In Your Pants with Dr. Susie G - C🐓ck talk w/ sexologist Dr. Tanginika

Episode Date: July 30, 2019

On today's show we've got Dr. Tanginika, clinical sexologist, who's going to help us dive into the realm of dangly bits. So if you own one or love someone who does, you'll definitely want to perk up your ears and have a listen. Our conversation is also video recorded so be sure to check us out on YouTube because we use some great visuals. Here's what you'll get out of today's episode: - The causes of erectile dysfunction for all ages (age is not to blame!) - How the brain influences erections and performance - What is premature ejaculation and what you can do about it - What is delayed ejaculation and tips to help you lift off sooner - The impact of prostate related health issues on sexual function - The difference between orgasm and ejaculation (hint, they're not the same thing) - Sexual function post-prostatectomy

You're listening to In Your Pants with Dr. Susie G, the physiotherapist for your private, helping you get in the know down below. Hey guys, it's Dr. Susie G, and thank you so much for joining me on another In Your Pants podcast episode. Today is all about the dangly bits. So people who have penises, who love penises, or just want to learn about how dangly bits work, this show is definitely for you. Without further ado, I'd like to formally introduce our guest to the show before we get the party started.

Dr. Tanjanika Simone Quascud-Vega is a clinical sexologist, sexual health educator, and surrogate partner therapy facilitator. She's the founder and principal of Texas Sexual Health in North Texas. She partners with pelvic floor specialists, sex therapists, counselors, and other health practitioners in finding solutions for sexual dysfunctions and intimacy concerns. She has a doctorate in human sexuality from the Institute for Advanced Studies in Human Sexuality in San Francisco, California, a postdoctoral studies in neuroscience from Emory University, and a doctorate in business administration from Argosy University in Illinois. She also has an MBA from Inter-American University of Puerto Rico and is a graduate of the Institute

for Future Global Leaders of the University of the Virginia Islands in St. Thomas. Dr. Tanganyika has her private practice, Texas Sexual Health, in North Texas. Currently, she is the chair for the Student Health Advisory Council of the Great Brine Colleyville Independent School District in Texas, which provides advice on health initiatives and curriculum, including human sexuality instruction. She's a board certified by the American College of Sexologists, and she is a member of the World Association on Sexual Health and an ambassador of the American Sexual Health Association. She is also the vice president of the Association of Hispanic Leaders. She has been the resident sexologist for Univision Dallas-Fort

Worth, and also offers health advice in Telemundo, Dallas-Forth Worth, and Univision Radio nationwide. Dr. Tanginica has various blogs in which she showcases open, honest, and pertinent health information that is straightforward and bold with a positive attitude. She's been a contributor for Baby Center, Mammyverse, and Voxy Online, and Heart and Soul Magazine. Her expert advice has been featured in Cosmopolitan, The Huffington Post, NBC Latino, Vice, and About.com, among others. Her works have been translated to many languages and published all over the world. She's also a published author. So without further ado, I'd love to welcome Dr. Tanjanika to the show. I hope you enjoy it. Hi, Dr. Tanjanika. Thank you so much for being on the show today with me. Well, thank you

so much for the invitation. I'm so thrilled to be here. Thank you. Oh my gosh. Well, let's tell the audience a little bit about what you do and how you came about doing your profession. Yes. Well, I am a clinical sexologist, a sexual health educator, and I practice and facilitate a very certain modality of sex therapy, very specialized. And basically, I help people with their sexual concerns and intimacy concerns to help them have happy sex lives. Oh, yes, happy indeed. And the topics for today that we're going to be talking about, particularly for anyone who has a penis, right? So erectile dysfunction, premature ejaculation, delayed ejaculation, and really any prostate issues that may or may not result from surgical

intervention. So those are all really hot topics and topics that I know I get asked about a lot. I'm so excited to get your perspective on all of these topics and how it kind of combines with the pelvic diaphragm and the pelvic muscles. So I'm going to let you take it away with the first topic of erectile dysfunction. And particularly, I think I'm interested in younger men these days. I don't know about you and in your practice, but younger men seem to be having issues with erectile function? Yes, well, I'm seeing that in those four areas are kind of my breadwinners. 80% of what I do in my practice is erectile dysfunction, ejaculatory disorders, and some post-prostectomy, and sometimes chronic prostatitis, non-bacterial. So I offer solutions for those who

