Pelvic Pain unPacked: Real Talk About Pain, Pleasure, & Wellness

010: Your Pelvis Is a Part of You! A Conversation With Dr. Karyn Eilber, Urologist. IC and CBD

Pelvic health is often treated as something separate from the rest of the body, but as Dr. Karyn Eilber explains, that mindset can delay healing and leave many people feeling unheard. In this episode, we explore how chronic pelvic conditions like interstitial cystitis (IC) and pelvic floor dysfunction affect daily life, relationships, and overall wellness. Dr. Eilber shares background from her work as a urogynecologist and surgeon, where she treats conditions related to bladder health, pelvic floor function, sexual wellness, and menopause. Her goal is straightforward: to provide evidence-based pelvic, bladder, and women's health care that feels clear, thorough, and supportive, especially when you've spent years navigating a system that made it anything but. We discuss why IC can be difficult to diagnose, how chronic muscle tension develops over time, and why long-term healing often requires patience, consistency, and a combination of therapies rather than a single solution. A major focus of the conversation is CBD and cannabinoid-based therapies for pelvic wellness. Dr. Eilber explains how patient experiences first sparked her interest in CBD and how topical and vaginal products may support relaxation, pelvic muscle function, and overall comfort. Listeners will come away with a deeper understanding of chronic pelvic conditions, the role of integrative care, and why treating the pelvis as an important part of the whole body can change the way healing is approached. In this episode, you will hear: * Why the pelvic floor should be treated like any other part of the body * Interstitial cystitis and why diagnosis can take years * The connection between bladder symptoms and pelvic floor dysfunction * CBD and cannabinoid therapies for pelvic wellness and intimacy * How chronic pelvic conditions affect relationships and daily life * The importance of combining physical therapy, supplements, and lifestyle changes * Breaking stigma and encouraging more honest conversations about women's health Resources from this Episode * Guest Instagram: @dreilber * Guest Website: https://www.karyneilbermd.com/ [https://www.karyneilbermd.com/] * https://www.karyneilbermd.com/ [https://www.karyneilbermd.com/] * https://femetry.com/ [https://femetry.com/] * https://pmc.ncbi.nlm.nih.gov/articles/PMC10003465/#sec2-ijms-24-05055 [https://pmc.ncbi.nlm.nih.gov/articles/PMC10003465/#sec2-ijms-24-05055] * https://utahcanna.org/interstitial-cystitis/ [https://utahcanna.org/interstitial-cystitis/] * https://www.mdpi.com/1999-4923/18/4/458 [https://www.mdpi.com/1999-4923/18/4/458] Disclaimer: The information shared in this podcast is intended for educational and informational purposes only and should not be considered medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or medical condition. The views and opinions expressed are those of the individual participants and do not necessarily reflect the views, policies, or positions of MedRoots or the medical community at large. Listeners should consult a qualified healthcare professional before making any healthcare-related decisions. Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts [https://podcasts.apple.com/us/podcast/pelvic-pain-unpacked-real-talk-about-pain-pleasure/id1847958029]. Simply select "Ratings and Reviews" and "Write a Review," then a quick line with your favorite part of the episode. It only takes a second, and it helps spread the word about the podcast. Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com [https://emeraldcitypro.com/]. Let them know we sent you.

