, what is the lifelineof that sling procedure?
Does it last you till you'repost-menopausal or then what
sort of would happen then?
Probably forever.
Forever.
It should last forever.
Oh, wow.
Yeah, because basically hasscarred in there to keep your
urethra stable.
So then, even with pressure.
(15:12):
You don't leak now, sometimes Iwould say with the bulking
agents, sometimes you can,you'll need it again.
But the nice thing about thebulking agents or bulk it or
there used to be somethingcalled co-op type, but we've
moved away from that.
What's nice about it's, you cando it multiple times and it's
much less invasive than a sling.
(15:32):
So a lot of people have likedthat, even for the younger women
who are like, I don't want, Idon't want any mesh, or I don't
want anything in there.
And, I think it's great.
I definitely do way more bulkingagents than I do slings anymore.
Okay.
Just because it, so a lot ofdifferent options.
Yeah.
And I wanna know from t becauseyou did go through a couple of
(15:53):
these options.
You said you started with pelvicfloor.
Mm-hmm.
You moved to the chair.
What is your results?
Yeah, so I didn't have a lot ofthe pig my pants situation.
So I had three vaginaldeliveries just for our
listeners.
One when I was 26, 1 when I was28.
And then I had the twins when Iwas 32.
And after I had the twins, Icouldn't push pee out.
(16:18):
So whatever muscle was affectedduring that.
It wasn't so much that I hadlike dripping when I was like
doing a jumping jack.
I like couldn't push the peeout.
So I always felt like I had togo to the bathroom or I was
having urinary tract infection.
So is that the same Erica, isthat the same sort of muscle as
just the opposite?
Yeah, it's the same.
(16:40):
It's just retraining your pelvicfloor to urinate naturally.
Okay.
I think that, as with a lot ofwomen's health, we really
underestimate the childbirth andwhat that does to our body, not
just our pelvic floor, butreally everything.
I think it's just retrainingyour pelvic floor to work again
some people have a high tonepelvic floor that has similar
(17:02):
issues that Christina wastalking about because you're
almost too tight in there.
I was like, too tense.
You were too tense.
So she had given me oralmedication first that I guess
like relaxes that relaxed it formore or less.
It's yeah.
And then she'd given me and thatwas okay, but that wasn't like a
long term.
(17:23):
You don't take those medicineslong term.
And then from there we did thephysical therapy and I was like,
so tense.
And that kind of helped, loosenthings up again.
And then after that we did theELA and that sort of sealed the
deal.
Oh.
So it's hard to say if onehelped more than the other, but
the ela, like those Kegels andlike just retraining that pelvic
(17:44):
floor.
It changed my life.
I was in her office all the timeoh my god, Erica, I have a
urinary tract infection.
I always have to go to thebathroom.
I was like, bloated because Iwas like, everything was like
inflamed and tight and it wasuncomfortable and it was like
also, like intercourse waspainful.
Like nothing felt good downthere.
And I, and also I had babies athome.
(18:05):
I think the girls were like ayear old, it's not like that was
on the top of my priority listanyway, and what you were saying
about, a different mechanism.
I think what also happens withthe chair is that you're really
increasing the blood flow to thepelvic floor.
A lot of people that are on thechair will tell me they have
better orgasms just because,just more blood flow to the
(18:27):
clitoris and just to the vaginalwall.
I just think it helps in a lotof different ways and which is
why I'll have, a lot of timesI'll have people sit on it just
to take a feel of what it isbefore they invest in it.
My insurance didn't cover thesela.
But I know that was a coupleyears ago and maybe now with
insurance companies, they'realways running behind.
(18:47):
If there's like more indication,sometimes insurance companies
have to catch up to that.
Is this something that's coveredby insurance?
It is not covered by insurance,although it does have a CPT
code.
So I think in the future, ithopefully will.
I know I have a patient rightnow who has tricare, which is
(19:08):
the military insurance.
And they actually recognize it.
So we're trying to, I'm tryingto work with the patient and do
write a letter to the insurancecompany and try to get it
approved, but right now it's notapproved.
But there is a lot of data onthe Amela machine and I think
for the right indication, itreally works well.
(19:29):
It would be so much better if itdid get covered.
But that is a problem withhealthcare is that there are
certain things that aren'tcovered.
When we were talking last weekabout testosterone for women,
that's not covered.
People have to pay out ofpocket.
A lot of aesthetics is notcovered.
I guess a lot of things aremedical need is the real issue
(19:51):
and if you can prove medicalneed then sometimes you's just
so funny, like what women livewith.
And if you go to a workout classand it's jumping jacks time and
you look around the room, nineout of 10 women are crossing
their legs Yeah.
Before they do the jumpingjacks.
Yeah.
And I'm thinking myself.
You just listed four ways thatyou can fix it, and two of them
are nonsurgical and the two thatare surgical, one is like a
(20:14):
twilight, so it doesn't seemlike it's super, super invasive
for such a big quality of life.
Yeah.
It's a quality of life issue.
And that's, that it's sad.
It really is sad.
And like you said at thebeginning of this, there's just
not a lot of support aroundafter childbirth.
And a lot of these issues aren'ttopics that are discussed even
(20:37):
by your doctor.
We always talk about when youshow up to the six week
appointment after childbirth,and a lot of the times that's
the last you hear of it untilyou go to your annual.
And it's just, it's pathetic,honestly.
It's a pathetic, it's reallysad.
And also what is alsointeresting about sort of
insurance and, the expense ofpads, right?
(21:00):
So if insurance doesn't covercertain treatments.
They also don't cover pads andincontinence, underwear and
adult diapers or however youwanna say it.
And it is so expensive.
And it's really important forwomen to start talking about
this and like you guys aredoing, just opening up this
(21:22):
conversation so that you feelcomfortable sharing these issues
with your doctor.
And then, even if it's yourprimary care doctor, and then
they're like, oh yeah, I cansend you to see a urologist or a
urogynecologist and maybe theycan help you.
Maybe, there's something we cando.
But I do think it's sharingissues that are going on with
(21:43):
you.
A lot of times we will, aswomen, we suffer in silence.
And I don't think we should be.
I think that's why, what wetalked about last week about
hormone replacement.
That's why, women weren't takinghormones because they wouldn't,
they didn't have a voice to beable to go into what was causing
them problems and how they werefeeling.
(22:05):
And is this normal, and, I talkto everybody about it because, I
do think it's important and,especially with hormones.
I know we're talking more aboutthe pelvic floor, but with
hormones, like people thinkthey're going crazy and they're
like, what is wrong with me?
Am I going crazy?
Is this normal?
Can this be helped?
I really think it's opening thatdiscussion and feeling
(22:26):
comfortable.
I think that it really helpsremove all of the shame that's
associated with issues.
Like we're talking about justwomen issues in general.
And so I think trying to removethat shame and making the
conversations more accessibleand open to talking will
hopefully encourage women to goseek help if they need it.
And also, I'm happy on thisplatform.
(22:48):
We've been able to help guidewomen where to go to seek help.
Because what I'm finding inwomen's health is sometimes it's
like you get passed on.
You know what, the buck stopshere.
You go to your primary caredoctor, they push you to the ob,
GYN.
Not very many women haveurologists Right.
On call.
And when you don't, even as afemale, you don't even think of
urology.
(23:09):
I always think of urology withmen as a male.
Yeah.
As a male thing, for sure.
And said a big percentage ofyour practice was men.
You saw very few females,especially like mm-hmm.
our age.
So it's good to know that ifyou're having these symptoms,
this is how you find a specialspecialist and this is how you
have a treatment in place.
Yeah.
The importance of knowing who toask and what to do, because to
(23:31):
everyone's point, which we'vebeen talking about, these issues
can end up.
Affecting your relationships,your intimacy, your day-to-day
confidence as a woman.
And it's important to get themaddressed.
Absolutely.
And there's a whole, it's notnew anymore, but the
urogynecologist, so these areGYN trained who then focus in,
(23:56):
in terms of some urologicissues.
So they do deal with someincontinence.
So even if you go the GYN route,a lot of times they'll know the
urogynecologist around who do alot of pelvic floor.
And we work with theUrogynecologist a lot.
There, there are definitely morepeople than there used to be who
are out there, who are lookingto help you.
(24:18):
Can you share how these areconsidered, I guess maybe
they're considered aestheticofferings at uplift, like how
they tie into overall women'swellness and why they're not
just cosmetic.
So I think that, with the CEchair, a lot of different med
spas will now have'em, wellnesscenters have them, and they're
(24:40):
really not targeted tourologists.
I don't know why.
I have some theories justbecause, we do have other
modalities to do more definitivetherapy.
In, in some other things that wedo, like probably, if you've
ever been on my website foruplift, I also do vaginal
(25:01):
rejuvenation.
Now what does that mean, that isa, basically a vaginal laser.
There's all different companiesthat have it, the Mona Lisa, the
FemiLift, and the Diva, just alldifferent companies.