are suffering from those issues. I have a multidisciplinary approach to deal with these issues and that's how pelvic floor therapy comes into play. I have learned over the years that again, there's many, many players when it comes to sexual dysfunction. Some of them are physiological, some of them are psychogenic or psychological, and sometimes it's a combination of both. Usually it's a combination of both. Whether it started as a physiological issue and then guys freaked out about it and their partners freaked out about it and then it turned into this emotional anxiety issue, or they had anxiety and then nothing downstairs works, it's all related. However, I've discovered that if you help the physiology, many, many, many times, the anxiety

related to the function dissolves, and then those people can move on. So I do not offer, you know, talk therapy. I do not sit down with people and just talk about their childhood and how that impacted their sex lives. Yes, we do have conversations about it. But that's not my focus. My focus is to really work with the physiology to make those systems that are not working, kind of restart, kind of, you know, give them CPR, and have them work again, so they can start functioning and using those systems again. And then usually, again, happiness is comes right after. A happy ending. A happy ending. Yes. Pun intended. Totally. I mean, sorry, everyone watching. I mean, these are going to be flown left and right, I think. But in essence, okay. So

I think before you talk a little bit about how you know more about your approach and what are some of the steps to helping with sexual dysfunction, particularly with something like erectile dysfunction, could you give us a little bit of a background and for the listeners and those watching this video of, you know, what exactly is erectile dysfunction and when should a guy be concerned? Yes. Well, before I answer that, let me answer what you asked before, which is that the younger generations are now kind of suffering from these issues. And I'm seeing that too. Probably the youngest person who has walked through my doors has been 22 years old. So currently I have 20, anywhere from 22 to 27, 28 years old, kind of a bunch of them. There are many

reasons for that. Some of those reasons are, or stem from the lack of awareness and knowledge about their bodies and how their bodies work. And then they're not, they're ill prepared to face an intimate situation in real life. But a lot of it also is lifestyle. We're seeing a generation that probably has been more poorly than we did back in our day. And also, I see a lot of these young guys who spend a lot of time in the gym, lifting weights and taking care of their bodies, and then their pelvic floors suffer as a result. So they have very lax pelvic floors.

We will talk a little bit more about it. So yes, I'm seeing a lot of that. And usually when I see somebody walking through the door and I see that very strong muscular physique, and they had disclosed earlier that the reason why they're coming in is erectile dysfunction, I can almost bet that that pelvic floor is going to be in trouble. So that's that. So in my practice, as I said before, I deal with all kinds of issues, but the number one is probably erectile dysfunction. The reason why I came into this practice was actually with the idea, with the utopia of helping women. Because usually women

are more vocal about their issues than men are. So I thought, I'm going to be the beacon of women and I'm going to help them all have orgasms and enjoy sex. Well, I went to school, did my doctorate degree, and in practice, men started coming instead of the women. And I discovered that men didn't have an outlet really to say to somebody hey this is going on there's a lot of shame around it there's a lot of stigma around it and there's a lot of notions of like oh I'm not masculine enough I'm not man enough because this is happening like if my member doesn't work if my penis doesn't work then I'm not manly enough and they don't have anywhere to turn so they started coming to me and I became very very interested in helping men and started studying more and furthering my

education as far as what what is it that's going on like why are all these men suffering from erectile dysfunction and a lot of them have that one common denominator which is again the pelvic floor dysfunction so it was kind of in that segue that I discovered that there's a very strong correlation between the health of your pelvic floor and the health of your sex life so basically that's how you know they have kind of been married now for me I do a lot of approaches when it comes to the treatment of sexual concerns but pelvic floor is at the at the forefront of everything that I do. Shameless plug, everyone. Thank you. Oh, gosh. And I have to say that I'll comment on that, that very similar story with with me and how I became focused on men's men's health or

anyone that has dangly bits, essentially very similar, there was no outlet for them. No one was addressing it in a very integrative way and looking at it with a wide lens. I mean, there is no help for these men or people with penises that really is so important and and like you said women tend to you know gather together and communicate and reach out in terms of their health but men they're a little they're just not there yet you know they just don't do that so it's now what men have an advantage uh is it to their advantage as opposed to women is that men take action that has been kind of my um my experience so women are very easy to talk to about these issues and they as you said gather and they talk to their girlfriends they talk to

their sisters they talk to you know they talk to other girls about it but they're not necessarily very motivated to go and seek action and solutions to their problems now men are more hesitant when they come to you they're ready they're ready for change they're ready for action they're committed they really want to see something done they want solutions absolutely so on that note in terms of erectile dysfunction could you tell us a little bit about why that happens for for people who have penises and i know you mentioned psychological physiological connection between the two but again in your experience you know what where does this come from and when should a person be, you know, alerted to go seek health care advice for this issue?

