Sex With Emily - Strengthen Your Sex Muscles

Episode Date: November 6, 2021

When you hear the words “pelvic floor,” what comes to mind? A visit to the OB-GYN, maybe? The truth is, the pelvic floor is a hidden superstar of sexual pleasure, for vulva AND penis owners. We all have a pelvic floor, but the problem is, we don’t always know how to take care of it. That changes today because you’re about to hear from the pelvic floor expert herself, Dr. Patricia Wallace.In this episode I talk to Dr. Wallace about “living your best life in your best body,” and how focusing on the pelvic floor can unlock our feel-good potential. We discuss the intricacies of orgasm because guess what? When you strengthen the pelvic floor, your orgasm contractions get more intense, and tiny muscles you didn’t even know you had amplified your pleasure. We can also heal pain and prolapse through pelvic floor rehab, and vulva owners will find a lot of relief hearing Dr. Wallace's thoughts on aging and hormones. Turns out, you can nurture your hormonal health well into menopause, without scary side effects! Leave it to a doctor to put our minds (and our vulvas, and our penises) at ease.Find out more about Dr. Wallace here:pelvichealthwellness.comFacebookInstagramFind out more about Emsella treatments here:bodybybtl.comFacebookInstagramTwitter Hosted on Acast. See acast.com/privacy for more information.

Don't stop asking questions if your provider shuts you down. Keep going because if you don't feel right, if you don't feel good, I can't tell you're many women come to me like, my doctor says my labs are normal. I'm like, well, they may be normal, but maybe we can optimize you with supplements. Maybe we can look at blood flow. Let's do some enhancers sexually. If we need to do that, just even for sensation. There's like so many different things

that we can do, right? You're listening to Sex with Emily. I'm Dr. Emily, and I'm here to help you prioritize your pleasure and liberate the conversation around sex. Okay, so when you hear the words pelvic floor, what comes to mind? A visit to the OB-GYN maybe? The truth is, the pelvic floor is a hidden superstar

of sexual pleasure for a vulva and penis owners. We all have a pelvic floor, but the problem is we don't always know how to take care of it. Well, that changes today because you're about to hear from the pelvic floor expert herself, Dr. Patricia Wallace. On this episode, I talked to Dr. Wallace about living your best life in your best body, and how focusing on the pelvic floor helps unlock our feel-good potential. We discussed the intricacies of orgasm, because guess what? When you strengthen your pelvic floor, your muscles contractions get more intense and tiny muscles you did even know you had to start amplifying your pleasure.

We also heal pain and prolapse through pelvic floor rehab. Volv owners will find a lot of relief hearing Dr. Wallace discuss aging and hormones. Turns out you can nurture your hormonal health well into menopause without scary side effects. Leave it to a doctor to put our minds and our vowels and our penises at ease. All right, in Tensions with Emily. For each episode, join me in setting an intention for the show.

I do it, and I encourage you to do the same. When my intention is to give you an overview of how important it is to pay attention to your sexual health and the latest and greatest technologies that can help get you there. Please rate and review sex with Emily wherever you listen to the show. My new article, Five Ways to Use Communication for Better Sex is up at sexwithemily.com. Also, check out my YouTube channel for more sex tips and advice. If you want to ask me a question, just call my hotline 559 Talk Sex or 559 825 5739.

Just leave me your questions or message me at sexwithemily.com slash Ask Emily. Alright everyone, enjoy this episode. Before we dive into the interview with Dr. Wallace, who is a pelvic floor rock star, I want to give you a little info about the importance of your own sexual health and some things that we cover in this interview. First, know that sexual health is important for both penis and vulva owners. We mainly discuss two things in this episode, pelvic floor strength and hormones. So I do talk about the importance of doing your cagulaxiocytes all the time. Makes for stronger orgasms. It can help with urinary incontinence, but a lot of us don't do the right technique, so I

want to clarify something that I do talk about in the episode. And that is the BTL MCElla. You can go to their website and find a local provider, it's bodybybtl.com. So basically this chair, it's a phenomenon. And it uses electromagnetic energy to deliver thousands of pelvic floor muscle contractions in a single session.

