0:01

Hey there here's what's

0:01

coming up in this episode.

0:04

When you have

0:04

hydration in your tissues, a hydrated

0:06

tissue looks younger. Acts younger. Things younger is younger.

0:09

without having the proper estrogen and

0:12

water metabolism, your tissues are

0:12

going to act pathologically crazy, and

0:17

you're gonna have frozen shoulder and

0:17

tendonitis and joint pain, brain fog.

0:23

I mean, it just goes on bladder infections.

0:25

Yeah,

0:25

So plump and

0:25

hydrated is the message plump and

0:28

hydrated.

0:28

our plumpness in our bodies. Our

0:30

our, it's a

0:30

water loving molecule, you know,

0:35

Welcome to the My Aloof Vagina

0:35

Podcast, where we explore the distress

0:40

and surprise of our midlife transitions.

0:43

We take menopause seriously, but

0:43

we don't take ourselves seriously.

0:47

We believe that learning what to expect

0:47

in perimenopause can be entertaining.

0:51

It's inevitable, so we may as well

0:51

equip ourselves and have a good time.

0:55

I'm your host, Martha and I have a

0:55

doctor on this show our first doctor, Dr.

1:00

Wendy Chorny. You're going to love her. And you're going to love her approach.

1:04

This is not a dry medical episode.

1:07

In fact, I have been on the hunt for

1:07

the perfect pelvic floor specialist

1:11

to bring on the show ever since

1:11

episode three, when we talked about

1:16

incontinence for the first time. And she is it she's the one I needed

1:17

somebody who brought authority, who

1:23

knew what they were talking about. Who could talk about a lot of things.

1:27

But who'd also understand that

1:27

we're here to learn, but we're

1:30

also here to have a good time.

1:32

And we had so much to talk

1:32

about and we covered a lot.

1:36

A lot about women's health

1:36

and pelvic floor health.

1:39

What do the lion king? And existential dread.

1:44

Have to do with your

1:44

experience of peri-menopause.

1:48

Is WW in your medical chart.

1:51

And if it is. Is it time to push back?

1:53

What if the medical system

1:53

treated, peri-menopause the

1:56

way it treats pregnancy. Is peri-menopause

1:59

lowering your self esteem.

2:02

And what's really

2:02

important about being 35.

2:07

And why might you want to text

2:07

your young friends as soon as

2:11

you're done with this episode? It's a lot.

2:14

I know, but you'll get the answers

2:14

all of them in this episode.

2:18

So stay tuned. since it's going to be a lot, I want

2:19

to remind you as always, I've got you.

2:24

I link to everything and I

2:24

mean, everything we talk about.

2:29

In the show notes right there in your app.

2:31

You don't have to remember

2:31

the terms she mentions.

2:34

You can just enjoy the show and circle

2:34

back later, or visit My Aloof Vagina

2:40

dot com for things we mentioned anytime.

2:43

And you can also go there to find

2:43

ways to get in touch with Dr.

2:46

Wendy Chorney. This is her first appearance on the show,

2:47

but I can't imagine it'll be her last.

2:52

Dr. Wendy Charney is a doctor

2:53

of physical therapy.

2:57

Plus she has a lot of related

2:57

certifications that elevate her

3:01

understanding of women's bodies.

3:03

And I've also listed

3:03

those in the show notes.

3:06

She specializes in the

3:06

treatment of pelvic pain.

3:09

Pelvic floor dysfunction. Postpartum and peri-menopause

3:11

related disorders and so much more.

3:15

She is a practicing clinician,

3:15

educator and author.

3:19

And is affiliated with the university of

3:19

Dayton doctor of physical therapy program.

3:25

And currently doing research

3:25

on diastasis recti in women.

3:29

a disclaimer. Though she is a doctor.

3:32

She is not your doctor. please consult a local professional

3:34

for your particular medical

3:37

needs and circumstances.

3:40

Let me tell

3:40

you some nerdy facts So we know

3:43

that the Vagina and the urethra.