There are a lot of different causes for erectile dysfunction. It's usually, if we're going to talk physiological, it's usually lifestyle. So high blood pressure, cardiovascular disease, any problems with diabetes, medications that they would take for those conditions and other conditions, surgeries that they've had injuries to spine or back prostate issues sleep apnea gingivitis so there's a lot of different things that men don't necessarily know that can be contributing factors drinking smoking now we we go into lifestyle lack of exercise or men who are seated a lot those who spend 12 plus hours sitting in front of a computer taxi drivers truck drivers and then we have cyclists motorcycle runners we have guys who lift a lot of weight so

those are other considerations when it comes to erectile dysfunction and men don't necessarily make that connection like okay what i'm doing is contributing and overall health is contributing if you have clogged arteries pretty much you're going to have erectile dysfunction so those are pretty much at a greater scale, some of the issues that may lead to erectile dysfunction when it comes to the physiological aspects of things. When it comes to psychological aspects, we have anywhere from stress, conflicts in the relationship. That's a big one. If you're not getting along with your partner and you're in conflict and you're fighting a lot, yeah, maybe that penis doesn't really want to work because it doesn't want to sleep with the enemy,

quote unquote. So there's a lot of that, but there's also a lot of lack of knowledge and upbringing. So I see in a lot of super ultra conservative upbringings in which sex was deemed as taboo or bad or wrong, then usually those men tend to have a lot of anxiety towards intimate situations. And then they don't understand why the penis doesn't work. And it's because when the mind is telling you, this is wrong, don't do this, then the brain puts some blockages in protective mode, right? And it's like, I'm not going to award you with this experience because this is dangerous. So there's sometimes a disconnect. There's body issues and image issues that sometimes also lead to erectile dysfunction. So there can be a lot of different causes. And

it is very important to determine what that cause is. Because depending on the cause, the treatment is going to be more effective or not, depending on where that problem is coming from. I never like to just tell guys like, okay, do this, if I don't know exactly what's going on. And so we do a lot of discovery, a very lengthy conversation, a lot of investigative work to kind of get to the bottom of things and then start with a plan and a treatment that will help them get to the desired state. That's great and it does sound like it's a process, a process of collaboration between you and the client that you're working with. Essentially it's not a find it and fix it sometimes but most times in my practice I find that it is definitely a process

of getting to the root cause of what is the underlying issue that's literally trying to just protect you, as you said so greatly about sexual function. Not having sexual function is some sort of form of protection, whether that's physiological or psychogenic, or both, like you said, in both cases. So in terms of treatment, so you mentioned working with both of those aspects, but you mentioned the pelvic muscles and the pelvic floor. Can you talk about how that impacts sexual function and why you find it to be such an important part of the healing process? absolutely so pelvic floor muscles as you know but our audience may not know this they are they really have a big job to do so what i explain to men is not only they're there first of all they

don't know that they're there right yeah pelvic floor muscles like what are you talking about maybe they've heard about kegels but only in the context of women maybe in context of women who probably suffer from urinary incontinence or who have had children like that's all they know if they have ever heard that word so they don't correlate their pelvic floor function to you know if this is connected to my penis and to the health of that sexual system but they really have a great job to do all as you know all the structures that go through are supported by that pelvic floor structure so you have it in there i do i'm going to interrupt just to kind of show you guys what we're talking about here so if you're sitting on your sit bones right now

and i and we laid you on your back this is what we would be seeing you know there's the penis would be extended here this is the base of the penis and all the muscles that dr tanginika is talking about is right here right here exactly thank you very much and you mentioned something actually can you show it again sure sure that's where your penis starts yeah exactly so you can actually tell everybody that you have two three more inches than you actually do that's right everyone everyone's ears perked up right right it's like oh so i didn't have you know six inches to begin with you have like you know you have a little bit more you have eight yes you can accurately say that because the penis actually starts a little bit uh further back that's right