So you're doing like 12,000 kegels in 28 minutes. I've set on this chair, and it is really incredible. You sit on it with your clothes on for 28 minutes, and you go a few times, and it strengthens your pelvic floor. And I wanted to bring you more about this, because I think that we just don't know a lot of about a lot of the technology that's out there to help us all today. Men can also sit on this chair. They also have something called core to floor that BTO also has. So essentially, when I say core to floor, I mean that these are not only great for a six pack, but it also just helps your floor, which is the hammock of pelvic floor muscles.

So when I say core to floor, if you use these technologies, the M-Sculpt Neo and Mcella, essentially that's building strength to these foundational muscles. And it can help with back pain, help you with balance and flexibility, incontinence, improve your sexual functioning and pleasure. So I've been really interested in these technologies for a long time. And the points of your sexual health and pelvic floor, I always want to bring you new solutions to a lot of the sexual problems and pelvic floor that I always want to bring you new solutions to a lot of the sexual problems we all have. If you want to learn more about what we're talking about,

you can check out bodybybtl.com or at BTLSthetics. Also, we talk a lot about hormones, and I have tried bioidentical hormones the last few years, and I would be happy to talk more about it on the show, but let me just say this, you really do need to find the right doctors. You might have to go to a few. A lot of doctors are not up on what we actually need

when it comes to aging and hormones. And I've had mixed experiences. I do find that it's helped me with focus and energy and sexual health. It's really frustrating, especially being a woman because a lot of doctors don't know a lot about this. You'd think you go to a gynecologist and she's gonna be the one that's gonna help you or he

and this is still pretty new information. Unfortunately right now, a lot of our health insurance don't cover this, but I think that going through Perry, Manipause and Manipause, I'm going through it now, and I'm trying to learn as much as I can to bring you the information. And what I'm finding is that everyone's body is different. We all metabolize hormones differently. We all need different things. And so it's that's what I'm saying that I wish there was a one-size-fits-all solution. No matter where you're living in the world, I do believe that you can find people who are

hormone specialists who will take the time with you, that you can get your hormones checked, you can meet with them frequently and see what is working for you. But you don't have to settle for any of the pain and suffering that comes along with a lot of these life changes. So you have to take your sexual health into your own hands. There's also more information about these technologies on our Instagram, on our IGTV. So check that out now at Sex with Emily. Dr. Patricia Wallace is dedicated to restoring pelvic health and women's wellness with

the goal of supporting women living their best life, regardless of age or condition. Her focus on women's wellness includes comprehensive and integrative treatment for pelvic disorders, pelvic floor dysfunction, sexual health, menopause, and bioidentical hormone therapy, including bio-T, pelvic hormone replacement therapy. You can find more about our pelvichealthwellness.com and our Instagram is pelvic health wellness. Dr. Wallace, I am so excited to be here in your office to say thank you for having me because this is such a huge challenge for so many, I know you work with men as well, right, but it's mostly women.

But we all have pelvic floors. Yes. And we all sometimes have challenges with our pelvic floor as overtime, or especially I know for women, childbirth, hormone changes as we get older. So talk to me about pelvic health and wellness. Why is it important? So thank you so much for being here.

I can't even tell you what an honor it is to meet you, by the way. This is my practice. This is my dream. This is my baby. And I have so many amazing ideas of how to continue to develop education awareness and inspire women to live their best lives in their best bodies. So my field is called EuroGynecology or female pelvic medicine reconstructive surgery.

And that field as an entity, as a specialty, takes care of all pelvic floor disorder. So what is a pelvic floor? What is a pelvic floor disorder? So we all have pelvic floor? What is a pelvic floor disorder? Right. So we all have pelvic floors, you said already. That's what we do. Yeah. And the pelvic floor is an underachiever for because none of us really know what it is. So it is made up of the muscles that hold our trunk, our legs, our bones, everything together. It's basically the foundation of your core. And it's interesting.

I didn't really understand this until maybe the last five years that our core is made up of our abdominal wall, our back muscles, our glutes, and our pelvic floor. And many women have the same exact pelvic floor. We have all the same muscles. And these muscles help us with our trunkal stability. They help us stay continent. They help us have good sex. And so it's unfortunate that not many people are aware of their pelvic floors. Right. Exactly. Until there's a problem with it. Until there's a problem. And so that leads you to pelvic floor disorders. Okay. So let's talk about that. So someone comes to your office.

