Sexe Oral - Les secrets des pharmaciens avec Carl & Kate

Episode Date: January 16, 2025

Les propos exprimés dans ce podcast relèvent d’expériences et d’opinions personnelles dans un but de divertissement et ne substituent pas les conseils d’un.e sexologue ou autre professionnel ...de la santé. Cette semaine sur le podcast, on reçoit un couple de pharmaciens, Carl & Kate, pour jaser de santé sexuelle. Pour les suivre: https://www.instagram.com/carletkate/ Le podcast est présenté par Éros et Compagnie Utiliser le code promo : SexeOral pour 15% de rabais https://www.erosetcompagnie.com/ Les jouets dont les filles parlent: https://www.erosetcompagnie.com/page/podcast ---- Pour collaborations: partenariats@studiosf.ca Pour toutes questions: sexeoral@studiosf.ca Pour suivre les filles sur Patreon: https://www.patreon.com/sexeoralpodcast Pour contacter les filles directement, écrivez-nous sur Instagram: https://www.instagram.com/sexeoral.podcast/

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Starting point is 00:00:00 You can listen to Sex Orale one week in advance and without advertising on Amazon Music. It's available with your Amazon Prime subscription. Today's podcast is presented by Eros & Compagnie. And here we have a nice discount for you. So, the LaVent calendar, which was the LaVent calendar, which we now call the Love Calendar, because Christmas is over, with 24 products, 24 ideas scenarios. So if you don't have a lot of things at home, you don't know what to buy, the calendar, there is really everything. There are
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Starting point is 00:00:58 So, in your own way, a little challenge, a little new product once a week. So sexual code for 15% of rabies. Candles! A production of Studio SF. Today's podcast, we're welcoming Karl and Kate, who are pharmacists, and it's a slightly different dynamic today. They are the ones who led the podcast, who came here with questions,
Starting point is 00:01:24 and they gave us a quiz. Finally, we don't really know who won or lost. I won. Probably. We were pretty close. I think you were not worse. But it was super nice and we didn't see the time pass. I have like a clock in my head, after an hour I finished and I know it's been an hour.
Starting point is 00:01:44 But then I asked Nicole how long we were shooting, it was an hour and a half, I hadn't seen the time pass at all. So, meet us in our... They are really interesting, fascinating, they have a beautiful dynamic too, it's a couple. So we don't present them more. They will come to introduce themselves right now. Good podcast, thank you Car Carl and Kate! Hello, Carl and Kate! Hello! How are you?
Starting point is 00:02:24 I'm fine! Thank you for inviting us. I'm sorry, I had to cut. Thank you for inviting us. We're happy to come. We found you on TikTok. You make videos, super good videos by the way. It's a short, catchy, it says it all. So you give a lot of advice on TikTok. People who want to go see their platform, it's Carly Cade. Exactly. That's it. Carly Cade, you're really good.
Starting point is 00:02:49 And we wanted to invite you because we had already invited a pharmacist, and people are tripping. It's always fun, the pharmacists in Tabarouet. It looks like... And then I said to myself, we haven't seen everything in Tabarouet. Oh no. No, that's it. Always things to learn.
Starting point is 00:03:04 You listened to the podcast. Yes. Okay, so today you have new information for us. Exactly. We will try to get out. We have answered some questions. Yes. Oh my gosh. Yes, so basically that's it.
Starting point is 00:03:14 It's a real or fake theme today. I don't know if you were ready to... Well, so much, but I would just be curious to know a little bit about your journey. Who are you? How are you together? What is it? We are a couple. We met in the pharmacy, during our studies. We both did a little program before. I did chemistry. You did...
Starting point is 00:03:39 I went to HSC. HSC before going to the pharmacy. And we met in the pharmacy. We met in the pharmacy and then we practiced in the pharmacy. In then we found each other in the pharmacy, and then we practice in the pharmacy. In the same pharmacy? Not in the same one, we already work together. Yes. But most of the time, we work in two different pharmacies.
Starting point is 00:03:52 I work in community health only, so just in the pharmacies that are in the corner of the street. And Keitel is a little more mixed, it's the practice. Yes, but that's it, I work in a pharmacy and in a medical clinic in Lousigny. So it's still interesting, with several health professionals. But that's it, no, we became a couple towards the end of our studies in pharmacy,
Starting point is 00:04:13 just before the beginning of the pandemic. Because after, we were no longer at school, so we met in time. We met at the beginning, we were friends for a long time. But the two of us, when we met, we were in a relationship with different people. Oh, okay! We're getting there! We weren't, but that's why we were more friends at the beginning. We didn't think we were in a relationship. It's been a long time since we've met, in summary.
Starting point is 00:04:39 We're used to doing projects together. And it's interesting that we have this opportunity to do that. OK, cool! Do you answer your questions? Yes! Since you work together, you do the same work, you make videos together, do you have the same opinion?
Starting point is 00:05:04 Especially in pharmacy, we'll just say it. There are so many different discourses. Is there often a fascinating shikane? There was yesterday. There is the shikane sometimes. We can shikane, but it's not big shikanes ever. But it's more... it's sure that there can be different opinions on subjects. There are data, but sometimes it's... Pharmacy is often gray. That's right. There are several gray areas.
Starting point is 00:05:28 It's nice to have... You can make your decision, but there is one pharmacist who will make a decision, and the other who will make the other one. And are they going to have... Both can be reasonable decisions because there are gray areas that are not black or white. So sometimes we don't always have the same opinion, but most of the time it's... Well, let's say yesterday we were reviewing the questions a little bit, and sometimes even we were a little bit absent-minded, but it's interesting to have two different points of view. And I think we are really different pharmacists too. No, we are not exactly.
Starting point is 00:05:55 That's it. Both of us have points of view that come to complement each other. We are really two different practices. That's right, we have different areas, so we practice a little differently, but we complete each other. Sometimes we can reassure ourselves in the evening after we're stressed. It means reassuring yourself. Sometimes when you make a decision that you're not sure about, it's just the gray zone decision. It's more fun to have someone you can talk to and maybe you agree with that decision.
Starting point is 00:06:23 Like what? Pharmacy is really... I think that decision-making is always important. In fact, the job of a pharmacist is to make sure that the drugs are as safe as possible for the patients. And sometimes, let's say someone is allergic to a drug, well, we know that, we won't give them anything. But let's say if, I don't know, in situations where it's more gray, sometimes
Starting point is 00:06:57 some patients will have risk factors for maybe complications, and we don't know how to explain that. Well, no, but that's it. For example, you can have an interaction with a drug, and then there's a pharmacist who can decide, oh, I'm just not going to give that drug. There's another who can say, oh, I'm going to adjust the dose of the other, or we're going to monitor.
Starting point is 00:07:18 So, sometimes it's like more gray zone, it can be, oh, we could give it anyway by monitoring more closely. Then there's another pharmacist who's going to be, oh, I'm more afraid to give that drug, because of the interaction, it will change more. And both decisions can be good as long as we make a follow-up. Sometimes it's that, would you have done that? Yes, no. I understand.
Starting point is 00:07:35 You're often in agreement with me. I'm in agreement with you. You make good decisions. Oh, thank you. Does it happen to you that, because normally it's the doctor who prescribes a medicine, do you have the right to do it like, I'll go with the other, or as soon as it's written on paper, it has to be that? It's an interesting question because there has been a lot of progress in recent years.
Starting point is 00:07:57 Before, I would say several years ago, we had prescriptions and if we didn't agree with the prescription, we didn't have a choice, we had to contact the prescriber immediately. prescriptions. Si on n'était pas d'accord avec la prescription, on n'avait pas le choix, il fallait absolument contacter d'emblée le prescripteur. Si on avait une antibiotique qui avait une allergie, on était pogné avec tant qu'on n'avait pas parlé au médecin. Maintenant... Ça, c'est le médecin qui modifie en fonction de sa prescription. C'est ça, on pouvait lui suggérer une alternative, mais il fallait absolument que le médecin rédige une nouvelle prescription. Maintenant, on peut ajuster les doses d'emblée sans même pas essayer de rejoindre le médecin. Ça, on mettait par exemple, prescrire une dose qui est pas adéquate pour un antibiotique, mais on peut nous-mêmes l'ajuster d'emblée. On change We don't even try to get the doctor. So, for example, let's say we prescribe a dose that is not adequate for an antibiotic,
Starting point is 00:08:25 but we can adjust it ourselves right away. So, we change the dose, we notify the patient, and then we notify the doctor that we have changed the dose. And if, for example, we prescribe penicillin for a patient who is allergic to penicillin, we can change the molecule, but we must first try to get the doctor. So, let's say we are on Friday night. Sometimes it's hard to get. So, we call the doctor and we don't get in touch.
Starting point is 00:08:46 That's when we can change the medication ourselves. There have been some problems in recent years because if we didn't get in touch with the doctor, we were a little bit stuck. Yes, I see. I see it as an authorization to use a drug, but after the work of the pharmacist, it's really to analyze this prescription and to make sure that the drug is safe, adequate, that it's the right option for the patient, and that it fits his pharmaceutical profile. So yes, it's often that we will suggest, let's say, changes to the doctor,
Starting point is 00:09:22 that we will make changes ourselves. So yes, that's interesting that we can... We can suggest changes to doctors or to ourselves. It's interesting that we can... I was going to ask you the question before... We'll talk about it later. We are increasingly inclusive in everything. Even in the government, they changed their little document. In pharmacy, do you see the evolution of inclusiveness?
Starting point is 00:09:44 When you have a patient in front of you, do you have another discourse than before? Instead of asking how a woman or a man... Has something changed in relation to that, with your little training? Or do you sometimes happen to do it yourself, like, oh fuck, I may have asked the right question and it happens to you sometimes you're wrong. Well, basically we were talking with the intern I have in pharmacy at the moment, who is Beatrice, who helped us a lot for the episode. She studied at the University of Laval and she said that in her courses, now it was integrated, that there were notions on that. And you know, just like a difference, I would say that I noticed during his internship,
Starting point is 00:10:28 is that, you know, patients, we don't necessarily use pronouns, more so to call the person really by his name. But you know, let's say I would be super comfortable if I used the bad pronouns, that the person tells me, oh no, my pronouns are that, and we write it down in the file. We still have, you know, I would say we're not worse at this level. At my pharmacy, we will note
Starting point is 00:10:54 the relevant information at this level. It's fun. It's fun that you exchanged the... that you put that in the courses, inclusivity. Because before it was Mrs Madame Sylvie Rocher, now we're getting there. Exactly. No Madame, no. It's just Sylvie.
Starting point is 00:11:11 That's right. The name we have. And sometimes the name doesn't match the name we have in the file. Because it's complicated, the name we have in the file, it has to be the name of the person in the government. So maybe the framework is not changed. Sometimes, they display male or female sex, but sometimes, people who are in transition, it's not yet the day.