3:45

Need estrogen. Okay. And if you've ever heard me talk

3:47

about estrogen, I always like to

3:50

say estrogen is a water loving

3:50

molecule and it keeps things plump.

3:54

So at 35, I don't care who you are, your

3:54

hormones are decreasing, and your fourth

3:59

and your fifth and your sixth decade of

3:59

life, as you go through perimenopause,

4:03

you hit your one day of menopause,

4:03

and then your postmenopausal, your

4:06

hormones are continuing to decrease.

4:08

And as they. The water-loving molecules go away.

4:12

So, Here are the fancy words. Estrogen regulates vaginal physiology.

4:16

That is the smart way of

4:16

saying what I just said.

4:19

So then, cause you don't have plump.

4:23

Yes, it's like filler, you know? So then you have a thinner mucosa.

4:27

And that thinner mucosa means

4:27

there's like a little cracks like

4:31

the Sahara desert in your Vagina. And then pathogens and bacteria and

4:33

yeast can get embedded in your skin.

4:40

And then it's a whole thing. It's awful. So then because you have this estrogen

4:41

issue, it's less elastic, there's less

4:46

collagen, there is less vaginal rouge,

4:46

which means your Vagina is not as red.

4:53

And I will tell you, I absolutely

4:53

see this, where, vaginal

4:57

tissue becomes more white. it's kinda like a blanching,

4:59

like you see on your fingertips.

5:02

There's decreased blood flow,

5:02

which means you don't heal as well.

5:06

And this is my fact of yesterday, so, okay, as we age and

5:08

we lose the estrogen, the

5:11

vaginal blood flow decreases. So then of course it's gonna

5:13

decrease our lubrication for arousal.

5:18

I don't know why I never linked

5:18

those two together in my brain.

5:23

Right.

5:24

I mean, I was like, what? Yes, of course, of course.

5:28

So, You have less estrogen and maybe

5:28

you had a baby, and so then you had

5:34

trauma to your pelvic floor, so your

5:34

muscles are weak, your estrogen is

5:37

dropping, so you have less plump

5:37

tissues, and now because you're

5:41

trying to not leak, you stop drinking

5:41

water, but your tissues are thinner,

5:45

you're giving yourself infections.

5:47

Now you're gonna have to get on an

5:47

antibiotic, which is gonna destroy

5:51

your gut microbiome, which is

5:51

already a shit show because your

5:54

perimenopausal menopausal, oh my gosh.

5:56

It's a

5:57

And which is gonna lead, I mean, I know not

5:57

everyone believes this, but leads to

6:01

depression.

6:02

No, it's true. So on this tangent, which isn't a tangent,

6:07

this is a stream of consciousness. Virginian Wolf would be very proud of us

6:10

right now. So would James Joyce, you know, depression

6:11

and perimenopause yesterday, the rabbit

6:16

hole of perimenopause, menopause.

6:19

I wanted to see the number

6:19

of journal articles.

6:22

What were they specifically talking about? Now I've talked about pelvic

6:24

floors for almost 20 years.

6:26

I actually know my pelvic floor

6:26

research inside and out, and anytime a

6:29

new article comes out, I'm all in it. And I know about this.

6:32

Traditionally, we talk about perimenopause

6:32

by itself and not necessarily put

6:37

pelvic floor and perimenopause together. Uh, usually they're separate

6:39

articles and they shouldn't be, but.

6:43

Perimenopause comes up so much into

6:43

journals with depression and anxiety.

6:50

It is overwhelming the amount of research

6:50

for depression and anxiety, which made me

6:56

feel kind of validated when my hormones

6:56

shifted, that my anxiety jumped up.

7:00

But I will say we have been researching

7:00

anxiety and dep depression in women,

7:06

and it is real and perimenopause.

7:08

So you're not crazy at.

7:11

You're not, these hormones, these sex

7:11

hormones are protective to us and we

7:18

lose that protection and now we're

7:18

vulnerable to infection and inflammation.

7:24

And inflammation in your brain

7:24

looks like depression and anxiety.

7:28

Oh my gosh. Well, here's, I'll, I'll share

7:29

this cuz you're not a psychologist.

