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While you wait...

Sarah Boyles

106 episodes

1 day ago

In this episode, we dive into the challenges and strategies of discussing intimate and potentially embarrassing health issues like bladder leaking with healthcare providers. I revisit an insightful conversation with Dr. Kara Wada, a board-certified allergist and immunologist, who emphasizes the importance of patient empowerment and effective communication in the healthcare system. Dr. Wada, a certified life coach and autoimmune patient, shares valuable tips on how to take ownership of your he...

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Health & Fitness,

All content for While you wait... is the property of Sarah Boyles and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

In this episode, we dive into the challenges and strategies of discussing intimate and potentially embarrassing health issues like bladder leaking with healthcare providers. I revisit an insightful conversation with Dr. Kara Wada, a board-certified allergist and immunologist, who emphasizes the importance of patient empowerment and effective communication in the healthcare system. Dr. Wada, a certified life coach and autoimmune patient, shares valuable tips on how to take ownership of your he...

Show more...

Health & Fitness,

Episodes (20/106)

While you wait...

Pessaries: A Modern Tool for Treating Prolapse and Incontinence

Pessaries have come a long way from their ancient origins. Today, they're sleek, medical-grade silicone devices that can help with prolapse and stress incontinence, no surgery required. In this episode, I break down the different types of pessaries, how they work, and why they're not just for "frail grandmothers" anymore. We'll cover: • How pessaries support prolapse & stress incontinence • Over-the-counter options like Poise Impressa, Uresta, Revive • Custom-fitted pessaries & innova...

1 week ago

14 minutes

While you wait...

Understanding Hormones and Bladder Health

Hormones play a bigger role in bladder health than most women realize. In this week's episode of "while you wait…" podcast, I break down how estrogen shifts during perimenopause, menopause, postpartum, and even certain birth control methods can affect urgency, leaking, and pelvic floor function. I also explain why vaginal estrogen may be part of the solution, common risk factors for incontinence, and how lifestyle factors like weight, sleep, and stress can make symptoms better or worse. Timel...

2 weeks ago

18 minutes

While you wait...

Vacation-Ready: How to Manage Bladder Leaks While You Travel

Planning a vacation but nervous about traveling with bladder issues? You're not alone, and you're not out of options. In this episode, I share practical, proactive strategies for women managing bladder symptoms during travel. Whether it's stress incontinence, urge incontinence, or a mix of both, you'll learn about everything from bladder irritants and urge suppression techniques to pessary options and helpful apps. Plus, I share bonus tips like trying AZO Go-Less and tracking your food and fl...

3 weeks ago

12 minutes

While you wait...

Set It and Forget It: How eCoin Is Revolutionizing OAB Treatment

I sat down with Jim Surek, CEO of Valencia Technologies, to explore eCoin, an innovative tibial nerve stimulator designed to treat overactive bladder (OAB) with fewer visits, fewer side effects, and more freedom. Unlike traditional sacral nerve stimulation or ongoing Botox treatments, eCoin is a nickel-sized device implanted near the ankle that delivers consistent, effective relief. It's minimally invasive, easy to implant in an outpatient or office setting, and requires little follow-u...

4 weeks ago

21 minutes

While you wait...

Exhausted, Foggy, and Ignored: The Hormone Conversation Every Woman Deserves with Dr. Lara Williams

In this powerful episode, I interview Dr. Laua Williams, a practicing OB/GYN with extensive training in functional, restorative, and integrative medicine. We dive deep into how our medical system often misses the mark when it comes to hormone testing, fatigue, and perimenopausal symptoms. Dr. Williams explains how lifestyle, cortisol levels, iron levels, sleep quality, and stress responses are often overlooked and why progesterone, not estrogen, is often the missing piece. If you've ever been...

1 month ago

39 minutes

While you wait...

From Pain to Peace: Callie Krajcir's Journey with Interstitial Cystitis

What happens when your bladder pain starts in childhood, but doctors don't believe you until adulthood? In this episode, I talk with Callie Krajcir, IC dietitian, coach, and founder of "Road to Remission," about her journey from suffering in silence to becoming symptom-free. We unpack the layers of interstitial cystitis (IC), pelvic floor dysfunction, and the nervous system's role in chronic pain. Callie opens up about college struggles, pelvic PT challenges, pelvic wand use, and how she help...

1 month ago

32 minutes

While you wait...

Nocturia: Why You're Waking to Pee at Night (and What You Can Do About It)

In this episode, I'll break down the real reasons behind getting up at night to pee, a condition called nocturia. From overactive bladder to fluid intake and systemic conditions like sleep apnea or diabetes, and why looking at the whole picture is essential. I'll also discuss effective treatments from bladder training to Botox and why a 3-day voiding diary is a crucial first step in figuring it all out. Timeline: 00:30 Introduction to Nighttime Urination Issues 01:06 Understanding Noctu...

1 month ago

12 minutes

While you wait...

The Truth About Overactive Bladder Medications: Benefits, Risks, and Alternatives

If you've ever been prescribed medication for overactive bladder, you might wonder what it's actually doing and what the risks are. In this episode, I break down the two main types of medications used to treat OAB: anticholinergics and beta-3 agonists. We'll talk about how they work, the side effects (including memory concerns), and how to weigh the benefits and risks. I also explore alternative options like Botox and nerve stimulation, and why shared decision-making with your provider matter...

1 month ago

12 minutes

While you wait...

Understanding GSM: What Every Woman Needs to Know About Genitourinary Syndrome of Menopause

In this episode, I'm talking about something I see all the time in my practice but that too many women still suffer through in silence: Genitourinary Syndrome of Menopause (GSM). This condition shows up in women as estrogen levels decline, most commonly during and after menopause. If you've been dealing with vaginal dryness, itching, pain with intercourse, or repeated urinary tract infections, you're not alone, and it may be GSM. I walk you through the updated guidelines from the Americ...

