Ending Obstetric Fistula: A Journey of Hope and Resilience with Bonnie Ruder

Trigger Warning: This episode contains sensitive topics related to pregnancy loss and fertility challenges. Listener discretion is advised.In this deeply personal and powerful episode of "On Health," I sit down with Chelsea Leyland, a globetrotting DJ, mother, epilepsy and endometriosis activist, documentary filmmaker, and menstrual health entrepreneur. Chelsea shares her journey through endometriosis, pregnancy loss, and becoming a mother and the importance of breaking the silence around these common issues so we can get the support we need - and so we can support each other with compassion and understanding.  We dive deep into Chelsea’s… Long struggle with endometriosis – and her path to finally receiving a correct diagnosis.Challenges finding effective treatments - and what finally helped relieve both seizure and endometriosis symptoms. Pregnancy losses and the importance of open dialogue rather than taboo and silence. Emotional journey following her miscarriages, the steps she took to honor her losses, and how she found the courage to try again.Decision to speak publicly about her experiences with endometriosis and pregnancy loss and why she believes it's crucial to reduce stigma.Heartfelt words of wisdom for women currently grieving a pregnancy loss or struggling with infertility.Daily wellness routines that are essential for managing her chronic conditions while also balancing motherhood - and how she deals with ‘s#it days.’The power of community and shared experiences in healing and empowerment.Chelsea's advice to her younger self and thoughts on resilience and hope.Thank you for tuning into On Health for Women. Remember, you are not alone on your journey, and a supportive community is here for you. Please connect with me on social media. Your stories matter and can provide comfort and support to others, too.And don't miss an episode! Subscribe to "On Health" on Apple Podcasts, Spotify, or your favorite podcast platform. Follow Dr. Aviva on Instagram.Mentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

"I think one of the most important things about fistula is that it is completely preventable and treatable. So this is a solvable problem. We used to have this problem here in the US and now we don't." – Bonnie RuderObstetric fistula affects around 2 million women globally, with 50,000 to 100,000 new cases each year. This devastating, yet entirely preventable condition profoundly impacts women's lives, causing chronic infections, incontinence, and severe social ostracism and isolation.In this powerful new episode, I’m joined by Bonnie Ruder, midwife, medical anthropologist, and co-founder of Terrewode Women's Fund. Together, we explore the: The definition and causes of obstetric fistula - and why this should never happen to any woman, anywhere in the world The nefarious history of obstetric fistula surgery on enslaved women in the United StatesThe medical, personal, and social impacts of fistula on women's lives — and their incredible resilienceBonnie's journey from home birth midwife to fistula activistHolistic treatment approaches: medical care, social reintegration, and economic empowermentEfforts to prevent fistula through better access to maternal healthcare  and the role of traditional birth attendants in fistula preventionTune into this heart-wrenching yet inspiring episode to learn more about the impact of obstetric fistula and the incredible work being done to confront it.Terrewode Women’s Fund's mission to end obstetric fistula in Uganda are truly inspiring. 🌍 To learn more and support the work of Terrewode: 🔗 Website: terrewodewomensfund.org📸 Instagram: @terrewodewomensfundMentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

"What if your body had a greater ability to heal than you were ever led to believe?" - This question not only challenges conventional health beliefs but also underpins the empowering message that infuse today's discussion.Welcome to this - literally - energy packed new episode of "On Health," where I’m joined by Dr. Casey Means, a Stanford-trained physician and the author of "Good Energy." Once on the path to becoming an ENT surgeon, Dr. Means experienced a personal health revelation that steered her towards a deep dive into metabolic health, ultimately leading to her leaving conventional medicine. Today, she’s a leading voice in proactive health practices and metabolic optimization, sharing her expertise to help others ignite their best health.About Dr. Casey Means:Dr. Casey Means is a Stanford-trained physician and a pioneer in the field of metabolic health. After leaving her surgical residency, she co-founded a health technology company focused on personalized nutrition and lifestyle optimization. She's an advocate for a holistic approach to health that emphasizes the role of diet, environmental factors, and lifestyle choices in improving metabolic function and overall well-being. Her upcoming book, "Good Energy," explores these themes in detail. Connect with Dr. Means through her website and on Instagram.In This Episode We Explore:Life Shift: Discover why Dr. Means transitioned from a surgical career to focusing on metabolic health.Metabolism 2.0: Why metabolism is the mother of root causes - and why it's crucial to your health.The Powerhouses of Your Cells: Learn how environmental exposures and a SAD diet are harming our mitochondrial health - and how you can boost your mitochondrial function. (And learn a fun fact about the matrilineal nature of mitochondria).Lab Tests for Metabolism: Casey and I share the essential lab tests we recommend for monitoring metabolic health.Nutritional Guidance: Get practical tips on what to eat and what to avoid — to optimize your metabolic health every day - and how it’s easier than you might think.Nature and Health: Explore how reconnecting with nature - and our innate feminine bu tuning into your body's natural rhythms— can enhance your metabolic health.The Sickness Industry of Medicine: We discuss the backend healthcare incentives to keep us sick rather than help us be well!Casey’s top meal picks for protein rich, nutrient dense breakfasts, lunches, and dinners - that you can prepare in 5 to 30 minutes!Don’t miss this episode filled with actionable insights that could redefine what you thought was possible for your health. Tune in to learn how you can harness your "Good Energy" for a life of vitality and optimal health.Mentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