Starting point is 00:11:35 Exactly. We're going to put notes, the name of the person, let's say the pronouns. Cool, that's good news. I would say that there is still some work to be done. In the sense that I have already done a training on this, but it was not a Quebec formation. You know, to my knowledge,
Starting point is 00:11:52 I didn't find a training, I think, at this level. No. Quebec. I would not put my hand on it, but I personally, I didn't find any. But it's definitely very relevant. Cool. Are we ready for questions? Oh!
Starting point is 00:12:10 Okay, I'm coming. I'll let you ask the first one. Is there a kind of... Do we win something? What do we draw? A beautiful star, my God. A beautiful star. Please, give me a little shoulder massage after, please?
Starting point is 00:12:25 Like a 5-minute shoulder massage. Like that, at least, I'll force myself. Okay, perfect. Okay, my God, we're good. So we go with the first question, Zesmerelde. So in the end, it's true or false, that's it. Then go with... Plunge into the abyss.
Starting point is 00:12:44 Exactly. So's beautiful. Exactly. So, the first question. The use of the hormone contraceptive method in continuous and dangerous. Well, it's wrong. Wrong. Oh yeah? Well, yes. No, but because that's a question that I find that we really have often in our practice,
Starting point is 00:13:04 because you know, more and more we see contraceptive hormones in continuous, but it can make it that we don't have a breast. And I often have the question, it's not dangerous to not have breasts, you don't have to empty yourself every month. That's right, because contraceptive pills have a hormone break. The majority before, there was a pause before, so they're placebo. That's where we usually get the blood, but taking it in continuous is really
Starting point is 00:13:29 instead of taking the placebo, we immediately start a active pill that contains hormones, and that's where there's no withdrawal blood, as we call it. And there's no more risk of taking it in continuous or taking a hormone pause. And what are the reasons for wanting to take it in continuous or to do a normal pause. What are the reasons for wanting to take it in continuous? Different reasons. First, it could be more effective for the simple reason that the first week, when we took the placebo pause, the first week, all the time, the most risky week if we forget a contraceptive pill.
Starting point is 00:13:57 So if we realize 24 hours later that we forgot the contraceptive pill, we have more risk of losing the effectiveness of contraception. When we take it in continuous,, since we immediately start a placebo, instead of jumping the placebo, we jump the placebo, we immediately start an active pill, well, we don't really have this first week. So forgetting is less likely to cause a loss of contraception effectiveness. Again, if it happens to forget the pill, call your pharmacist to check, but we are less likely to have losing this contraception effectiveness.
Starting point is 00:14:25 There are many other advantages. And also other benefits too. Well, just first of all, the fact of not having breastfeeding. I was just saying that it's fun. Some people like that. But you know, sometimes there are people who want to have breastfeeding every month, and sometimes to avoid pregnancy or whatever. But you know, just the fact of not having breastfeeding, first of all, if we do anemia
Starting point is 00:14:43 because we lose a lot of blood, it avoids that. Sometimes there are people who have a lot of headaches during their stop, contraception, so if we take it continuously, it avoids that. People who have big stomach pains during menstruation, well, if we don't, we avoid that. So, you know, there's really a lot of advantages at that level, I would say. But in summary, you really had the right answer. And no, we don't have to have segments every month, that's all.
Starting point is 00:15:20 That's pretty much the answer. But in fact, it's because at the beginning, the pill was marketed like that, so that it's more accepted in society. More to mimic a natural cycle, let's say, pose. Let's say, pill, pose, pill, pose. But it's really not necessary. In short, it's a question we often have. It makes sense, I understand. I think I even asked myself
Starting point is 00:15:48 at the time. Here, there is someone who... Let's say we received a naturopath at the podcast. Naturopath, yes? I think we received her. And she explains that yes, it's a lot of advantage and there are people who really need it.
Starting point is 00:16:04 People who want to more precisely Yes, the pill has a lot of advantages, and there are people who really need it. People who want to respect their... Because you know what it does to be in your week? When you're in your week, when you have your regular cycle, there's a hormone, it's the air, the water... There's something that makes being in your week... It does something. There's a hormone. And then when you take the week, it's like... it's something. There's a hormone, there's something that... And then when you take the pill, well, he doesn't have that hormone anymore.
Starting point is 00:16:29 I don't remember what it is anymore. It's like, when we take the hormone, we're not really in our cycle anymore. And the fact of taking the break or not, it doesn't really change that. Can estrogen be there? In the contraceptive pill, you can have estrogen, you can have... He can have estrogen from progesterone estrogen, some people just have progesterone based. Those who are usually just based on progesterone, we will always take them in continuous.
Starting point is 00:16:52 We can't take a break because we will lose the effectiveness. It depends on which one. It depends on which one. But most of the time, those who are combined, that's it. We come to create a cycle that is not... Well, that's it. Because, let's say, a normal menstrual cycle, let's say you really have hormonal variations at the level of the cycle, estrogen, progesterone, all the kidney, but let's say when you take the contraceptive pill, well, you know,
Starting point is 00:17:17 we'll have the same amount of hormones. That's it, there's just no more victim of hormonal changes. Well, it's more stable. Reality is like retreat segments that we call because we retain hormones, but it's not like menstruation. It's not triggered by the fact that the view has not been fertilized. So the endometrium, how do you count that? Endometrium.
Starting point is 00:17:42 Endometrium will come a little bit later. Yeah, it will be released. Well, I'm not going to say that. We're in our week, by the way. But that's it. But let's say when we take the pill, when we take a break, it's more of a retreat. It has nothing to do with the hormone variation that has been going on throughout the cycle. Why wouldn't someone want to take pill? What would be the valid reasons for not wanting to take pill?
Starting point is 00:18:11 I know it's not in the questions. Well, it's sure that... Except that, let's say you want a baby. No, but no, indeed. It's sure that any drug can have side effects related to that. It's sure that there are certain people who can avoid all secondary effects, so that can be a reason. But overall, it's generally quite tolerable when we have the right pill for us.
Starting point is 00:18:32 Sometimes it can take a bit of a beating to find the one that controls our cycle well. But, you know, it's certain that there can be people, for example, who have a previous accident, who had a thrombosis when they were younger, well, that can restrict a little bit the choices, so it can-existing condition, who have actually had a thrombosis when they were younger, well, it can restrict a little bit the choices, so it can be... A thrombosis. A thrombosis, sorry. It's really when we make a rock, with a rock, really, like for example in blood vessels,
Starting point is 00:18:54 then it comes to cause an obstruction of the blood vessel, then it puts more risk of problems. So that's one of the reasons, let's say we're going to be more careful with the pill we choose, because it's certain that hormonal supplements can increase the risks of certain problems like that. Well, that's it. If we have certain health problems, sometimes we can't have... All hormonal contraception means are not safe. So I would say that, yes, indeed, sometimes there are some who want to avoid smell effects, but also certain hormonal contraception could increase certain risks in certain situations. I would say that in pharmacy, it's pretty
Starting point is 00:19:35 these reasons that we see that the person does not take hormonal contraception. But it's you who have... I'm just not in the mood. Well, it's Seyane who wants to have their cycle. But that's it. Well, that's it. I am not a natural person. But that's it. And it's okay too. I want to live in the Earth. I could do it as little as possible.
Starting point is 00:19:54 But pharmacists, I respect them. But I mean, I come to your house really rarely. As little as possible. And I'm prescribed for a lot of things. But I try as little as possible. I don of fighting, but I like to fight and do my own business. I'm a big fan of meditation. I'm a big fan of TDA.
Starting point is 00:20:21 I take it. I take them sometimes. I take them to the bar, but not all the time. I don't take them every day, even if I have to. I'm like, no, I don't take them every day. Well, it's a personal choice. And I can live with that. There are other things. If I have to take them every day, I won't live without them. It's not mandatory to take them if there are other contraception methods. Why did I say that? I had to take them every day. And the conserts?
Starting point is 00:20:43 Yes. Well, the conserts, I mean. Well, the consert take it every day. The concertos? Yes. Oh, well, the concertos. Well, concertos. Well, he can sometimes have pauses. It's a matter of course of each file. But sometimes, sometimes the psychostimulants take it more regularly. Sometimes it's that there are people when they arrive at the highest dose, sometimes the fact of taking a break, for example, at the end of the week,
Starting point is 00:20:57 sometimes when they resume on Monday, sometimes they have a lot of side effects. Sometimes taking it continuously, it can help, but it depends on each person. Sometimes it can still be made pauses. each person. Sometimes it can be done in post-op. It's not always mandatory to take it regularly. But sometimes when you stop taking a big dose, you get it and you give it back to a big dose, sometimes there are more side effects at the beginning. I understand.
Starting point is 00:21:14 Maybe that's why it was mentioned, but it's not always mandatory. It's that kind of medication, the days you don't take it, you don't have the effect. Yes, of course. It's more that. I would say that before, some people would say, for the kids,
Starting point is 00:21:30 you only take them to school but at the same time, the symptoms are present all the time, every day. So more and more, I don't see any breaks because I would say that before, it's been a long time since I worked in a pharmacy, before I saw breaks for the weekend. I still see some. I've been working in the pharmacy for a long time. Before, I saw some post-workout sessions, like on weekends.
Starting point is 00:21:45 I don't know. There are some that I feel less in need of when they do such things. But anyway. I agree. It's clear. We can maybe move on to the second question. Canberra's juice or canberra's complements
Starting point is 00:22:00 are effective in preventing and curing kidney infections. Ah, to prevent? I thought yes, my mom always said that, to drink cranberry juice. And to cure? Well, cure, well, let's say, yes, I thought that. I think so, but I don't know. No, wait, not cure, cure, wait, wait, but it helps to, like,
Starting point is 00:22:22 in fact, I think it's to drink too, like, basically, to drink a lot, a lot, a lot think it's drinking too. Basically, drinking a lot can really help. So, maybe it's just a drink or not. I would say a real game, but not... You? I think so too. Yes, well, it can actually prevent infections. It was quite controversial whether it could prevent it or not,
Starting point is 00:22:42 because there came a time when we said, yes, it will prevent it. There came a time when we said, no, studies said no, it doesn't help. And then there's a new study that came out last year that said yes, it will help prevent urinary infections. But it's super unclear, like doses, is it better to compress, is it better to juice? It's not clear, it's not clear how much, what quantity. But yes, absolutely, drink a lot of liquid, like water, that's what has been proven to be the most effective to prevent it. You know, there are studies that really gave,
Starting point is 00:23:09 we gave some women water bottles, and we didn't give them like, if other women could just continue their... Medicines. Their, you know, their, their normal amount of water. There were some that we had to drink, let's say, a supplement of water, and we saw that women who were supplemented with more water had less urinary infections. Or it was faster.