2 months ago

15 minutes

While you wait...

Advances in Overactive Bladder Treatment with Dr. Suzette Sutherland

In this episode, I sat down with Dr. Suzette Sutherland, a seasoned urologist who recently transitioned from the University of Washington to a large urology group in Arizona. Dr. Sutherland shares her expertise on treating overactive bladder (OAB) and the latest innovation in neuromodulation therapies, specifically focusing on the efficacy and safety of tibial nerve stimulation. We discuss the evolution of treatment guidelines, the pros and cons of various therapies, including medications, Bo...

2 months ago

48 minutes

While you wait...

Understanding Tibial Nerve Stimulation for Overactive Bladder

If you've tried lifestyle changes and medications for overactive bladder, but you're still dealing with urgency, frequency, or leaks, you're not out of options. In this episode, I break down tibial nerve stimulation, a lesser-known but powerful treatment for overactive bladder that's often overlooked in early care plans. I discuss what neuromodulation means in pelvic health, and how it works, why the tibial nerve (yes, the one near your ankle!) plays a key role in calming bladder activity, th...

2 months ago

17 minutes

While you wait...

Your Pelvic Health Questions: Answered

In this episode, I’m answering some of the most common (and commonly avoided) questions about women’s pelvic health, questions that too often go unasked but deeply affect the quality of life. We dive into the difference between a rectocele and rectal prolapse, what causes urinary leakage during sex (and what you can do about it), and how to know when it’s time to seek care for incontinence. I also share why early education and intervention matter so much, and why these conversations belong in...

2 months ago

19 minutes

While you wait...

Understanding Prolapse: Real Questions, Real Answers with Jeanice Mitchell

This week's podcast is about prolapse—what it is, how it affects daily life, and what you can do about it. A few weeks ago, I joined Janice Mitchell from MyPFM and had the chance to answer some incredible questions from her coaching group. The conversation was honest, insightful, and filled with the kinds of questions I hear every day in my practice. We talked about whether prolapse can improve after childbirth, how to manage symptoms without surgery, and what to know if you're considering on...

3 months ago

15 minutes

While you wait...

When UTIs Keep Coming Back—What You Need to Know

This episode was inspired by a recent coaching group I joined with Janice Mitchell, a pelvic floor physical therapist with incredible insight and compassion. The women in that group had thoughtful, important questions about recurrent urinary tract infections, which I often hear in my practice. So today, we're diving into that discussion and sharing it with you. If you've ever dealt with bladder infections that come and go (and come back again), this episode will help you better understand wha...

3 months ago

20 minutes

While you wait...

Exploring the Pelvic Bra: A Revolutionary Support for Pelvic Floor Health

In this episode, I interview Janice Mitchell, a pelvic floor physical therapist and founder of the Pelvic Bra. This external support device helps with pelvic floor issues like prolapse. We discuss Janice’s personal experiences and the development of the pelvic bra, likening it to an industrial-strength thong that provides perineal compression. Janice explains how the device works and its benefits, and shares feedback from users who have found significant relief from symptoms such as stress ur...

3 months ago

32 minutes

While you wait...

Understanding Urinary Incontinence Risks Post-Surgery

In this episode, I address the common questions I'm asked about the risk of urinary incontinence following surgery, specifically focusing on hysterectomy, prolapse repairs, and hip replacement. I discuss several key studies, including a 2000meta-analysis by Jeanette Brown and a 2023 paper in the American Journal of Obstetrics and Gynecology, which highlights the significant risks associated with these surgeries. I also provide tips on pelvic floor strengthening and the benefits of different s...

3 months ago

9 minutes

While you wait...

Menopause & Bladder Leaks—What's Really Going On?

In this episode, I'm diving into a topic that comes up often in midlife: urinary incontinence during menopause. If you've started noticing new bladder symptoms—like leaking, urgency, or increased frequency—you're not imagining things, and you're definitely not alone. I'll walk through: The different types of incontinence and why they matterThe crucial role of estrogen—and how vaginal estrogen can improve symptoms like dysuria and urge incontinenceHow weight gain in midlife can affect your bla...

3 months ago

12 minutes

While you wait...

Managing Urinary Incontinence After Childbirth

This episode tackles a common concern: urinary incontinence after childbirth. This can affect about a third of women, so you're not alone. I dive into what you can do to minimize urinary leaks after your first delivery with insights from a major 2020 Cochrane Review. The big takeaway? Pelvic floor muscle training, like Kegels, can make a huge difference! I'll cover how to do these exercises, why they work, and the benefits they offer, including reducing the risk of severe tears during childbi...

4 months ago

11 minutes

While you wait...

Aging Gracefully: Tips from a Physician

In this episode, I’m drawing from over 20 years of experience—as a physician and a woman navigating this journey myself—to share real, actionable strategies for aging well, inside and out. We’ll explore the core pillars of healthy aging, including the power of movement, nourishing your body with the right foods, getting quality sleep, staying socially connected, and being proactive with your healthcare. These are evidence-backed strategies inspired by the National Institute on Aging and other...

4 months ago

17 minutes

While you wait...

Insights on Pelvic Floor Therapy: Interviews with Leading Experts

I've compiled insightful clips from interviews with three leading pelvic floor physical therapists. The focus is on the benefits of pelvic floor physical therapy, with the first clip featuring MJ Strauhal discussing what to expect in the initial therapy visit and the importance of a therapeutic relationship. Prof. Chantale Dumoulin from the University of Montreal emphasizes the effectiveness of pelvic floor exercises, the advantages of group training, and the importance of starting therapy ea...

7 months ago

25 minutes