And basically what you're doingis you are similar to,
everything we're talking about,we're basically rejuvenating the
(25:23):
vaginal wall.
So I don't know if some of yourlisteners has have ever done
laser treatments to their face.
And what you notice is like acouple days after, you're really
red and what you're doing isyou're doing these like micro
punctures into the face torebuild that collagen.
So this is very similar to whatwe're doing with the vaginal
laser rebuilding the vaginalwall.
(25:45):
So these lasers, they actuallyhelp with stress incontinence.
A lot of people will use themfor stress incontinence.
But they also use them forvaginal atrophy or dryness in
the vagina.
So it can help with painfulintercourse.
And again, when you ask aboutare these aesthetic they
shouldn't be, you would thinkthat they should get covered
(26:07):
because, there's been so manystudies on the vaginal lasers,
there's no CPT codes for them.
And they're not.
Technically covered, but youwould wanna go to a
gynecologist, urologist, someonethat really knows what they're
doing, just because you wannamake sure you're getting it for
the right indication and thepreparation before these vaginal
(26:29):
rejuvenation or the vaginallasers is done.
I've had a lot of women, likeI've had two very recently who
have had the FemiLift procedurebecause, one was a breast cancer
survivor and one was ovariancancer and they just did not
wanna use vaginal estrogen.
And and this really helped them,it's, look, it's not gonna be
(26:50):
like you were when you were 30,but it can really help if you
are on any type of treatment forbreast cancer or for some
reason, whatever your medicalhistory is, you don't wanna use
vaginal estrogen or the vaginalestrogen isn't holding you.
Like you still have dryness orit's still painful.
These are different options thatwe have for, vaginal health.
(27:14):
It's interesting because thereason for the dryness is the
loss of estrogen, and you wouldthink because of that would be a
medical reason to have thisprocedure done.
Yeah.
So yes, it all makes sense tous.
It does, it makes sense to allthe women.
And that's exactly, I think toour point, I think a lot of
these things get misconstrued asmaybe in the male world as
(27:39):
aesthetic, as cosmetic.
And they're not.
Again, another thing that'spathetic, I just keep using that
word and also these procedureseven fall under Erica's
aesthetic practice.
Aesthetic practice.
Of her medical practice.
So that alone just goes to showyou that she had to put it
somewhere.
It's so misunderstood.
That's where I think that,that's just what I'm getting
from this conversation.
(28:00):
When I started uplift, this iswhy these are procedures.
They're not covered byinsurance.
So a lot of times when you go toa doctor's office, you just
assume you're gonna go there.
There's gonna be things,everything's gonna be covered
under insurance.
And then when you go to a medspa and you're going for Botox
or fillers, you just assume it'snot covered.
(28:21):
So where does this stuff, whyare these actual medical
procedures, right?
So they do help medically, theyhelp prevention less money
through the healthcare system,but yet they're not covered.
So that's what kind of broughtme into the aesthetic world that
I never.
Thought that I would be, itwould be something, part of my,
(28:43):
armar of Right.
Things to offer, yeah.
But but it has been very yeah.
Worthwhile to patients andpatients have been treated well.
Yeah.
Switching gears a little, I'mgonna Yeah.
Channel my inner Nick Bon tempo.
So let's talk sex.
Sex is great.
Let's talk sex.
Oh, sex is great.
(29:04):
Okay.
You must be taking testosteronebecause that is not the answer
that most of my friends aregiving me.
Usually it's whoa, tonight's thenight.
Is feelings from sex may not beperfect.
Yeah, we can, I talk about sexbasically all day.
I think one of the first thingsto really go as women start the
(29:25):
decline of hormones and justlife, right?
You have babies at home, youhave work, you have, grocery
shopping, laundry you have amillion steps.
It's last.
So women have it's last on thelist.
It's last on the, it is deadlast on the list.
And in addition to that, it'snot something that's talked
about.
I don't think anybody wants tohear about married people having
(29:46):
sex.
And I certainly wasn't raised ina home where we would.
Talk about sex.
It was something that was neverspoken about.
So you're raised never talkingabout sex, and then you put it
last on the list.
And then it goes back to theshame.
Shame.
It goes back to the shame, toshame.
And then you get to a certainage and it, you don't wanna have
it.
And you're wondering why.
And you have a husband who is inheat constantly, yeah.
(30:09):
I would always make jokes.
It's you're laying in bed andI'll like hunch over and
pretend, I'm sleeping when I'mlike scrolling on my phone,
right?
Because I'm like, ah, don'ttouch me.
It's almost like becomes avisceral reaction, which it
never did that before.
Why does it do that now?
Why now?
Why now?
So I think if this is hormonal,as we age, our hormones start
(30:32):
dropping.
So I think testosterone is themost important hormone for
libido.
It's probably also the hardestto fix your libido, just because
there's so many things that gointo it, relationship issues and
everything else.
But definitely if you have verylow testosterone, that's not
(30:53):
gonna make things any better.
So a lot of times, even peoplein perimenopause that are
getting regular periods, nothaving hot flashes, where
they'll just come to see me forlow libido and I'll check their
testosterone and they have notestosterone.
Very low testosterone.
And so I'll give them thattestosterone back and it really
changes their intimaterelationship.
(31:15):
And it's really important toconnect with your partner on
some level.
And I always make jokes like,if, my husband and I didn't go
away for that, two weeks of theyear, like we'd be divorced
because there'd be noconnection.
But how do you get that more ona regular basis, right?
And when you realize, oh I usedto like doing this.
(31:37):
So I think what happens as weage, and I think this is an
important part, is your vagina.
So as the vagina gets dry and itstarts to hurt, having
intercourse, right?
So I think, we all, the firstthing we think of is KY jelly,
right?
So now we start needing lube,but it's a weird thing.
(32:00):
I never needed lube before.
Why do I need lube to have,start having sex?
Like why does, why isn't my bodynaturally doing this?
So it could be corn hormonal.
Just to let you know, a lot ofpeople on the birth control
pill, they have a lot of vaginaldryness.
So other medic, it's always aside effect.
They always say othermedications, antidepressants,
(32:20):
anti-anxiety, medications,that's always a side effect of
that.
And all of that can causevaginal dryness.
So if you've ever had sex withvaginal dryness, then it hurts.
It almost is like your bodyprotecting, that's the way I
think of it.
It's like your mucosa is fragileand it's like anything that
hurts.
It's like your feelings gethurt.
(32:40):
You start protecting yourself,it's the same thing with your
vagina.
So when it starts to hurt, youstart not wanting to do it and
then all of a sudden it's monthsthat go by, right?
Or like just to make a joke oryou've given a lot of blow jobs
and now all of a sudden you haveT NJ and you're like, it's never
gonna happen.
It's never gonna work.
Oh my god.
Maybe do, why?
Maybe that's why my vagina wasso tense.
(33:02):
Because it was like, you alreadyhave four kids, you need to
tense up and not have anotherkid.
Your body's we're all set yourbody set.
We're good here.
We're good to go.
Shop is closed, we're closed.
Peace out close for businesstime.
It's time to be done.
The first thing that I do forlike female sexual dysfunction
or painful intercourse is I'llcheck hormones, I'll do vaginal
(33:22):
exams.
Again, the pelvic floortherapists are really important.
They do a lot of pressurepoints.
A lot of people with any type oftrauma.
I always say childbirth isvaginal trauma for sure.
But any type of sexual traumaeven like little kids that have
had any urinary issues whenthey're babies, a lot of them
have weird pelvic floor issuesfrom being catheterized or
(33:43):
things like that.
So people have all differentreasons.
It's not just menopause or yourhormones dropping that you would
have any type of vaginal trauma.
So things to treat thatobviously, like you heard, my
mantra last week is vaginalestrogen.
I think it's really important.
I.
Use a compounding pharmacy whereI compound a ton of different
(34:06):
things for patients that have alot of pain with insertion of,
either sex, toys, penis,whatever you're inserting, if
that initial, that is your vulvaand you can have some different
vaginal creams to justconcentrate on the vulva.
You can have suppositories youcan put hyaluronic acid is
(34:28):
really great.
I have a cream that uses CBD oilfor the vaginal wall.
I've used lidocaine, gabapentin,I do all sorts of things to see
what works for certain women,what doesn't work.
And then you can go into some ofthe vaginal lasers.
But but yeah, I have speciallubricants that I like.
(34:50):
I'll tell women to use coconutoil, uber, lube, silicone based
or water based.
And all of this you can get onAmazon or really any type of
store you go into.
Personally, I don't like KyJelly.
I think it gets really go andcan cause some chafing.
So I would stay away from, andit's next to the condom, so it's
(35:11):
a man's thing.
There you go.
Yeah.
I feel like all of this stuff isgeared towards men.
Yeah.
Yeah.
So now we can get our ownspecial cocktail for us.
For us.
Yeah.