Yep. What's going to bring them here? So I see women age 16 to 100. My oldest patient is 100 and she's a spitfire. She's so amazing. She's amazing. But what usually gets women into my practice, and actually on average, women see five different doctors and maybe wait six years before they come to a practice like mine.

They sing. The first thing that brings women to the practice is recurrent bladder infections, because women have sex and we get bladder infections all the time. All the time. And so I have little tips and tricks that I told women all the time about how to do that. Okay, can we just like massive biohacks?

I kind of want to go there right now. We can go there. Okay, just really quick hacks. Quick quick quick quick. Because I get that question all the time. Why do I keep getting a UTI? Why do I keep getting? Why? Why do we do that?

Well, it's mechanical. It just pushes stuff around and things get shoved in our urethra and our bladder is Receptive to bacteria and so all the basic tips that we know about or some women actually don't know you know You have to void after intercourse He had to really any sort of play you have to get the urinal Right and then certainly maybe rinsing the area these are little tips and tricks But my bio hack is taking a supplement called D-manos. Have you heard of that?

No. So D-manos is a sugar that travels through the body undigested, lands in the bladder, makes the walls slippery, and the bugs stick to the sugar, and then they wash away. So that helps from women who are getting repeated bladder infections. And so I put women on that all the time.

Got it. So those are the 60, maybe the younger women come to see you. Yeah, actually. So those are the 60, maybe the younger women come to see you. Yeah, actually, so women young sexually as a trigger, but then you hit menopause. Yeah. Our mones go down. Estrogen reduces in the vaginal area if they're not taking supplements. And then we have that secondary peak in life of recurrent utiates in menopause.

And I see so many women who then avoid intimacy in all shapes and sizes because they're worried about bladder infections because they're so painful. I have heard that they're getting UTIs again, and again, this is because of the loss of hormones, estrogen, which puts their reach for at risk. Exactly. Okay. I mean, this never amazed you that there's women that more than half the population is going to go through menopause.

And something about paramanopause, to men menopause could be like a 10-year transition. And yet we do nothing. We don't. It's still shrouded in mystery. It's so deep called a transition or the changeover. But I'm doing this show because I get so many questions about this all the time. What do I do? Going through paramanopause? Is it paramanopause? My partner is going through it. She doesn't want to have sex. There's pain all the things. And so I feel like you get that every single day. Every day.

What would you say? Like a woman comes in, like let's talk about that. A woman who's like, I think it's paramedic pause. What's your first step? So the first thing I tell women is that you don't get through menopause, you go into menopause and you never leave. Because that is the third stage of our life

where we enter into a hormone deficient state. So my philosophy is, why would you ever deprive yourself of these beautiful substances that keep you youthful and help reduce your risk of chronic illness? So the whole concept of transitioning into menopause, menopause just means one year no bleeding. And then your postmenopause. But I use them interchangeably. And the 10 years leading up to it is the parry menopause, where we start to have mood changes.

And our cycles go crazy. And our sex drive drops precipitously in our 30s, because testosterone is just going down, down, down. And so once we hit that wall, everything gets low. And my really goal is to educate women before that. So they know and prepare for this stage of life and help them have better vitality and longevity. And it is about hormones, which is unfortunate because it has a bad rap from 20 years ago

when there was the study that sort of scared everybody off of hormones. And that study is really not very applicable these days. I got this said that you shouldn't take hormones because it's going to cause cancer. Correct. The Women's Health Initiative said that. So yeah, there's a lot of them that say, well, I can't take hormones like because I hear from women of all ages up who are having a hormone challenge is it could be from the birth

control pill. It could be from other medications. There's just so many things that we just didn't understand about hormones and we're starting to understand now. So you start with them testing the hormones? I do. So we have a comprehensive questionnaire and I'm always asking women about their life goals, their body goals, their wellness goals.

So most women want to lose weight. Everybody's afraid of cancer, but what people don't know is that we die more of heart disease. So I'm like, we just need to make a plan for your wellness for the rest of your life. And then we talk about their sexual wellness. So how is your orgasm? And I ask all the time, how's your orgasm? Is it literal? Is it vaginal?

Because I'm learning so much even at this stage of my life I've had access to that thing. That's great. 80% of women can't have a vaginal orgasm. That is tried and true, even in my practice, like the answer. But here's an interesting fact. 80% of women can't do a pelvic floor contraction.