7:31

I'm not a psych, I'm not a doctor at all. You're at least a doctor.

7:34

Um, if you combine this thing

7:39

with the hormones,

7:40

Mm-hmm.

7:41

Along with existential dread. Right.

7:45

And, and, and evidence that

7:45

we are going to die someday.

7:49

Right. Because as we get older,

7:51

Which is horrible. It is true. We, it is the circle of

7:54

life. I learned that from the Lion King.

7:56

Yes. The Lion King taught us the circle

7:56

of life, so, Media is showing

8:01

you how old and decrepit you

8:01

are and, and the youth culture.

8:05

And so you're comparing yourself. So all the stuff that happened at once,

8:06

you go from plump and you know, shiny

8:11

to the shift at the same time that your

8:11

gut microbiome and the hormones are

8:18

creating, um, the conditions

8:21

for anxiety and depression. No wonder

8:24

that is such a common perimenopause.

8:28

Right.

8:29

situation.

8:29

fresh hell is this? And PS I found a

8:32

book called What Fresh Hell Is

8:34

Oh, Is it

8:35

talking about? This? Yes. Well, you know what? I think I I think I, think, I have read

8:37

it, but I haven't read it recently, so I

8:41

think I forgot that content. But it does come on all at

8:46

once. And let me tell you some other

8:47

nerdy things that talks about this.

8:51

The way our culture

8:51

treats it is quite horrid.

8:54

Now I'm from Ohio, and in Ohio

8:54

we have our sports and people are

8:59

fanatics, and there is a little known

8:59

university known as the Ohio State.

9:05

So people outside of Ohio, when

9:05

you put the Ohio State, they

9:09

are just like, oh my goodness. Why? The emphasis on.

9:13

Because there's Ohio University and they

9:13

want to make a difference and show that

9:17

they are the, the Ohio, the Ohio State in

9:17

the research prior to mm, the nineties.

9:26

It is the perimenopause.

9:29

The perimenopause. But what's fascinating about

9:35

the perimenopause is they don't.

9:40

Want to call it a disease process.

9:44

They call it a stage. It is only a phase, but there are so many

9:45

diagnostic things that go along with it.

9:51

But because it is a season of our

9:51

life, not unlike puberty, nobody

9:55

cares about the perimenopause.

9:57

Yeah. Yeah. Well, and I think, and you

9:58

hear the nail on the head,

10:03

our health system is not structured to be able to

10:04

handle something that would require

10:11

Yeah. And

10:13

about prevention.

10:13

They don't care about prevention and they don't care about anything that

10:15

might require some intervention or

10:17

treatment or awareness or education

10:17

that isn't also a pathology, right?

10:24

If it can't be a disease

10:24

state, they can't code it.

10:26

They can't charge for it. Insurance doesn't know

10:28

how to cover it, and

10:30

so, so to call it natural stage, they

10:33

can just kind of put their hands,

10:33

take their hands off and say,

10:35

well, thi this is what happens.

10:39

but see, here's where I'm going back and forth, because honestly,

10:40

when you look at research

10:44

journals in the ob gyn world, they are

10:44

touted as the people that should be able

10:49

to take care of us in the perimenopause.

10:53

Once you're done catching the

10:53

babies and once you have a baby.

10:57

But having a baby is and

10:57

isn't a disease process.

11:01

Like it has its own like coding. Like we treat people that have

11:02

babies well ish in the US ish.

11:09

I mean, I don't know. I, I feel like it's very antiquated.

11:11

Yeah, it's so, but no

11:15

perimenopause. It's just

11:18

Did they pathologize

11:19

I tell you.

11:20

Like what if we treated pa, the perimenopause, which is what I'm

11:22

gonna call it for the next week or

11:25

so,

11:25

It cracks me

11:26

what

11:26

if we treated the perimenopause

11:28

the way we treat pregnancy?

11:31

Well then I will tell you, there will be

11:33

a lot of happier people in this world. So people want to make fun of

11:39

menopausal and perimenopausal women. And I will say there was a tone in

11:41

the research I was reading that.