Starting point is 00:23:29 Yes, and it prevented... It didn't develop urinary infections, but it decreased by about 50%. Wow! So that's still one of the most effective things. But to treat it, it's not effective. Oh no, so let's say I have one and I'm like, ah, I'm going to wait a little longer,
Starting point is 00:23:44 I'm going to drink more, more, I'll drink full, full, full of water, can you tell it's going to go away? Well, you know, an infection, it's never impossible for it to go away alone either. So, you know, because we have an urinary infection, we will necessarily need antibiotics, but it's sure that the longer we wait, the more risk it can have of developing complications,
Starting point is 00:24:00 because the majority of urinary infections start at the level of the bladder, but sometimes it can be at the level of the kidney as well. And infections at the level of the kidney infections start at the bladder, but sometimes it can also be at the kidney. And the infections at the kidney are much more complicated to treat than infections at the bladder and are much more dangerous too. So in general, when there is an infection installed, when you have symptoms, the Canberra will not be effective, it will take antibiotics. And that, pharmacists could even prescribe in certain situations. Oh yeah? Antibiotics forinary infections, yes. Oh, yes, it's true.
Starting point is 00:24:25 There's vaginose, vaginitis, whatever. There are two things. One that you can prescribe, and the other, no. Which one can't you already? Well, vaginitis, you can prescribe. Vaginitis? But these are all conditions, like urinary infections. You need to have had a diagnosis previously,
Starting point is 00:24:39 in the last five years. And then that's when you can prescribe. So that's a last infection. Like, re-prescribed? Yes, re-prescribed. So if there's an urinary infection in the last five years, and that's when we can prescribe. So that's when we have an infection. Like a re-prescription. Yes, a re-prescription. So if there's an infection in the last five years, or vaginitis is also part of it, well, we can evaluate the symptoms.
Starting point is 00:24:52 If it's in response to what we can treat in the pharmacy, we can prescribe an antibiotic treatment. It's not in all cases. It's not in all cases. Sometimes, you know, like exclusion criteria. These criteria are there, we have to refer to a doctor rather. That's right. But it can happen.
Starting point is 00:25:06 Often we can help at that level. And it's fun, usually when you have a kidney infection, you want to get it as soon as possible. But it's because it's already happened. Kidney infection is when it burns, you do a baby, it burns. It seems to me that it has already happened that the cream was and then I drank full, and then it went away. But maybe not. Well, it's not impossible. I was lucky, let's say.
Starting point is 00:25:28 No, but it's not impossible. It's not all the time, all the time, but it's sure that if it starts to persist and it starts to have more and more symptoms, it's really worth having an antibiotic. And also, it's about knowing, are you really totally gone? Well, having a diagnosis, let's say, more and more pharmacies, we can do the test, just like with the band-aid, to have a diagnosis. Let's say more and more pharmacies, we can do the test with the band-aid to analyze the urine. Just to have, because it's a symptom that can be a little wide, for example. Let's say it heats up when we pee, sometimes it can be something else. But, well, okay. Generally, that's it.
Starting point is 00:26:02 We recommend at least having two symptoms, like, for example, very fricapant urination, it's a symptom of an infection. Having burns, yes, but indeed, if there are only burns, sometimes it's maybe not necessarily an infection, generally, you need at least two symptoms. Well, you have to investigate. You have to ask yourself questions. So, did we get the answer? Who got it? I think you did. You had doubts to treat.
Starting point is 00:26:28 So, we're equal in date, my beautiful. I'm flat, I just want to answer. The next question, we'll address it in reading. We're looking forward to that. Well, I think we'll talk about these questions a little bit. Okay. Are there effective free-living treatments to treat bacterial vaginosis. That's for Liz?
Starting point is 00:26:50 Why did you say that? Because she wanted to do it for free. She wanted to do it for free. Bacterial vaginosis. In free-trade? Yes, so without prescription. Uh... In free shipping? Mm-hmm. Yeah, so it's in prescription. There's one of the two that's not, huh?
Starting point is 00:27:11 I think so. One of the two of what? That Vaginit or Vaginose, there's one of the two that's free shipping, and there's one of the two that... Go ahead, answer. Uh... Yeah! Which one, for example? I'm going to say Vagose, ventral tube. Yes.
Starting point is 00:27:25 True. No. It's not true. If I had said no, I would have said no. It's true. No, but you know, you were really good. I was sure. Yes, but you know. No, but because you know, it's something that, you know, vaginitis with a leavening or vaginosis with bacteria,
Starting point is 00:27:40 it's something that people will often, you know, mix, but that's the point. It's that vaginitis at the liver, often we can treat it without prescription in the open stomach, but bacterial vaginosis, no. Ah, that's it. Tim mixed it up. Earlier you said, if we see that there is a vaginitis in the file,
Starting point is 00:27:57 we could, I don't know, no, talk about it. Yes, but we can prescribe it. Because it's sure that sometimes, vaginitis at the liver, so yes, there are open stomach treatments, but we can prescribe them, there are treatments that we have behind the counter, but that don't need prescriptions like nasal flu, which we can prescribe in pharmacy. But there are still options that are effective for free-living,
Starting point is 00:28:16 but for the malignant vaginosis... So we can't prescribe for the vaginosis either? Neither. Ah! Yes, we can't. Even if there has been a diagnosis in recent years, it's not a condition that we can, for now, prescribe in the pharmacy. So let's say I have a nice big vaginosis.
Starting point is 00:28:30 I absolutely need to go see a doctor. I can't come back. What are the symptoms of a vaginosis, on the other hand? It smells bad. Well, it's that... No, I think it's vaginitis, no? Fish? Fish is vaginosis.
Starting point is 00:28:42 I would say that... You know, it's a question that we're going to ask all the time. If someone comes to ask us a question about vaginal symptoms, we'll be like, what does it smell like? Is there a different smell? Is it a smell of fish? Because the smell of fish is really characteristic of bacterial vaginosis. The thing that can be a bit confusing is that if you walk around the pharmacy, you'll see boxes or products that will say vaginal vaginal treatment. But you can't trust that.
Starting point is 00:29:12 Why? Because basically, it can be lactic acid or probiotic treatments, but today, we don't have any data on how effective it would be for vaginal vaginosis treatment. Treatment is really antibiotics. Why do they sell it to pharmacists? It can help vaginal pH when it's not a vaginal vaginosis, potentially. Sometimes there are things you can do in prevention, but... In pharmacy, that's why it's super important to consult your pharmacist before buying certain products,
Starting point is 00:29:46 because there are really a lot of products that you don't recommend. It's really the companies that produce products that can write whatever they want on the packaging. It's always like a mental... You have to know that the products that are available in pharmacy, not all pharmacists have the power to decide what's available in pharmacy, but there's also always the mentality that that it's not bad, for example, some natural products that sometimes can be recommended, but that could sometimes be dangerous for certain people.
Starting point is 00:30:11 Well, it's still good that there's a pharmacist who, if the question is addressed, who can come and study with the file. Would it be dangerous with your file versus something that would be out of the pharmacy that we could buy elsewhere and not consult a pharmacist, and that it could cause dangers to our health. We can buy it elsewhere and not consult a pharmacist. It can cause health risks. So that's one of the advantages of having products that we don't always recommend in pharmacies. There are several products. Let's say, on all the shelves, we could probably put all the products we recommend in one shelf.
Starting point is 00:30:40 And that would be great. Because I had problems with my vagina. I had problems with my asthic vagina. And finally I found something online that changed my life. And I ordered it on Amazon. And it changed my life. It's been a problem I've had for years. I want to try to find it.
Starting point is 00:30:59 But it's like in prevention? That's it? In fact, it solved my problem. It wasn't vaginitis. It was really just her pH that... It was all fucked up and it smelled bad. That's what's weird, but it didn't smell like fish, you said? It just smelled... Not fresh. That's it, it wasn't... Not fresh fish. Okay, what's the name?
Starting point is 00:31:18 First, there were probiotics. Probiotics or... Well, it's... In... In... First, there were probiotics. Probiotics or... Suppositoires. In treatment, we don't have enough data to say it would be positive. Let's say a doctor diagnosed with bacterial vaginosis, he won't prescribe probiotics. There's a difference between them.
Starting point is 00:31:41 No, no, no, we're talking about smells. But the thing that really helped me was the supposed boric acid vaginal. Well, that's still... Well, yes, and sometimes it's used in the treatment of bacterial vaginosis, but in combination with... It's often more like a...... an antibiotic treatment.... a suppressive treatment, if you will. It's... generally, we give it to prevent other people from doing it too, afterwards. Yeah. But... ... like treatment, treatment.
Starting point is 00:32:10 Usually, we will combine, indeed, an antibiotic treatment. We won't give that to ourselves. But it can still be effective for prevention, indeed. Like in the future, to do it again. So it's not... it's not crazy. In any case, I'm not a fan of acidosis. I don't know if what I had was a vaginosis.
Starting point is 00:32:24 But honestly, I don't think so, because it was on several years of the type. I put on a bobbin that is not the right fabric and my pH was all fucked up. So that really helped me. But I don't know, okay, but it's a combination with another thing. Well, sometimes, at the beginning, that's how we treat the antibiotic, and then sometimes it happens that it lasts for a few months. It's not a treatment that we usually do over the years, by the way. Generally. Yeah, yeah, yeah.
Starting point is 00:32:48 But it depends on each person, that's for sure. You're not going to tell them that you're okay anymore? No, no, I took it like two weeks and my problem was solved. No. It was crazy. Oh yeah, it was crazy. Okay, well, thank you. Perfect.
Starting point is 00:32:59 Okay, I'll continue with the next question, which is, if a woman decides to get her trunks ligature, she automatically falls into into menopause. Well no. Wait, he said it the other time. If we don't have any more trompe... No, no, no, yes, no, it's not true. Ok, I was like, yes, no, yes, no. It's false, it's false, because my mother lost her trompe, but it's not... no, it's correct. Indeed, because it's not going't affect the varian function. But in fact, what is a menopause?
Starting point is 00:33:30 Well, menopause is when the hormones will drop because we don't produce the hormones anymore. But the uterus ligature will just affect the path to sperm to get to the uterus. And ovules. So she can't have children anymore. But she falls for a week. Yes, because ovaries are still there, and that's what will produce hormones. Estrogens, progesterones. But in the end, the ligature of the uterus is really just to prevent sperm from... ... to fertilize the ovum. They won't turn. We just blocked the way somewhere.
Starting point is 00:34:01 It doesn't impact the production of hormones. The rest works normally. So you both made a point on the question. Yes! I'm the one who has less. No, we had that. We didn't have two at all. No, the other one before. But you didn't have time to answer, so we could be equal.
