What if sex was supposed to feel good—but your body won't let you get there?

In this episode, Kristen sits down with Dr. Janelle Frederick, a pelvic floor physical therapist known as the Vagina Rehab Doctor, to talk about vaginismus, sexual pain, and how virtual pelvic health treatment is changing lives.

Dr. Frederick shares her journey from working in orthopedics to specializing in sexual dysfunction—and why she left her dream job at a top hospital to build a remote coaching practice focused on patient empowerment. If you've ever wondered how pelvic PT could possibly work over Zoom, this conversation will blow your mind.

What you'll learn in this episode:

• What vaginismus actually is (hint: it's a pelvic floor muscle disorder, not a psychological problem)
• Why early signs like difficulty with tampons or pap smears matter—and shouldn't be ignored
• How religious upbringing, cultural messaging, and even childhood constipation can contribute to vaginismus
• Why "just relax" is terrible advice when your pelvic floor is in overdrive
• The three first steps to take if you think you're dealing with sexual pain or vaginismus
• How Dr. Frederick's virtual model gives patients more agency and often leads to faster healing
• What "Vaj Stretch Labs" are (and why moving your body matters for pelvic floor release)

This episode is for anyone who's been told their pain is "in their head," who's tried treatment that didn't work, or who's just starting to realize that painful sex isn't something you have to live with.

About Dr. Janelle Frederick: Dr. Janelle Frederick is a Doctor of Physical Therapy who specializes in treating vaginismus and sexual pain. After completing her pelvic health residency at Loyola in Chicago, she built a thriving remote coaching practice that's helped over 300 people experience pain-free, pleasurable intimacy. Her approach focuses on patient empowerment, self-assessment, and addressing both the physical and mental aspects of healing.

Connect with Dr. Janelle Frederick: Instagram: @vaginarehabdoc

Visit Blueberry Therapy: blueberrytherapy.ca
Subscribe to The Hole Shebang Podcast
Follow us on Instagram: @blueberrytherapypelvichealth

Episode Overview

What if the future of pelvic health looks more like Invisalign than one-size-fits-most devices? In this episode, Kristen sits down with Derek Sham, biomedical engineer and founder of Cosm Medical, to explore how precision medicine is finally coming to women's pelvic health. Inspired by his grandmother's struggle with pelvic organ prolapse, Derek is revolutionizing vaginal pessary technology with custom devices designed using AI, digital scanning, and data from thousands of women.

What You'll Learn

• How custom pessaries work and why 1-2 millimeters actually matters for patient outcomes and comfort
• The shocking innovation gap between men's and women's pelvic health (hint: the prostate market is 10X larger)
• Why the same surgery gets reimbursed 30% less when performed on women versus men
• The future of postpartum recovery: "gynothotics" that could prevent prolapse through tissue remodeling
• How AI is transforming pessary fitting from an art based on experience to data-driven precision medicine
• What digital scanning technology could mean for moving beyond finger measurements in urogynecology

About Derek Sham

Derek Sham is a biomedical engineer and founder of Cosm Medical. He previously built the world's most utilized urodynamics system and brings over a decade of experience in medical device development to women's health. Driven by his grandmother's experience with pelvic organ prolapse, Derek is on a mission to bring precision, innovation, and digital technology to a field that has been underserved for decades.

Key Topics Covered

Custom pessary design and fitting • Postpartum tissue remodeling • Women's health innovation gaps • Healthcare reimbursement disparities • AI-assisted clinical decision making • Digital gynecology platforms • Access and affordability in pelvic health • The entrepreneurship journey in medical devices

Connect with Derek Sham and Cosm Medical

Website: COSM.care

Instagram: @cosm.medical

LinkedIn: Derek Sham

Resources Visit blueberrytherapy.ca to learn more about pelvic health physiotherapy in Hamilton, Ontario

Subscribe to The Hole Shebang Podcast for honest conversations about women's health topics

Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Overview

What's the connection between how you eat and how you experience intimacy? In this episode, Kristen sits down with Emily Arthur, a registered dietitian specializing in women's health, to explore the surprising intersections between nutrition, body image, sexual health, and endometriosis.

What You'll Learn

• How disordered eating patterns affect intimacy and sexual expression—not just with partners, but with yourself
• Why people with endometriosis are five times more likely to struggle with disordered eating, and how pain becomes tangled with attempts at control
• What interdisciplinary endometriosis care actually looks like, and why it's so effective (yet so rare in Canada)
• The spectrum of eating behaviors—from intuitive eating to eating disorders, and all the messy stuff in between
• How cultural expectations around gender literally shape what we put on our plates and how we relate to our bodies
• Practical approaches to addressing nutrition in pelvic health without falling into restrictive diet culture

About Emily Arthur, RD

Emily Arthur is a registered dietitian who specializes in nutrition for women's health "from first period to last period and everything in between." She completed a graduate certificate in sexual health education and has specialized training in endometriosis and pelvic health. Emily is part of the Endometriosis 360 interdisciplinary team, which provides comprehensive group programming combining nutrition, physiotherapy, and psychology for people with endometriosis. She also provides one-on-one nutrition counseling through Brandt Nutrition and is actively involved in endometriosis research.

Key Topics Covered

Disordered eating and its impact on intimacy | Endometriosis and nutrition | Body image and sexual health | Gender expectations and food | Intuitive eating | Interdisciplinary pelvic health care | The Endometriosis 360 program

Connect with Emily

Instagram: @emilytheperiodrd
Website: emilytheperiodrd.ca

Resources

Visit blueberrytherapy.ca to learn more about pelvic health physiotherapy and comprehensive care.

Subscribe to The Hole Shebang Podcast wherever you listen to podcasts.

Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth

Episode Overview: What if perimenopause wasn't the end of your sex life—but the beginning of something completely new? In this honest, educational conversation, Kristen sits down with psychotherapist and sex therapist Taylor McConnachie to talk about what's really happening to your body, your desire, and your voice during perimenopause.

What You'll Learn:

• Why perimenopause can be a "sexual debut"—a chance to completely transform how you experience pleasure
• How the non-linear model of sexual response explains why your desire has changed (and why you're not broken)
• What pleasure mapping is and how to rediscover what feels good in your changing body
• Why that "bullshit meter" you're suddenly feeling is actually a gift—and how to use it
• The role of differentiation in maintaining sexual connection while honouring your individual experience
• Practical tools like lube, sex toys, and new ways of communicating about sex

About Taylor McConnachie: Taylor McConnachie is a registered psychotherapist, AASECT-certified sex therapist, and certified sexologist. She's the founder of Embodied Sexual Wellness and Psychotherapy, with a physical practice in Simcoe, Ontario, supporting people across the province with sex therapy, pelvic pain support, and sexual wellness education. Taylor's own experience with endometriosis and sexual pain drives her passion for creating safe, shame-free spaces to talk about sex and sexuality.

Key Topics Covered:

• Sexual pain and pelvic health during perimenopause
• Medical gaslighting and being told "you're too young" for perimenopause
• Body changes, weight gain, and shifting self-image
• Vaginal dryness and arousal changes
• Finding your voice and setting boundaries during midlife
• The connection between caregiving roles and sexual desire

Connect with Taylor: Instagram: @embodiedsexualwellness Website: embodiedsexualwellness.com

Resources Mentioned:

• Climax Conference (Ottawa, November)
• Non-linear model of sexual response

Visit blueberrytherapy.ca to learn more about pelvic health support in Hamilton, Ontario.

Subscribe to The Hole Shebang Podcast on Apple Podcasts, Spotify, or wherever you listen.

Connect with The Hole Shebang on Instagram: @blueberrytherapypelvichealth

Episode Overview: What if everything you thought you knew about hormone therapy was based on a misunderstood study from 2002? In this conversation with Dr. Carrie Jones—naturopathic doctor, hormone specialist, and host of the Hello Hormones podcast—we unpack the real data behind hormone replacement therapy, why perimenopause might be starting earlier than you think, and what's actually happening to your body during this transition.

What You'll Learn:

• The truth about the 2002 Women's Health Initiative study and why "estrogen causes cancer" isn't the full story
• How perimenopause can start in your late 30s (and what other conditions to rule out first)
• The specific hormone labs you should request from your doctor—and why "everything looks normal" isn't good enough
• What genitourinary syndrome of menopause (GSM) is and why nobody talks about vaginal atrophy until it's too late
• Why pain during sex is common but absolutely not normal, and what you can do about it
• How to advocate for yourself when doctors dismiss your symptoms as "just stress" or "too young for hormones"

About Dr. Carrie Jones: Dr. Carrie Jones is a naturopathic medical doctor with a passion for women's hormones and helping people understand their bodies. She graduated from the National University of Natural Medicine (NUNM) in Portland, Oregon, and has been practicing for over 20 years, specializing in hormone health through all life stages. Dr. Jones is the host of Hello Hormones with Dr. Carrie Jones podcast and has an upcoming book (Fall 2026) that promises to make perimenopause education fun, accessible, and actually useful. Her mission is simple: help women not feel so crazy and understand what's happening in their bodies.

Key Topics Covered: Hormone replacement therapy, bioidentical hormones, perimenopause symptoms, menopause, estrogen, progesterone, hormone testing, FSH, LH, estradiol, thyroid function, genitourinary syndrome of menopause (GSM), vaginal atrophy, painful sex, Women's Health Initiative study

Connect with Dr. Carrie Jones: Website: drcarriejones.com Free hormone labs ebook: drcarriejones.com/labs Podcast: Hello Hormones with Dr. Carrie Jones

Connect with The Hole Shebang: Visit blueberrytherapy.ca for pelvic health resources Subscribe to The Hole Shebang Podcast wherever you listen Follow us on Instagram @blueberrytherapypelvichealth

Fact Check Fridays

Episode Overview Muscle metabolism researcher Dr. Lauren Colenso-Semple joins Kristen to debunk fitness myths that are keeping women confused and away from strength training. This evidence-based conversation covers everything from cycle syncing to protein needs, with practical advice for building and maintaining muscle through perimenopause and beyond.

What You'll Learn

• Why muscle building capacity remains strong at any age and how to harness it effectively
• The science behind why cycle syncing workout programs may actually hinder your progress
• Realistic protein recommendations that don't require obsessive tracking
• How to adapt your training as recovery needs change with age
• Simple strategies for consistent strength training with compound movements

About Dr. Lauren Colenso-Semple Dr. Lauren is a muscle metabolism researcher with a psychology background who translates complex science into actionable fitness guidance. After working in business development and personal training, she pursued graduate research focusing on muscle physiology for women. She's passionate about evidence-based approaches that cut through industry confusion and help people exercise effectively throughout their lives.

Key Topics Covered

• Anabolic resistance with aging and what it really means for your workouts
• Why consistency and progression matter more than perfect programming
• The truth about protein needs for muscle building (it's less than you think)
• Recovery differences in your 40s, 50s and beyond—and how to adapt
• Starting resistance training later in life and the powerful functional benefits
• Simple workout strategies that work: compound movements, shorter sessions, regular frequency

Connect with Dr. Lauren Instagram: @drlaurencs1

Resources Mentioned Sign up for Dr. Lauren's evidence-based newsletter for weekly myth-busting fitness insights

Visit blueberrytherapy.ca for pelvic health physiotherapy in Hamilton Ontario Subscribe to The Hole Shebang Podcast Connect with us on Instagram @blueberrytherapypelvichealth

Register for the Empowered Transitions Master Class (Nov 13th 2025, 7-8:30 PM Eastern)

Connect with Jessica Caceres at Bonita Medical Aesthetics

Kristen welcomes back nurse practitioner Jessica Caceres for an in-depth conversation about perimenopause, menopause, and the collaborative care that's transforming women's health. This episode tackles the symptoms, treatments, and myths surrounding this life stage while announcing an exciting new educational opportunity.

• The real timeline for when to start monitoring hormonal changes and symptoms
• Why blood tests can't predict your menopause journey
• How estrogen decline affects your pelvic floor function
• The connection between hormones and joint pain, sleep, and brain fog
• Why vaginal estrogen is a game-changer for UTI prevention and tissue health
• How to become a better advocate for your own healthcare

Jessica Caceres, Nurse Practitioner - Specializes in women's health with a focus on perimenopause and menopause care. Jessica provides virtual consultations across Ontario and is passionate about education and evidence-based treatment for hormonal health.

• Perimenopause symptoms that start in your late 30s and early 40s
• The musculoskeletal syndrome of menopause
• Hormone replacement therapy safety and effectiveness
• The role of vaginal estrogen in preventing infections
• Collaborative care between pelvic health physiotherapy and hormone specialists
• Patient advocacy and education

Empowered Transitions Masterclass Join Kristen and Jessica for a 90-minute live educational session on November 13th 2025 from 7-8:30 PM Eastern. This interactive masterclass will dive deeper into the topics covered in this episode, plus live Q&A and downloadable resources.

Follow Jessica for evidence-based menopause information and virtual consultation availability.

Visit blueberrytherapy.ca for pelvic health physiotherapy in Hamilton and virtual consultations across Ontario. Subscribe to The Hole Shebang Podcast for more honest conversations about pelvic health, parenting, and healthy aging.

Follow The Hole Shebang on Instagram @blueberrytherapypelvichealth

The information in this podcast is for educational purposes and not intended to replace medical advice. Always consult with your healthcare provider about your individual situation.

The Pleasure Principle 2026

Coven Women's Health

Sexual health after cancer treatment is a conversation that needs to happen more often and with much more nuance. In this episode, Dr. Michelle Jacobson brings her expertise as an OB-GYN and co-founder of Coven Women's Health to break down the real science behind sexual recovery after cancer.

What You'll Learn:

Dr. Jacobson explains the key differences between tamoxifen and aromatase inhibitors and how each affects sexual function differently. We dive into why some cancer treatments leave women feeling like they have "nothing"—no estrogen, increased joint pain, and profound vaginal dryness. She also addresses the safety of vaginal estrogen use post-breast cancer, debunking common misconceptions that prevent women from accessing effective treatment.

The conversation covers practical, evidence-based solutions including the importance of hyaluronic acid moisturizers, choosing the right lubricants (hint: water-based isn't always best), and why coconut oil deserves a spot in your bedroom toolkit. We discuss the crucial role of pelvic floor physiotherapy in sexual recovery and break down the difference between DHEA and estrogen-based vaginal treatments.

For women who've experienced radiation therapy, Dr. Jacobson explains the prevention and treatment of vaginal stenosis, emphasizing why early intervention with dilation and moisturizers makes all the difference. We also tackle the often-overlooked topic of orgasm difficulties after cancer treatment, including how antidepressants, weakened pelvic floor muscles, and changing nerve sensitivity all play a role.

About Dr. Michelle Jacobson:

Dr. Michelle Jacobson is an obstetrician-gynecologist from Toronto and co-founder of Coven Women's Health, a virtual clinic focused on perimenopause, menopause, and cancer survivorship care. Previously the director of the ovarian cancer prevention clinic with a 2.5-year wait list, she created Coven to scale personalized, evidence-based women's healthcare access across Canada.

Visit blueberrytherapy.ca

Subscribe to The Hole Shebang Podcast

Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth