Podcast Transcripts

All Things Sexual Wellness Episode 8 Transcript

Kelly Engelmann: Welcome to the All Things Sexual Wellness Podcast, hosted by Enhanced Wellness Living, where we’re going to teach you everything you need to know about all things sexual wellness. 

Hi, I’m Kelly Engelmann, host of All Things Sexual Wellness Podcast. I’m a family nurse practitioner, board certified in anti aging and regenerative medicine, and also certified as a sexual health practitioner through A4M. So we’re going to dig into some content, but first I have a little bit of disclaimer. This podcast, we are not here to treat any health condition. This podcast is for information only. So if you’re having some struggles and want help, please reach out to the clinic. You can reach out to us on our website, www. enhancedwellnessliving. com or you can give us a call 601 364 1132. Or you can reach out to your current healthcare provider. The other disclaimer is that this is adult content. If you have little sitting around listening to this podcast, you may want to grab your earbuds or your headphones. We do want you to listen, but we just want to be responsible about how this content gets out. So grab those earbuds, let’s dig in, this is going to be awesome. 

Welcome listeners, we’re back with the All Things Sexual Wellness Podcast and I am so excited today to have Jenn, the GYN, all the way from Texas joining us virtually. So we’re going to dig into female sexual wellness and talk about things that maybe you’ve been curious about, you wanted to talk to your provider about, but just really didn’t know how to ask.

So before we dig into that, I just want to give Jenn a few minutes to talk about herself, her practice in Texas, how she got started with female sexual wellness. So tell us all about it. 

JENN: Okay, so I am a board certified OBGYN and I deliver babies. Oh gosh, I think it was for about 12 and a half years and absolutely loved it almost to a fault where I could not ever tell anybody. No. And so I was leaving every moment of my life and going to deliver a baby. And I loved it so much, the relationships I developed with my patients and all the things you can imagine, as women we just love our gynecologist, right. And our obstetricians. And so it was a beautiful experience, but I finally decided as my girls were getting older, I have two daughters. That it was time to make a change and so my brother is also a physician, he’s family medicine and back in I guess it really started in the christmas time around 2016. We decided to break away from the kind of corporate place that was hiring us or and then we decided to kind of form our own group. And so we left together and took a huge leap of faith and developed what’s called Owen Health Group. And whenever I first decided to do this, it just made sense to not deliver babies anymore. And so I just really catered my practice to just gynecology. And so at that point, I really had the spark inside of me to start focusing on, like you said, women’s health and sexual wellness and just providing everything for women throughout all stages of life. And so the very first thing I did was I purchased the votiva device, which we’ll go into in a little bit. It’s amazing. So that again, another huge leap of faith starting a fresh practice from the ground up and then purchasing this device and not knowing really if it worked or if people would come to me for it or what that really looked like and again, we’ll go talk about that i’m sure in a few minutes in depth but kind of start out with that and then we just started added in the o shot and then my brother does the biotea pellets and so all these things together really just are a beautiful combination to help women. And so we really started to open up the conversation of it’s okay to talk about things and we all are going through things and you’re not alone, and so I really was kind of one of the first ones in the West Texas area to really make women believe that it’s okay to talk about these things and there are things we can do to help you. So it was how we started. 

Kelly Engelmann: Absolutely. I love it. So I came from a GYN background as well. I spent my first eight years of clinical practice in an OBGYN practice and I loved it. But I kind of was seeing that patient that wasn’t getting well or wasn’t being well as they aged and stepped outside of that to kind of develop a wellness practice. Well, I was treating hormones and decided to start treating more male hormones and started doing Gangs Wave and P Shots, thinking that the females would also want to talk about their sexuality. And when we got Votiva, I was really shocked that we didn’t see the growth in the utilization of Votiva like we did with GainsWave and The Men, because women just didn’t want to talk about it. Right? They didn’t want to talk about it. And so, one of the reasons why I developed this podcast was I wanted to help women have the language to talk about it, and to have the space to talk about it, and to know that everyone is struggling or has struggled at some point in their sexuality to some point. And if there are tools and resources to help correct the problem. So I’m so excited about this conversation. 

So common complaints that women have, that they may or may not talk about with their provider. What do you see?

JENN: I mean, honestly, to my surprise, the biggest one is urinary incontinence. Women just 100 do not want to talk about it. Think it’s very embarrassing for them. As you know, it just affects every aspect of their life, whether it be when they’re shopping, they have to know where every bathroom is or they’re going on a trip and they know they’re gonna have to stop at every little town to go to the bathroom wearing diapers, heaven forbid, or just panty liners because they’re afraid they’re going to leak. I’m not being able to jump on the trampoline to their grandkids, and so it just affects every aspect of their life but I think it’s just been such an embarrassing thing in their opinion, and so they didn’t want to talk about it and a lot of women, as you well know, too, don’t want surgery and so they really just did not think there were any other options out there. And so I think you and I have really encouraged women to talk to us and open up to us and really understand that they’re not going through this alone and there are things we can do for them, and so that is probably the most greatest complain i think really has been hush through the years. 

Kelly Engelmann: Yeah, and it’s been one of the most fun things to treat, because it does give them their life back. When they don’t have to think about the bathroom and they can have confidence going on a walk with a friend or a run or having sex, right? Who wants to pee during sex, right? So it’s been really, really eye opening and a really fun thing for myself and my nurses to be a part of having their changed their lives in a really good way. 

JENN: The testimonials we have just continue, we’ve been doing this for over six years now and just every month, just the same positive feedback and just, it’s unbelievable we always call it the kind of the magic one, the vote. Because it’s truly a one, but it continues to amaze me that it works so, so well, and it’s so safe not surgery, people just love this option absolutely. 

Kelly Engelmann: So incontinence, whether that’s stress incontinence, urgent incontinence, definitely improvement there, dramatic improvements there. Vaginal dryness? 

JENN: Yes, that’d be number two, I’d say for sure. Dryness leading into pain with intercourse, affecting their relationship with their significant other, their spouse, whatever. Just again, life changing for these women to get them back on track. And it’s so sad when you see somebody in their 50s or 60s and they say they have not had intercourse in truly years sometimes, and that obviously affects your marriage I mean, your sexual relationship with your partner is huge and we’ve got to give this back to these women but of course make it comfortable for them. So I would say that’s the second one. Absolutely. 

Kelly Engelmann: And then anything else that you would say? Any other top? 

JENN: Oh, just sensitivity and of course, pleasure. I mean, a sex was meant to get have babies, but also be enjoyable. And so getting them sensitive again and orgasm improvement tightening, in fact when I first purchased Votiva, I falsely believed that most of my patients would be coming to me for the aesthetic improvements, I don’t know why I just, that’s kind of the way the company led me down that path and I guess that’s whenever vaginal rejuvenation, that I really don’t like to use but that word was coming into the popularity back then and I really thought that was going to be why most people were coming to us and that is least reason, but it’s kind of a nice added advantage to get some benefit with tightening and everything. But yeah, I think those are kind of encompassing the main benefits, 

Kelly Engelmann: the top three 

JENN: yeah, absolutely. 

Kelly Engelmann: So let’s take a minute and talk about Votiva because we said the word a few times that most people don’t even know what they’re talking about, right?

JENN: Right.

Kelly Engelmann: So technology, let’s talk technology for a minute. 

JENN: Okay, perfect so InMode is the company that developed this platform called Votiva, and we just kind of named the treatment Votiva when in fact we really form a V. But I mean, I still call it Votiva to this day, and I don’t even own that platform anymore we have the new one but, so yes, he uses bipolar radio frequency energy delivering this heat to basically to the tissue very safely. The reason I love this device, as you well know, is it has that temperature of safety cut off valve so we’re not going to ever get to the point where we’re gonna burn the patient. But again, the vaginal tissue absolutely loves the heat energy and I always tell my patients, you’re not putting a bandaid on a problem you’re truly changing the tissue back to a healthier state, and so that neocollagenesis word we always use, so building new collagen, new blood vessels, new nerves, and helping all the issues we addressed at the beginning of the podcast it’s just, it’s unbelievable. It truly is. And encompassing with one inclusive treatment to address all of these different issues. 

Kelly Engelmann: Yeah. And it’s nice because it is a one that we can focus that energy in the areas of concern. 

JENN: Exactly. Catering each treatment to an individual patient, their concerns, of course, we sit down with the patient before their treatment and go over everything and then my PA Brittney is the one that does the treatments and she’s phenomenal and truly knows how to adjust the treatments for each patient, internal and external as well. 

Kelly Engelmann: And I don’t know about you seeing improvements even with hemorrhoids, right? I don’t know if you’ve noticed that or if she’s reported that back, but we’ve had a few patients like, oh my gosh, my hemorrhoids are gone. They’re so much better. And that’s just an added benefit, not something that we were attempting to treat, but definitely who doesn’t want that. So. Really good. 

JENN: Yes, ma’am. 

Kelly Engelmann: So let’s talk about things that women don’t often want to talk about and that would be the sexual response because we typically aren’t going to talk about things unless it’s a bad problem. Not necessarily just a change and I think if women understood kind of how their bodies worked what to expect from a response, and so oftentimes I don’t know about you, but I’ll hear them come in and say I just don’t want sex anymore, my desire is just gone. It’s just gone. I’m just dead. Right? I hear that too. I’m just yet I’m like, okay. Well help me understand a little bit more right? Is it arousal? Is it desire or is it orgasm? I try to get them to think about those three separately so that we can make sure we’re using the right tool for the right problem. So what would you say to that? Like, how do you approach that with women when they’re complaining of that? 

JENN: Yeah, so I think you’re exactly right, they come in and say they haven’t had intercourse in so long, number one, is it so, so painful? They physically cannot bear it? And therefore not enjoy it and so why would they want to, that’s absolutely one of the main reasons. Then, like you said, is it just the fact that they can’t have an orgasm? Is the tissue just. Does it need to be improved with all of our modalities that we have? Or the desire, like you said, is it just the libido that absolutely is a hormonal issue that we can help them with some other stuff like pellets and other stuff that we’ll talk about as well, the O Shot‘s phenomenal. I would love to talk about that in a minute as well, but I think you’re right, it’s a multifactorial approach to really, because it’s usually not just one issue, right? It’s several. together, but they do come in talking about cobwebs down there and, they haven’t even attempted in a course in so long and so again, I think, like you said, getting to the root of what’s really going on is super important. 

Kelly Engelmann: Yeah, it’s important for them to understand, like what mechanism is challenging and then areas of opportunity for improvement. Sometimes they’re fatigued, right? They’re so fatigued, they can’t think about sex. Sometimes it doesn’t have anything to do with the anatomy, it has more to do with their energy reserves. So yeah, just getting them comfortable talking about, one of the things that we do in our practice is we encourage our female patients to fill out a sexual health questionnaire periodically, to give them a voice without having to talk about it, and then one of the questions we ask them is, do you want to talk about it? Right, because, sometimes they’re not ready it doesn’t feel like a safe space for them, or they’re just not ready to talk about it, but other times, we try to help promote that safe space so that when they are ready to talk about it, they know it is something that we can talk about and help them solve the challenge.

JENN: Yes, I have like framed things in each room that has kind of, are you experiencing all the things we’ve talked about? And so when you come into the room and they’re looking at that, and they’re like, Oh, well, if she has that on a framed thing on the desk, this must be a common thing, and so that really prompts the conversation and I think they feel more comfortable bringing it up, but yes we definitely ask. I mean, I think if you don’t ask, they don’t know that it’s okay to talk about. 

Kelly Engelmann: Absolutely. Absolutely. So you mentioned the O Shot, which I absolutely love. 

JENN: Yes, fabulous. 

Kelly Engelmann: You mentioned decreased sensation for females and definitely Votiva can help with that, but the O Shot really, really helps with that. So let’s talk about the O Shot. 

JENN: All right, so that is PRP or platelet rich plasma and I always explain to the patients it’s completely safe because it comes from their own blood, and so when they hear that, they love to know it’s not a medication. It’s not a super invasive treatment, it’s obviously a shot, hence the name, but great numbing cream definitely helps, but by injecting the PRP into the top of the vaginal wall near the urethra and the bladder neck, that’s going to help. I’ve always told people significantly with incontinence, kind of that g spot sensation lubrication, and then of course into the clitoris, which sounds terrifying to people, but we always try to comfort them and explain to them, I promise you will not feel anything, and most people do not. But yeah, again, that neocollagenesis different from Votiva with the radiofrequency energy, we’re now using the PRP, but they kind of are initiating the same mechanism of action, or excuse me, the same end results with the neocollagenesis. And yeah, the results are unbelievable. Absolutely amazing. We’ve been doing that almost five years now. So yes, 

Kelly Engelmann: that’s amazing. Yeah. And actually I’ve been doing the OSHOT longer than I’ve been doing VOTIVA. 

JENN: Oh, wow, Okay.

Kelly Engelmann: Yeah. And so, but when you combine the two together. And it’s just amazing, yeah, it’s amazing what you can accomplish with that. So, when you’re putting a treatment plan together, where you plan on using Votiva and the O Shot, which, cause there’s typically three procedures for Votiva, typically we’re doing a procedure, we’re doing every four weeks, I know you can do every two or every six depending on how you have your treatment plan structure, but do you have a favorite time to do the O Shot for, in that lineup?

JENN: I typically go ahead and do it the first treatment. Votiva treatment first and then get kind of some numbing cream on at the end of that and then we’ll go ahead and do the Oshot at that point just because I feel like that takes a little longer to kick in. And so by the time they’re coming in for their second and third treatment, they really are starting to notice everything kind of peaking and super, super happy. I’m always very transparent with people though, about the O Shot that they’re just getting the O Shot and they’re mainly, they’re especially for orgasm benefit. They may need another injection in about three or four months, and so I tell them to hang on, let it do its thing and then if you feel like you need another one, let’s get you back in and then that’s the second one really, takes them over the top and they do great so. 

Kelly Engelmann: I love it. Literally. So, we typically do the O SHOT on treatment number two. And I feel like they’re so nervous that first treatment.

JENN: Yeah, that’s a good point.

Kelly Engelmann: The Votiva is a lot. It takes a lot of courage for some to come in and so I typically do that on visit two. But I see your point in doing it visit one where you have a little bit more time to watch that progression because it is a modality that is promoting your own body to repair. And that takes time. And so you may get a benefit the first week or two, you may notice a bump, and then it kind of fades away a little bit and then it kind of repairs and we month four to six is when you’re really going to see the maximum benefit of that. So yeah, that’s really good. So you mentioned hormones. So having someone hormonally balanced can really help patients see the benefit of those procedures a little bit better. 

JENN: Yes. 

Kelly Engelmann: And are you doing pellets yourself or is that more on the male side?

JENN: No, yeah, we just give it my brother and his nurse practitioner kind of had that from the practice from day one, so our practice really is a very cohesive, thing with family medicine and the heavy pellets on that side and then gynecology on the other side but most of our patients see both of us. And so we just kind of bounce ideas off each other and it’s just a combo therapy approach, I guess, which another thing we can definitely talk about because I think combo therapy is huge. But yeah, Jeff and Wendy, we’ll get them all topped up on the biotea pellets and then, or patients can’t afford or don’t want to do the pellets of course, traditional hormone replacement therapy is going to be an amazing option as well. But we’re big believers in hormone balance absolutely. 

Kelly Engelmann: Absolutely. You know, as we age, keeping this hormone balance can just do wonders for quality of life, right? 

JENN: Yes. 

Kelly Engelmann: Yeah, for sure. 

JENN: So many different levels of, oh gosh, patients come in just miserable, and I don’t think a lot of people even realize. A lot of symptoms they’re having are due to their hormones being gone, surgical or natural menopause. I mean, man, God, it’s heartbreaking to see these women just so miserable for many, many years and they come in and we’re like, well, have you considered hormones? And they’re like, oh, I thought you were supposed to stop those at a certain age, and I’m like, no, no, no, no, no. So we have that conversation and for the right patient and the right safe, safely monitored situation I think it’s great. 

Kelly Engelmann: Yeah, unfortunately, I think a lot of women have gotten the message that as long as they’re not having vasomotor symptoms, then they don’t need hormones. Right. And so, yes, case in point, I saw a patient yesterday who, three visits in, she’s stuck. She’s not making any progress at all with, what she’s trying to accomplish on the lifestyle side of things. And I’m like, your hormones or I mean, she’s perimenopausal, but FSH is elevated, her estrogen is low, progesterone is low. And I’m like, Do you think perhaps you’re stuck because you have no off? You have no hormones that are helping you stay the course with what you’re trying to accomplish. She was like, Oh, good point. So I gave her some homework to do and think about right, on whether or not she’s ready to initiate hormone replacement therapy, but it can be a game changer. 

JENN: Oh my gosh. Yes. And it is such a personal decision and I never obviously pushed that on people, but most people are knocking our doors down, begging for them because they understand the importance of it but like you said, it’s not always the vasomotor symptoms, someone may just, anxiety is a huge complaint people have and, they just feel off and that’s, gosh, I mean, without your hormones, you’re not balanced and you definitely can be anxious and so that’s another kind of interesting complaint that people don’t put two and two together.

Kelly Engelmann: Insomnia, anxiety, fatigue, those are things that are very much hormonally driven that oftentimes are not even considered in the hormone picture, when someone’s just thinking about how they feel day to day. So yeah. 

JENN: Yes, yes, absolutely. 

Kelly Engelmann: You guys have some really awesome things going on over there in Texas, having your brother as the dynamic duo. Being able to blend those offerings for your patients, I have a feeling that’s pretty impactful when they’ve got a family practice doc that’s looking at all of their metabolic function, and they’ve got hormone balance and then you add those procedures kind of as the cherry on the top, to help their bodies regenerate, pretty phenomenal. 

JENN: Yes. So did you end up getting the Empower RF platform, or you still have Votiva? 

Kelly Engelmann: I still have Votiva. 

JENN: Again, my favorite, my baby, I will always still, again, call for my Votiva. But so the new Empower RF platform, the other couple game changer, new or handpieces, the Morpheus 8 V, has a little more minimally invasive than votiva, so you have the same radiofrequency energy with micro needling into the tissue very superficially, but still into the tissue so I always tell patients, of course, we numb you for that. But I’m really seeing that the urge incontinence and the overactive bladder symptoms are significantly improved more with the Morpheus 8 V, I would say. Another O shot, adding to the Votiva, like we said, I think you also hit that. 

Kelly Engelmann: Right. 

JENN: And get that mixed incontinence picture, but that and then the V Tone, which is an electrical muscle stimulator that treatment has been phenomenal for the pelvic floor muscles and for both types of incontinence and some tightening as well so, those have been fun to add into the combo. 

Kelly Engelmann: I think our platform may be in between the original platform that you have and the one you currently have because ours has Morpheus 8 and Votiva. 

JENN: Oh, huh? Okay. 

Kelly Engelmann: So yeah, but I don’t have the last thing that you mentioned. So tell me more about that. 

JENN: Yeah. So V Tone, you always hear, well in the past, like I always tell patients, they only options for incontinence, we’re going to be surgery for stress incontinence, medication for overactive bladder symptoms or urgent continents, and then of course pelvic floor physical therapy and Kegel exercises. Well, who can do that? Like they’re supposed to, right? I mean, no one does Kegels really appropriately or often enough to see the best results, so in mode has this V Tone applicator that’s it’s almost like silver bullet type hand piece that goes in the vagina and it kind of goes on for two seconds off for two seconds and so it replicates about 450 kegel exercises per 30 minute session. And so they come in once a week for six weeks and then about once a month for maintenance and it’s been just so cool to see patients coming back saying I never have to get up in the night anymore, I can hold my bladder on trips like we talked about earlier, I mean, it’s just been a really cool thing to add to these others or maybe as a maintenance treatment after they complete their Votiva or whatever. 

Kelly Engelmann: Yeah, so it sounds like that may be a little bit less invasive than the Votiva, but can keep them really nice and maintained. So do you have pelvic floor physical therapy that you work with?

JENN: Not in our office, but we do have some referral places here that we refer patients to absolutely. 

Kelly Engelmann: Yeah, we refer out for that as well. And it really does help patients get connected with their body and things that they could be doing at home, in order to properly do Kegel exercises, to your point most people can’t feel that in a way that’s going to be impactful for them to do Kegels at home unless they’ve been properly instructed so, that’s always good to have as a resource in the community too. 

JENN: Yes. Okay. One more thing I want to tell you, or one more thing we lost to talk about it now, are you familiar? This is so fun. I love this. Are you familiar with CO2 Lift V? 

Kelly Engelmann: I’m not. 

JENN: Carboxytherapy. Okay. So one of my dear friends is the CEO of this company. She’s Lana Kerr, she’s phenomenal. And so carboxytherapy has been around for many, many years, started in Japan as like actually an injectable and so it’s kind of uses that bore effect that we learned about in medical school, which I never thought I’d use that again, but basically explain to patients by applying CO2 to tissue, the body recognizes it almost as an injury and so rushes oxygen rich blood to that area. And so it’s never been approved in the U.S, as an injectable, and so Lana, brilliant woman, she is came up with this concept of turning it into a gel. And so this isn’t the reason I think this is so great that we can get this word out to people, this is an at home treatment and so it’s something they can do in the privacy there on home. If patients are uncomfortable having a treatment in the office. So it’s phenomenal for dryness, it is just like such as such a game changer. We actually have incorporated this into our Morpheus 8 V as part of our prepping the tissue during the numbing process and then they go home with the treatment and do it that evening, and so it really helps execute the healing process. They can then purchase another box of five to go home with and continue once a month to maintain and accentuate the results. I also send the patients home with this after the O shot to do that evening as well, and that really helps them heal a little bit quicker.

Kelly Engelmann: Yes. 

JENN: So yeah, I’ll get the information to you and I can get the, it’s so great. 

Kelly Engelmann: Yes, please do. That would be exciting to add to the toolbox, when necessary. I think that it’s not a one size fits all for these treatment plans and knowing what tool to use at what time for what patient makes all the difference in the world to give them the best results.

JENN: Absolutely. And like I said, I think it’s so cool for a lot of patients to know that this is an at home treatment and they feel really comfortable with that too. Yeah. Okay, great. 

Kelly Engelmann: That’s awesome. All right. Anything else that you feel like females need to know about sexual health, treatment options, conversations?

JENN: I just want to continue to get word out there, we’re not alone. I mean, everyone is going through something, and especially as we age, it’s normal, like there’s no way that you are not going to have some issues again whether it be your hormones just plummeting when you go through menopause, whether it be surgical or natural. And then when your estrogen is gone, your vaginal tissue suffers and then incontinence after pregnancy and childbirth and loss of collagen and aging and gravity and, it’s nothing women have done wrong to their bodies it’s just, normal process that we all go through, and so I think just continuing to talk about it and make women aware of the fact that again, they’re not alone and there are many treatment options out there and we can help them. I mean, that’s been the neatest thing for me over the past six years to receive so many beautiful messages and thank you’s from patients that, thank you for talking about this, thank you for making it, okay we’ve been with our friends now and we sit around and talk about peeing on ourselves. We realized we can help each other. And so I think it’s just so cool to continue to get the word out there. 

Kelly Engelmann: Yeah. So you hit on a lot there. Let’s talk about some transitional times for females that they may experience some problems that they may or may not be expecting, so childbirth, the changes that happen in childbirth, hormonally, structurally, then breastfeeding after a lot of women experience vaginal dryness and changes in libido during that time that, they may or may not be prepared for. So knowing that there are things that can be done even during those times. 

JENN: Yes, and that’s a great point. I mean, as soon as they’ve reached that six week healing process there, it’s safe for them to come in for these treatments and then you hit on a very important one when they’re breastfeeding, they get so confused about why is intercourse painful? What has happened in my body? And it’s the dryness. It’s just a natural thing that happens again while you’re breastfeeding, so I think it’s really great that again we have these options for even the girls in their 20s and 30s are having babies. 

Kelly Engelmann: Absolutely. Yes, and 40s. And then transitional to premenopausal time, where they’re having maybe random periods, but so they haven’t completely stopped having cycles and consider menopausal. But they are having hormonal challenges that can be difficult to navigate because they may have a libido one month and not have a libido the next month, and their husband’s so confused about am I supposed to touch her or not touch her? Do I? Do I? Do I bring up sex? Do I not bring up sex? 

JENN: Yeah, I think you’re right. I think that’s very confusing for women because everybody seems to kind of understand when they fully go through menopause, things are just going to be so different, but that perimenopausal time is very confusing to people and they don’t understand that, like you said, one month can be good the next month not and it can fluctuate so much. And that’s okay too, but we can still help you, 

Kelly Engelmann: We can help you and then having the words to talk not only to your provider about that, but also to your spouse or your partner, being able to say this is okay, this is just the ride that we’re on right now. It’s going to get different again. 

JENN: Yeah, hang in there with me. That’s right. 

Kelly Engelmann: Someone I was visiting with this week said I’ve been married 40 years and I’ve had four different marriages. Because of all the different changes, right, that you go through during a marriage and with your body and all the different conversations that have the potential to happen, in a good way. And so, just know that whether, regardless of where you are in that hormonal journey and in that body journey, that we’ve got some phenomenal tools that can help you, alleviate some symptoms or navigate that time it’s just being willing to talk about it. 

JENN: Yes. And I think the cool thing too, I’ve really seen the progression of this over the past six years is that, women are talking about it more and they’re asking for these treatments now, and I know them by name, their friends have had it, they’re seeing the results, they’re hearing about all these amazing things that these women are experiencing now and so that’s, what’s been really neat as patients just calling randomly that are not my prior patient and saying, Hey, I want to come in for votiva. My friend had it, and so women are now spreading the word to their friends, which is great. 

Kelly Engelmann: So a question for you, I was thinking about this earlier today when I was in my GYN practice. So this would have been 25 ish years ago. I don’t recall having women coming in saying that they’re struggling with libido or painful intercourse, I just don’t remember those conversations. Maybe I had them and I just don’t remember, but I don’t think people were talking about it then. 

JENN: No, I very seriously doubt it. Just the change I’ve seen in just six years and so 25 years ago, I would guess absolutely not. No, they were not. isn’t that sad?

Kelly Engelmann: It’s sad. I think about, oh gosh, how did they navigate that with all the fun tools that we have now, 

JENN: oh, this is just what happens, and you just have to deal with it and there is nothing to do and it’s hush hush, we don’t talk about it and gosh, sad times.

Kelly Engelmann: Yes, very, very sad times so we feel very blessed to have the tools. And again, I feel like these tools are amazing because they are regenerative. They’re getting the body to heal itself. We’re not putting a bandaid on something, we’re not trying to hype you up with overdose of hormones to compensate for a deficiency. We’re really just trying to keep things balanced and to promote healing within the body so that the body can do its amazing things. 

JENN: I love that point. That’s exactly right. 

Kelly Engelmann: Awesome. So anything else that you can think of? This was great. I think we had some really good, fun conversation and really good content for patients to have access to. So, I think I’ll close it out. 

JENN: And we do free consults just, I don’t ever want women to think that they have to pay all this big money to come in and sit down and talk about these treatments, and so we offer free consults, we sit down and go over everything, develop the customized treatment plan for them, whether it be combo therapy or single therapy. And I think that’s good too, it’s very non intimidating for them to know they can come in and have some conversations and not have to. Pay me money up front, I think that’s kind of a nice thing that we offer people, so.

Kelly Engelmann: That’s awesome. So Jenn, where can patients find you? Where’s your practice?

JENN: So we’re in Lubbock, Texas, which is in West Texas south of Amarillo, kind of between Midland and kind of close to New Mexico, kind of middle of nowhere. So Texas Tech is here. So Owen Health Group, and then you can follow me on Instagram or Facebook, Jen the Jen, J E N N at the G Y N, which is a little silly, but it’s catchy and helps people remember. But I try to post what we do, we have a big aesthetic practice as well so you’ll see a lot of other aesthetic stuff going on on the page, but I just moved my daughter into college two days ago so I can finally breathe and kind of start focusing on work again. But my PA Brittany and I are going to really start getting out there and putting a lot more gynecology video type things out there and stuff. But yeah, always crazy, fun stuff going on on the page for sure. 

Kelly Engelmann: Great. Thanks so much for being here today. 

JENN: Of course, I appreciate your time and this was a fun conversation and hopefully women will be ready to come chat with us. 

Kelly Engelmann: Yes. 

Thanks guys for listening. I hope this information really sparked some interest and curiosity in you, if you liked what you heard, please follow us on your favorite podcast platform. Again, you can reach out to us at Enhanced Wellness Living by the web www. enhancedwellnessliving. com and then of course you can give us a call 601 364 1132.

Enhanced Wellness Living is Mississippi’s premier Functional Medicine Clinic!  We are proud to serve all of Mississippi including Ridgeland, Jackson, Madison, Rankin, Byram, Olive Branch, Hattiesburg, Gulfport, the Mississippi Delta, Hernando, Starkville, Flowood, Bolton, Hinds, Brandon, Oxford, Canton, Clinton, Cleveland, Southhaven, Diamondhead, Vicksburg, and more!  Not in Mississippi?  That’s ok!  We have patients who travel from all over-Louisiana, Alabama, Texas, Florida, Georgia, Tennessee, Arkansas, and more!

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