009: Vulvodynia, Healing, and Finding Community with Mathilde Olstad

What starts as a conversation about pelvic health quickly becomes a discussion about identity, relationships, healing, and the importance of finally being heard. Our special guest is Mathilde Olstad, host of The World's Tightest Community podcast, who shares her personal journey navigating vulvodynia and how it reshaped nearly every aspect of her life. Mathilde shared how her symptoms appeared unexpectedly during a hopeful season of life and how difficult it was to understand what was happening when medical answers felt limited or dismissive. We explored the emotional and physical realities of living with chronic vulvovaginal discomfort, and she opened up about the role trauma, stress, and pelvic floor dysfunction may play in these conditions. Throughout the conversation, we discussed the larger gaps that still exist in women's healthcare, especially around sexual health conditions that remain highly misunderstood and under-discussed. Mathilde explained how discovering online support communities completely changed her outlook, helping her feel less isolated and eventually inspiring her to create a platform where others could access education, expert insights, and honest conversations. Listeners will come away with a deeper understanding of vulvodynia, the importance of self-advocacy, and why community can be such a critical part of recovery. More than anything, this conversation offers reassurance that even in the middle of uncertainty, there are resources, support systems, and reasons to remain hopeful. In this episode, you will hear: * The emotional impact of chronic vulvovaginal discomfort on relationships and identity * Medical dismissal and the challenges of finding effective treatment * Connections between trauma, stress, and pelvic health conditions * Hypertonic pelvic floor symptoms and treatment approaches * The importance of online support communities and patient advocacy * Breaking the stigma surrounding sexual health and women's wellness conversations Resources from this Episode * Mathilde's Instagram: @theworldstightestcommunity * Mathilde's Website: theworldstightestcommunity.com [http://theworldstightestcommunity.com] * https://pmc.ncbi.nlm.nih.gov/articles/PMC7787394/ [https://pmc.ncbi.nlm.nih.gov/articles/PMC7787394/] * https://thevagwhisperer.com/2023/03/28/cbd-for-pelvic-floor-dysfunction/ [https://thevagwhisperer.com/2023/03/28/cbd-for-pelvic-floor-dysfunction/] * https://www.mdpi.com/2218-273X/14/12/1627 [https://www.mdpi.com/2218-273X/14/12/1627] * https://cannabishealthnews.co.uk/2021/05/06/its-still-very-taboo-how-medical-cannabis-helps-relieve-the-pain-of-vulvodynia/ [https://cannabishealthnews.co.uk/2021/05/06/its-still-very-taboo-how-medical-cannabis-helps-relieve-the-pain-of-vulvodynia/] * https://www.sciencedirect.com/science/article/abs/pii/S1553465021008955 [https://www.sciencedirect.com/science/article/abs/pii/S1553465021008955] Disclaimer: The information shared in this podcast is intended for educational and informational purposes only and should not be considered medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or medical condition. The views and opinions expressed are those of the individual participants and do not necessarily reflect the views, policies, or positions of MedRoots or the medical community at large. Listeners should consult a qualified healthcare professional before making any healthcare-related decisions. Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts [https://podcasts.apple.com/us/podcast/pelvic-pain-unpacked-real-talk-about-pain-pleasure/id1847958029]. Simply select "Ratings and Reviews" and "Write a Review," then a quick line with your favorite part of the episode. It only takes a second, and it helps spread the word about the podcast. Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com [https://emeraldcitypro.com/]. Let them know we sent you.

008: Natural Relief: Why CBD Muscle Cream Works Better Than Traditional Topicals

Muscle discomfort is something most of us experience, and in this episode, we take a closer look at why CBD muscle cream may offer a more effective solution than traditional topicals. We start by breaking down how common products like menthol-based creams actually work. These treatments rely on the gate control theory of discomfort, using sensations like cooling or heat to override discomfort signals traveling to the brain. From there, we explore how CBD enhances this approach. In addition to activating similar sensory pathways, CBD works on a deeper level by reducing inflammation, calming nerve irritation, and easing muscle spasms. This makes it particularly helpful for both short-term injuries and chronic discomfort conditions that tend to flare up over time. We also discuss practical ways to maximize relief, including combining CBD topicals with heat, ice, or TENS therapy. Ultimately, this episode offers a clearer understanding of how discomfort works in the body and why a multi-layered approach can provide longer-lasting, more meaningful relief than traditional options alone. In this episode, you will hear: * How the gate control theory of discomfort explains relief from traditional topicals * Role of menthol-based creams in masking discomfort signals without treating inflammation * CBD's dual impact on discomfort blocking and inflammation reduction * Differences between short-term relief and longer-lasting discomfort management * Real-world examples from athletic injuries and chronic discomfort flare-ups * Importance of early intervention to prevent compensatory injuries * Combining CBD with heat ice or TENS therapy for enhanced results Resources from this Episode * Guest's Website: https://medroots.com/ [https://medroots.com/] * Gate Control Theory of Pain: https://www.physio-pedia.com/Gate_Control_Theory_of_Pain [https://www.physio-pedia.com/Gate_Control_Theory_of_Pain] * Inflammation and Muscle: https://my.clevelandclinic.org/health/symptoms/myalgia-muscle-pain [https://my.clevelandclinic.org/health/symptoms/myalgia-muscle-pain] * Chronic Pain Cycle: https://cdn.shopify.com/s/files/1/0901/7324/3714/files/Chronic_Pain_Cycle.pdf?v=1759175698 [https://cdn.shopify.com/s/files/1/0901/7324/3714/files/Chronic_Pain_Cycle.pdf?v=1759175698] Disclaimer: The information shared in this podcast is intended for educational and informational purposes only and should not be considered medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or medical condition. The views and opinions expressed are those of the individual participants and do not necessarily reflect the views, policies, or positions of MedRoots or the medical community at large. Listeners should consult a qualified healthcare professional before making any healthcare-related decisions. Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts [https://podcasts.apple.com/us/podcast/pelvic-pain-unpacked-real-talk-about-pain-pleasure/id1847958029]. Simply select "Ratings and Reviews" and "Write a Review," then a quick line with your favorite part of the episode. It only takes a second, and it helps spread the word about the podcast. Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com [https://emeraldcitypro.com/]. Let them know we sent you.