Starting point is 00:34:19 Equal, maybe, okay. I would have said, because I was sure I was putting on a... You know, the damn big cream soup that you put on your nose every night for four days. Calistin? Why is that already? When it stings, it stings me. Generally, it's the symptoms of... You know, calistin is treatment
Starting point is 00:34:38 against mushrooms. I have vaginitis. So vaginitis is a mushroom. It's not a mushroom! It's not even a mushroom! It's a vagina infection based on a mushroom. It's not a mushroom. Sometimes it can reduce the damage of our cream. But in theory,
Starting point is 00:34:54 the canistin is commercialized as an anti-fungal cream. So, it's not a vagina or a vagina? It's a vagina. The canistin is a treatment for the leaky vagina. So, that's when it stings. It stinks too. No, it doesn't stink. One of the symptoms is that vaginitis usually comes without odor, or at least with the
Starting point is 00:35:12 odor as normal. No change of odor. It doesn't have a change of odor. It's still bad, but it's not because of your vaginitis. It shouldn't change the odor, but vaginitis is very characteristic. The smell of fish. Fish. That's it.
Starting point is 00:35:26 But it stings me and I was more inflated, you know, I was like... I was more sensitive, it was more red and it stings me. It resembles vaginal symptoms. I think it does. It's been a long time. But it's something great. I wear it often, for real. It's common.
Starting point is 00:35:39 Yes, I wear it once a year. I don't wear a jacket, so it's everywhere. Well, you know, sometimes the jackets can be irritating. But it's not that bad. It's not that bad. It's not that bad. It's not that bad. It's not that bad. It's not that bad. It's not that bad. I wear it often, for real. I wear it once a year. I don't wear a bobbin, so it's everywhere. Sometimes, bobbins can be irritating. But that's to say that it's something very swafrican.
Starting point is 00:35:54 You just need cotton bobbins to get the vagina healthy, right? Ideally, yes. And ideally, no dyeing too. So let's put on white fabrics. Because sometimes there are some that are really sensitive to all the irritation. So I use lace, it's going to be irritating. Sometimes the dyes. And then after a lot of business.
Starting point is 00:36:15 Keep your shirt in too long to get wet, it's going to be a risk factor. Or use my product. Well, my favorite product. The Vagisil that is available in pharmacy, is preferred in the bad sense. It's a product that I don't like at all, but you know, precisely, I see it causing a lot of vaginitis. It really irritates this very sensitive region and disperse everything.
Starting point is 00:36:40 In the ingredients, just every time we use a product that is at the vaginal level, just look at the ingredients. If there is perfume in it, it will be marked. There is the word perfume in the ingredients. And that as soon as there is the word perfume, it's probably not a good idea to use that. You have to make it as soft as possible with these ingredients. It's not the white cotton, exactly, the VagCid is a no. Are you for Dove? Well Dove, Dove for the sensitive, it's one of the...
Starting point is 00:37:03 It's a soap sometimes. And what's the other brand? The creams... Summer Eve? No, you know, it's the creams... That's a name. The body cream, it's a brand. It's Avino.
Starting point is 00:37:17 Avino, well, it can have... Avino, like the soaps. No, but there are creams for the body, Avino, creams everywhere, Avino. Okay, just in general, do we like avino? Avino is generally not bad, but other products are not. Well, yes, we like products without perfume. Yes, that's it, in ingredients it's good. It's a bit flat sometimes.
Starting point is 00:37:38 Yes, but at first, perfume can be really irritating. And as soon as you have people who have eczema, who have skin problems, it's really the kind of product you want to avoid. And you know, the genital area is so sensitive, so it's far from irritating. Perfect. Well, yes. Note.
Starting point is 00:37:59 A white cotton bubble. 100%. That's what the pharmacist said, if we understood. Well, we agree on that. The fifth question. The VPH, human papillomavirus, can only infect people with a vagina. False, but men don't have symptoms. They're just carriers.
Starting point is 00:38:24 No? In the end... Well, I also think it's wrong, but I don't know what she said afterwards if it's true. I would say that everyone can have symptoms. So in the end, the VPH, what it can do is... It can have it in the ass. No? Yes. Good point. Good point. What it can do, first, is genital clots. So that can be with everyone. Then pre-cancer lesions. So indeed, let's say penis, vagin, vulva, anus, but also mouth, throat. So it can be really everywhere. Well, everywhere. Spread. But yeah. So guys can...
Starting point is 00:39:09 It even seems to me that symptoms are more often... We see them more in women than in men. Yes, it's more prevalent in women in general. That's a gossips you're talking about. That the guy doesn't appear and that the girl does. No, no. Gossips, guys can appear. No, but guys often have symptoms that don't appear. Oh yeah?
Starting point is 00:39:28 We'll have a question later on the show. Yeah, a little later. But you know, like VPH, sometimes there are people who can everything, let's say, for example, for people with a vagina, in the case of uterus, we're going to do the Pap test to see if there are pre-cancer cells or cancer cells, but let's say that we don't really have symptoms, we have to do the test at a certain frequency. Well, it happened to me, and it was having a child, you don't have the choice to do a Pap test at a certain point, but it's so common.
Starting point is 00:40:14 When I had my Pap test, they saw high-frequency cells in the cell, they removed them, and then I just saw it, and then everything went, and I had to do a check-up for six months, but I shared it publicly, and I said it. Thinking that you were the only one, and finally... No, no, no, not really. I knew I had people around me who had already had that. But I was like, check it out, because if I hadn't seen it... Because you didn't have symptoms, no symptoms.
Starting point is 00:40:43 It's the kind of thing that, honestly, knowing me, I would never go and check. I would never have done my blood test. In 10 years, I would have woken up with cancer and I would never have known. That's right. That's what scares me. Sometimes it's not always apparent,
Starting point is 00:40:56 and sometimes there are no symptoms either, and it can develop later. It's one of my most effective ways to prevent VPH is vaccination. Before, as it wasn't in the vaccination calendar, people with a vagina or a penis were based on the calendar. In recent years... Let's say I was vaccinated in high school.
Starting point is 00:41:18 I didn't have the vaccination, but let's say in high school. And now it's... Everyone. Everyone. You also have to have VPH, no? Läsions? Ah, well, it's not necessarily by the VPH. In the sense that, yes.
Starting point is 00:41:31 Well, the VPH is responsible for a really big, big, big majority of cancer in the Uterus. But indeed, let's say if we talk about cancer, let's say, vagin, penis, anus, well, you know, it can have several origins, I guess. But, you know, it's still something that needs to be protected. What age is the vaccine given? Currently, it's primary. I don't know exactly their age. I don't know exactly the age, no, that's it. But currently, it's in primary school. I don't know exactly their age. Exactly, I don't know exactly their age.
Starting point is 00:42:06 But currently, it's in primary school. But people who didn't have this vaccination when they were younger, they can still get vaccinated. They give it to the younger ones because that's where we're going to have more partners, we're going to be more at risk. Before having an exposure, basically. The goal is to be vaccinated, to have these antibodies before being exposed to the virus. But it's better than nothing if we don't have one yet.
Starting point is 00:42:28 Yes, you can do it afterwards. Exactly. It's not because we didn't have it when we were young that we can never have it. When I talked about it, I just wanted to say that I had, for real, I wanted to say close to a thousand testimonies minimum. It's a 24-hour story. There are girls who write to me and tell me, either I lived it, soit que je suis dans le processus, soit que, tu sais comme... C'est fou hein. Honnêtement, on est tellement là, à avoir eu ça là, c'est vraiment comme un là. Ben, est-ce qu'on pourrait poser justement l'autre question pour voir?
Starting point is 00:42:57 Ouais, on peut aller tout de suite à la question. Parce qu'on avait déjà une autre question en rapport à ça, pis là tu sais, je pense qu'on pourrait peut-être juste la poser. C'est fait. C'est... ben je la connais par cœur. Ok, ben vas-y, fasse-en. Ça me tient à cœur. I think we could just put it there. It's... I know it by heart. It's important to me. Because, precisely, do condoms protect against VPH at 100%?
Starting point is 00:43:12 Well, I don't know. Yes, that's it. Well, indeed, no. It's sure that it really reduces the risk. But the thing is that VPH is still super contagious, and it's contagious skin to skin. So, let's say, the part that's not covered by a condom, let's say the veins around, well, you know, all that can be contagious. So that's why vaccination is so important. And, you know, it's still something in common, and we can still...
Starting point is 00:43:41 We're not all VPH carriers, but... Well, of course, VPH has several sources. But the goal is to have the antibodies to fight against the virus before being exposed, ideally. There are sources that won't necessarily cause a cancerous injury, but there are others that do. It's not everyone who has the same problem, but it's important to be protected against those who can cause cancer. But the vaccine is very effective to prevent cancer.
Starting point is 00:44:16 How long does it take for people who have it in the first place to get it? It doesn't need a dose of repellent. It's pretty slow. Oh, ok. It's true that any vaccine can have a little less effectiveness, but in general it's still effective. But you still have to do the pap test and everything. Yes, that's right.
Starting point is 00:44:37 But it's so crazy. I'm thinking about a vaccine against cancer. It's interesting. In any case, I think so. Anyway, it's still common and it's fun to have a vaccine for that. I think. OK. The other question was, can antidepressants influence libido?
Starting point is 00:44:58 Oh, my God. Yes, indeed. Well done. Well played. Especially in the daily life. Yes, indeed. Well done. Well played. So yes, especially in fact... You're a victim. On a daily basis. But you know, there are still several families of antidepressants. Antidepressants that affect the most are generally those that play at the serotonin level. Probably the most prescribed antidepressant family of drugs is the ISRS,
Starting point is 00:45:21 which is called the selective inhibitors for the recapture of serotonin. In fact, it's when we have a lot of serotonin available, as it happens when we take these antidepressants, we are a little bit in a feeling of satiety. We are creating serotonin, for example after a good meal, we feel full, we will have a feeling of satiety, we will have a lot of serotonin available. After an orgasm, the same thing happens,
Starting point is 00:45:41 we will have a lot of serotonin available. When we take an antidepressant, at the base, we always have a lot of serotonin available. When we take an antidepressant, well, at the base, we always have a lot of serotonin available, so we're always going to have a little less desire to go get it if we want to get the orgasm. So sometimes it can affect the libido, affect the orgasm. Well, that's it, sometimes it can lead to side effects, plus, let's say, erectile dysfunction, or it can be longer before you reach orgasm, too. But, you know, it could be a class of medication, these antidepressants,
Starting point is 00:46:12 which are studied for precocious ejaculation, too. Yes, exactly. So much that it's known as a side effect. Ah! Sometimes they give it to the needs before a relationship. Well, before, there are other techniques to give medication. It's a fun fact. Sometimes, I don't like that, from certain pharmacists,
Starting point is 00:46:37 it's like, you follow a doctor, you follow, ah, you have this, we'll give you your medication. It's where I have a low, a kind of a little, that there are so many alternatives and solutions, but, you know, I understand, in Dutch, the doctor, you know, he has a job to do, and it's necessary that he solve the problem, so he's not the one to say, like, you should learn to breathe, learn to, you know, whatever. I'm going to go, in fact, I have a doctor and he tells me,
Starting point is 00:47:04 you have to learn how to rest. No, but like, the mission king. Let's say, antidepressants, stress management, everything, you know, in Vlanders, there are so many things we can do before taking this medicine. And then, if it doesn't work, we recommend it. I just think that sometimes we should maybe... Have you tried this before? Have you been consulted? Have you tried this before? Have you been consulted? Have you done this before? I agree. Sometimes I find it a shame because, let's say the government will pay for several medications, but they won't pay for certain treatments like other psychological treatments.
