05/02/2026
Today, I had the privilege of speaking at the Canadian Society of Pelvic Medicine (CSPM) alongside an outstanding interdisciplinary team including Dr. Dante Pascali (Urogynecology), MJ Forget (Pelvic Floor Physiotherapy), Dr. Parisa Rezeifer, Family Medicine, Dr. Claudia-CĂ´tĂŠ Laroche (Urogynecology), and Nurse Continence Advisors Carol Bolt and Nancy Sullivan.
Together, we addressed some of the most common yet still under-recognized pelvic health conditions affecting women across the lifespan, including Stress Urinary Incontinence (SUI), Pelvic Organ Prolapse (POP), and Genitourinary Syndrome of Menopause (GSM). We touched up how all of these conditions relate to s*x and s*xuality.
Our discussion focused on practical, patient-centered approaches to assessment and management, with particular attention to pessary fitting as an effective, non-surgical option that can meaningfully improve quality of life. When done well, pessary care is both an art and a science requiring clinical expertise, thoughtful patient selection, and ongoing follow-up.
These conditions are often dismissed as a ânormalâ part of aging but they are not. They are common, treatable, and deserving of informed, compassionate care and a full range of options.
Iâm grateful for the opportunity to share knowledge, collaborate with colleagues, and continue advancing trauma-informed approaches to pelvic health.
A few important reminders:
⢠Urinary leakage is common but it is not normal.
⢠Vaginal health matters & regular moisturization is essential.
⢠Low-dose vaginal estrogen cream should be used with the applicator, with a pea-sized amount on the vulva/clitoris/urethra.
⢠Pessaries can be an excellent option for managing both SUI and POP
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