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Empowering wellbeing: Simple steps to improve your pelvic health

By Gloria Kolb, co-founder & CEO – Elitone

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Pelvic health is a critical yet often overlooked aspect of overall wellness.

The pelvic floor muscles support many essential bodily functions, including urinary and faecal continence, sexual health, and core stability.

Neglecting pelvic health can lead to significant physical and emotional consequences, including incontinence, chronic pain, and an overall reduced quality of life. 

Despite its importance, many individuals are unaware of how to maintain or improve their pelvic health, often due to societal taboos and a lack of accessible information.

Addressing pelvic health proactively not only prevents long-term complications but also fosters a more vibrant and fulfilling life.

Impacts of ignoring pelvic health

Neglecting one’s pelvic health can lead to significant physical, emotional, and mental consequences.

Physically, issues like incontinence — the involuntary leakage of urine or faeces — can significantly affect daily activities and cause embarrassment, often leading to a reluctance to engage in social or physical activities. 

Chronic pelvic pain is another common consequence that can result from weakened or damaged pelvic floor muscles, hindering mobility, reducing comfort during daily activities, and negatively impacting one’s overall quality of life.

Pelvic floor dysfunction can also lead to strained intimate relationships and reduced sexual satisfaction resulting from issues such as dyspareunia (painful intercourse), decreased libido, and erectile dysfunction.

Emotionally and mentally, pelvic health problems can lead to significant stress and anxiety, particularly due to constant worry about incontinence or chronic pain, which can further exacerbate pelvic health issues and affect overall mental health.

Furthermore, struggling with these problems can diminish self-esteem and confidence, often leading to feelings of isolation and a diminished sense of well-being.

The long-term health risks of ignoring pelvic health are also considerable.

Chronic conditions such as pelvic organ prolapse, where the pelvic organs descend and cause discomfort or functional problems, can develop over time.

Poor pelvic health can also elevate the risk of urinary tract infections and other complications, potentially leading to more severe health issues. 

Recognising these impacts underscores the necessity of proactively addressing pelvic health so individuals can prevent adverse outcomes and enjoy a healthier, more fulfilling life.

Simple steps to improve pelvic health

Statistics tell us that nearly 1 in 3 women suffer from incontinence or some variation of pelvic floor dysfunction.

Here are some simple, actionable steps to help maintain and improve pelvic health:

  • Regular pelvic floor exercises: These include Kegel exercises, yoga, and Pilates. Kegel exercises involve repeatedly contracting and relaxing the pelvic floor muscles. To perform Kegels, tighten the muscles used to stop urination, hold for a few seconds, then release. Aim for three sets of 10 repetitions daily. Incorporating yoga and Pilates into one’s routine can also improve core strength and flexibility to improve pelvic health. Poses like Bridge Pose and Goddess Pose specifically target the pelvic floor muscles.
  • Using wearable devices: Wearable pelvic floor training devices can help you perform Kegel exercises correctly and consistently. These devices perform the exercises for you, making strengthening the pelvic floor muscles effective quicker. There are non-wearable vaginal devices as well that can guide your efforts.
  • Maintaining a healthy diet: Eating foods high in fibre, such as fruits, vegetables, and whole grains, can prevent constipation and reduce unnecessary strain on the pelvic floor. Drinking plenty of water helps maintain urinary health and prevents dehydration, which can exacerbate pelvic issues. Consuming foods like berries, fatty fish, and leafy greens can help manage pelvic pain due to their anti-inflammatory properties.
  • Incorporating physical activity: Regular physical activity, such as walking, swimming, or cycling, helps maintain overall fitness and supports pelvic health. Activities that strengthen the core muscles, such as planks and abdominal exercises, provide additional support to the pelvic floor.
  • Practicing breathing techniques: Breathing techniques to help alleviate downward pelvic floor pressure can reduce pelvic issues.
  • Seeking professional help: Schedule routine pelvic examinations with healthcare providers to monitor and maintain pelvic health. Consulting a specialist or pelvic floor therapist can provide personalised exercises and treatments to address specific issues.

Taking proactive steps to improve and maintain pelvic health is essential for overall well-being.

However, breaking the silence and stigma surrounding pelvic health is also crucial, which is why we must have open conversations to increase awareness and empower individuals to address their concerns without fear or embarrassment.

Embracing these simple steps will help people take charge of their well-being, paving the way for a healthier, more vibrant future.

Gloria Kolb is the CEO and co-founder of Elitone, the first non-invasive, FDA-cleared, wearable treatment for women with urinary incontinence.

Elitone’s accolades include winning Best New Product by My Face My Body, Sling Shot 2020, finalist in Women Startup Challenge, and many startup pitch competitions.

As an inventor with 30+ patents, Gloria has been featured in Forbes as a Top Scientist Driving Innovation in Women’s Health.

Her creative designs and problem-solving abilities have earned her recognition, such as Boston’s “40 Under 40” and MIT Review’s “World’s Top Innovators under 35.”

She has  Engineering degrees from MIT and Stanford and an Entrepreneurship MBA from Babson College.

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Hormonal health

Study links small bowel microbiome differences to women’s health

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Small bowel microbiome differences between women and men may help explain why some conditions are more common in women, a study suggests.

The small bowel microbiome is the community of microorganisms living in this part of the digestive tract, where they play vital roles in immune function, metabolism and hormonal regulation.

Researchers found differences between women and men in the composition and organisation of these microbial communities. One bacterial community containing Granulicatella was found only in women.

The study was conducted by investigators at Cedars-Sinai Health Sciences University.

Ruchi Mathur, director of clinical research and clinical operations for the Medically Associated Science and Technology (MAST) Program at Cedars-Sinai and corresponding author of the study, said: “One intriguing finding was a bacterial community containing Granulicatella, which we found only in women.

“Bacteria in this community appear at increased levels in women with polyendocrine metabolic ovarian syndrome, formerly known as polycystic ovary syndrome.”

The researchers also identified differences between women and men in how microbes in the small bowel produce fructans, complex carbohydrates known to trigger digestive symptoms in irritable bowel syndrome (IBS).

IBS is far more common in women than men.

Mathur, who is also a professor of medicine, said: “Our findings show that biological sex is a critical variable in the small bowel microbiome.

“We must consider it as we move toward more personalised approaches to understanding and treating disease.”

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Wellness

Weight loss surgery improves menstrual health and PMOS symptoms, study finds

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Weight loss surgery was linked to more regular periods and fewer polyendocrine metabolic ovarian syndrome (PMOS) symptoms in women aged 18 to 45 living with obesity in a recent study.

The researchers recommend that women undergoing the procedure have access to preconception care and reproductive counselling to support their reproductive health.

Researchers at the University of Surrey analysed data over 24 months from 84 women who underwent bariatric surgery and 18 women living with obesity who did not have surgery.

Of those who underwent surgery, 49 had gastric bypass procedures and 35 had gastric sleeve surgery.

Women who underwent metabolic bariatric surgery lost more than 30kg on average at 12 and 24 months after the procedure.

Among women with polycystic ovaries, the condition persisted in only 10 per cent after 24 months.

Women also reported a resolution of clinical hirsutism, or excess body hair, by 12 months.

Women who had previously experienced irregular periods reported more regular menstrual cycles after surgery.

Professor Martin Whyte, co-author of the study and professor of metabolic medicine at the University of Surrey, said: “A large proportion of those undergoing bariatric surgery are women of reproductive age, who may be planning a pregnancy in the coming years.

“So much remains unknown about the impact of this type of surgery on women who are planning to have children.

“This raises the question of when the ideal time after surgery is to conceive.”

Women have a higher prevalence of obesity than men, with 57 per cent of women in the UK classified as overweight and 27 per cent living with obesity, which can affect fertility and the health of an unborn baby.

The researchers said 17 women had healthy pregnancies following surgery.

Although this was not specifically examined in the study, no difference in birth weight was observed between babies conceived within or after the first year.

Dr Kathryn Hart, co-author of the study and associate professor in nutrition and dietetics at the University of Surrey, said: “What we have found is that bariatric surgery positively affects the reproductive health of women living with obesity and can improve the likelihood of them having a healthy pregnancy after surgery.

“Dysregulated hormone levels, irregular periods and conditions such as polycystic ovaries are affected by obesity.

“By reducing this, what we have seen is that it can lead to improvements without the need for medication.

“We would suggest that clinicians consider medical intervention for obesity to treat irregularities in the menstrual cycle and issues with fertility.”

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Mental health

Women more likely than men to get health advice from influencers, study finds

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Young women are more likely than young men to get health and wellness information from social media influencers, a US survey has found.

Among adults aged 18 to 29, 57 per cent of women said they received health and wellness information from influencers, compared with 47 per cent of men.

The Pew Research Center study surveyed 5,023 US adults and examined how young people consume health and wellness content online.

Local university students said influencer content frequently appeared in their social media feeds.

Kabija Koroma, a local university student, said: “It’s more exercise stuff, more like protein and like meals and like how to get ready and like the outfits of the day of videos on TikTok or lately. My favourite ones.”

About 51 per cent of women under 30 said they often consumed influencer content focused on beauty and personal appearance, compared with 18 per cent of men.

The study also found that 21 per cent of women often saw content about therapies outside mainstream medicine, compared with 10 per cent of men.

At least one-third of both young women and young men often encountered influencer content about mental health and weight loss. Around half or more of both groups regularly saw fitness-related content.

Another local university student, Ania Davis, said: “I see a lot like how to meal prep and how to get your morning started. Affirmations stuff. But I do also ask the adults around me because sometimes the internet is not right.”

Researchers also looked at why young adults sought health and wellness information from influencers.

About 51 per cent of young women said they watched the content because they wanted to change their health or lifestyle.

Women were also more likely than men to say they enjoyed hearing from people who shared their background or beliefs, at 23 per cent compared with 14 per cent.

Nineteen per cent of young women said they used influencer content to learn about topics they did not want to ask their doctors about, compared with 10 per cent of young men.

Despite regularly using social media, some students said they did not rely solely on influencer content when making decisions about their health and wellness.

Koroma said: “I’m always on TikTok 24/7 and Instagram, but I also like to ask people older than me because I don’t know everything.”

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