and uh and so that is part of your penis but anyways yes how does pelvic floor correlate into all of that well all those structures blood system all those nerve endings it they're all supported by those muscles of the pelvic floor. Now, usually those muscles, as you know, they have to be healthy, right? They have to be kind of engaged. They have to be in the right place. They have to have the right tone. It's like our arms, right? So this is what I explain to men. Let's say that I am going to the gym and I have never exercised my arms right here, my fabulous arms that you're seeing right now right i know so and i just decide that i want to lift 30 pounds well two things are going to happen either number one i am not going to be able to even get that

weight off of the floor or i will but i will have to let it go because those muscles are not strong enough to support that weight it's kind of the same thing with erections either the pelvic floor is in you know in tune with everything and can engage and can give you those erections and sustain them or it may not or even if it does it just they just kind of dwindle right because it's not strong enough if you have lax pelvic floors usually that leads to erectile dysfunction and premature ejaculation so usually that's that's what i see so usually those muscles are kind of stretch they're kind of meh they have never been exercised they're lazy they can't really work now the opposite is true for delayed ejaculation usually the guys who come with problems with

ejaculation they take forever sometimes they don't ejaculate they can stimulate forever either by different kinds of sexual stimulation or by themselves and they never finish or they have a hard time finishing that pelvic floor is like like this it's just kind of one big nut and it's not going anywhere and things are pretty cramped and pretty tight inside and when that happens orgasm cannot happen ejaculation cannot happen because everything is right like this so you need to you need the right combination of tone and strength to be able to produce those waves and for those contractions to you know contract relax that that movement to go on so you can have successful ejaculatory response. And that's pelvic floor in action right there. So I can talk to you

all you want, but if the pelvic floor is not healthy, we're not getting anywhere. And that's why I think that pelvic floor is so important. And it's one of the first things that I look at as a culprit of things when people come to see me with those issues. That's great. What a lovely analogy using your bicep muscle as either it's working for you or it's not. And that's that neurological feedback. Cause like you said, most men don't understand that it's, you know, muscles aren't just stupid. They're actually receiving information from your brain, from your nerves that go to that. And so when you're working those muscles in a healthy way and you're aware of those muscles, I mean, let's get real. How often are, are people even

aware of their pelvic muscles unless something goes wrong? Right? Exactly. Exactly. So I, you know if I may this is going to sound very crude but this is one of the approaches that I use for to explain kind of pelvic floor and how that works so you know we use the arm and then I kind of go down into that area and I say you know when you don't want to let wind out of your body you do something about it right and so they're like yeah I hold it I'm like yeah that's the pelvic floor kind of doing that for you so if you don't want to pass wind in inappropriate places like in a meeting in front of everybody and then being accused of being identified as a culprit engage everything and so and then they get it they're like oh really that's my pelvic floor i'm

like yes you are engaging your pelvic floor muscles and usually that's how they become aware with that analogy that's how they become aware i'm like yeah if you don't want to pass wind that's what you do and that's one of the many many different uh right functions of your pelvic floor i mean they not only do that but gladly they do well well they get it and i love that like you're in a meeting like this isn't a good time our first date you know you don't want to like we all get comfortable at some point you know farting in front of our partners but in the beginning, you want to be your utmost best, and you're definitely not going to pass gas. Exactly. We're not going to pass gas. So those pelvic floor muscles must be really,

really tight and engaged. Otherwise, they cannot do their job. So it's the same thing with sexual function. They're there to provide a job. They have a job to do. And it's a very hard job, no pun intended it is a very essential job they can give you erections and keep you there and they're also responsible for you or for your ejaculation so uh with for men who have problems controlling that ejaculation one of the things that we focus on is how do you take control of those pelvic floor muscles how do you strengthen them become aware of them so you can kind of summon them and uh and use them to your advantage so you do not finish the job too fast ah okay on that note can you can you define what premature ejaculation is because i think men often you know

i'll ask them you know what what do you think premature ejaculation is what's the definition for you and they're like well i can't sustain an erection i mean i ejaculate within 15 minutes i don't know about you but i want to i want to know what you what you would say to that Well, you know, premature ejaculation doesn't really have a definition. And if you go to different organizations, they will have a different definition. Usually the definition that I go with is when ejaculation happens before that man is ready and before that man has some control over it so premature ejaculation usually happens kind of without advanced notice for men so it's usually something like they're getting stimulated and then all of a sudden it's

like okay this is gonna happen boom and it just happens and they seem to be kind of disconnected from like when is this going to happen that point of inevitability they're not too much aware of And it just happens before they can do anything about it. So that's probably kind of a safe definition. Now, yes, I do get some men who say, well, it's 30 seconds, or it's a minute, or it's three seconds, or it's before I even do penetration. And yes, some men would say, yeah, it's 15 minutes. And I'm like, whoa, lucky you.