Vibrators for orgasm, vibratorsare great.
I highly recommend them to allmy patients.
Do you have one that yourecommend?
(35:33):
I have a couple of themupstairs.
Really anything that works, likewhat works for your body.
I like external vibrators.
I'm sure if my husband waslistening he'd be like, oh my
God, are you kidding that you'resaying this online to a million
people?
They can be small, bigger itjust depends on what you like.
I I didn't wanna jump ahead, butI, this is gonna be your pink
(35:53):
spotlight of the week.
So should we just go into ourpink spotlight?
We need to go right into it.
Let's go in.
So our pink spotlight is ourperson, place thing, tip,
mantra, anything that's makinglife or our week a little bit
better.
So Erica already jumped rightinto it and that was gonna be
your pink spotlight this week.
It is going to be oh wow.
It's a show.
And she came with, she cameprepared.
It's a show and time.
(36:13):
Okay, so just the container.
But what this is.
This is Uber Loop, so I sell it.
You can get it anywhere, Ialways say Amazon'cause I feel
like that's where I get most ofmy things.
But you can get it there.
And it is a silicone basedlubricant.
It doesn't just need to be usedfor sex.
(36:34):
It's also really good for likesports chafing or if your little
kids have the bathing suit, likethe boys with the bathing suits
and then they get really redand, so you can use like a and d
ointment or Aquaphor, but thisis actually really lovely, but
it's really amazing forintercourse.
You could use it on yourself toput inside the vagina.
(36:56):
It's just like a pump.
You could put it all over thepenis or all over a different
toy, whatever you're using forinsertion, for pleasure.
It is absolutely amazing.
This is the travel one, so itjust goes into this cute little
container, but there's biggersizes and so yeah.
Super fun.
Great.
And then you can put it in yoursports bag and use it on your
(37:17):
kids if they have chafing.
I'm sure my, that all in oneproduct.
I love it.
Yeah.
Stop shop.
Yeah.
One stop shop.
We love a multi-use.
We love a multi-use here.
Oh my God.
What about tea?
What about you this week?
We were talking before we wenton air.
So my twin girls are six yearsold and they love to shop at
Sephora.
(37:37):
And I'm like, Sephora, like Istill buy my makeup at the
drugstore.
Like I'm a huge drugstore girl,but they're obsessed with
Sephora.
So we went to the mall over theweekend and we went to Sephora
and my 6-year-old is picking outthis stuff that helps her pores.
I'm like, pores.
Do you even know what pores are?
Uhhuh?
You don't have pores, right?
You're six, your skin isperfect.
(37:59):
But anyways, while we were inthere and I was one with the
teeny boppers, I got targeted tohow beautiful Hailey Bieber is.
Of course.
And I bought all the road stuff.
I bought like the milk.
The milk plates.
Yes.
The milk is something is sogood.
That one's so good.
I bought that and then I boughtI bought a bunch of our
products, but I love, love, lovethe peptide lip gloss.
I know your lips are lookingvery luscious right now.
(38:21):
It's so pretty.
It's tinted.
So lip peptide.
And I just love it.
It's so cute.
And there's like this, herpackaging is brilliant.
It is like very sleek.
It is.
And clean.
Yeah.
And there's like a littleindentation for your finger, so
it just like fits so nicely.
So this is my pink spot.
Yeah.
She thought of everything Ilove.
I like love lip balm.
I just feel like there, I haveonce stashed all over the place.
(38:42):
Like I always need access toone.
And I was gonna ask you,'causeI'm a summer Fridays girly.
That's my favorite.
Do you feel like It's different.
It's different.
I love the Summer Fridayspigmentation.
But they're a little sticky.
It's a little sticky.
The color is great.
And then I got the, there's apeptide, it's called a lip
shape.
It's essentially like acombination of a lip liner.
(39:04):
It looks bigger though.
And a gloss, like together.
So you don't really need to lineyour lips.
Like I'm doing it now on camera.
I don't even need a mirror.
It's like small enough to be alip liner, but big enough to
like actually give color on thekinda like a lip cream.
Yeah.
Love it.
Oh, so I never saw that one.
This is before.
I know.
That's great.
This is in the color press.
Good.
Which is like a natural color.
What was the lip, the peptideone.
(39:27):
Salty tan.
It's really pretty.
It's like a nice pinky nude.
It looks really nice.
Yeah, I'll link these, but Ilove it.
I like it.
That's good.
Pink spotlight.
Good one.
Mine this week I always getasked about these and so I
figured I would share becauseI'm like a big custom jewelry
girl.
I like mixing and matching, so Ilike having pieces that I can
share on my page that everybodycan buy.
But I also like custom jewelryand I always get asked about, I
(39:51):
have two rings, one for each ofmy kids and they're custom, so
it says their name and I'll showup.
Oh, so it's one of them saysLeo, one of them says Layla and
they're very different.
I looked all over the place fora custom ring and I thought the
prices were just astronomical.
And then I ended up finding bothof these at Bob Bar and.
(40:14):
They're actually part of thefine jewelry collection.
So it's a little bit more thanlike the fast fashion bubble
bar.
And I wear these every singleday.
They do not tarnish.
They're like 18 karat gold.
I love them.
They're beautiful.
They're beautiful.
They're absolutely beautiful.
And they have several differentkinds of rings.
So one of them is more of ablock with Leo's names in like
(40:35):
Pave diamonds.
And then the other one isLayla's name carved into gold.
So it's I dunno how you wouldexplain that.
It looks more like cursive.
Cursive.
And I have them stacked on topof each other.
Beautiful.
So I like that they're not likethe exact same.
But I feel like a cool ringstack to have all of your kids'
names, but they're likedifferent.
But they all stack on top ofeach other.
I wanna get those.
I love them.
They're amazing.
What was the price point?
(40:55):
They're about 150 to customize,but they are 18 karat gold.
So they are part of like theirfine jewelry collection.
And like I said I wear theseevery single day.
They're, I don't, nothingtarnishes the color stays on
them.
When I was looking and kind ofprice shopping around, there
were things at least three timesto four times the price of this.
(41:17):
So I think that this is like avery fair price for custom
jewelry and something that youcould wear every single day.
And so I wanted to throw thatout there'cause we are like a
mom podcast.
And I feel like people alwaysask about them and they're
always surprised that I say it'sbobble bar because they probably
think I, paid out the wall toget something or had a jewelry
or to make it for you I lovethem and I like that they're
different too, so you can stackthem.
(41:38):
You don't have to get the samering like three times, four
times.
Like you can you were creativethat you did that you should
show like the up close of that.
Yeah.
I'll,'cause it's really prettyhow you designed it.
So I love it.
And I just figured that was likea really cool thing to share.
I know.
I love that.
And we're gonna get you one thatsays vagina.
I, yeah, there we go.
You can put whatever you want onit.
So I think that would make themost sense for you.
(41:59):
Yeah, I That sounds great.
I love this.
And I'm honestly, I'm sothankful for conversations like
these because these are alltopics that yes, you might
giggle to like your sister orfriends about these things, but
they're really important to talkabout and they're really
important to talk about in acomfortable way and get
comfortable talking about thesetypes of things.
(42:20):
And like we keep saying, themore we can have these open
conversations about theseimportant topics, like hopefully
something can effing be doneabout this, but they're never
gonna get done if we just shutin and suffer in silence and we
don't make our kind of caseheard.
I think there's a coupledifferent ways as women, you can
look at things, you can beembarrassed and stay inward and
(42:42):
not go to an exercise class.
Or you can go and make jokesabout yourself.
Self deprecate.
Self deprecate, which, we hidebehind humor a lot.
I, yep.
We're all guilty of it.
I use humor a lot for sure.
But then after a while I don'twanna laugh at myself anymore, I
wanna fix it.
There's certain things you wannafix.
And this, there is a remedy,there's a solution.
I guess we'll close out withthat, with a little rapid fire
(43:04):
and Erica kind of help us.
I think we know all the answers,but I just wanna really just
push this point home.
So rapid fire is this normaland.
We'll go through a couple ofdifferent scenarios and we're
all gonna say, no, this isprobably not normal.
And so I want everybody to thinkabout these things and then use
this as a resource to then go dosomething about it if you're
(43:26):
answering any of thesequestions.
So rapid fire, is it normalpeeing when you sneeze?
No.
Zero libido after babies?
No.
Can't wear a tampon comfortably.
No night sweats, but stillgetting periods that can happen,
(43:49):
but it's not normal.
Okay.
And then maybe that one, there'sdifferent le variations of
normal.
Yes.
And then like this, these arethings that happen to us.
They aren't normal, but they dohappen.
But we can fix that.
That's maybe worthwhile to bringit up.
Like worthwhile to bring it up.
Okay.
And then our last one is feelingblob but blood work is fine.
(44:13):
It is not normal, but we, whatwe need to do is really
investigate why are you feelingthis way?
So just again, one of thosethings where maybe cause for
concern, yes.
Yes.
So if you're having any of thesefeelings, dig a little deeper,
dig a little deeper.
We're always giving our Pippa'spermission to put themselves
first in a part of life whereyou're always putting yourself
(44:35):
last.
And we always hope that theseconversations remind you that
you are the main character and Ialso think that, people usually
know their own bodies.
If you give people the space tospeak, I know as a doctor or as
a friend, a family member, youcan usually figure out something
(44:56):
that's going on.
If something doesn't feel rightand you have that feeling that
you know it, it's just notright.
Sometimes you can find theunderlying cause and I think
it's worth it to explore.
I love that.
Thank you so much.
Me too.
Yeah, Eric, I really appreciateyou coming on.
I appreciate you being such agood friend, such a good doctor,
and sharing all of yourknowledge with all of our
(45:18):
listeners.
This is amazing.
Thank you.
We're so appreciative.
And where can our listeners findyou?
Because you still have a medicallicense in Connecticut and you
can see patients remotely.
How they can find you so theycan see you.
So I think the best way tocontact me if you have any
questions or wanna set up anappointment, a consultation is
to actually go on my website.
(45:39):
It's uplift medicalaesthetics.com.
There are all over the website.
There's contact pages where itgoes directly to me um, the
person reading the emails.
It is not going to a third partyor an AI or something like that.
You will hear back from me andobviously I wanna do everything
as much as I can throughinsurance.
(46:01):
We would work with that and seehow we can set it up that it
gets paid for.
But I am happy to answerquestions and get started with
your journey.
So please contact me, pleasetake a look at my website.
And I'm just like, a quick fourhour drive down.
Yeah.
Not that.
So I'm probably gonna be takinga four hour drive to see you
(46:21):
soon.
But we appreciate and honestlywe would love to have you back.
So Pippa's, if you have anyquestions for Erica make sure
you can send us a text at thebottom of our show notes and t
and I take a look at those allthe time.
Yeah.
And we get a lot of yourquestions from their and episode
ideas, so let us know.
It comes to both of us same way.
Yeah, it's just us reading thoseand we appreciate each and every
(46:41):
one of you and you, Erica, thankyou so much for giving all of
your time the last two weeks.
We appreciate it so much.
I know.
And for anybody who's in NewJersey, Erica is a master
injector, she is a surgeon.
She has this most steady hand.
She is a master.
I love it.
Injector.
All right.
So just a little shameless plugthere for my girl.
(47:04):
I love it.
Thank you so much, very much.
I appreciate it so much.
It's been wonderful.
And we will see you guys nextweek.
See you next week.
Bye.
Bye.
I'm Christina and I'm t and thisis the Pretty and Pink again
podcast where motherhood meetsrediscovery.
Hello, we're back.
Hi again.
Hi.
(00:20):
We are back.
Thank you for having me back.
Of course.
We have a lot more to unpackhere.
I know we couldn't even scratchthe surface.
So for all of our listeners whohaven't listened last week, who
are just tuning in this week, wegot to share our listeners a
little bit about you and how wemet, how we were friends, and we
talked a lot about hormonereplacement therapy.
And the misconceptionsassociated with that.
(00:42):
This week we're gonna get intothe nitty gritty of pelvic floor
health sexual health.
Intimacy.
Yeah.
All the things.
Yeah, all the things down there.
That's what we were calling thatepisode.
We were calling it the downthere truth.
Good times.
So I could start by saying, bytrade I'm a urologist.
As a urologist and treatingfemale patients over the years,
(01:04):
we deal a lot with for moreyoung people.
A lot of urinary incontinencefrom childbirth.
As we age, we treat a lot oflike recurrent urinary tract
infections, urgency, frequency,which is how I really got into
pelvic floor health.
And which is how we becamepatient doctor relationship.
(01:27):
Exactly right.
I have a lot of people coming tome looking for, how do I stop
the incontinence?
A lot of, the younger people,probably more for your audience
right after childbirth is thecoughing, sneezing.
I just started exercising again,so excited.
But I go to the gym and I pee inmy pants, like, how do I stop
(01:49):
that?
And what's the cause of that?
How do you stop that?
Let's hear it all.
Let's go back.
'cause I feel like pelvic floor,again, it's a very buzzy term.
I think even with the rise ofsome of these exercise programs,
I feel like Pilates is having abig moment.
Yoga, they talk a lot aboutpelvic floor in those exercises,
and so you always hear that asyou're doing those workouts
(02:11):
prior to kids, but what is yourpelvic floor and what does that
mean when it's not functioningproperly?
So the way I like to explain thepelvic floor is almost like your
muscles of your pelvic floor.
It's like a hammock.
Okay, so prior to childbirth andlife, but mostly childbirth,
(02:33):
your bladder and your uterus siton top of the hammock.
As the babies go through thevaginal canal, it destroys those
muscles.
So it's like anything, if younotice, not so much with your
pelvic floor, but as the babiesgrow in your belly, if you've
ever heard of the term likediastasis or recti, because the
(02:55):
babies have pushed so muchagainst these muscles.
At during childbirth, thathammock that is up like this,
goes like this, okay?
So because of that, the urethra,which is where you pee from that
becomes weaker and starts tobecome mobile.
So then when you have pressureon that hammock, it's just
(03:19):
easier to let out urine.
So this gets worse not only withvaginal deliveries, but just the
carrying of the baby can upsetthe pelvic floor?
Or is it really just the vaginaldelivery that really upsets it?
It's mostly the vaginaldelivery.
Okay.
That's the biggest trauma to thepelvic floor.
But even women that.
Have not had vaginal delivery.
(03:40):
Some women will say to me, I'venever had a vaginal delivery.
Why is my pelvic floor weak?
I think that's why with Pilatesand yoga, why that's so
important is that core strength.
So core strength isn't just yourabdominal muscles, but it's also
your pelvic floor muscles.
So I have a question.
I'm a Pilates girl.
(04:00):
I've heard all about the pelvicfloor.
I definitely had a strong pelvicfloor.
I've had two babies.
My first was a C-section and mysecond was a vba.
I'm one of those people thatdidn't notice any sort of pelvic
floor issues with my firstdelivery.
And all of my pelvic floorissues have come afterwards.
(04:21):
Honestly, something that I likeI hate, it's something that I
don't think I was prepared for,especially, you're not alone.
Yeah.
I'm sure.
And that's why we thought thatthis was such an important
topic.
Mm-hmm.
And it's, again, another one ofthose taboo topics that you
might not wanna talk about.
I openly talk about it with myfriends.
It's just something that I can'tstand, it's just a complication
(04:43):
after childbirth that I havepersonally dealt with the second
time around, and I did Pilatesin between and had an extremely
strong pelvic floor between mybirths and I don't know I really
just felt like there was severedamage done to it the second
time around.
So are you wondering if Pilatescan help with your pelvic Yeah,
or are there exercises Yeah,that can help.
(05:05):
When is it an exercise likePilates that can help?
When is it physical therapy?
When is it surgicalintervention?
When is it some of thesemodalities that you have?
Like when can all thesedifferent things come into play?
I think that's an importantquestion and a lot of it is
subjective, how much bother thatyou have.
(05:26):
But I would say that when you'retalking about Pilates and yoga
and the pelvic floor, it's moreof a core strength.
So every time you work on yourcore, they tell you always to
strengthen like the lowerabdomen.
That all helps to contract thepelvic floor as well.
You can do specific exercisestargeting the pelvic floor in
(05:51):
Pilates and in yoga.
But what we're really discussingwhen we talk about pelvic floor
is kegel exercises.
That's what you'll hear fromyour obs or other doctors that
you need to do Kegel exercises.
The way I explain Kegels, whichI think is I think easier to
understand'cause people say, oh,just squeeze your pelvic floor
(06:11):
and you'll be great.
And everyone's like, well whatis the pelvic floor?
What am I trying to do?
So if you think about it, if youwere in the bathroom and someone
barged in on you and you werepeeing you right away tense up
all of those muscles down in thepelvic floor to stop yourself
from urinating.
That is your pelvic floor.
It's not in the tush.
(06:32):
Some people will squeeze theirtush.
Those aren't the'cause.
That's a whole separate.
And a separate issue that youcould also have problems with,
but we'll focus on the urinarysystem, but it's not so much the
back.
A lot of people will clenchtheir butt muscles, but it's not
that it's those front musclesand the vaginal muscles.
(06:54):
So that's what I tell people.
I think it's an easy way ofunderstanding it.
If you wanna practice doingthem, you could do them.
If you're urinating and youwanna stop yourself from
urinating, just if you're in thebathroom just to figure out what
those muscles are, those arethose muscles to stop yourself
from urinating the other thingsthat you can do.
(07:16):
How many times a day in a weekwould you suggest doing this?
And for how long?
So I recommend doing them threetimes a day as sessions, and
then 10 times an hour, so threetimes a day.
Wow.