And so I think they're related. And that's why I think chair works for that. Oh, they can't do the, they can't do the kegels. They can't. And it's, I think it's related to your ability to tap into the vaginal orgasm. I know that the guest you had said it was technically like the G spot lower, literal orgasm. But I still think there's a higher up bad room.

Talk about this. Let's talk about the machine then. So this is basically an orgasmic machine. Well, I mean, everybody wants to call the orgasm chair. What I would say is that my experience with women and I check women every single day, is that one, we don't have body awareness

on how to identify muscles in our abdomen in our pelvic now. Floor. They can't do a cagal or pelvic contraction. And so I send women to pelvic floor physical therapy to learn technique and breath because we don't do the right breath, right? And it's funny when I do it around for BTL. The first thing I do at the beginning of my lecture is I teach the entire audience how to do proper yoga breathing with a pelvic floor contraction. We're gonna take a

quick break but we come back. Dr. Wallace is going to walk us all through how everyone, yes, even you listening can do a kegel. Can we do that? Let's do it. Okay, let's do it. Oh, this is important. It's fun.

So, I've learned this from the physical therapist. So, the first thing you want to do is make your feet flat on the floor. Okay. And then kind of get your triangle, your perinium, a little bit more forward on the chair. So, you can kind of feel it. So, you can rock back and forth on your seat. Okay. And hands are on your head, on your knees.

And then let's just do a couple of breaths before we work on the pelvic floor. So, in yoga, we breathe in and we puff our belly up. Okay. And as we exhale, pull your belly button in and you're doing it perfectly. Let's do it again. And then exhale. Now I want you to think a little bit about your perineum

and when you exhale this time, notice if it hurts. Perineum, let's just explain it. So perineum is the space, the triangle that's between your sit bones. So, imagine like the front of your pubic bone, back to your tailbone, and you just want to sit forward a little bit. And one of the tricks the physical therapist does, they roll up a towel and you sit on it so you can feel it. But you can feel it pretty good if you just kind of sit forward. And all genders can be doing this right now.

Men and women have the same pelvic floors. And so, the men in the audience have to do it too. And I heard the breathing and doing it. We have kind of, we can do it. So we're gonna inhale and puff up our bellies. And as you exhale, do you feel your pelvic floor lift up a little bit off the chair? It's a little natural. Oh, they don't do it again. And then exhale. And you can really pull it up if you're fast. Yeah, but it's so awkward when you're breathing out. You're lifting it up. It's opposite of what you think. It is. Well, that's why it's so tricky.

It takes a beat. So that's kind of how you can locate it. And we do a lot of times we do the wrong incorrectly. We're just like pulling in and squeezing our butt cheeks. Okay. So you have found that women that aren't able to do that, because I always say it's your pee stopping muscles. Right. Which we don't stop people to do it while they pee because it's not good for your

brother. But it is those muscles. Yeah, just check. I always say it's the pee because just so you guys know what we're talking about in the vicinity, it's your peace-stopping muscles. Like let's say someone's not going on the bathroom door and you're peeing and you're like, oh, I gotta stop. It's those muscles.

That's your, but it still can be hard to identify and to make sure you're doing it right. So now you have this cellar chair. The chair. I, this chair blew my mind that you could send chair fully clothed and it does your caggels correctly. It does. Well, it does that for you. For you.

And, you know, my discussion with women is, first of all, we can't do enough to ever get strong and who wants to stick a vaginal weight in there and walk around and try to do body building when we're just trying to even get shapely in our arms and the rest of our body. So I'm just like, I have no time for that. So I did it once I wore it around to a meeting that fell out. Exactly. It rolls out your pants and onto the floor. It's embarrassing. So the chair, the M-seller chair, M meaning electromagnetic cell-a-meaning chair in Greek, delivers super maximal pelvic floor contractions, and it actually gets the entire pelvic floor.

So even when we're doing or practicing those, we can't recruit all of those muscles, and it's made up of a bowl of muscles of very fancy names, right, of the pelvic floor muscles. And so it actually does about 12,000 of those in a 28-minute session. Okay. And so, when I first, I was like, well, I don't know if that's a good thing. Right. Like, do you ever get, can you do 12,000 in a lifetime? No, right. Right.