Yeah, exactly. Lucky you. But if it's happening before you intend for it to happen, if you feel like you have no control over when it happens, and if you're unhappy with the outcome, then I do not dispute the fact that you are calling it premature ejaculation, although for probably clinical standards, that would be considered a very adequate sex session. Now, I also always tell men, confirm with your partner. So if you have a partner who is very, very happy with 10 minutes of thrusting, penis and vagina, or penis and wherever else, then probably you don't want to elongate that to like 30 minutes, 45 minutes. You don't want to become the one-hour man when your partner is telling you like, I am very, very happy with 10 minutes.

15 minutes is work. Anyway, so that's not related to the pelvic floor. However, it is very important that men also kind of check in. Sometimes they have these fantasies of like, I want to last 60 minutes, and that may not be realistic or necessary. Now, they can and they could if they get control of those pelvic floor muscles. And once we learn that control, I am not going to meddle into your business, whatever you do with your penis, with your stimulation, with your pelvic floor muscles. After you have gained

that control, then it's totally up to you and your partner. But yes, the pelvic floor muscles are the ones that may allow you to find that control and allow you to do that for as long as you want. I love it. And what are your thoughts on being present and mindful, like mindfulness, mindset with sexual function, or for example, premature ejaculation? Do you talk about that at all with your with your clients or most definitely it is very important that they learn to stay in the moment and especially stay with the sensation so I try to adjust the language because sometimes when you say stay present stay in the moment you know they they don't know what that is but if I say stay with the sensation follow the sensation focus on the pleasure of

that particular moment then they're not rushing they're not developing that anxiety towards like oh my god am i going to burst before i'm ready is this ever going to happen to me am i going to stay erect instead of focusing on those questions you don't really enjoy the journey you're already on the destination and when that happens this journey cannot be pleasurable so instead i teach them kind of step back and start from point one and then stay with whatever you're feeling at that particular moment and a lot of it is also again learning what kinds of stimulations can lead to that point of inevitability because sometimes they don't know what that is like when they when they become aware of that point of inevitability and the point of inevitability

is that, is when ejaculation is going to be imminent, no matter what, right? They don't know that that's about to happen until it happens. So I tell them, you need to learn this three steps before. So not at the point of inevitability, not like, oh my gosh, shoot, this is going to happen now. It has to be like, oh, I'm approaching that. So you then gain that control. You can scale back. you can probably change what you're doing. You can engage some of your pelvic floor muscles and kind of do your exercises and continue to be sexy while you're doing it. Because I also teach them that it's like, you know, you don't have to sound weird or be weird. You can do this and still be sexy and continue with your sexual activity the way you please. Beautifully said. Oh my gosh. I

hope you guys got all that. That's really great. Start practicing your awareness. Wonderful. I love it. I love it. And on that, you know, again, in that note of you're, you're mindful, you're aware without awareness, how could you change anything? So part of it sounds like what your treatment is just being aware of what is it that ticks your boxes. And, and cause that's going to be different for every single person. Like just like our thumbprints are different, that treatment plan and what you do and what you're aware of is going to be very different across everyone you meet, you know, and those pelvic floor muscles. I mean, so important, like you're saying, And I love that you're emphasizing that because they are, they're, they're really important and

coordinating and controlling those muscular contractions, right? Not just like, especially in delayed ejaculation, as you mentioned, you know, if you're just holding and you're doing a hundred percent, 110%, but you're not letting go, well, how functional is that muscle going to be? You know? Exactly. And what men don't realize, like before you contract, you have to come from a place of relaxation. You cannot have a contraction if you're already up here. So to start the wave, you know, you need to come from far, right? The wave doesn't start on the shore. It starts way back. And so this is kind of the same concept. If you're already up in a nut, well, there's nowhere to go. There's nowhere that those contractions can start happening. And if you are

in tune with yourself, you learn that ejaculation and orgasm both, you know, they're waves of contractions and, you know, relaxation. So you need to be aware of that to be able to make that happen. And yes, there's physical exercises that obviously you do that I also advise on and coach on to be able to attain those goals, but it all starts with awareness. And that's why the passing the wind passing gas it's so essential for them to kind of like oh yeah click get it right and the you know starting and stopping the urine also helps it's just that passing gas is funnier oh yeah totally relatable right i mean like you said we've all done it we're just not really aware that we're doing it yes we're all we've all done it you know absolutely so usually it's kind of a