007: Natural Alternatives to Valium: CBD for Pelvic Floor Dysfunction

Finding effective, accessible relief for pelvic floor dysfunction can be challenging, especially when traditional medications come with unwanted side effects or barriers to access. In this episode, we take a closer look at both conventional treatments and emerging natural alternatives, focusing on the role of CBD suppositories in managing pelvic discomfort. We start by unpacking the differences between hypotonic and hypertonic pelvic floor dysfunction. From there, we explore standard care approaches, including pelvic floor physical therapy as the gold standard and commonly prescribed medications. While these options can help, we discuss key drawbacks such as sedation, potential dependence, and limited accessibility due to prescribing restrictions and insurance challenges. The conversation then shifts to CBD as a potential alternative. We share how cannabinoids may support muscle relaxation and reduce inflammation with fewer side effects, making them a compelling option for some patients. In this episode, you will hear: * Common symptoms of pelvic floor dysfunction * Pelvic floor physical therapy as the gold standard treatment * Use of medications for pain relief and what they are * Side effects and limitations of traditional pharmaceuticals * CBD suppositories as a natural alternative for muscle relaxation and inflammation Resources from this Episode * https://medroots.com/ [https://medroots.com/] * Find a Pelvic Floor Physical Therapist * Herman and Wallace: https://pelvicrehab.com/ [https://pelvicrehab.com/] * APTA: https://www.aptapelvichealth.org/ptlocator [https://www.aptapelvichealth.org/ptlocator] * Chronic Pain Cycle: https://cdn.shopify.com/s/files/1/0901/7324/3714/files/Chronic_Pain_Cycle.pdf?v=1759175698 [https://cdn.shopify.com/s/files/1/0901/7324/3714/files/Chronic_Pain_Cycle.pdf?v=1759175698] * Inflammation and Muscle: https://my.clevelandclinic.org/health/symptoms/myalgia-muscle-pain [https://my.clevelandclinic.org/health/symptoms/myalgia-muscle-pain] * Hypotonic vs Hypertonic Pelvic Floor: https://www.kgoal.com/a/blog/pelvic-pain/hypertonic-vs-hypotonic-pelvic-floor?srsltid=AfmBOopUQUAVrPkH-eMzq_VK82rjZwa2-CxilMTs5Ur_PRz4RlBS7Y_A [https://www.kgoal.com/a/blog/pelvic-pain/hypertonic-vs-hypotonic-pelvic-floor?srsltid=AfmBOopUQUAVrPkH-eMzq_VK82rjZwa2-CxilMTs5Ur_PRz4RlBS7Y_A] * International Pelvic Pain Society: https://www.pelvicpain.org/ [https://www.pelvicpain.org/] Disclaimer: The information shared in this podcast is intended for educational and informational purposes only and should not be considered medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or medical condition. The views and opinions expressed are those of the individual participants and do not necessarily reflect the views, policies, or positions of MedRoots or the medical community at large. Listeners should consult a qualified healthcare professional before making any healthcare-related decisions. Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts [https://podcasts.apple.com/us/podcast/pelvic-pain-unpacked-real-talk-about-pain-pleasure/id1847958029]. Simply select "Ratings and Reviews" and "Write a Review," then a quick line with your favorite part of the episode. It only takes a second, and it helps spread the word about the podcast. Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com [https://emeraldcitypro.com/]. Let them know we sent you.