Starting point is 00:47:36 Exactly. Like we were talking about, for insomnia. There are still several medications that are paid for insomnia, but there are several that the government will pay for to pay for insomnia treatment, but it's not even the most effective treatment. It's a form of psychotherapy, basically. It's really like the most effective treatment for insomnia, but that's not covered. Is it psychotherapy, like? Yes, basically it's a cognitive-behavioral therapy, and basically it's like a few sessions with a psychotherapist, and it's really like a treatment that can
Starting point is 00:48:17 have beneficial effects in the long term, so it's what is considered to be the most effective for insomnia, but in practice it's really very little done. Often people will turn around. It's for sure that taking a drug can be easier. It has a faster effect. But precisely like that treatment, TCC, it can be very interesting, but it's not covered. It can be very interesting, but it's not covered. It can be spread. Why do you do insomnia?
Starting point is 00:48:46 There's something, you're often anxious, stressed, you think a lot. So, to go and put a plaster on something, that's just it, I think. We agree. But we don't have time, there are a lot of people, and everyone is sick, so money has to roll. But my goal as a pharmacist is always to give as little medication as possible. Yes, that's the fun part.
Starting point is 00:49:08 A part that is not well known is that we often take away medications. Yes, depression is something we do. We review files, and we notice medications that may have been able to be it, to stop it. You know, I would say that we do a lot of it. Our goal is really to have as little medicine as possible. Because each medicine will have effects, but also therapeutic, but also can cause certain risks or side effects. So it's funny to say that as a pharmacist, we want to give as little medicine as possible, but it's true.
Starting point is 00:49:47 That's a question for me. Let's say I've been taking Stalopram since 2016. And I went to the smallest dose, which is 10 billion. And I eventually want to stop taking Stalopram. How do I do it? Well, first of all, talk to your doctor or your doctor. That's the priority. Well, it's sure that, you know, it depends on each person.
Starting point is 00:50:10 You know, if it's been like several years, it's usually harder to stop than a person who's been like just a few months. It's certain that the body is a little more used to medication. It's going to be eight years. Eight years. So, you know, sometimes it's also, you know, it's going to be 10 milligrams.
Starting point is 00:50:23 Sometimes, for example, Stalopram, in particular, it could be cut. Sometimes we could even do a dose of 5 mg. And the duration is very variable. So you're saying to do a progressive sepulchre? Exactly. You're already at the dose, actually, smaller. But yes, sometimes there are people who will just be able to cut it from 10 to 0 and they won't have side effects. There are some who, if we try it, sometimes the car who that, sometimes the car will be a little too fast.
Starting point is 00:50:45 So that's where we'll try to take a step between the two. Usually, like the standard, it's steps of one to two weeks, but it can always be adapted, it's not like it's flowing in the concrete. It depends on each patient. A person who's been driving for a long time, it's more... generally, we'll stop it more gradually than a person who's only been driving for a few months. Usually, a person who's only been driving for a few months,
Starting point is 00:51:04 we can lower it a lot faster than a person who's only been taking it for a few months. Usually, a person who's only been taking it for a few months, we can lower it a lot faster than a person who's been taking it for several years. But at the same time, if we lower it and the person tolerates it very well, and she wants to stop it faster, but she doesn't have side effects, well, you know, we can go with that too. It depends on how the person tolerates the treatment. And I just wanted to add something about antidepressants. For libido, you know, there are... You know, what do we do if it's done with libido?
Starting point is 00:51:23 Well, one of the things we can do is try to have a relationship just before taking your antidepressant. Like that, the last dose we took of antidepressant, it goes back as long as possible. So generally, there may be a slightly less strong concentration in the body, so a little less impact on the libido, on the orgasm, things like that. And otherwise, it's sure that if it doesn't work, then we'll talk about it with the doctor. Sometimes we can see if we can reduce the dose, change the treatment. Because there are molecules that affect less the libido or the dose, it depends. That's cool to know, I didn't know. I thought it was all in my head.
Starting point is 00:51:53 If you take it again, let's say it works immediately, you learn and then you're more relaxed? No, no, no. That's it? No, if you take it again, it's not instantaneous as an effect. If you take it again, as we talk about the effect on antidepressants. Yes, libido in the sense that, let's say, if I have my sexual relationship, right after having taken my test at the preme in the evening, there will not be really a difference.
Starting point is 00:52:14 Well, indeed, it's sure that the antidepressant, indeed, it will take some time to be absorbed, but it's sure that if we took the antidepressant, then after that, two, three hours after, we have the relationship, then it's maybe that the antidepressant will be, like, a little stronger concentration, which could have a little more impact. So in theory, we want to take it when the concentration of the antidepressant is at the lowest. So if we take it at the same time as the relationship, it doesn't cause...
Starting point is 00:52:35 Medically, it doesn't go from zero to 100 at once, but... If she stops, let's say, and one morning I stop, since you're already at your minimum, how long can it last, how long can the the side effects, and what would that be? Big fucking stunts, and a devastating mood. Well, yes, it's a drug that you shouldn't stop with a single shot. When you get to 10, it's the minimum. Yes, indeed. But I also think it's super important, even if we're at the lowest dose,
Starting point is 00:53:06 like, let's say, you know you're at the lowest dose, but still to talk about it with your pharmacist, because sometimes it's also a bit of evaluating the situation, to know if it would be relevant to try a stop or not, because sometimes there are certain situations that we might not want to do, or sometimes it's a treatment that we want to take anyway, a depression treatment, we want to take it at least a few months before trying to stop it. Even if we know that we have the smallest dose, it can still be super relevant to talk to your doctor or pharmacist. But indeed, if we stop it too abruptly, we can have effects of constipation. It can look a little bit like the side effects that we have when we order this medicine. I don't know if you remember.
Starting point is 00:53:47 It starts to go far. But in summary, I think it's a bit similar. Sometimes when we order this medicine, we can have nausea, dizziness, but after a few days, it goes away. So it's not the same principle. It's not like... In Ontario, we don't have a craving feeling to take the medicine. Okay. So it's not... It's the same principle. It's not like... No, no. You know, in Ontario, we don't have a feeling of craving to take the medication.
Starting point is 00:54:08 It's not like something that causes dependence, but yes, it can have effects of the molecule's withdrawal. So that's why we try to do it as progressively as possible. Sometimes we even give it to two days, you know, sometimes. And there are some molecules that are eliminated more slowly. So at first, sometimes they can be more tolerated when we stop them. So that's the things we can talk about with your doctor. Ok, thank you. I know it was off-topic, but thank you for having me.
Starting point is 00:54:31 Are there additives in the lateral? I know there's a kind of speed, but... Well, the fact that it's released... Sorry. The fact that it's released... You know, it's a molecule that can be at risk of abuse, yes, but the fact that it's released in a can be at risk of abuse, yes, but the fact that it's freeing itself in a very progressive way in the body, generally, it's not a molecule that is at risk of causing dependence when it's taken adequately. Okay.
Starting point is 00:54:53 If you take two caps in the morning, it's possible. It's true that it's that. There are even molecules that are... in fact, that's the concept. I think it's made that you can't crush it, because the risk is that sometimes people crush it and take it in many ways. I do that. Okay. I don't crush it. Me?
Starting point is 00:55:07 I take the capsule. Imagine when I want to take a I take the pill, and empty the capsule. I take half of it. Because, let's say... Okay. It's cheaper when you take the big pills, but I take just half. In fact, instead of... It costs me 60$, but I took the biggest dose,
Starting point is 00:55:42 but I didn't try it in two. So I have two times more. Okay. Does it work? Do you have serious problems? Adderall seems to me to be annoying. You shouldn't crack the granules. It's important because it's all the time apparent. Especially what we cut, what we crush, what we eat.
Starting point is 00:56:04 Sometimes there are molecules that the coating can be made to gradually release the medication. So if we crush it, we just have to remove the part that it gradually releases the medication. And then you have all the medication at once. No, I have water. I put it in a small parachute of a small toilet paper. Pfft! Pfft!
Starting point is 00:56:20 But you wash it when you wash it. Yes, I wash it. I wash it. That's correct. But it's still valid. It't. Yes, I wash it. That's correct. It's still valid. I wanted to say that the package of the pill is sometimes made so that your body absorbs it.
Starting point is 00:56:34 But for the side, I think it's correct. I'm not mistaken, but there are some who could be careful. For someone who can't swallow, often it happens that it's prescribed for children who have the ability to swallow, but often we can open the capsules, but there are often certain specifications. Let's say, like there, we can't crack the granules.
Starting point is 00:56:51 There are some that don't have problems, but there are some that have problems. In any case, that would be correct. In any case, it's economical. It's sure you have half the dose, on the other hand. But, yes, I'm sorry, I'm too heavy. It's too much. But, fun fact, if you ever want to change the dose, it's something that a pharmacist can do, adjust a drug. Sometimes it's something we do for this kind of drug.
Starting point is 00:57:17 The doctor increases the dose and then, of course, there are side effects, it's too big a dose. Well, we can adjust the prescription without the patient having to go back to the doctor. She's saving money. I understand, but if we ever want to change, or if you wanted to increase the dose of esthalopram, for example. I tried, I didn't like it. I'm really not telling you, but it would be something we could do too.
Starting point is 00:57:45 I can go see them and just say I would like to increase. It's for sure that the pharmacist will evaluate the situation and see if it's relevant. But yes, we can make adjustments. Or if, let's say, you were 20 milligrams, we could make an adjustment at the lowest to make a seam too. At the lowest, I knew that, but I didn't know you could increase the pressure. We can do the ups and downs a little bit, as needed. Thank you. Next question, my God!
Starting point is 00:58:15 We're equal. Yes, but you're going to have that one later. Yes, that's it. It came from the sex oral team. It is quite normal to have vaginal secretions on a daily basis. What? Vaginal secretions on a daily basis. Well, yes, and I've been a rip for a long time.
Starting point is 00:58:36 Can you tell us about it? Yes, I can tell you about it. I started vagifem. Yes, we're talking about being anonymous. Yes, it's crazy. I started Vagifem yesterday. Oh! What is Vagifem? It's a kind of long tube that you go in and at the end of the tube there is a little pill.