And so, that's what I do to a woman. Like, even one session, you do more than you would ever do. Okay. But what happens is just like any muscle that you fatigue, you get body building of your pelvic floor. And so, after you've done the base of six sessions, which is what they figured out gives you that predictable result. There's MRI data to show that the muscles are thicker and lifted.

They've actually done scientific studies, which I think is amazing. That's just the anatomic changes. One of the other changes. They looked at quality of life questionnaires that reduces incontinence, which is sneezing and peeing. Sneezing and peeing, or you ought to go to the bathroom and I can't leak it before I get there. But the last studies that they've done in the male studies are about to be published

too. Is that women have an improvement in all five domains across the female sexual function index. So lubrication, arousal, desire even. Come on. Satisfaction and orgasm. Just from the six sessions on the chair. Yeah, that's incredible. So you're saying the women that were previously not even able to do this cuddle squeeze correctly, after six sessions. They had satisfaction, if you want satisfaction.

So whether they can actually physically recruit their own muscles and have that mind body awareness, it has not been actually looked at because that's hard to impact. So whether they can actually physically recruit their own muscles and have that mind body awareness It has not been actually looked at because that's hard to impact You know, I can give women hormones sent them to physical therapy give them vibrators and they're not gonna get all five domains increased on Men for men. What are men saying? Well, so they're studying that so I can't really talk But they're looking at orgasm and men. I'm hoping there's gonna be some data on erectile dysfunction But I think that all men who have at orgasm and men. I'm hoping there's going to be some data on erectile dysfunction, but I think that all men who have post-prost detectomy, 95% of men have urinary incontinence. So

men need to get in here and sit on this right away because no man wants to go into a physical therapy office and start doing cagol. No, you can't even tell me to, for sure, explain to them that he can do cagols and it's all the thing. We've already lost some at point. Lady thing. Okay, exactly. So let's go back to it. We were talking about when we were talking about orgasms, we were going to come in and you're helping them with that, and you're helping them with hormones. So you test the hormones, because I just,

I mean, literally I get this every day, what do I do? Is it paramedic pasta? I always get your hormones text first, and then you get your hormones checked, and then you look for, like, couldn't most women at a certain point or men need some hormones?

True. And so hormones encompasses a lot of things. We always think of hormones as estrogen or testosterone, but thyroid optimization is so important. So I've done a lot of studying about how to functionally improve that. And then our adrenal glands, because that helps with our metabolism and our energy. And so I look at all of those. And there's lots of different ways to test hormones. I happen to be someone who looks at blood levels versus saliva levels. And there's so many different and there's lots of different ways. And if your doctor is an expert in that area, then you go with that.

Okay. But I will say, unfortunately, that conventional doctors, conventional providers are not going to treat someone whose lab values fall within the parentheses of the lab. Okay. And when you look at functional medicine, you have to look at the optimal range of hormones. My goal is to continue to help people be in the optimal range.

Depending on their age, women after 30 can take testosterone because all of us are low. The challenge is that we don't have an FDA-approved form of testosterone for women. All of us who take care of women are treating off-label, but it's fully accepted. And the ranges that we get women in are outside the lab parentheses, which some people would look and go, oh my gosh, your testosterone is too high. Well, we're not giving them sex change levels.

We're giving them levels to feel awesome and build muscle and have a really good sex drive. Okay, so you're finding that once you replace the hormones in a lot of there, and it's also estrogen, testosterone, progesterone. Depending on the age, depending on their age and what they need, how does their sexual functioning change? What is the difference that you see? So it's interesting because I will say that women lay a little bit older, like 40s to

60s, they see a bigger bump when you give them testosterone than someone who's younger. Okay. Right? Because it's not all about testosterone and desire. I mean, there's so many things as you know, right? Right. Lock goes into it.

I mean, it's life and it's body image. And it's, do I like my partner? Do I like myself? Exactly. Right. So it's not that everyone needs hormones, but is there any like basic advice you have? Just like I said, you had your hacks for like UTIs. Like what are the first steps for women who are thinking that it's paramanopause, let's

say? So definitely don't stop asking questions if your provider like shuts you down. Like keep going because if you don't feel right, if you don't feel good, I can't tell you how many women come to me and like, my doctor says my labs are normal. I'm like, well, they may be normal, but maybe we can optimize you with supplements. Maybe we supplements are important. Right. Maybe we can look at blood flow.