11:45

I think healthcare providers were

11:45

like looking at us like toddlers

11:49

throwing a tantrum in Home Depot,

11:49

and what do we do with them?

11:53

Do we just subtly drag them off to a side

11:53

aisle so the tantrum isn't in public?

11:57

What do we do with these people? Which I've done that with my son while

11:59

he was throwing a tantrum at Home Depot

12:03

and I did drag him to a side aisle. It's just like they're

12:05

trying to pacify us. They're like, what do we do with them?

12:08

Yeah. How do we

12:08

And

12:09

them? Because they're gonna come on our office and they're gonna make demands.

12:12

Here's the positive thing. They're gonna come on

12:13

our office and they're at that stage in their life where

12:14

they're not gonna be silent at

12:17

this. In

12:18

And they used to

12:18

call us that they used to call us whiny

12:21

women. Whiny women.

12:23

Oh, there's a. WW Whitey woman.

12:28

But now that we are realizing that

12:28

this hormone sh shift affects every

12:36

facet of our tissues and our body,

12:36

that we do have to start carrying and

12:42

supplementing, but people are afraid.

12:46

Uh, to talk about it because

12:46

there's shame, women's self-esteem.

12:51

44% of women that are in peri

12:51

Panama have perimenopause,

12:55

have a decreased self-esteem. And I get why?

12:58

Because you are told beauty looks this

12:58

way, and now you are beginning to look

13:02

this way and your hormones are shifting

13:02

and your hair is dry in, your skin

13:07

is dry and your belly gets bigger.

13:10

And it's just all these things. It, it's a, it's, it's a bit

13:12

disheartening and infuriating.

13:15

Well, and it's such a holistic thing, and I think that's the other reason our health

13:16

system's not great with it because.

13:22

They don't do well with holistic. They just, like you said, they

13:23

don't do well with preventative.

13:25

They don't do well with something that

13:25

they don't have an explicit treatment

13:29

for. Right. So if they don't have

13:30

a pill or a course of

13:32

treatment to provide, that's easy

13:36

to take and do Then. Then they don't know what to do with

13:40

us,

13:41

Correct. So in emergency medicine, right, so what

13:41

you're saying is there are no, to my know,

13:47

And if somebody finds this And

13:47

I am wrong, I would love them

13:49

to comment. You know? So if some menopause

13:53

guru hears me say this, and

13:53

I'm wrong, please correct me.

13:55

But in emergency medicine, so if

13:55

you go to the er, they have to make

13:59

quick decisions based on what is

13:59

happening to you to save your life,

14:02

your quality of care, decrease pain.

14:06

They do this with something

14:06

called clinical prediction.

14:09

And in women's health, it is quite rare

14:09

that we even have clinical prediction

14:15

rules, let alone for menopause.

14:18

So a standard of care

14:18

doesn't exactly exist.

14:22

Now if you look at the research,

14:22

you do know that hormone

14:26

replacement therapy has to be.

14:30

Has to be, we need those hormones.

14:33

Even if you don't wanna take a

14:33

systemic hormone, you don't wanna take

14:36

a pill, you don't wanna ingest it. A P size amount of estrogen, if you

14:39

applied it, To your vaginal tissues and

14:46

that little bit, the inner third, the

14:46

lower third, could change your life.

14:52

You know, we're so afraid because

14:52

we had bad research and then there

14:56

was this misinformation, and now

14:56

women are terrified of hormone

15:01

replacement because they think

15:01

it's all gonna give them cancer.

15:05

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15:05

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15:10

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15:10

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15:16

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15:46

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15:51

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15:51

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15:56

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16:05

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16:05

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16:09

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16:13

Can thank me later.

16:17

Can we

16:17

talk briefly about that article?

16:21

It isn't behind a paywall, so I

16:21

can put a link in the show notes.

16:25

Um, what alarmed me the most, so

16:25

this is a, this was an article

16:30

in New York Times magazine. And it kind of blew for the public,

16:32

blew the lid off this idea that

16:37

the women health initiative had

16:37

been the biggest disservice to

16:41

healthcare in, you know, ever.