Starting point is 00:58:55 Then you put it in and then... It's a bad ad. It's not going very far if you do it in the empty Vagifem. No, someone told me it didn't work. We tested it and nobody expected that. work. It really flew back to the pharmacy. I didn't feel like it went back up to the body. No, no, no. To put some estrogen here, which makes it possible for me start having secretions again and that it's
Starting point is 00:59:26 less dry. Do you want to explain it better than me? I don't understand why you want more of the knee. I don't have any anymore. I don't have any anymore. I'm the person who's more wet on the ground. I don't wet at all. Is it a secondary effect of antidepressants? No, we're talking about... Is it a secondary antidepressant? No, it's not. A vaginal dry?
Starting point is 00:59:47 I think it's after my birth that it starts to do that. I have pain when I do the vaginal dry. You tried it yesterday, did it work yesterday? Did it work? No, it didn't work. It's a local hormonal supplement. It's a treatment for the vaginal dryness. Oh yeah, it works!
Starting point is 01:00:10 You explained it well. It works well. When it's well used for the right people. If someone, let's say, you get a lot of I'm sorry. Sorry, both of you. It can help with pain too? Well, because in fact, it's that moisturizing, lubricating, it's going to be different from estrogen vaginal. You know, estrogen is really something that's going to come, you know, like really help the vaginal tissue to become thicker.
Starting point is 01:00:35 And precisely, it will help with vaginal dryness, while, you know, lubricating, well, it's really just a way to help the vaginal tissue to become thicker. And it will help with the vaginal dryness, while lubricating, it's really just until we use it. They also use vaginal hydratants in Vantlivre. Like what? Ginatroph. Ginatroph or Replen. Replen. So the biggest difference is that it doesn't prevent
Starting point is 01:01:04 the amincism of the endometrium. It doesn't cure the endometrium. It's cells in the vagina. What does it do to get it before 30 years? Is it that serious? Is there a way that... It's 30 years in two days, right? In a year! But let's say...
Starting point is 01:01:26 Well, no, we're 30 years old! No, I'm 29 years old. I'm 29 years old. But yeah, so does that mean that my body will get used to it when I'm 40 but I'll be in trouble and I won't be able to take a Vagifem because I'll have
Starting point is 01:01:42 exhausted my chance at 29? Well, that's of cuts off a question we had. For sure. Well, let's say the question of taking hormones over a long period. I'm taking estrogen. Are you in trouble at 40? No.
Starting point is 01:02:00 We're spoiling the question a little bit. But no, but in fact, let's say, if we take a contraceptive pill combined with mouth, but if there's going to be estrogen and progesterone in it, well, let's say in that pill, there's going to be more absorbed estrogen than what you absorb from your vagus. Vagus, vaginal estrogen, the action is really very, very local. It's almost not absorbed. So, let's say, just the fact of taking a contraceptive pill
Starting point is 01:02:33 combined, but you'll have more estrogen with that, then there's not really a danger that you identify with taking this kind of product in the long run with people in good health. In fact, what I'm taking taking is progesterone pills. With my vagifloid. How did you get that? I did hormonal therapy and it cost me thousands of dollars.
Starting point is 01:02:53 That's expensive. I want one too. Well, spit it out, my beautiful. It's expensive. Give me your pills, I know how to talk. No, but we had the naturopath who came and she was like... She suggested that I slack because she said that the body could maybe get used to it and eventually when it's time for me to be 40, I'll really need a progesterone. Well, that's why I was asking that.
Starting point is 01:03:22 Not really. I don't really have that notion. Not in our knowledge. Our friend, if you know what I mean. So I can take the progesterone up to my 40s, that will be fine. Perfect. So I still have to take the progesterone. But it's new.
Starting point is 01:03:37 It's all new, the amphibians. So we don't know that much. I mean, the studies... It's new, the supplements. It's not that long ago. How do we't know that much about it. What are you talking about? Well, it's new, supplements, supplements like that. It's not been that long. How do we know for real that there are no studies? But there weren't before. You know, trust me.
Starting point is 01:03:53 But it's just that, let's say, to know what it does in the long run, but you know, we're... The estrogen progesterone is still products that have been given for a long time, because it's what's in the contraceptive pill. So, let's say we still have experience at that level. And you know, we can say it right away, but there was a question, it was to know if there would be a danger to take this kind of hormone for a long time, for several years. And in fact, no, there's not really any additional danger
Starting point is 01:04:29 to take this kind of treatment for a long time, as long as the patient is in good health. Because, you know, when we talk, sometimes we have certain health problems that can make sure that it's the kind of product that we can't take. But all that to say that, you know, if we take progesterone or Vagefem, technically the amount of hormones is less than what we would find in a contraceptive pill, basically. Okay. I don't know if you agree. Well, yes, indeed. So we supplement with women opposite, it's much less strong in terms of hormones than what we give, for example, in contraceptive pills.
Starting point is 01:05:08 Do people with a lot of cancer, colorectal cancer, in their family, are less recommended on contraceptive pills? Do we have to be more careful. It's not a risk factor that prevents you from giving. It's really when it's more personal incidents than family or... that we're going to be more careful. And certain cancers. Certain cancers, but yes, there are still precautions to give hormonal supplements, but... Antecedents like family or...
Starting point is 01:05:39 I don't have a life in mind that we couldn't give the... the hormone... hormones. Okay. Are we... He was going with the next one. Yes. We had closed the subject of this one.
Starting point is 01:05:52 Yes, we did. Ah, and it's normal to have vaginal secretion in the past. Because in the past, it was the question. Yes, yes, yes, it was the question. It was the question, but it's okay. If you don't have it, you can prescribe some Veljufem. Where will you have your medicine? Yes, yes, that prescribe some. I'm hungry. Where's your medicine? Yeah.
Starting point is 01:06:07 I've been taking so much since I had my babies. It doesn't have a good smell. It's the opposite. I'm all dried up. A dry raisin. It's weird. It's crazy how everyone is different. I've never had any pain in my life.
Starting point is 01:06:20 I was able to take big ones myself. You're kidding. Why does she apologize all the time? I'm not able to take big hands and I was like, oh, you're kidding me. Why does she apologize all the time? I'm not able to take big hands. I'm not able to take anything anymore. I'm like, ouch, a tampon hurts me. I've never had that in my life. Wait, wait.
Starting point is 01:06:36 You need to have a perineal physio, because when they talk about pain, it's not normal. And probably, when you have a baby, don't forget that it pushes on your fucking pelvic floor. Pelvic floor equals pain. If your pelvic floor is too low, your little hammock, it's normal for it to hurt. Because a pelvic floor is a hammock.
Starting point is 01:06:51 So if you have a child and all that, clearly, it's for sure that it has a relationship. And not bad if you don't do your little exercise on the ball. Well no, but I want a pill, I'm not going to massage the inside. No, not massage, but do some contractions. It doesn't tempt me to do some contractions, I have a pill that solves my problem. Well, it's not the pill. It's crazy. Me and Liz, we're so natural, like no. No, I'm going to see a pill to solve my problems.
Starting point is 01:07:14 And then, did you try to meditate? What? It really works! You walk in the woods and you connect to nature. I'm depressed, you're a jerk, give me pills. I'm going to go and plant trees afterwards. Otherwise, ok, check-in. Because there are two types of people, there is clearly Lisanne and Joannie. Yes, we noticed.
Starting point is 01:07:33 So let's say, your doctor, I think doctors should ask instead, ok, you have this as a symptom, perfect. Do you want, do you not mind the medication or is it prefer that we try and I refer you to more natural people? That's what we do. You say, hey, I'd rather you ask me to go walk in the woods and meditate. He's going to listen to you. I'm going to say no. Dave N.
Starting point is 01:07:57 Oh my God! You know, you know, it's something we do often in pharmacy. It's called the process of decision making. It's really like discussing with your patient what he wants, what his goal is, and then we're able to adapt to what the patient wants. A walk in the forest or some medication. Like, films, it doesn't bother me. I really feel like my body is a vehicle, a vehicle that is not perfect, in the forest or drugs. Like drugs, it doesn't bother me.
Starting point is 01:08:25 Because I really feel like my body is a vehicle, a vehicle that is not perfect and that needs to be perfect. So give me all the hormones and supplements and vitamins I need to complement my body so that I become a superhuman and that I run faster. Okay, but Elvis Presley is dead like that. Like, everyone is dead like that. Like, everyone is dead like that. Lots of people are dead.
Starting point is 01:08:47 Michael Jackson is dead like that. Everyone is dead. Seriously. Ouf. We're dying. Like when you take too many things, if we give them all, forget that, it's going to die tomorrow.
Starting point is 01:08:58 I think it's going to die. It's going to take you. I can wake up more in good mood, I'm going to take that. I can sleep better, I'm going to take that. I can run better, I'm going to take that. You're going to die. Elvis Presley is dead. I can sleep better, I'll take this. I can run better, I'll take this. You're gonna die! Elvis Presley is dead. I think Elvis is just giving those who are absolutely necessary to the team.
Starting point is 01:09:10 Elvis, he just said, why did we give that? Michael Jackson too. For real, I take 10 million and I install the appraim. And I come to kill my little hormone on the side. Give me my money. No, no, no, you're not gonna die. Ok, excuse us. Well no, but...
Starting point is 01:09:26 It's really... The King is dead. I think you're a little different. Like you're in a session. I don't wake up in the morning with... Big drugs. I understand, it's not the same. I understand.
Starting point is 01:09:42 I think that, she's going to live a very long time. Thank you. I'll give you a little 20 plus. I clearly would have lived longer than you. At least I'm 80. In nature with trees, I want to live with the birds. Completely senile.
Starting point is 01:10:01 I love it. Perfect. Next question. Next question. I think we still have've talked a little bit about it before. Do ITSS always have symptoms? No. And even most of the time, it's practically without symptoms? Well, yes. Just as we had really interesting statistics, in relation to chlamydia,
Starting point is 01:10:22 in fact, it's an infection that infection in the... Well, people know about the chlamydia, I guess. Asymptomatic in most cases, around 70% of women and 50% of men. Oh, OK, I thought it was the women. 70% of women won't know. Asymptomatic. But they can transmit. Yes, and that's a good thing.
Starting point is 01:10:41 In the same complication, too. Yes. It stays in your body, and then you live with it, and then it goes away. It's complicated too. It stays in your body, you live with it, and then it goes away, it goes back up. Oh, but guys, I thought it was more dangerous because they could be sterile. In fact, the complications of infertility are mostly with women, I think.
Starting point is 01:11:01 But indeed, they can really have several complications. Yes, and sometimes we often hear that, like, I don't have clamedia, I don't have gonorrhea, I don't have symptoms. Gonorrhea too, that's for sure. There are lots of symptoms. In fact, the ITSS can come without symptoms, and we can transmit the effect. That's why condoms are important. Secondly, we need to test ourselves.