In recognition of Maternal Mental Health Month I am re-sharing this 2023 conversation with the founders of The Motherhood Center in NYC. With Perinatal Mood and Anxiety Disorders (PMADS) being the #1 complication associated with birth in the US and the #2 cause of maternal mortality, this remains a critical conversation.________________It’s not just you. You're not crazy. You're not a bad mom. You're not alone. These are words and deep beliefs that resonate through and form the backbone of today’s guests, Catherine Birndorf, MD, and Paige Bellenbaum, LMSW. Catherine and Paige are dedicated to changing the perinatal mental health terrain, and they do it through The Motherhood Center, a place of radical acceptance, nurturance, and individual and group support. On today’s episode, we pull back the curtain on motherhood and redefine what is considered "normal" and "typical". With PMADs (perinatal mood and anxiety disorders) being the #1 complication associated with birth and the #2 cause of maternal mortality, this is a critical conversation. On today’s episode, we unpack why it’s so important that we talk more about these conditions, how to do your best to prevent PMADs, and what to do if you or someone you love has symptoms. Aviva, Paige, and Catherine discuss: The definition of perinatal mood and anxiety disorders (PMADS) and the different diagnoses that fall under the PMAD umbrella What PMAD taboos still exist today, why this needs to change, and how Roe v. Wade affects these taboos Paige and Catherine’s personal stories with perinatal mood disorders and what brought them to the point of specializing in PMADS and opening the motherhood center The kinds of physical and psychological feelings and symptoms associated with PMADs and signs birthing people and their providers should watch out for Why we need to move in the direction of making it mandatory for OB-GYNs, midwives, pediatricians, and any providers who come in contact with newer expecting mothers to begin educating their patients about PMADS and screening for symptoms  The effects of the pandemic, social isolation, and potential cultural contributors on PMADS  The role of medication and psychotherapy in treating conditions For more information or to reach out visit themotherhoodcenter.com or call (212) 335-0034. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Mentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

I've been wanting to share this episode with you for awhile, so I finally dusted off the archives and here it is. The sound quality is not as sharp as our more recent episodes - our production values have definitely improved - but I'm certain you'll find it timely and useful.Despite increased attention on the dangers of burnout, recent surveys report that a majority of the population across many countries report feeling burned out. This epidemic of overwhelm has a profound impact, especially on women.In this episode, we dive into the world of adaptogens, remarkable herbs that help prevent and reverse the effects of stress and burnout. Discover how they work and which ones are best suited if you’re feeling overwhelmed.What you will learn:The physical and mental symptoms of burnoutHistorical background of adaptogensThe role of adaptogens in regulating stress responses and supporting adrenal healthHow adaptogens can be used to enhance physical health and mental well-being.Choosing the right adaptogens Detailed profiles of calming and nourishing adaptogensUnderstanding dosages and potential interactions of adaptogensAdaptogens offer a powerful way to manage stress and recover from burnout, but they should be part of an integrative approach to health that includes proper self-care, nutrition, and rest. Tune in to learn how to harness the healing power of adaptogens to refill your energy reserves and enhance your life.For the accompanying article go to https://avivaromm.com/adaptogens-burnout/If you'd like to receive a copy of my free ebook, Adaptogens: Herbs for 21st Century Stress, go here.Mentioned in this episode:The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to https://avivaromm.com/mama-pathway to learn moreLooking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Hormone replacement therapy (HRT): Should you use it for your perimenopause or menopause symptoms? Does it prevent dementia? Heart disease? Is it safe? Who should and who shou;dn’t take it? Join me for this powerful conversation with Dr. Sharon Malone, an OB-GYN with 30 years of clinical experience - and an advocate for menopause awareness, and I explore these questions. In this episode we unpack: Rethinking aging and embracing the power of menopause - and why Dr. Malone has found this to be the most freeing and joyful phase of her lifeThe controversies surrounding hormone replacement therapy, and the research that led to all of the confusion about its use.The "window of opportunity" for starting HRT, who gets the most benefits, and what symptoms and conditions it’s truly useful for. Navigating the potential risks of HRT, including the comparable risks of drinking two glasses of wine - so you can make the most informed decisions about your options The difference between being pro-hormone and anti-suffering for women in menopauseWhy it’s important to be wary when it comes to ‘celebrity endorsed’  information on menopausal therapiesDr. Malone offers invaluable advice on navigating the symptoms of menopause with grace, while empowering you with the knowledge and confidence to make the best health decisions for during the menopause transition.Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplementsMentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