it's kind of a um happy moment for us it's a joyful moment and they laugh but they're like oh wow yes you're right and so so i have my little you know my little jokes that i tell during the session to help them become aware um now probably this happens to you when they kind of start looking inside it's almost like they're they're in a state like trying to locate those muscles and trying to to really turn their eyes inside out or or outside in to look inside and locate them but once they get it then progress can be made and that's why for me it's so important for them to become aware of where they are what they do and feel them feel them for a little while before we start even the exercises because it's going to be crucial for them to find them because

you know, if they don't do them right, the exercises, then change is not attained. So it's very important that the technique is spot on, that the technique is crystal clear for them to be able to go do the exercises and then change. Absolutely. Love it. Love it. And on that note, I think it's helpful to maybe mention from your end, the difference between orgasm and ejaculation, because you can have an orgasm with without ejaculation it's so funny because i just received an email a few minutes before we started uh from a guy saying can you have one and not the other or separate and yes orgasm and ejaculation are two activities to different events usually they they happen at the same time and that's why guys correlate one with the other however

guys can have orgasm without ejaculation they can have the waves they can have the contractions with nothing coming out and they can feel those waves of pleasure kind of full body and and soak it in and enjoy and they can have multiple of those before they even get to ejaculation and if you don't believe it or if it sounds hard for this to be achieved think about post prostatectomy When there has been prostatectomy, besides other issues, guys cannot ejaculate, but they can have orgasms. So the orgasm is not gone. I think there's a lot of misinformation and lack of education when it comes to prostate surgery. Like, oh my God, my sex life is over. Pleasure is gone forever. And it's not true. they can still feel those orgasms but they're not going to be able to ejaculate so that's a great example of how you can have one without the other and I have found men in my practice who have the ejaculation without the orgasm there's no pleasure there's no warning there's just a

an eruption and they're like oh yeah there it happened and it's kind of a an uneventful event um pretty undesired because they're not feeling really the pleasure and the the you know those sensations associated with ejaculating and having an orgasm so you can't have one without the other and the same systems kind of come into play however ejaculation in itself it's its own it's its own event it's its own system but usually guys learn from a very early age that those go together and they think that they're going to be married forever to those two events and they're going to happen simultaneously for life, which is not true. Right, right. And in your opinion, what organ is the most important organ for orgasm and arousal and libido and all that?

There's one very important organ and it involves a head. However, it is not the penis. It is actually your thinking head that's the head that you want to use that's the head that is the most sexy that's the head that is going to do all the job for you that's where it all starts and that's the most important one right here so you have two heads guys only one is the one that you should really really be paying attention to because that one is going to tell you what's going on in the rest of your body what everything is doing how everybody is connecting so you have to be very very aware up here to be able to control the one between your legs beautiful and a great note to end on honestly guys pay attention to your head this one not done yes that's great that is awesome

great fantastic how can listeners and youtube watchers connect with you and follow you i have various means. So they can definitely go to my website, Texas sexual health, very, very easy texassexualhealth.com. And they can find me there. And there's all kinds of contact information, they can chat with me, they can send me a note, and I'll answer back via email, they can send me an email directly, they can call me. So there's all kinds of good information on the website. They can also follow me on Facebook, either personally, Dr. Tanginika Kwaskud, or they can also go to Texas Sexual Health through Facebook. And I also have a YouTube that they can connect to. And hopefully we can connect this to that YouTube channel as well. And they can see all

kinds of things related to sex. Oh, absolutely. And thank you so much for the work that you do. We are a very special breed. Yes, we are. Thank you so much for the work that you do. I have told you that I use pelvic floor specialists around me. And now I'm starting to refer to you. Because thankfully, and thank you so much for being remote and for being able to help people from a distance. So people who cannot physically go to a pelvic floor specialist, they can get help through you. You have all those wonderful videos that help guys achieve these goals. So I am very grateful for you. Thank you for the work that you do. And please continue. continue to do that well thank you so much and thank you to all our listeners and watchers out

there as always in loving wellness for your pelvis this is dr suzy g signing off thanks for being here thanks for listening to today's episode be sure to head on over to drsuzyg.com where you can get more information show notes and related articles on today's topic also if you like what you're hearing head on over to itunes subscribe to the podcast and leave us a rating and review We'd love to hear your feedback. Thanks again.