Let's do some enhancers sexually. If we need to do that, just even for sensation. What's in the enhancers sexually? Well, there's like so many different things that we can do, right? I mean, there's like, that's another hack, right? So there's this spray that you can do under your tongue, not down there, that has L. Arginine and Norvaline in it, which feeds into the nitric oxide pathway. And there have been studies that Viagra doesn't really work in women, but this kind of feeds

that blood flow arousal kind of component. Right away, is it immediate? Well, so it's supposed to be a daily supplement, just like anything else, but I tell women you can probably take it like a couple hours before if you know you're going to be intimate because I feel like there's a little surge. A surge, okay. So there's like a little hat like that.

I think this is what you need. I think we have to normalize the fact that every woman's going to go through some change in their sex drive and their desire and their bodies. So I hear a lot, is sad and it makes me sad for women is that you know I feel bad for my husband because I just don't really want to have sex anymore. I'm like don't you feel bad for you because having a good orgasm and good sex is like amazing and let's figure out how we can tap into that.

Yeah it's like we've orgasm amnesia we don't have it we forget that we liked it. We're like no you like sex remember don't you want that too it sounds like that's what you're saying to them. We don't have it, we forget that we liked it. We're like, no, you like sex. Remember, don't you want that too? It sounds like that's what you're saying to them. It's true, but you know, you get to talk to so many different people and in sort of the regular population, a lot of people haven't really ever even had the amazing orgasm. And some women are relying on their partners to give them orgasm. And I'm like, you need to watch sex with Emily

because you're responsible for your own pleasure. Your responsible for your own orgasm. And then you can share with your partner what you need orgasmic, Lib. And I'm trying to educate women younger now. So I'm seeing, like, sort of the postpartum population. And I teach at, let that postpartum. Right. That's a whole lot of teaching.

That's a lot of teaching. And we teach to couples who are pregnant. And I'm like, this is what's gonna happen to your pelvic floor, but this is what we can do afterwards. And by the way, it's two and now it's three. How do you get back to you and you as a couple? And so we've normalized what it's like to be sexually active during pregnancy, what it's going to be like in that fifth trimester, fourth trimester after transitioning back to a normal intimate life. And what happens with your hormones are really low, you have no sex drive, everything hurts,

you might have a scar now, and how do you get back to that? Well, this is what we've to normalize as well, because most of them have postpartum depression, and we just don't, like, oh, I had, I feel like to come out in a minute, I would think that every woman would have something, like after, because your hormones are gonna change,

so when you have some kind of depression or mood change afterwards, it's common to have some sort of transition. But I will say that if natural that the hormones are down and we're breastfeeding and that serves a purpose to nourish the baby and not get pregnant again. Honestly, I know we, we're getting so many questions to you from people saying, pregnant sex, can you talk about it? What happens if a couple comes in? What do you tell them is going to happen to say

what kind of sex should they look for during pregnancy? I mean, if you have no risk factors, you can have any kind of sex you want during pregnancy. And there's so much blood flow down there that you might have like the best sex of your life. You know, again, normalizing that. Positions are obviously like sideways are really good one because the belly gets in the way and it's not comfortable to be on your back. Exactly. When you have this big belly eventually. And then postpartum, depending

on childbirth, you know, you just have to wait till things are somewhat healed because everybody has, it is still somewhat traumatic. It is traumatic. Well, that's the other thing. I think that doctors, a lot of them tell women, you're going to be great in six weeks and they're not and then they start feeling depressed. Yeah. How many women are really ready at six weeks? It's not realistic. It's not realistic. No, it's not. I would say like three months is probably realistic.

So exactly. After the break, Dr. Wallace and I set the story straight on how childbirth really affects the mother's body. So what would you say to women who say like, I have some friends who are like, I don't know if I want to be a baby because I'm afraid of what's going to happen to my body. Yeah. I mean, you know, I'm a Euro-guided college and I had three vaginal births. Okay.

The data says that that causes incontinence, prolapse, et cetera, et cetera. But it's interesting. I'll see women who've had six babies and nothing is falling down and everything is perfect. Okay. And some women will have two babies and things are relaxed. Okay. So you have to control the birth and not have a huge baby. And the bottom line is hopefully now. We're not have a huge baby. How you control that? Well OBGYNs will keep track of the size of the baby. C-U-U-C section or something. Right. Which is not as readily available. And we don't want to do prophylactic C-sections because that's a big surgery. Yeah, yeah, okay.