If that makes sense.
That's so a lot.
That's a lot.
So that's a lot.
(07:36):
Yeah.
Yeah.
I think if you really want tostrengthen your pelvic floor and
have an impact on theincontinence, I think you're
gonna have to really do theexercises a lot.
Does everyone do that?
No, and that's probably why itdoesn't hurt.
But like I'll say, I'll begrocery shopping and while I'm
standing in line, I'll rememberto do my cables.
(07:58):
You just squeeze a couple times.
Wow.
That kind of answers my questionbecause I've done, when I was in
between my pregnancies, I wasmaybe going to Pilates once or
twice a week before kids.
I was going a lot more, but thatkind of answers my question.
So I probably thought I had avery strong pelvic floor, but I
clearly did not.
So I guess that, that'sinteresting that you're saying
(08:20):
it really does require a lotmore thought and it's not
something that you can just do asporadic Pilates here and there.
It's something that you need toactively engage multiple times a
day, every single day.
I think if you're having issues,you know you're having issues if
you're real.
Okay.
Probably after your c-section, Iknow after my C-sections, that's
(08:41):
something I don't have, I don'tleak when I cough or sneeze
unless I'm very full like wealways are.
But but really, I don't have anyof those problems because I
didn't have, vaginal birth.
But I bet you are having thoseissues now just because,
especially you're pretty closeto when you had the baby.
They just they destroy thepelvic floor.
(09:01):
I always make jokes with womenwhen they come to see me in the
office.
And they're complaining ofstress incontinence.
I'm like, how many babies do youhave?
Three.
Wow.
You can thank them.
You can thank, wow.
The precious jewel gave this toyou and Yeah.
Here we can do about that.
All right.
I have another question.
You have a patient that says toyou, Dr.
Lambert, I've been doing myKegel religiously.
(09:22):
I'm still, when I do a jumpingjack, it's a puddle.
What would be right?
Step two then, for that patient?
What is the what is anonsurgical option before you
would then go to surgery?
So the first thing we usually dojust I'll say in the insurance
world, is we'll start withpelvic floor physical therapy.
(09:43):
The nice thing about the pelvicfloor physical therapist is
they'll really teach you how todo the pelvic floor exercises.
They have different stimulationtechniques and where you can
really target the pelvic floor.
So that is very helpful.
It's usually paid for byinsurance, so a lot of people
like that option.
When I went to see you, ourfirst line of defense was
(10:06):
physical therapy and I had agreat experience with the pelvic
floor physical therapist.
And it was interesting'causewhen I went, I was like, what do
you mean when you think ofphysical therapy, you think of
like back rehabilitation or kneerehabilitation.
You don't necessarily think ofthis internal pelvic floor
rehabilitation that they wereoffering.
And she had all these differenttoys.
(10:28):
They looked like sex toys thatshe was using to help my pelvic
floor.
I'm like, what is this allabout?
I am I gonna subscribe to this?
And it did help tremendously.
But the thing that I thinkreally sealed the deal was that
in combination with this othermodality that Erica offered,
which I'll have you speak to.
Yeah.
Okay.
So I'll have you speak to thosetwo things.
(10:50):
So I'll say this at the pelvicfloor physical therapist, what I
think you were talking aboutChristina, was they have vaginal
weights that you can actuallyget them on Amazon or anything.
And basically they, the roundgoes inside the vagina and then
you try to keep it in Yes.
And hold it in.
Yes.
So that's, that's one of thethings that they do.
(11:11):
They also do stimulationdepending on what you're going
to the pelvic floor or physicaltherapist for, but they can also
do a lot with painfulintercourse and things like
that.
'cause they could do, sometimesyou have pelvic floor tightness
that can be an issue too, andhave different different
variations of pain orincontinence or.
(11:32):
All different things just fromthat.
So they'll do a lot of internalwork and pressure points and
things like that.
So definitely public floor,physical therapy is not just for
stress incontinence, but canreally help with a lot of
different issues, birth trauma,any type of sexual trauma,
really anything.
So I think they're very helpful.
I've also gone to see them, Ithink they're wonderful.
(11:55):
So big plug for pelvic floorphysical therapists.
A lot of the urologists,probably OBGYNs, have them on,
our work speed dial just becausethey are so helpful.
One of the things that I thoughtwas in interesting idea modality
was something called the Celichair.
I offer it now.
I live in New Jersey, so I havea lot of people doing the cel
(12:17):
and what the Celi chair is, it'sa chair you sit on that has
ultrasonic waves and it's like astimulation of your public
floor.
So it's almost like doing 11,000Kegel exercises at one time.
They're 28 minute sessions andit's six sessions.
And what I think this has beenreally helpful for our patients
(12:38):
with mild issues.
So these aren't patients thatare having seven pads a day.
These are patients with mildincontinence that it's
bothersome.
It's probably not so bad thatthey need surgery, but it's
annoying.
They don't like it.
They can only wear black pantsto the gym because, otherwise
they'll leak and they don't likeit.
(12:59):
So it's also been nice for thattransition.
So women that are looking tohave more babies instead of
going through surgery, that, ifyou were gonna have another
baby, it would ruin the surgery.
You can do the cell machine andit gets you through the next
childbirth.
So those are the indications.
I have older women who just havemild incontinence who they just
(13:23):
don't wanna go through underanesthesia or through surgical
procedures.
The next modality, up the chainwould be something that I have
done a lot with is somethingcalled bulk ofid or bulking
agents, which basically it's asurgical procedure, so you do go
under anesthesia, but with thelight anesthesia, a colonoscopy,
(13:44):
something like that, where we weput in a a gel material that
bulks up the urethra and itstops leaking.
I have done this with olderwomen, younger women, and people
will say it's life changing sothat you can do for more of your
severe.
Incontinence on postmenopausalperi or postmenopausal women?
(14:08):
I would say the gold standard instress urinary incontinence
would be a sling.
I'm sure you've heard it'sbasically a small piece of mesh
that goes under the urethra andjust is more stable.
For me personally, I don't dothis for post-menopausal women
just because I think you needgood vaginal tissue to put the
(14:30):
sling in just so you don't getsome of the complications, like
erosion and pain with the justany, issues with really erosion
or misplacement, things likethat.
But but that really helps also,women that have gone through
sling again, life changing.
So if you have a sling done whenyou're pre-menopausal is, and
(14:51):
then how, what is the lifelineof that sling procedure?
Does it last you till you'repost-menopausal or then what
sort of would happen then?
Probably forever.
Forever.
It should last forever.
Oh, wow.
Yeah, because basically hasscarred in there to keep your
urethra stable.
So then, even with pressure.
(15:12):
You don't leak now, sometimes Iwould say with the bulking
agents, sometimes you can,you'll need it again.
But the nice thing about thebulking agents or bulk it or
there used to be somethingcalled co-op type, but we've
moved away from that.
What's nice about it's, you cando it multiple times and it's
much less invasive than a sling.
(15:32):
So a lot of people have likedthat, even for the younger women
who are like, I don't want, Idon't want any mesh, or I don't
want anything in there.
And, I think it's great.
I definitely do way more bulkingagents than I do slings anymore.
Okay.
Just because it, so a lot ofdifferent options.
Yeah.
And I wanna know from t becauseyou did go through a couple of
(15:53):
these options.
You said you started with pelvicfloor.
Mm-hmm.
You moved to the chair.
What is your results?
Yeah, so I didn't have a lot ofthe pig my pants situation.
So I had three vaginaldeliveries just for our
listeners.
One when I was 26, 1 when I was28.
And then I had the twins when Iwas 32.
And after I had the twins, Icouldn't push pee out.
(16:18):
So whatever muscle was affectedduring that.
It wasn't so much that I hadlike dripping when I was like
doing a jumping jack.
I like couldn't push the peeout.
So I always felt like I had togo to the bathroom or I was
having urinary tract infection.
So is that the same Erica, isthat the same sort of muscle as
just the opposite?
Yeah, it's the same.
(16:40):
It's just retraining your pelvicfloor to urinate naturally.
Okay.
I think that, as with a lot ofwomen's health, we really
underestimate the childbirth andwhat that does to our body, not
just our pelvic floor, butreally everything.
I think it's just retrainingyour pelvic floor to work again
some people have a high tonepelvic floor that has similar
(17:02):
issues that Christina wastalking about because you're
almost too tight in there.
I was like, too tense.
You were too tense.
So she had given me oralmedication first that I guess
like relaxes that relaxed it formore or less.
It's yeah.
And then she'd given me and thatwas okay, but that wasn't like a
long term.
(17:23):
You don't take those medicineslong term.
And then from there we did thephysical therapy and I was like,
so tense.
And that kind of helped, loosenthings up again.
And then after that we did theELA and that sort of sealed the
deal.
Oh.
So it's hard to say if onehelped more than the other, but
the ela, like those Kegels andlike just retraining that pelvic
(17:44):
floor.
It changed my life.
I was in her office all the timeoh my god, Erica, I have a
urinary tract infection.
I always have to go to thebathroom.
I was like, bloated because Iwas like, everything was like
inflamed and tight and it wasuncomfortable and it was like
also, like intercourse waspainful.
Like nothing felt good downthere.
And I, and also I had babies athome.
(18:05):
I think the girls were like ayear old, it's not like that was
on the top of my priority listanyway, and what you were saying
about, a different mechanism.
I think what also happens withthe chair is that you're really
increasing the blood flow to thepelvic floor.
A lot of people that are on thechair will tell me they have
better orgasms just because,just more blood flow to the
(18:27):
clitoris and just to the vaginalwall.
I just think it helps in a lotof different ways and which is
why I'll have, a lot of timesI'll have people sit on it just
to take a feel of what it isbefore they invest in it.
My insurance didn't cover thesela.
But I know that was a coupleyears ago and maybe now with
insurance companies, they'realways running behind.
(18:47):
If there's like more indication,sometimes insurance companies
have to catch up to that.
Is this something that's coveredby insurance?
It is not covered by insurance,although it does have a CPT
code.
So I think in the future, ithopefully will.
I know I have a patient rightnow who has tricare, which is
(19:08):
the military insurance.
And they actually recognize it.
So we're trying to, I'm tryingto work with the patient and do
write a letter to the insurancecompany and try to get it
approved, but right now it's notapproved.
But there is a lot of data onthe Amela machine and I think
for the right indication, itreally works well.
(19:29):
It would be so much better if itdid get covered.
But that is a problem withhealthcare is that there are
certain things that aren'tcovered.
When we were talking last weekabout testosterone for women,
that's not covered.
People have to pay out ofpocket.
A lot of aesthetics is notcovered.
I guess a lot of things aremedical need is the real issue
(19:51):
and if you can prove medicalneed then sometimes you's just
so funny, like what women livewith.
And if you go to a workout classand it's jumping jacks time and
you look around the room, nineout of 10 women are crossing
their legs Yeah.
Before they do the jumpingjacks.
Yeah.
And I'm thinking myself.
You just listed four ways thatyou can fix it, and two of them
are nonsurgical and the two thatare surgical, one is like a
(20:14):
twilight, so it doesn't seemlike it's super, super invasive
for such a big quality of life.
Yeah.
It's a quality of life issue.
And that's, that it's sad.
It really is sad.
And like you said at thebeginning of this, there's just
not a lot of support aroundafter childbirth.
And a lot of these issues aren'ttopics that are discussed even
(20:37):
by your doctor.
We always talk about when youshow up to the six week
appointment after childbirth,and a lot of the times that's
the last you hear of it untilyou go to your annual.
And it's just, it's pathetic,honestly.
It's a pathetic, it's reallysad.
And also what is alsointeresting about sort of
insurance and, the expense ofpads, right?
(21:00):
So if insurance doesn't covercertain treatments.
They also don't cover pads andincontinence, underwear and
adult diapers or however youwanna say it.
And it is so expensive.
And it's really important forwomen to start talking about
this and like you guys aredoing, just opening up this
(21:22):
conversation so that you feelcomfortable sharing these issues
with your doctor.
And then, even if it's yourprimary care doctor, and then
they're like, oh yeah, I cansend you to see a urologist or a
urogynecologist and maybe theycan help you.
Maybe, there's something we cando.
But I do think it's sharingissues that are going on with
(21:43):
you.
A lot of times we will, aswomen, we suffer in silence.
And I don't think we should be.
I think that's why, what wetalked about last week about
hormone replacement.
That's why, women weren't takinghormones because they wouldn't,
they didn't have a voice to beable to go into what was causing
them problems and how they werefeeling.
(22:05):
And is this normal, and, I talkto everybody about it because, I
do think it's important and,especially with hormones.
I know we're talking more aboutthe pelvic floor, but with
hormones, like people thinkthey're going crazy and they're
like, what is wrong with me?
Am I going crazy?
Is this normal?
Can this be helped?
I really think it's opening thatdiscussion and feeling
(22:26):
comfortable.
I think that it really helpsremove all of the shame that's
associated with issues.
Like we're talking about justwomen issues in general.
And so I think trying to removethat shame and making the
conversations more accessibleand open to talking will
hopefully encourage women to goseek help if they need it.
And also, I'm happy on thisplatform.
(22:48):
We've been able to help guidewomen where to go to seek help.
Because what I'm finding inwomen's health is sometimes it's
like you get passed on.
You know what, the buck stopshere.
You go to your primary caredoctor, they push you to the ob,
GYN.
Not very many women haveurologists Right.
On call.
And when you don't, even as afemale, you don't even think of
urology.
(23:09):
I always think of urology withmen as a male.
Yeah.
As a male thing, for sure.
And said a big percentage ofyour practice was men.
You saw very few females,especially like mm-hmm.
our age.
So it's good to know that ifyou're having these symptoms,
this is how you find a specialspecialist and this is how you
have a treatment in place.
Yeah.
The importance of knowing who toask and what to do, because to
(23:31):
everyone's point, which we'vebeen talking about, these issues
can end up.
Affecting your relationships,your intimacy, your day-to-day
confidence as a woman.
And it's important to get themaddressed.
Absolutely.
And there's a whole, it's notnew anymore, but the
urogynecologist, so these areGYN trained who then focus in,
(23:56):
in terms of some urologicissues.
So they do deal with someincontinence.
So even if you go the GYN route,a lot of times they'll know the
urogynecologist around who do alot of pelvic floor.
And we work with theUrogynecologist a lot.
There, there are definitely morepeople than there used to be who
are out there, who are lookingto help you.
(24:18):
Can you share how these areconsidered, I guess maybe
they're considered aestheticofferings at uplift, like how
they tie into overall women'swellness and why they're not
just cosmetic.
So I think that, with the CEchair, a lot of different med
spas will now have'em, wellnesscenters have them, and they're
(24:40):
really not targeted tourologists.
I don't know why.
I have some theories justbecause, we do have other
modalities to do more definitivetherapy.
In, in some other things that wedo, like probably, if you've
ever been on my website foruplift, I also do vaginal
(25:01):
rejuvenation.
Now what does that mean, that isa, basically a vaginal laser.
There's all different companiesthat have it, the Mona Lisa, the
FemiLift, and the Diva, just alldifferent companies.
And basically what you're doingis you are similar to,
everything we're talking about,we're basically rejuvenating the
(25:23):
vaginal wall.
So I don't know if some of yourlisteners has have ever done
laser treatments to their face.
And what you notice is like acouple days after, you're really
red and what you're doing isyou're doing these like micro
punctures into the face torebuild that collagen.
So this is very similar to whatwe're doing with the vaginal
laser rebuilding the vaginalwall.
(25:45):
So these lasers, they actuallyhelp with stress incontinence.
A lot of people will use themfor stress incontinence.
But they also use them forvaginal atrophy or dryness in
the vagina.
So it can help with painfulintercourse.
And again, when you ask aboutare these aesthetic they
shouldn't be, you would thinkthat they should get covered
(26:07):
because, there's been so manystudies on the vaginal lasers,
there's no CPT codes for them.
And they're not.
Technically covered, but youwould wanna go to a
gynecologist, urologist, someonethat really knows what they're
doing, just because you wannamake sure you're getting it for
the right indication and thepreparation before these vaginal
(26:29):
rejuvenation or the vaginallasers is done.
I've had a lot of women, likeI've had two very recently who
have had the FemiLift procedurebecause, one was a breast cancer
survivor and one was ovariancancer and they just did not
wanna use vaginal estrogen.
And and this really helped them,it's, look, it's not gonna be
(26:50):
like you were when you were 30,but it can really help if you
are on any type of treatment forbreast cancer or for some
reason, whatever your medicalhistory is, you don't wanna use
vaginal estrogen or the vaginalestrogen isn't holding you.
Like you still have dryness orit's still painful.
These are different options thatwe have for, vaginal health.
(27:14):
It's interesting because thereason for the dryness is the
loss of estrogen, and you wouldthink because of that would be a
medical reason to have thisprocedure done.
Yeah.
So yes, it all makes sense tous.
It does, it makes sense to allthe women.
And that's exactly, I think toour point, I think a lot of
these things get misconstrued asmaybe in the male world as
(27:39):
aesthetic, as cosmetic.
And they're not.
Again, another thing that'spathetic, I just keep using that
word and also these procedureseven fall under Erica's
aesthetic practice.
Aesthetic practice.
Of her medical practice.
So that alone just goes to showyou that she had to put it
somewhere.
It's so misunderstood.
That's where I think that,that's just what I'm getting
from this conversation.
(28:00):
When I started uplift, this iswhy these are procedures.
They're not covered byinsurance.
So a lot of times when you go toa doctor's office, you just
assume you're gonna go there.
There's gonna be things,everything's gonna be covered
under insurance.
And then when you go to a medspa and you're going for Botox
or fillers, you just assume it'snot covered.
(28:21):
So where does this stuff, whyare these actual medical
procedures, right?
So they do help medically, theyhelp prevention less money
through the healthcare system,but yet they're not covered.
So that's what kind of broughtme into the aesthetic world that
I never.
Thought that I would be, itwould be something, part of my,
(28:43):
armar of Right.
Things to offer, yeah.
But but it has been very yeah.
Worthwhile to patients andpatients have been treated well.
Yeah.
Switching gears a little, I'mgonna Yeah.
Channel my inner Nick Bon tempo.
So let's talk sex.
Sex is great.
Let's talk sex.
Oh, sex is great.
(29:04):
Okay.
You must be taking testosteronebecause that is not the answer
that most of my friends aregiving me.
Usually it's whoa, tonight's thenight.
Is feelings from sex may not beperfect.
Yeah, we can, I talk about sexbasically all day.
I think one of the first thingsto really go as women start the
(29:25):
decline of hormones and justlife, right?
You have babies at home, youhave work, you have, grocery
shopping, laundry you have amillion steps.
It's last.
So women have it's last on thelist.
It's last on the, it is deadlast on the list.
And in addition to that, it'snot something that's talked
about.
I don't think anybody wants tohear about married people having
(29:46):
sex.
And I certainly wasn't raised ina home where we would.
Talk about sex.
It was something that was neverspoken about.
So you're raised never talkingabout sex, and then you put it
last on the list.
And then it goes back to theshame.
Shame.
It goes back to the shame, toshame.
And then you get to a certainage and it, you don't wanna have
it.
And you're wondering why.
And you have a husband who is inheat constantly, yeah.
(30:09):
I would always make jokes.
It's you're laying in bed andI'll like hunch over and
pretend, I'm sleeping when I'mlike scrolling on my phone,
right?
Because I'm like, ah, don'ttouch me.
It's almost like becomes avisceral reaction, which it
never did that before.
Why does it do that now?
Why now?
Why now?
So I think if this is hormonal,as we age, our hormones start
(30:32):
dropping.
So I think testosterone is themost important hormone for
libido.
It's probably also the hardestto fix your libido, just because
there's so many things that gointo it, relationship issues and
everything else.
But definitely if you have verylow testosterone, that's not
(30:53):
gonna make things any better.
So a lot of times, even peoplein perimenopause that are
getting regular periods, nothaving hot flashes, where
they'll just come to see me forlow libido and I'll check their
testosterone and they have notestosterone.
Very low testosterone.
And so I'll give them thattestosterone back and it really
changes their intimaterelationship.
(31:15):
And it's really important toconnect with your partner on
some level.
And I always make jokes like,if, my husband and I didn't go
away for that, two weeks of theyear, like we'd be divorced
because there'd be noconnection.
But how do you get that more ona regular basis, right?
And when you realize, oh I usedto like doing this.
(31:37):
So I think what happens as weage, and I think this is an
important part, is your vagina.
So as the vagina gets dry and itstarts to hurt, having
intercourse, right?
So I think, we all, the firstthing we think of is KY jelly,
right?
So now we start needing lube,but it's a weird thing.
(32:00):
I never needed lube before.
Why do I need lube to have,start having sex?
Like why does, why isn't my bodynaturally doing this?
So it could be corn hormonal.
Just to let you know, a lot ofpeople on the birth control
pill, they have a lot of vaginaldryness.
So other medic, it's always aside effect.
They always say othermedications, antidepressants,
(32:20):
anti-anxiety, medications,that's always a side effect of
that.
And all of that can causevaginal dryness.
So if you've ever had sex withvaginal dryness, then it hurts.
It almost is like your bodyprotecting, that's the way I
think of it.
It's like your mucosa is fragileand it's like anything that
hurts.
It's like your feelings gethurt.
(32:40):
You start protecting yourself,it's the same thing with your
vagina.
So when it starts to hurt, youstart not wanting to do it and
then all of a sudden it's monthsthat go by, right?
Or like just to make a joke oryou've given a lot of blow jobs
and now all of a sudden you haveT NJ and you're like, it's never
gonna happen.
It's never gonna work.
Oh my god.
Maybe do, why?
Maybe that's why my vagina wasso tense.
(33:02):
Because it was like, you alreadyhave four kids, you need to
tense up and not have anotherkid.
Your body's we're all set yourbody set.
We're good here.
We're good to go.
Shop is closed, we're closed.
Peace out close for businesstime.
It's time to be done.
The first thing that I do forlike female sexual dysfunction
or painful intercourse is I'llcheck hormones, I'll do vaginal
(33:22):
exams.
Again, the pelvic floortherapists are really important.
They do a lot of pressurepoints.
A lot of people with any type oftrauma.
I always say childbirth isvaginal trauma for sure.
But any type of sexual traumaeven like little kids that have
had any urinary issues whenthey're babies, a lot of them
have weird pelvic floor issuesfrom being catheterized or
(33:43):
things like that.
So people have all differentreasons.
It's not just menopause or yourhormones dropping that you would
have any type of vaginal trauma.
So things to treat thatobviously, like you heard, my
mantra last week is vaginalestrogen.
I think it's really important.
I.
Use a compounding pharmacy whereI compound a ton of different
(34:06):
things for patients that have alot of pain with insertion of,
either sex, toys, penis,whatever you're inserting, if
that initial, that is your vulvaand you can have some different
vaginal creams to justconcentrate on the vulva.
You can have suppositories youcan put hyaluronic acid is
(34:28):
really great.
I have a cream that uses CBD oilfor the vaginal wall.
I've used lidocaine, gabapentin,I do all sorts of things to see
what works for certain women,what doesn't work.
And then you can go into some ofthe vaginal lasers.
But but yeah, I have speciallubricants that I like.
(34:50):
I'll tell women to use coconutoil, uber, lube, silicone based
or water based.
And all of this you can get onAmazon or really any type of
store you go into.
Personally, I don't like KyJelly.
I think it gets really go andcan cause some chafing.
So I would stay away from, andit's next to the condom, so it's
(35:11):
a man's thing.
There you go.
Yeah.
I feel like all of this stuff isgeared towards men.
Yeah.
Yeah.
So now we can get our ownspecial cocktail for us.
For us.
Yeah.
Vibrators for orgasm, vibratorsare great.
I highly recommend them to allmy patients.
Do you have one that yourecommend?
(35:33):
I have a couple of themupstairs.
Really anything that works, likewhat works for your body.
I like external vibrators.
I'm sure if my husband waslistening he'd be like, oh my
God, are you kidding that you'resaying this online to a million
people?
They can be small, bigger itjust depends on what you like.
I I didn't wanna jump ahead, butI, this is gonna be your pink
(35:53):
spotlight of the week.
So should we just go into ourpink spotlight?
We need to go right into it.
Let's go in.
So our pink spotlight is ourperson, place thing, tip,
mantra, anything that's makinglife or our week a little bit
better.
So Erica already jumped rightinto it and that was gonna be
your pink spotlight this week.
It is going to be oh wow.
It's a show.
And she came with, she cameprepared.
It's a show and time.
(36:13):
Okay, so just the container.
But what this is.
This is Uber Loop, so I sell it.
You can get it anywhere, Ialways say Amazon'cause I feel
like that's where I get most ofmy things.
But you can get it there.
And it is a silicone basedlubricant.
It doesn't just need to be usedfor sex.
(36:34):
It's also really good for likesports chafing or if your little
kids have the bathing suit, likethe boys with the bathing suits
and then they get really redand, so you can use like a and d
ointment or Aquaphor, but thisis actually really lovely, but
it's really amazing forintercourse.
You could use it on yourself toput inside the vagina.
(36:56):
It's just like a pump.
You could put it all over thepenis or all over a different
toy, whatever you're using forinsertion, for pleasure.
It is absolutely amazing.
This is the travel one, so itjust goes into this cute little
container, but there's biggersizes and so yeah.
Super fun.
Great.
And then you can put it in yoursports bag and use it on your
(37:17):
kids if they have chafing.
I'm sure my, that all in oneproduct.
I love it.
Yeah.
Stop shop.
Yeah.
One stop shop.
We love a multi-use.
We love a multi-use here.
Oh my God.
What about tea?
What about you this week?
We were talking before we wenton air.
So my twin girls are six yearsold and they love to shop at
Sephora.
(37:37):
And I'm like, Sephora, like Istill buy my makeup at the
drugstore.
Like I'm a huge drugstore girl,but they're obsessed with
Sephora.
So we went to the mall over theweekend and we went to Sephora
and my 6-year-old is picking outthis stuff that helps her pores.
I'm like, pores.
Do you even know what pores are?
Uhhuh?
You don't have pores, right?
You're six, your skin isperfect.
(37:59):
But anyways, while we were inthere and I was one with the
teeny boppers, I got targeted tohow beautiful Hailey Bieber is.