006: Understanding Menopause and Perimenopause: What's Really Happening in Your Body

Menopause is often treated as a phase women simply have to endure, yet the reality is far more complex. As hormonal changes begin, often during perimenopause, many women experience symptoms that affect nearly every aspect of daily life, from sleep and mood to metabolism and overall well-being. In this conversation, we speak with pharmacist, integrative women's health coach, and certified menopause educator Victoria Byrd about what is really happening in the body during midlife. With more than two decades of experience in healthcare, Victoria shares how her own experience with early symptoms like night sweats and sleep disruption pushed her to seek better answers and ultimately focus her work on helping women navigate menopause with clarity and confidence. We explore the wide range of symptoms that can appear during perimenopause, including hot flashes, mood changes, weight gain, brain fog, and irregular cycles. Victoria explains how fluctuating levels of estrogen and progesterone influence many of these changes and why symptoms such as joint discomfort, sleep disturbances, and metabolic shifts are often overlooked or misunderstood. The discussion also highlights the gap many women face in traditional healthcare, where menopause education is limited, and symptoms are sometimes dismissed as simply part of aging. Ultimately, the conversation reframes menopause as a transition that deserves attention, education, and open discussion — empowering women to better understand their bodies and take an active role in their health. In this episode, you will hear: * Understanding common perimenopause symptoms * The role of estrogen and progesterone fluctuations in midlife health changes * Silent menopause symptoms * The gap in menopause education within traditional healthcare * Lifestyle strategies, including stress management, sleep hygiene, nutrition, and strength training * Open conversations about vaginal health, pelvic symptoms, and sexual wellness during menopause * Exploring supportive options, including hormone therapy and natural tools like CBD Resources from this Episode * https://medroots.com [https://medroots.com/] * Victoria Byrd's Website - https://www.womenmasteringmidlife.com [https://www.womenmasteringmidlife.com/] * Victoria's Instagram - https://www.instagram.com/msvictoriabyrd [https://www.instagram.com/msvictoriabyrd/] * https://research.rutgers.edu/news/cbd-shows-health-benefits-estrogen-deficient-mice-model-postmenopause [https://research.rutgers.edu/news/cbd-shows-health-benefits-estrogen-deficient-mice-model-postmenopause] * https://pmc.ncbi.nlm.nih.gov/articles/PMC10177097/ [https://pmc.ncbi.nlm.nih.gov/articles/PMC10177097/] * https://leafwell.com/blog/cbd-oil-for-menopause [https://leafwell.com/blog/cbd-oil-for-menopause] * https://www.joinmidi.com/post/cbd-for-menopause [https://www.joinmidi.com/post/cbd-for-menopause] * https://www.health.harvard.edu/blog/are-women-turning-to-cannabis-for-menopause-symptom-relief-202210242837#:~:text=The%20survey%20found%20that:%20*%2086%25%20of,not%20improve%20as%20much%20from%20cannabis%20use [https://www.health.harvard.edu/blog/are-women-turning-to-cannabis-for-menopause-symptom-relief-202210242837#:~:text=The%20survey%20found%20that:%20*%2086%25%20of,not%20improve%20as%20much%20from%20cannabis%20use] Disclaimer: The information shared in this podcast is intended for educational and informational purposes only and should not be considered medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or medical condition. The views and opinions expressed are those of the individual participants and do not necessarily reflect the views, policies, or positions of MedRoots or the medical community at large. Listeners should consult a qualified healthcare professional before making any healthcare-related decisions. Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts [https://podcasts.apple.com/us/podcast/pelvic-pain-unpacked-real-talk-about-pain-pleasure/id1847958029]. Simply select "Ratings and Reviews" and "Write a Review," then a quick line with your favorite part of the episode. It only takes a second, and it helps spread the word about the podcast. Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com [https://emeraldcitypro.com/]. Let them know we sent you.