Starting point is 01:11:27 Especially if we don't have regular partners. If we have a regular partner, we can test ourselves. Even if you have a regular partner, you can go abroad. Sometimes it depends on how much we trust the partner. I just want to say how serious it can get. I've already had an infectious arthritis. Yes, it's one of the complications of this. I just want to say how serious it can get, okay? I've already had an infectious arthritis. Yes, it's one of the complications of that.
Starting point is 01:11:49 Ah, yes, it's because of that. No. I had an infectious arthritis, and you know, the day after tomorrow, let's say, I had a hair that was big as well, and I had a wrist that was big as well, and I went to the hospital, They put a needle in my wrist, full of pus, operation table the next day, so they lost my wrist. And then they put the catheter in the heart, which I need to give antibiotics, and all, full of serious, it can be full of dangerous,
Starting point is 01:12:15 I could die if I didn't go, like. And this infectious arthritis, the first thing they asked me is, did you, they checked if I had a gun or a a non-treated chameleon in my body. They didn't find it. So it wasn't that. But the first thing they checked was that. But it's crazy, we're not aware of this kind of complication, but it can be very serious. Well, tomorrow, if it's not treated...
Starting point is 01:12:42 People neglect a lot. I've heard, oh no, I've already had... I just had a gonorrhea. Gonorrhea, it looks like... A clam, because the clam is neglected a lot. I have the impression that everyone says, oh no, I had the clam. It's okay. Because once you say it, treatment can be...
Starting point is 01:13:00 It's easy to treat. That's why, as you say, there are plenty of them that are not treated. Yes. That's why it's important to treat it. There are many who don't have it, but it's there. It's the risk. You can have complications. It's not to be neglected. It's not to say, I have the treatment.
Starting point is 01:13:16 It's not that complicated. Sometimes we don't know we have it. Complications happen. Exactly. What action did we get? I think you. the application comes. Exactly. Now we're at which question? This one. I think you are. Great! Shall we go to the next one?
Starting point is 01:13:29 Yes. In a way of special situations like breastfeeding, birth or hormonal contraception, not having these rules for several months is a sign of an important problem. I have the taste to say false. And the reason is that I have a friend close to me who is really unstable. In the sense that she may not be in her week for six months and then in her
Starting point is 01:13:55 week. And she can... And she looks fine. You can say that to her. You can put your birth certificate on her. Is that it? Or not? Well, yes, she has a birth's pregnant and has an abortion, but... I'd like to say it's not serious, and if it's serious, I'll call her and say, make yourself checked.
Starting point is 01:14:11 Well, I'd say the answer is that it depends. Yeah, that's true. Because, you know, it's true that when we're in our first menstruation, when we're young, it can be normal to be really irregular. For me, I was really irregular at the beginning. So it can be normal, especially at the beginning. It can be normal to have some variations in your cycle, but it's just that sometimes there are certain health problems
Starting point is 01:14:38 that could cause an absence of menstruation. So when you're very irregular, or you don't have menstruation for more than three cycles, it's at that moment that we recommend to go talk to your doctor to do some research to see if there's anything that's going on behind it. It's possible that it's normal at the end of the line, and that it's related to stress,
Starting point is 01:15:07 related to a change in physical activity, that we skipped cycles. But if we're regularly inter-regulating, and all of a sudden, it's been three months or more that we haven't had our... And that we're not pregnant! And that we're not pregnant, in fact, the tests, and there's no other reason,
Starting point is 01:15:20 then it's possible that there's no problem, but it's possible that there is. So that's where it's worth going to consult, maybe evaluate. like there's no problem, but it's not like there's any problem. So, it's worth going to the consultation, maybe, to evaluate. If we skip a cycle, I wouldn't go to the consultation right away if we don't have other symptoms. But if we start several months ago and we've never had an investigation at this level, and usually we're super regular, it's not worth going to do an investigation. There are still several health problems that could cause... And it can be that it's not correct, right?
Starting point is 01:15:49 Can it be a lack of... Let's say that people who have food disorders, who are going to go far away, who don't eat much, it can cause them to fall more in their week or whatever. Stress, it does that too. In food, not eating enough, you know. Well, just like a big weight loss or the fact of not eating enough, it can often be a cause of that.
Starting point is 01:16:14 But you know, there are other health problems, like, let's say, problems with thyroid glands, too. Sometimes polycystic ovarian syndrome, in short, it's worth checking. That's it. Yes, exactly. But it can happen that, after we found nothing, and that's it. That's it.
Starting point is 01:16:35 That's it. But it's just asking yourself questions, I would say. That's it. The line, if we don't have a symptom, is usually three months. We are regular, we say to ourselves, it might be worth going to consult. Yeah. Well, that's what they're going to have.
Starting point is 01:16:48 Ah, sorry. Do you still have the dots in your heads? No, I don't know. I think we're going to set that up for each of us. Each of us for a massage. Oh yes. Well yes. I think we've had the same reports all the time.
Starting point is 01:17:00 Yes. At the same time. It's good. I don't think it's that bad, madam. Me neither. We weren't that bad. Me neither. We weren't that bad. It's good. It's good. Well yes. It's good.
Starting point is 01:17:11 We'll try to follow that on the next question. Yes, thank you. It's ideal to use a water-based lubricant when using a condom. No, it has to do with that, I know. Silicone is not compatible with the... Silicone is compatible with the latex. Because people confuse condom with silicone because they think that the condom is made of silicone. Because silicone can't be a silicone lip balm, you can't use toys with that.
Starting point is 01:17:37 Indeed, silicone. Exactly. So people compare that. They say all the time, no, I have a condom, I can't use that. I'm like, yes, you can use it. But on the contrary, even, it's often better. Because the water-based lubricant will dry out, and it will create the sebum, and it will have a little bit of vaginal dryness, and it heats up. And it can break your condom, like coconut oil. Coconut oil is not recommended with condoms.
Starting point is 01:18:00 Exactly, that's the one I wanted to bring. I'm a pro at playing with condoms. That's why we knew you were going to talk about that one. Because oil-based lubricants are indeed fast. There is one type of condom, polyurethane, that would be correct. Oil-based lubricants, but polyurethane condoms are not common. It's going to be latex. Yes, silicone-based lubricants, water-based lubricants are compatible with the different types of condoms.
Starting point is 01:18:24 But people who would use a oil-based lubricant with a latex condom, that's where it can be problematic. Because in the middle of that, it can damage the condom. There are oils that are good, but... Because oils that are good, often it gets messed up, so it's like... In theory, as soon as it's oil-based, a more polyurethane be used more, in polyurethane, if we want to avoid any danger. And there's even a fun fact, let's say, the canistin. That we were talking about earlier.
Starting point is 01:18:50 That we were talking about earlier. In fact, there are some creams that are used at the vaginal level that can damage the condom. Canistin is still a mention, because there might be a little bit of oil in it or some chemicals. So there are several creams that can be compatible, but there is a mention of trying to avoid... In any case, the latex condoms with this could be problematic, it could damage the condom. So it's not just the lubricants, all the products that are at the vaginal level that could contain oils or certain chemicals that could damage the latex. And even, I think it suggests avoiding them at least until 48 later, to be sure that there is no...
Starting point is 01:19:27 That's it, that there is not a little bit of cream left that could damage the condom, because then we could lose the effectiveness of contraception, the effectiveness of protection against TSS if there is a shine or damage to the condom. So it's not just the lubricant, it's certain creams. Two questions, apart from that one I almost forgot. First question, and we won't forget it. I often ask myself this, and I've had a lot of different answers,
Starting point is 01:19:50 so I want to know what yours are. Vibrators in the breast, what do you suggest to be careful with? I couldn't answer that question. My doctor, he probably was like... What he told me was that what's dangerous about using a vibrator,
Starting point is 01:20:11 in the scene, we're more at risk of infections. So if there's a pusher in your toy, if it's badly cleaned or whatever, he was cleaning something that can create you, we're much more sensitive. So he told me that according to him, it was more the portion. You really need your toy to be super well cleaned and very well rinsed and all that. And the other portion, then the massage foam, she told me that. In addition to that, there was not really a risk, because the vibration is not what will make your baby dance in the vagina. We don't care a little.
Starting point is 01:20:41 But you see, when I arrived, to arrive close to, I was like eight months old, I used vibrations and it created contractions. So it was like... Well, that's it, let's say, certain types of pregnancy at risk or pregnancy at risk of premature birth. Are you sure that it's going to be... I think it's good to talk about it with your gynecologist who follows. With my gynecologist, but we're not always followed by a gynecologist. Or by a doctor who follows.
Starting point is 01:21:04 But it's so much more. I do everything I can to keep up with the habit. I tell them, hey, are you external? You know, external vibration, a clitoris like that, you know, at least you're less... Of course. Because that's for sure, you're going into a back pain and it's vivid and there's a path there, or whatever. I'm like... Well, you know, I couldn't exactly answer the question, but I know that sexual activity will be
Starting point is 01:21:28 contraindicated in certain types of pregnancy, pregnancy at risk, premature birth. So, maybe we can talk about it with the professional who is following us. But at the same time, that's it. But after that, knowing if it's different than a sexual relationship... That's it. I don't know what it could do, to make a difference. I don't know. And the other question is, sexual pleasure, what are the diseases that... For the sexual pleasure sharing, let's say,
Starting point is 01:22:05 what exactly is it? Do you know? Well, I would say we shouldn't share. I would tend to say that it's the same risk in a sex relationship that is not protected. That's for now, but let's say after, let's say you used your toy and you cleaned it and you film it. But you know what's terrible? They don't live on toys.
Starting point is 01:22:27 That's it. Put yourself in the wrong place and avoid risks. You're not safe. Yeah, that's it. Because we were talking about that at the show, you know, to use toys. Let's say someone has all the toys on the planet. I know. And then there's a partner. It's sure you have a big big crap and you're like, here, I'm going to clean it up.
Starting point is 01:22:43 I'm like, yeah, that's going to clean it up. And it's okay. No, that's for sure. I imagine that the recommendation in general is to use your own toys. With a condom, otherwise. Even if the bacteria doesn't live. No, I understand. Better warn than cure. I understand.
Starting point is 01:22:59 Yeah, I think I'd invest in my own toys, even if the other person has them. I think that would be what I would invest in my... I would play even if the other person... would play with my world. At least I think that would be what I would do. We went to who? To you, I think. Ok, we try to alternate. We stay polite. We share. The retreat method can be effective...
Starting point is 01:23:18 Polite, play, talk. The retreat method can be effective to warn big breasts when the person with a penis withdraws well before already peeing. No, but yes. No, because the predis, the predisor. The answer is no, but yes. The predis can contain sperm, and that's for the lubrication, so it's at the beginning of the relationship that it happens.
Starting point is 01:23:43 So clearly, if you make love, it's possible that there's sperm in it. Exactly. But according to the Canadian Epidiatrics Society, with a perfect use of the withdrawal method, you would have an efficiency of 96%. But the thing is that the perfect use is not really possible often. What is afait? That would be probably...
Starting point is 01:24:08 Yes, that's a good question. On a withdrawal before ejaculation... There should be no ejaculation inside or on the genital organs of the woman, but it's just that sometimes it can be hard to withdraw in time, but also that there are sperm in the pre-siminal liquid. I'm sorry, pre-dip. The guy is in time, let's say 30 seconds before, and he ends up in the middle of the girl.
Starting point is 01:24:36 Yes, but as she said, it's in the pre-... I don't know why. Well, at the beginning, you're in the end, and he's having sex in the middle. No? Well, I did it. What I do is that we take a break, but I follow my cycle a lot. So when I'm at risk, I put a condom on, in any case. And when I'm not at risk, but we still take a break. I think it can be an interesting method when you combine two contraceptive methods.
Starting point is 01:25:03 It's sure that two contraceptive methods are moderately effective, maybe together, it makes something a little more effective. But it's sure that the only method is the effectiveness. We'll see in 9 months. We'll see. The effectiveness with a normal use is like 78%. So 22 women out of 100 after a year will be pregnant with this method. Really?
Starting point is 01:25:21 With the withdrawal? With the withdrawal. But without just the retreat, but they also didn't add following the cycle. Exactly. But the cycle, I think, do you use an app? No, but I don't need the app anymore,
Starting point is 01:25:37 because now I know, my body is... Because you're using it as a little peak of the cycle, I think, if I'm not mistaken, it's 76%. Yes, because the site, you can modify it depending on the... I know it's stupid, but I have my little white liquid, with the... no, gelatin. Yes, yes, the cervical glare. Exactly, well, I know it, day one, two, three, I know all that. So after that, I know that it's more of the same as I do, and then even in situations too.
Starting point is 01:26:05 So it's like five days that you can, plus your pregnancy. And do you measure your... We'll see after. And do you use the thermometer to measure your... No, I haven't done that. It's true that I could. Because it would make more... When it's used with applications, to use the temperature basal with... There, it's even proven by Santé Canada, I think with Natural Cycles applications, to use the basal temperature with... Yes!
Starting point is 01:26:25 It's even proven by Santé Canada, I think it's with Natural Cycles, which is an application. I didn't buy that or... I think it's App Store, I think, this application. Yes, and then I think you go on the website... Amazon, no. Well, basically, all you need is a thermometer
Starting point is 01:26:41 to take the basal temperature. So it's a thermometer with a temperature of 2 decimals. There are two numbers after your comma. You have to sit down. Basically, what you have to do is enter your temperature. You take your temperature every morning and you enter it. So this application, the company that does it says that it has an efficiency of 93%. Oh wow!
Starting point is 01:27:04 Versus the normal cycle, it would be 67%. Natural cycles. And on the application that I download. I think it would be on the cell phone, yes. It's for sure that there, for example, it's paying. But basically, in this application, there is like a... But it's also paying, to say the least. Yes, there is an algorithm.
Starting point is 01:27:22 But is that to say that the calendar method, the retreat method, I would say that it wouldn't be something to use if you really have to avoid taking a big break at all. It's 100%. You have to be ready to have one. Exactly. I thought, let's say it's like max 3, but I don't want to, I don't have any other, ideally the other, but if it's never too much after that, it's chop chop.
Starting point is 01:27:46 Otherwise, chop chop. Practicing relationships, that's 100%. That's true. You're right. Hey, it could be worse. Yeah. No sexual relations in winter, only. Poor Louis.
Starting point is 01:28:02 But the thing with the calendar, we talked about it, but you said there were like five days of fertility, but sometimes it can be a little longer. The sperm can live up to 5 days, and then your nephew can... So let's say I did it in the day. Sometimes it can be like a week of fertility period. That's the thing to be careful about. But hey. I think it would be worth going on a list of questions we have later.
Starting point is 01:28:26 But like you said, if it's not at all price, clearly it's not Ennui. Exactly. Yes, we know very well that it's not at all price that we... Look, one more. We already have full hands. But it's expensive. Full hands, full head. Look, that's good.
Starting point is 01:28:44 Big family, we want big families. No. Really, one is extraordinary. Well, look, they come to your ass all the time. Well, that's what he does. Next. I wanted to continue a little bit with the next question that you have in the same shoes. It's impossible to fall pregnant when you are menstruated.
Starting point is 01:29:02 Ah, well, I would have said it's true. It's not impossible. One chance, it's like 1%. And it's a win-win situation, because I think it's the first time you have different answers. Well, one percent chance. I said, well, one percent. I said the same thing, almost no. No, it's possible, everything is possible.
Starting point is 01:29:20 Yes, it's possible, indeed. It depends. If a woman has a very short cycle, such as a 22-day cycle, then there, and then a relationship towards the end of menstruation, then there, since the sperm can stay alive until 5 days, then there, the 5 days of life could cut the ovulation in a shorter cycle, because generally, we will ovulate like 14 days in general before the... The start of menstruation. The start of menstruationation. The start of the menstruation.
Starting point is 01:29:45 Approximately. If we do the calculation, you fall head-on to your eighth day of your cycle. That's it, it's quite possible. That's your relationship with the end of your cycle. It could. It's never arrived. I'm not ready to say that. It's already arrived.
Starting point is 01:30:01 Well, it's sure it's already arrived. It's already arrived. Well, it's sure it's already happened. It's sure it's already happened. All this fear, all this fear. But you have to be careful because sometimes it's something that we hear that during menstruation it's impossible, but no. Okay, I understand. Yes, and it's better to warn than to warn. But I think we could go maybe... We're at the end of the question.
Starting point is 01:30:21 Yes, the last question came from the sexual team, but not you. Because you weren't aware. No, we didn't know what it was. You didn't know exactly the questions. Everything was a surprise. A pregnant woman used to drink a lot of coffee before she falls pregnant, is it better to keep the same rhythm during her pregnancy, since her body is used to a certain amount? Okay, I'll say no, but she can keep a coffee,
Starting point is 01:30:49 because I think that... I heard that, let's say, a woman who smokes is almost better off continuing to smoke a little because the shock of the cigarette is like less worse than the shock of stress for the child. So I would like to say... It's like less worse than stress for the child. So I want to say, reduce, but not stop completely. It's easy to say, let's have a cup of coffee.
Starting point is 01:31:14 You know, everything is a question of how the person, if she says, I'm unable to, we'll try to deal with the capacity she can. She has the right to drink a coffee per day. Yes, we can drink coffee per day in 5. We have the king, so she can drink 2 if she's not able to. Well, so... We're pharmacists, so we know. So, during pregnancy, we're more sensitive to caffeine effects.
Starting point is 01:31:39 Taking too much caffeine could lead to some complications during pregnancy. But there's still a certain amount of caffeine that is acceptable during pregnancy. And this amount would be about 300 mg. It's not worse because a shot of espresso, it could be like 30 to 90 mg. Huh? You would have 3 espressos. But a coffee filter, well, a size closer to 200 mg. It depends on the thickness of the coffee filter, but what's annoying is that it's caffeine in soda drinks.
Starting point is 01:32:12 It's the accumulation, not just in coffee. In tea, in coffee. But you're still entitled to a certain amount, but if you really drank a lot before the pregnancy, if you overdo it, it would be better. If you drink three Red Bulls, what do you say? One? I say zero. Let's say the girl has a dependence on Red Bull. That's better than... I would talk about that with the person who drinks it.
Starting point is 01:32:42 Because usually, we try to avoid gaseous drinks. Inefficient drinks. Like the cigarette, you feel that it's worse to take a Red Bull than to smoke on top. Imagine I smoke one cigarette and I drink one Red Bull. It's crazy. I don't think so. I don't eat a sushi.
Starting point is 01:33:00 I just eat salami all the time. But no, that's not the point of the question. You seem to say that a Red Bull is not good, but we often say that with cigarettes, if you smoked before, it's better to continue. Why the Red Bull? It's an old man's belief that he didn't want to stop. Maybe that's it. Maybe in time he said that.
Starting point is 01:33:21 They told me it was better not to stop because stress is worse. Yes, yes, grandma. Yes, that's my mom. Well, you know, in Ontario... I'm not ready to saying that. They told me it was better to stop because stress is worse. Yeah, yeah, grandma. That's my mom. I'm not ready to say that. Usually we would at least replace nicotine with gum or patches. Nicotine, yeah.
Starting point is 01:33:38 With a patch. No. It's just because smoking can reduce the amount of oxygen in the fetuses. But that's it! So it's not better to smoke. Well, I would say that ideally you shouldn't smoke during a year. But now we have the choice. We should choose cigarette or Red Bull.
Starting point is 01:33:58 What would you choose? Iiii! That's... I have two cigarettes a day or one Red Bull. Okay, let's rap! Thank you! That was really interesting. I'm not finished. It's funny.
Starting point is 01:34:15 I'm really well served. I just want to say that it must have been years that it didn't happen to me to spend an hour and not realize it. I just wanted to take a prop. Wow! I don't remember the last time we did that. With the pharmacist. It's always like that.
Starting point is 01:34:31 We like that. We change sex, it's just going to be sex with pharmacists. Sex with pharmacists. Yeah! Wow! Is there anything you want us to plug before we go? Your channel? Well, we're on TikTok, Instagram, CarleKate, and again on YouTube.
Starting point is 01:34:49 We do podcast styles between you and me. In our dining room. In our dining room, we bought a camera. With a bad mic. I'll send you the link. So we can follow you there and you work in which pharmacy? Can you tell us? Well, there are patients we meet, but in general we like it.
Starting point is 01:35:10 I understand. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center.
Starting point is 01:35:18 I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. I'm in the center. We're going to take a 15-minute break on Patreon to answer other questions. I'm going to do a big kiss.
Starting point is 01:35:27 And then we'll be back. I'll have time to do it. Welcome to the official Patreon sexual orale platform. I'm here! I'm back! I'm back! What can you expect from our Patreon platform? It's live shows that we've never shown anyone that you'll be able to see.
Starting point is 01:35:44 You'll be able to ask questions for guests who come. You will see one bonus podcast per month, sometimes it's live shows, sometimes it's just us here who jam. After the podcasts, after the podcasts that we will have recorded, we will go directly on Patreon to film after shows. Announcements in advance, tickets, access to live shows. No matter what you choose, like whatever, we thank you in advance. It's a big difference for sexual orientation.
Starting point is 01:36:09 It's something that grows, it's our baby. We're proud, we're happy. And that's it. Thank you so much! A production by Studio SF

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