In this must-listen episode I'm thrilled to welcome Dr. Lisa Mosconi, a leading neuroscientist and author of The Menopause Brain,  and my friend, back to On Health to demystify the profound impact of menopause on the female brain. Dr. Mosconi offers invaluable insights into how menopause is more than a hormonal shift - it's a significant neuroendocrine change, and a potentially very important and powerful time in our lives. We dive deep into:How perimenopause and menopause really impacts the female brain - including the role of estrogen during this timeCommon cognitive symptoms of perimenopause and menopause including brain fog, sleep problems, and memory lapsesWhy it might be that women in cultures that see menopause more positively have fewer symptomsThe powerful role 'older women' can play as leaders, providers, and guides in families, communities, and societyThe pros and cons of hormone replacement therapy (HRT), including it’s role in Alzheimer’s preventionThe supportive role of nutrients, fiber, and omega-3 fatty acids for women's brain healthThe importance of access to a wide variety of options so that we can pick what's best for us in feeling our best in menopause.Knowledge is power. Understanding menopause's impact on the brain allows us to make informed choices, turning a phase often approached with dread into an opportunity for empowerment and well-being. Join us to transform how you think about menopause and prioritize your brain health through this pivotal time - whatever age you are - because it’s never too early to start protecting your beautiful brain! Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplementsMentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

The teen years are a trope and a meme in our culture. We’re inevitably warned the minute we have a baby and admire her cute little face at a family gathering, in a restaurant, waiting in the checkout at the grocery: Just wait until she’s - or he’s -  a teen. And it’s no wonder - the teen years - which we all remember too - are fraught with big changes: big hormonal shifts, changes in our neurobiology, changes in how we see our place in the world, changes in how we see our parents. It’s complicated. And it’s become more complicated - for both teens and their parents- in recent years. If you read the news, and certainly if you’re a parent, you can’t have missed the many headlines that have come out in recent years, from the impact of social media on our daughters,  the impact of lockdown during COVID on our teen's mental health, and complicated issues around gender and identity. My guest, Dr. Lisa Damour, is here to help us unpack the mystery of teenagers and to support parents of teens. This is a must listen even if you still just have a babe in arms, or if you’re a grandparent, auntie, or healthcare provider. Mentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplementsThe Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to https://avivaromm.com/mama-pathway to learn more

Welcome to On Health where today I talk about understanding stress during pregnancy, bust myths, and share real tips to take care of yourself before and when the stress hits the fan.In this episode I explore: The impact of how we talk about stress in pregnancy and its effects on moms-to-be onWhy it's important to understand stress during pregnancyThe pressure to always feel happy when you're pregnant and the guilt unrealistic expectations cause pregnant women to feelWhat stress really is, including the ‘good’ and the ‘bad’ kindsWhy some stress is normal during pregnancy - and why you're not doing anything wrongWhat studies say about stress and how it can affect your pregnancy and your babyThe most common causes of stress in pregnancySpotting stress signs and trying out stress-busters like meditation or yogaThe importance of sleep, staying active, eating well, and finding folks to talk toHow talking to your midwife, doctor, or a mental health pro can be a big help- and what they need to know, tooWhy you’re taking care of you is taking care of your baby tooThank you for listening to the On Health Podcast. And please remember to treat yourself with kindness and love through your pregnancy journey - and beyond, and share this with a mama who you think would appreciate hearing this today.Mentioned in this episode:The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to https://avivaromm.com/mama-pathway to learn moreLooking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Jillian Turecki, my guest for this On Health episode, is a beacon of light and a font of love and wisdom. A certified relationship coach, teacher, and writer with over 20 years of experience, she's fueled by an insatiable curiosity about what makes a relationship thrive, and she's helped thousands through her teaching and writing revolutionize their relationship with themselves so they can transform their relationships with others.In this episode Jillian and I get real about what it takes to have a thriving relationship, how this starts with loving ourselves, and also how important is that we normalize being single.- because that's a path many women are on, at least at some point in their live and love journey.We dive deep into so many areas of our love lives including:Trusting yourself and listen to your inner voice in relationships.Normalizing being single and focus on other areas of your life.Self-acceptance and self-worth as foundations of healthy relationships.How to be discerning and recognize relationship red flags.Mindfulness, tolerance, and appreciation in relationships.Avoiding overanalyzing our partners.How to get intentional in relationships - including having regular relationship meetings to improve the partnership.Creating breathing room to allow for individual growthHow breakups and divorces can be transformative experiences that lead to personal growth and new opportunities.Following your own dreams and prioritizing your own growth as essential in relationships.Wherever you are on your self-love and love relationship journey, I know you'll find gems of wisdom and practical information to connect more profoundly with yourself and your partner. And you'll find more tools for practicing self-worth.Make sure to follow me on Instagram @dr.avivaromm to join the conversation. You can follow Jillian on Instagram and visit her at jillianturecki.com Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements