TMI Talk with Dr. Mary

In this episode, we have Sadie Minkoff. She is a board certified acupuncturist in Holistic Reproductive Medicine. She is also the owner of Sage Acupuncture here in Austin, Texas.

Today we will be talking about acupuncture and how it can affect and help you with your period, fertility, and other pelvic health conditions like endometriosis.

Let’s also dive into what acupuncture is, why it’s important to be gentle and kind with yourself when going through infertility, being a team with your partner or spouse when going through this tough time, and so much more!

We want to be there for you and answer your questions so make sure that you listen to this episode to know more about acupuncture!

Let’s talk about:

• 0:40 – Introduction to today’s guest
• 0:56 – Introduction to today’s topic
• 1:18 – What is acupuncture
• 2:52 – The importance of looking at everything as a whole in terms of our health and how everything in our body is connected
• 5:49 – Discussion on endometriosis and menstruation
• 8:46 – Dr. Sadie on working on endometriosis and how she works with her Western colleagues regarding this issue
• 15:25 – Other common causes of infertility according to Sadie and what is insulin resistance
• 19:10 – What is unexplained infertility and how do acupuncture and traditional medicine play a role in this
• 20:05 – Why is it important to be gentle and kind to yourself when going through infertility
• 21:21 – The number one reason that couples drop out of IVF cycles
• 22:44 – How important is individualism in treating our patients and what we tell our patients/do with our patients who are going through IVF cycles
• 25:33 – Dr. Sadie on sperm and infertility and their correlation
• 28:16 – The importance of couples being a team when fighting through infertility issues
• 29:56 – Impactful disease processes as growth opportunities
• 31:15– The one thing that Dr. Sadie loves about the tool of acupuncture
• 33:46 - The importance of meeting people where they are at
• 36:49 – Conclusion

If you want to know more about Sadie and work with her, check out her website.

Workshop:

The “Woo Woo” Explained: How Energetics, Fascia, Lymph, and the Nervous System Impact Movement for Rehab Professionals

Dont worry, it will be recorded and sent to you if you can't make it live.

📅 May 6th, 2025

⏰ 6PM CST/ 4PM PST / 7PM EST

📍On zoom (will be recorded)

You can learn more and sign up here. I hope you can join us!

If you are a health or movement professional and want to stay in touch with future episodes, webinars, courses, events and more. Subscribe to my email list below:

drmarygrimberg.com

I’ll see you in a week!

Are you experiencing painful periods, mood swings, or unexplained weight gain? If so, you might be dealing with estrogen dominance. (Previously episode 7 of season 2)

In this insightful episode of TMI Talk, Dr. Mary Grimberg welcomes Dr. Michelle Weeks to dive deep into this often-overlooked condition that affects so many women.

Key highlights from the episode include a breakdown of what estrogen dominance is and its impact on the body, discussing the important roles of progesterone and estrogen throughout the menstrual cycle, and why the balance (or imbalance) of these hormones can lead to a variety of symptoms. The discussion also covers the perils of chronic stress, a common contributor to hormonal imbalance due to its effect on cortisol levels, and its downstream impact on conditions such as insulin resistance.

Listeners will gain a better understanding of the symptoms of estrogen dominance, including abnormal menstrual bleeding, fibro-cystic breasts, endometriosis, and more. Dr. Weeks also provides practical guidance on hormone testing, lifestyle changes, and dietary adjustments to manage estrogen levels effectively.

Takeaways and actionable steps:

• Consider getting your hormone levels tested on specific days of your menstrual cycle (Day 3 for estrogen, Day 18-21 for progesterone) for accurate assessment.
• Explore the Dutch Test if you have irregular periods or are on birth control.
• Start managing stress effectively through mindfulness practices like meditation, which can lead to balanced cortisol levels.
• Begin supporting your liver with cruciferous vegetables, fiber-rich foods, and probiotics for better estrogen detoxification.
• Engage in regular strength training and post-meal walks to aid insulin sensitivity and metabolic health.
• Evaluate the products you use daily and consider replacing those with harmful endocrine disruptors with cleaner options.

For further insight, revisit Episode 2 of Season 2 on anxiety and stress management to complement the knowledge gained in this episode.

Listeners can also take a free hormone symptom quiz available on Dr. Michelle Weeks' Instagram (@weekswellness) bio to gain more clarity on potential hormonal imbalances.

Connect with Dr. Michelle Weeks

• Website → WeeksWellness.com
• Instagram - @WeeksWellness

Timestamped Overview

00:00 Progesterone-Estrogen Ratio & Stress
10:08 Understanding Hormonal Balance in Women
15:21 Using DUTCH Test for Hormone Analysis
20:15 Hormonal Cycle and Ovulation Process
24:14 Signs of Estrogen Dominance
27:54 Menstrual Product Capacity Comparison
37:20 Signs of Estrogen Imbalance
41:51 Progesterone and Cortisol Pathways Explained
44:35 Stress, Cortisol, and Fertility Connection
51:32 Insulin Resistance and Metabolic Dysfunction
58:44 Stress's Impact on Progesterone Levels
01:01:14 Progesterone Cream and Estrogen Detox
01:05:25 Pair Carbs, Walk After Meals
01:14:32 Authenticity and Inner Healing Journey
01:18:01 "Discover Dr. Mary's Integrative Practice"

Workshop:

The “Woo Woo” Explained: How Energetics, Fascia, Lymph, and the Nervous System Impact Movement for Rehab Professionals

Dont worry, it will be recorded and sent to you if you can't make it live.

📅 May 6th, 2025

⏰ 6PM CST/ 4PM PST / 7PM EST

📍On zoom (will be recorded)

You can learn more and sign up here. I hope you can join us!

If you are a health or movement professional and want to stay in touch with future episodes, webinars, courses, events and more. Subscribe to my email list below:

drmarygrimberg.com

I’ll see you in a week!

Are you struggling to find community and make meaningful connections in today's fast-paced world? (Previously episode 8 of season 2)

Dive into this episode as she delves into the art of building community and friendships. Dr. Mary sheds light on the challenges of social anxiety, especially in a post-COVID landscape, and shares her personal journey of overcoming these barriers.

Key highlights include tips on finding like-minded individuals through hobbies like tennis or stand-up comedy, managing social anxiety through gradual exposure, and the importance of nurturing new friendships with genuine interest and connection. Dr. Mary emphasizes the notion of "zero battery friends" – those with whom you can truly be yourself and feel recharged.

Listeners are encouraged to put these lessons into action by identifying personal growth edges and starting small. Whether it's joining a beginner class or simply saying hi to neighbors, Dr. Mary offers practical advice for pushing past comfort zones. Additionally, you can strengthen new relationships by showing genuine interest in others and initiating follow-up interactions, whether in person or through social media.

For follow-up, Dr. Mary references resources like Chris Voss's work and the classic book "How to Win Friends and Influence People" to enhance social skills and build rapport. Embark on your journey to forming a supportive and enriching community by tuning in and taking the first steps towards connection.

Don't forget to subscribe and connect with Dr. Mary on social media for more insights and support on building a resilient community.

TIMESTAMPED OVERVIEW

00:00 Reconnecting and Building Community

06:00 Overcoming Anxiety Through Gradual Exposure

06:45 Managing Social Anxiety: Introductory Settings

12:00 "Overcoming Social Anxiety Steps"

14:30 "Engage by Listening and Asking"

18:35 Mastering Social Skills

22:02 Finding Your Social Connections

25:47 Authentic Connection Without Manipulation

27:00 Reintegrating Into Community After Trauma

30:06 Pushing Comfort for Growth

Workshop:

The “Woo Woo” Explained: How Energetics, Fascia, Lymph, and the Nervous System Impact Movement for Rehab Professionals

Dont worry, it will be recorded and sent to you if you can't make it live.

📅 May 6th, 2025

⏰ 6PM CST/ 4PM PST / 7PM EST

📍On zoom (will be recorded)

You can learn more and sign up here. I hope you can join us!

If you are a health or movement professional and want to stay in touch with future episodes, webinars, courses, events and more. Subscribe to my email list below:

drmarygrimberg.com

I’ll see you in a week!

For this episode, we have Dr. Julia Zaitsev, a pelvic floor physical therapist who is currently based at northern Nevada. She is here to talk about yeast infection with us today.

We received a question about yeast infection from Erica, who is from Grand Rapids, Michigan. She is 48 years old and has been experiencing chronic yeast infection. She has seen a couple of doctors but they can’t seem to figure out what is going on. They keep giving her medications but they aren’t helping!

So, in this episode, we will be sharing what the most common causes of yeast infection are and what you can do about it!

Let’s talk about:

00:36 – Introduction for Dr. Julia Zaitsev and a quick glimpse on how we met

2:01 – Introduction to the topic: Why do I Keep Getting Yeast Infection?

2:32 – The common cause of yeast infection according to Dr. Julia

3:36 – All about vaginal pH balance

5:42 – Why is the vagina acidic

7:33 – The three biggest causes of vaginal pH impairment that leads to UTI

8:45 – Difference between Bacterial Vaginosis and Yeast Infection and how antibiotics that’s meant to cure UTI leads to BV or yeast infection

10:54 – Is it possible to have impaired pH without yeast infection or BV?

12:20 – What Julia loves most about her job, and what she teaches her patients

13:51 – All about the pH strips

15:03 – What to do when pH strips show different from what you are currently experiencing

18:25 – The direct correlation of pH balance and women’s products

19:15 – Common causes of pH imbalance

21:58 – Dr. Julia’s thoughts on estrogen and cancer

28:00 – Dr. Julia’s take on diet and chronic pH issues

29:52 – Other factors that might be affecting your pH balance

31:16 – Washing down there: the difference of your vulva and your vaginal canal

34:04 – The usage of topical estrogen and/or lubricants to cure yeast infection

41:33 – Conclusion

Workshop:

The “Woo Woo” Explained: How Energetics, Fascia, Lymph, and the Nervous System Impact Movement for Rehab Professionals

Dont worry, it will be recorded and sent to you if you can't make it live.

📅 May 6th, 2025

⏰ 6PM CST/ 4PM PST / 7PM EST

📍On zoom (will be recorded)

You can learn more and sign up here. I hope you can join us!

If you are a health or movement professional and want to stay in touch with future episodes, webinars, courses, events and more. Subscribe to my email list below:

drmarygrimberg.com

I’ll see you in a week!

This week we will be talking about pain with penetrative sex. We had a 32-year-old female named Jen. She is from Omaha, Nebraska and she said that she has been having pain with penetrative sex so she asked for some recommendations on what she can do about it.

We aren’t just going to talk about what you can do about this type of pain. We will be looking into the many reasons why there is pain with penetrative sex occurs, pain with initial penetration, pain with deep penetration, what I do to guide patients with this problem, and so much more!

Know that you are not alone and penetrative sex is not the end all, be all!

Let’s get to it:

3:16 - Introduction to the topic

4:44 - Getting the right healthcare practitioner for you

5:16 – The different types of pain when having sex

6:38 – Pain with initial penetration

7:11 – Pain with initial penetration can be due to scarring

8:20 – Pain with initial penetration can be due to estrogen deficiency

11:40 – Pain with initial penetration can be due to the hymen

13:30 – Pain with initial penetration can be due to change in vaginal PH

16:48 – Stress and tension in the pelvic floor affecting our sex experience when going into deep penetration

18:47 – Pain with deep penetration can be due to chronic hip pain, low back pain, SI joint pain

22:00 - Pain with deep penetration can be due to prolapse

25:19 – Pain with sex can be due to not enough clitoral stimulation prior to intercourse

28:15 – Pain with sex can be due to being tense and not feeling comfortable in your own body

30:15 – Pain with sex can be due to sexual trauma and what would be the best step forward to address the issue

31:20 – Pain with sex can be due to vaginismus, what is it, and why it happens

35:07 – Conclusion

Workshop:

The “Woo Woo” Explained: How Energetics, Fascia, Lymph, and the Nervous System Impact Movement for Rehab Professionals

Dont worry, it will be recorded and sent to you if you can't make it live.

📅 May 6th, 2025

⏰ 6PM CST/ 4PM PST / 7PM EST

📍On zoom (will be recorded)

You can learn more and sign up here. I hope you can join us!

If you are a health or movement professional and want to stay in touch with future episodes, webinars, courses, events and more. Subscribe to my email list below:

drmarygrimberg.com

I’ll see you in a week!