16:44

Maybe they wanna say it in a hundred years. And so it's, it's kind of a long article.

16:48

I found it fascinating. Um, but what, what alarmed me and,

16:50

and shocked me cuz I had been, you

16:54

know, I'm, I'm in the algorithm. I get a, I get all the Vagina.

16:57

And all the perimenopause stuff

16:57

served up to me, so I already had

17:01

awareness of some of the things. But the thing in that article that.

17:07

Upset me the most, is probably the right way to describe it, is that they

17:09

knew it was shoddy at the time, and

17:15

Oh yeah.

17:16

there were people saying, wait, wait, wait. No, no, no.

17:19

But once it was picked up by like

17:19

the Today Show, like with Ann

17:22

Curry interviewing people, and

17:22

once it was picked up and put into

17:25

headlines and pre, pre-internet

17:25

click bait, it became a belief.

17:32

And so anyway, that's what

17:32

upset me about that article

17:36

because I grew up believing it.

17:39

I happened to work at A A R P at the time,

17:39

by the way, and so this was like doctrine,

17:45

and I had believed it all these years. And a lot of my friends, they're moms

17:46

that are of the age that they were going

17:50

through menopause at the time, and so they

17:50

have beaten into their daughter's heads.

17:56

That you can't use hormones, don't

17:56

use hormones, it'll cause cancer.

18:00

And a lot of my friends are like

18:00

using like yam progesterone creams

18:04

instead of, or over the counter stuff because they've been

18:09

so scared off of hormones based on

18:13

what was basically a news

18:13

cycle, a 1990s era news cycle.

18:18

Well, you know what's

18:18

interesting is, is that there were

18:21

that particular generation, so our

18:24

mothers and their mothers, the news

18:24

was fair, and I'm gonna say balanced

18:32

because it was just different. Like there was no spin

18:34

to it back in the day.

18:36

And, and that was very, very true.

18:39

But like time has changed

18:39

and technology has changed.

18:42

And so now we. Be our own investigative people and have

18:45

a flexibility in our mind, but also as a

18:51

scientist, and we had talked about this,

18:51

that I constantly question why I believe

18:56

what I believe because science changes.

19:00

We find new information

19:00

and we have to pivot.

19:04

You know, we have to change, we have to pivot. But in that they did us st.

19:08

They did. But who's surprised that in a

19:09

man's world they did women dirty.

19:12

No one. No one.

19:15

But, but this is why you

19:15

give two chicks a microphone

19:19

and a podcast. And here we are disking this, this

19:20

myth that has hurt women for decades.

19:27

the Vagina.

19:27

And I have had to,

19:27

yes, I am, uh, the Vagina Debunker.

19:31

I'm Dr. Wendy Charney and I debunk bad science

19:34

yeah.

19:35

and. I I tell I have

19:38

had to beg people. Okay, so we had talked about vaginal

19:40

tissue and keeping it plump, and

19:44

I talked about the mucosa and

19:44

keeping the vaginal area pink and

19:50

red and having good blood flow. Sometimes on a vaginal exam, the

19:52

first time I meet someone, if I'm

19:55

gonna look at their pelvic floor, if

19:55

that's what I need to do on that day.

19:59

And I see their vaginal area and

19:59

it is so, so B blanched and white.

20:06

Now I'm talking about like white

20:07

Like

20:08

the vaginal.

20:09

Likea and the vegetables.

20:11

We want things to be plump and pink and they did

20:15

not have enough blood flow. And then that is telling

20:17

me and my brain as a

20:22

scientist, okay, so this means

20:22

that they're probably at least

20:26

two to three years postmenopausal

20:26

when the vaginal atrophy hits it.

20:31

Hard, and then you are at risk for

20:31

this really painful condition called

20:37

lichen sclerosis, which is like little

20:37

lesions on your vulva because you have

20:43

this tissue crying out for estrogen.

20:46

Crying out for estrogen and steroid

20:46

cream is not going to fix a tissue

20:52

that is crying out for estrogen. It actually will only make it thinner and.

20:57

And in these women, I beg them to go

20:57

see a specialty ob gyn, a specialty

21:04

gynecologist that specializes in

21:04

dermatology because there is nothing

21:08

other than estrogen that can save

21:08

that vaginal tissue that is painful.

21:12

And they get infections because they get

21:12

those little cracks because it is dry.

21:16

Like the Sahara Desert, there is

21:16

nothing else that can save that.

21:22

So, um, before

21:24

we, I know that we had things we wanted to

21:24

cover, I'm gonna have to bring you back.

21:27

I hope that works for you. But before we

21:29

That is acceptable. I, I do accept

21:32

Thank you. Thank you. We need, there's more Vagina

21:33

debunking that needs to be done,

21:36

so you'll

21:37

Yes. We are the, uh, investigators

21:37

of the Vagina debunking.

21:40

Yes. Um, what you and I had spoken briefly,

21:41

and I just wanted to make sure I

21:45

had you talk about it, um, about the

21:45

idea that when we talk to women in

21:50

their thirties or even their forties

21:53

and say, Oh and they

21:53

have all these symptoms,

21:56

all these traits of perimenopause,

21:56

and we say, Oh oh gosh,

21:59

that sounds like you're in perimenopause. and they

22:01

freak out and they're in denial. can we can we talk about

22:05

Oh Yes. because it's bad information.

22:09

So perimenopause.

22:11

Can start as early at as 35 to 45, and

22:12

when all these symptoms, these

22:18

phantom crazy symptoms that seem to

22:18

not match and it's not your thyroid.

22:24

I'm gonna tell you it's perimenopause

22:24

because education is power and they get

22:30

all frustrated at me, and it's not unlike

22:30

when I have a person who is in their

22:35

thirties or even like twenties, who has an

22:35

exceptionally painful and arthritic joint.

22:41

Because arthritis is just wear and tear.

22:43

Osteoarthritis is just wear and tear. If you had a car wreck, if you

22:45

were a collegiate athlete, you

22:48

are gonna have degenerative

22:48

changes because of wear and tear.

22:51

If you have a Vagina, you will have

22:51

a hormone shift and it can shift If

22:57

you've had surgery, it can shift based

22:57

on your socioeconomic, if you drink,

23:01

if you have alcohol like in your life. And you know, there's all these reasons.

23:05

People think perimenopause

23:05

isn't really a thing.

23:09

They think of menopause, which is

23:09

just really one day it's, you know,

23:14

a year after your last period. So there's really perimenopause

23:16

and postmenopause, but

23:20

there's this bad information. And then when you tell them, Hey,

23:21

listen, this is happening to you and

23:25

I want you to know that the suffering

23:25

you're experiencing, you're not crazy.

23:28

And they're like, I, I

23:28

get a regular period.

23:32

I my period, I have my period every. And so yesterday in my research, uh,

23:35

there are stages of perimenopause.

23:41

And in the early beginning and

23:41

mid stages of perimenopause, there

23:45

won't be a change in your period. Ladies, it's gonna look like,

23:47

uh, irritability anxiety

23:51

two days before your period. A high L D L.

23:55

Blood pressure, PVCs,

23:55

where your heart races.

23:58

And so these women are having

23:58

cardiac issues and dental issues

24:03

and we're not telling them that,

24:03

Hey, it's your hormones, you, we

24:06

have to support your hormones. Also, widespread joint pain.

24:12

Brain fog walking to the basement and

24:12

you don't even remember why you're there.

24:15

Walk back upstairs. Oh, now I remember. Walk back down.

24:17

You forgot. Oh my gosh. Am I crazy? You know, so I feel that along with

24:20

hormone replacement therapy, we need

24:24

to tell people it isn't the devil. We need to tell people.

24:28

Perimenopause exists and it comes

24:28

earlier than you realized, and we can

24:33

help you if you acknowledge what it is.

24:36

And we have real convers.

24:39

Yay.

24:40

by the way, how

24:40

do you find a person to help you?

24:43

How do

24:44

If you want,

24:44

it would have to be, if you go

24:46

to the North American Menopause

24:46

Society, you can click your

24:52

zip code into the the box,

24:52

so dropdown box and find a

24:56

healthcare provider in your area.

24:58

Because only people truly trained in

24:58

taking care of menopausal, perimenopausal

25:04

women will get it and understand you.

25:08

Because if not gaslighting could exist.

25:11

And the sad part is women wanna

25:11

go to their OB gyn because we do

25:14

think that, but like, no offense,

25:14

they're phenomenal surgeons.

25:17

They're great at catching babies, but

25:17

they are not trained in perimenopause.

25:23

Menopause,

25:24

So that message

25:24

alone is the reason, one of the reasons

25:27

that you and I are just like simpatico,

25:29

because as soon as I found that out,

25:32

I started screaming it from the

25:32

rooftops because of course we

25:35

thought it, was our gynecologist. That's our lady doctor.

25:38

That's who you think you're gonna go to. And it's not.

25:41

you're lucky, maybe

25:41

they know it, but they might not.

25:44

Even if they know it. I mean, if you're lucky,

25:45

they might be certified.

25:48

If you're lucky, they're paying

25:48

attention and they're keeping up on it.

25:50

If you're lucky, they believe

25:50

in interventions they're

25:54

gonna are gonna support you. But why not go to an

25:56

endocrinologist or a specialist

26:00

for what is a hormone issue?

26:03

Someone who that is their focus.

26:05

Right? Or other health, women's

26:08

healthcare.

26:09

Absolutely. So there, it's, it's multifactorial,

26:10

but you know, the reason I

26:15

feel strongly, and we're sharing this, is we want to keep our tissues healthy

26:17

to prevent the future damage that is

26:24

happening to so many women because

26:24

they didn't know they were behind.

26:28

They didn't even know it was an option.

26:31

This is why this

26:32

tissue acts younger.

26:33

Yeah.

26:34

When you have

26:34

hydration in your tissues, a hydrated

26:36

tissue looks younger. Acts younger. Things younger is younger.

26:40

And without having the proper estrogen and

26:43

water metabolism, your tissues are

26:43

going to act pathologically crazy, and

26:49

you're gonna have frozen shoulder and

26:49

tendonitis and joint pain, brain fog.

26:54

I mean, it just goes

26:54

on bladder infections.

26:57

Yeah,

26:58

So plump and hydrated is the the message

27:01

plump and hydrated.

27:02

our plumpness in our bodies. Our

27:04

our, it's a

27:04

water loving molecule, you know,

27:09

Oh, I'm so

27:09

so that's, that's, that's the fun. Well, thank you for having me on, uh, the

27:14

Vagina monologue that

27:14

could go on for days.

27:17

Well, just in little 29

27:19

minute. Segments. Right. And then we'll just do that.

27:22

We'll just keep telling the story.

27:25

we want people to have

27:25

the digestible bits about their bits.

27:28

yes. Right. And women listen.

27:31

Uh, it's a, it. It's not that I don't listen to

27:33

two hour long podcasts or 90 minute

27:36

long podcasts, or even one hour long

27:36

podcasts, I do, but I cannot listen

27:40

to them typically in one session.

27:43

And so I wanted these shows to be something a woman could listen to

27:46

on the way to wherever she's going,

27:46

while she's cleaning the house, while

27:50

she's working out, and get the whole story at

27:52

once.

27:54

Digestible bits

27:54

in a takeaway that they can have

27:57

to help change who they are today.

28:00

It doesn't need to be

28:00

overwhelming or complex.

28:03

No,

28:04

No, it has to be real.

28:05

thank you. Dr. Wendy. I

28:07

Well, thank you. It was a lovely date.

28:10

I had a really nice date.

28:11

I like your dress.

28:13

Oh, thank you. It's Amazon.

28:17

That's perfect.

28:19

Of course it's

28:21

Thank you for

28:21

listening until next time.

28:23

Take care of yourself and

28:23

take care of your vagina.

28:27

If you enjoyed this episode,

28:27

please share it with a friend.

28:30

You think would enjoy it too.