And you know, you're making scars and you have risk factors associated with that. So I would say that it's a miracle of life. It's a natural thing, but guess what? You don't have to wait till you're 55 to address and prevent some of the issues that I take care of later in life. So what happens?

So what could people do right now to take care of that after they are having prolapse? Would you put them on the chair? You have it? It's one of the other. Like I know you have the court of floor program. So I would even say before that, pressures on the pelvic floor, marathon runners, cross spitters to be a marathon runner. Volleyball players.

OK. So everybody's pounding is putting pressure on their pelvic floor, educating women who are younger, even in their 20s, you need to strengthen your pelvic floor, like the millennials. They just need to know what they need to do. I'm like, you need to have a strong abs. Why do I need to have a strong pelvic floor? So you don't pee your pants later on in life. Just sit on the chair.

You know that sort of thing. Be aware of your muscles. And in our 30s, when women maybe have maybe have babies maybe not or are starting to have different changes in their bodies. So I think it's important to know that you have to have strength in your core and you don't have to wait till you're leaking or till you're having orgasmic dysfunction or lack of sensation in whizzacks or you have a lower back issue and oh, by the way I need a strength in my core for that too. Because a lower back can be related to week everything, week belly, week pelvic floor. For that exactly. A lot of women are going to go to their gynecologists.

And their gynecologists might say, take a diet of present or hear some synthetic hormones, but they don't have as much of the range and a lot of women have to go pay out a pocket. Because a lot of it isn't covered by insurance. Right. But that's, I'm just trying to, like, sort of, and then I think it's 2021 and there are more resources now and more women are talking about it, but I'm just thinking like, keep, so keep asking questions, you might have to go to four or five or six doctors. Exactly.

And here's the challenge. I think that a lot of women understand that insurance pays for illness, but you, it doesn't pay for wellness. And so I think that now that we're getting information out there, and women realize like, my body doesn't feel normal, I don't feel normal, they're going to keep seeking answers until they get the right answers. And so being your own advocate is so important. And if you're a provider, OBGYN, your family medicine doctor is not running hormones, but you need full blood panels running, you know, getting your hormones checked, your testosterone, your estrogen, your progesterone, your DHEA, which is your adrenal band, and

your thyroid. So many people are suboptimal on their thyroid, and that alone can help with your body composition, your energy. And you may not need any hormone supplementation rather than replacement, because what I tell all of my patients is that we just outlive our endocrine glands. We're living 30 more years than we used to. Right. 200 years ago. And we just haven't caught up.

So whether it's the testes for testosterone or the ovaries for testosterone and estrogen or the thyroid or the adrenal glands, we're going to need some sort of supplementation if you want to feel like a normal person. Okay, and it's safe. And it's safe. Yeah, this is just the information we have to get out here. We absolutely have to get out there. So, is there anything else with medications

or anything that you find that people are coming in for that might be affecting their ability to have sexual pleasure or have orgasm or what you find? And you probably talked about this too, but it's true. So many women just today, I saw a patient patient and she's like, she cannot take estrogen, unfortunately, because she has a blood clotting disorder. Even though if you go through the skin, it's safer, but you just kind of have to be mindful of certain considerations.

And so she was put on a manateid depression, an SSRI, which we know notoriously not only reduces sex drive, but blunt orgasm. And so does the birth control pill in certain ages of women. And so medications are a big one, hypertensive medication, even migraine medication. And so you're kind of working around those medications in trying to restore someone's sexual health. Okay. Some of the practice we talked about the chair, but what about the court of floor?

Court of floor? Could you just tell me real quick about that? So I'm a big advocate of being strong. Like I think strong is beautiful. I like to lift weights. I've lift weights since I was 15. But you know, when I was a cheerleader in high school and they decided that the football coach was going to take all the cheerleaders into the football weight room and we all started lifting weights with the football players.

So we could be strong and so I have never put down my weights. And so my biggest thing for my patients who are concerned about their body composition is you have to have muscle on your body. You don't have to be a body builder and your body is going to shape the way it's going to shape. I had to embrace my thighs at some point in my life. And my butt. And everybody's like, what are you doing to your arms? And I'm like, that's the one part I've never sculpted.