Of course.
And I bought all the road stuff.
I bought like the milk.
The milk plates.
Yes.
The milk is something is sogood.
That one's so good.
I bought that and then I boughtI bought a bunch of our
products, but I love, love, lovethe peptide lip gloss.
I know your lips are lookingvery luscious right now.
(38:21):
It's so pretty.
It's tinted.
So lip peptide.
And I just love it.
It's so cute.
And there's like this, herpackaging is brilliant.
It is like very sleek.
It is.
And clean.
Yeah.
And there's like a littleindentation for your finger, so
it just like fits so nicely.
So this is my pink spot.
Yeah.
She thought of everything Ilove.
I like love lip balm.
I just feel like there, I haveonce stashed all over the place.
(38:42):
Like I always need access toone.
And I was gonna ask you,'causeI'm a summer Fridays girly.
That's my favorite.
Do you feel like It's different.
It's different.
I love the Summer Fridayspigmentation.
But they're a little sticky.
It's a little sticky.
The color is great.
And then I got the, there's apeptide, it's called a lip
shape.
It's essentially like acombination of a lip liner.
(39:04):
It looks bigger though.
And a gloss, like together.
So you don't really need to lineyour lips.
Like I'm doing it now on camera.
I don't even need a mirror.
It's like small enough to be alip liner, but big enough to
like actually give color on thekinda like a lip cream.
Yeah.
Love it.
Oh, so I never saw that one.
This is before.
I know.
That's great.
This is in the color press.
Good.
Which is like a natural color.
What was the lip, the peptideone.
(39:27):
Salty tan.
It's really pretty.
It's like a nice pinky nude.
It looks really nice.
Yeah, I'll link these, but Ilove it.
I like it.
That's good.
Pink spotlight.
Good one.
Mine this week I always getasked about these and so I
figured I would share becauseI'm like a big custom jewelry
girl.
I like mixing and matching, so Ilike having pieces that I can
share on my page that everybodycan buy.
But I also like custom jewelryand I always get asked about, I
(39:51):
have two rings, one for each ofmy kids and they're custom, so
it says their name and I'll showup.
Oh, so it's one of them saysLeo, one of them says Layla and
they're very different.
I looked all over the place fora custom ring and I thought the
prices were just astronomical.
And then I ended up finding bothof these at Bob Bar and.
(40:14):
They're actually part of thefine jewelry collection.
So it's a little bit more thanlike the fast fashion bubble
bar.
And I wear these every singleday.
They do not tarnish.
They're like 18 karat gold.
I love them.
They're beautiful.
They're beautiful.
They're absolutely beautiful.
And they have several differentkinds of rings.
So one of them is more of ablock with Leo's names in like
(40:35):
Pave diamonds.
And then the other one isLayla's name carved into gold.
So it's I dunno how you wouldexplain that.
It looks more like cursive.
Cursive.
And I have them stacked on topof each other.
Beautiful.
So I like that they're not likethe exact same.
But I feel like a cool ringstack to have all of your kids'
names, but they're likedifferent.
But they all stack on top ofeach other.
I wanna get those.
I love them.
They're amazing.
What was the price point?
(40:55):
They're about 150 to customize,but they are 18 karat gold.
So they are part of like theirfine jewelry collection.
And like I said I wear theseevery single day.
They're, I don't, nothingtarnishes the color stays on
them.
When I was looking and kind ofprice shopping around, there
were things at least three timesto four times the price of this.
(41:17):
So I think that this is like avery fair price for custom
jewelry and something that youcould wear every single day.
And so I wanted to throw thatout there'cause we are like a
mom podcast.
And I feel like people alwaysask about them and they're
always surprised that I say it'sbobble bar because they probably
think I, paid out the wall toget something or had a jewelry
or to make it for you I lovethem and I like that they're
different too, so you can stackthem.
(41:38):
You don't have to get the samering like three times, four
times.
Like you can you were creativethat you did that you should
show like the up close of that.
Yeah.
I'll,'cause it's really prettyhow you designed it.
So I love it.
And I just figured that was likea really cool thing to share.
I know.
I love that.
And we're gonna get you one thatsays vagina.
I, yeah, there we go.
You can put whatever you want onit.
So I think that would make themost sense for you.
(41:59):
Yeah, I That sounds great.
I love this.
And I'm honestly, I'm sothankful for conversations like
these because these are alltopics that yes, you might
giggle to like your sister orfriends about these things, but
they're really important to talkabout and they're really
important to talk about in acomfortable way and get
comfortable talking about thesetypes of things.
(42:20):
And like we keep saying, themore we can have these open
conversations about theseimportant topics, like hopefully
something can effing be doneabout this, but they're never
gonna get done if we just shutin and suffer in silence and we
don't make our kind of caseheard.
I think there's a coupledifferent ways as women, you can
look at things, you can beembarrassed and stay inward and
(42:42):
not go to an exercise class.
Or you can go and make jokesabout yourself.
Self deprecate.
Self deprecate, which, we hidebehind humor a lot.
I, yep.
We're all guilty of it.
I use humor a lot for sure.
But then after a while I don'twanna laugh at myself anymore, I
wanna fix it.
There's certain things you wannafix.
And this, there is a remedy,there's a solution.
I guess we'll close out withthat, with a little rapid fire
(43:04):
and Erica kind of help us.
I think we know all the answers,but I just wanna really just
push this point home.
So rapid fire is this normaland.
We'll go through a couple ofdifferent scenarios and we're
all gonna say, no, this isprobably not normal.
And so I want everybody to thinkabout these things and then use
this as a resource to then go dosomething about it if you're
(43:26):
answering any of thesequestions.
So rapid fire, is it normalpeeing when you sneeze?
No.
Zero libido after babies?
No.
Can't wear a tampon comfortably.
No night sweats, but stillgetting periods that can happen,
(43:49):
but it's not normal.
Okay.
And then maybe that one, there'sdifferent le variations of
normal.
Yes.
And then like this, these arethings that happen to us.
They aren't normal, but they dohappen.
But we can fix that.
That's maybe worthwhile to bringit up.
Like worthwhile to bring it up.
Okay.
And then our last one is feelingblob but blood work is fine.
(44:13):
It is not normal, but we, whatwe need to do is really
investigate why are you feelingthis way?
So just again, one of thosethings where maybe cause for
concern, yes.
Yes.
So if you're having any of thesefeelings, dig a little deeper,
dig a little deeper.
We're always giving our Pippa'spermission to put themselves
first in a part of life whereyou're always putting yourself
(44:35):
last.
And we always hope that theseconversations remind you that
you are the main character and Ialso think that, people usually
know their own bodies.
If you give people the space tospeak, I know as a doctor or as
a friend, a family member, youcan usually figure out something
(44:56):
that's going on.
If something doesn't feel rightand you have that feeling that
you know it, it's just notright.
Sometimes you can find theunderlying cause and I think
it's worth it to explore.
I love that.
Thank you so much.
Me too.
Yeah, Eric, I really appreciateyou coming on.
I appreciate you being such agood friend, such a good doctor,
and sharing all of yourknowledge with all of our
(45:18):
listeners.
This is amazing.
Thank you.
We're so appreciative.
And where can our listeners findyou?
Because you still have a medicallicense in Connecticut and you
can see patients remotely.
How they can find you so theycan see you.
So I think the best way tocontact me if you have any
questions or wanna set up anappointment, a consultation is
to actually go on my website.
(45:39):
It's uplift medicalaesthetics.com.
There are all over the website.
There's contact pages where itgoes directly to me um, the
person reading the emails.
It is not going to a third partyor an AI or something like that.
You will hear back from me andobviously I wanna do everything
as much as I can throughinsurance.
(46:01):
We would work with that and seehow we can set it up that it
gets paid for.
But I am happy to answerquestions and get started with
your journey.
So please contact me, pleasetake a look at my website.
And I'm just like, a quick fourhour drive down.
Yeah.
Not that.
So I'm probably gonna be takinga four hour drive to see you
(46:21):
soon.
But we appreciate and honestlywe would love to have you back.
So Pippa's, if you have anyquestions for Erica make sure
you can send us a text at thebottom of our show notes and t
and I take a look at those allthe time.
Yeah.
And we get a lot of yourquestions from their and episode
ideas, so let us know.
It comes to both of us same way.
Yeah, it's just us reading thoseand we appreciate each and every
(46:41):
one of you and you, Erica, thankyou so much for giving all of
your time the last two weeks.
We appreciate it so much.
I know.
And for anybody who's in NewJersey, Erica is a master
injector, she is a surgeon.
She has this most steady hand.
She is a master.
I love it.
Injector.
All right.
So just a little shameless plugthere for my girl.
(47:04):
I love it.
Thank you so much, very much.
I appreciate it so much.
It's been wonderful.
And we will see you guys nextweek.
See you next week.
Bye.
Bye.
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