But the bottom line is that when you have a strong core, it's more than just looking good in your clothes or your bathing suit. It's important for your back. It helps with balance as we age. It helps with our continent. So core to floor to me is strengthening your abdominal wall, strengthening your back, strengthening your glutes,

and strengthening your pelvic floor. And I am so blessed to be able to have three of the devices that BTL offers that are cord of floor devices. So, the MCL gets the pelvic floor, but it also reclutes the lower abs a little bit in the glutes, right? And you've sat on it before. I sat on the chair.

It's that whole time. I might want to stay in stand-stand chair. I know. I sit on it once a week and I chart some times on the internet. It's hilarious. I've got like two computers. I love it.

But the magnetic energy delivered to wherever you deliver that energy typically is going to build muscle. And if you activate the radio frequency, which is the heat, it's going to reduce fat and tighten the skin. And I think when I first was looking at, for example, M-Sculpt, the original one, there wasn't the radio frequency. And I'm like, you need to burn fat before I'm going to get that device, because I can build all the muscle I can in someone, but they're not going to see it. And so I think that now that we have consistent scientific studies that show both effects,

that's incredible. So I think it's just been an amazing for me way to present to patients why it's important to be strong court of floor for pelvic and sexual health. I mean, there's that. That's a thing. There's a lot of aesthetic benefits, great, good to seepack. But you know what, if you're strong, you are sexy from the inside out, and I love that.

I feel confident. Yeah, exactly. I love that it's inside out. It is true, because when you have that stronger core, you just walk straight, or you're feelable, cuff roller, your body, your posture, everything. It does make a difference. It helps, I did it to help with my back pain,

which I had for a long time. It's kind of miraculous. And I teach hot yoga at a studio locally. And I have some yogis that have come in. And they're like, they always sit out the ab portion of class. And then they came in and do the emcella and the em sculptor and like, well, now I know where my abs are. So they, they're going to do their abs. So it's almost like a forward motivator as well, even if you're not someone who's into exercise. Okay. Because you start to feel and notice parts of your body

that you probably never were aware of before. And you don't have to be an avid-execiser. You can be someone who really has limited mobility but just needs to build a little bit of strength. So it's just fascinating. I think the sky's the limit for the application of quarter-floor strength in okay. It's really important.

I mean, I wish I knew all of this. So I love that you have this advisory level of all ages right now. Like if you're running marathon or you're lifting weights to have like in your 20s. I guess when you're young you think, oh, well, this will never happen to me. Or you just think about it.

But and then it hits us. It hits us. That's it. Well, this is so helpful. Thank you so much. I so appreciate you. Dr. Wallace, I have to ask you the five questions that we asked all of our guests. Oh my gosh.

Ready. They're super. They're super quick. I know. They're quicky questions as we call them. Let's hope I know these. You will. Okay. What's your biggest turn on? Hmm. Probably when someone goes out of their way to do something for me, because I'm the acts of service person. Oh, okay. But your biggest turnoff, um, gonna be physical. Anything.

Like dirty, physical finger nails. Yes, totally. That's totally legit. Um, what makes good sex? I think communication, yeah, between partners. For sure. Something you would tell your younger self about sex and relationships. Oh, wow. Probably that you are technically responsible for your own pleasure and that

you would want to, that I would want to educate myself as much as possible now, right? Number one sex tip. Oh, I am such, oh my, one of my other biohacks is O'Shot CBD Rouser Oil, I love it. Oh, okay. I love it. I would say use that externally. CBD Rouser Oil, O'Shot. Okay, got it. All right.

My favorite. Oh my God, good. Thank you so much. It's so helpful. I appreciate you so much. Thank you. Thank you. That's it for today's episode, see you on Tuesday.

Thanks for listening to Sex with Emily. Be sure to like, subscribe, and give us a review wherever you listen to the podcast and share this with a friend or partner. You can find me on YouTube, Instagram, Facebook, and Twitter at Sex with Emily. Oh, I've been told I give really good email. So sign up at sexwithemily.com and while you're there, check out my free guides and articles for more ways to prioritize your pleasure. If you'd like to ask me about your sex life, dating, or relationships, call my hotline

559 Talk Sex. That's 559-825-5739. A go to sexwithemily.com slash ask Emily. Special thanks to A-Cast for powering the Sex with Emily podcast. Was it good for you? Email me feedback at sexwithemily.com.