If you can stick with me and you can understand the

science behind what we're going to talk about, it is applicable to

every human. And we're going to specifically talk about the

fact that erectile dysfunction by itself is

an independent risk factor for having a major

adverse cardiac event. Holy sh t.

So even if you have no family history of heart disease, if

you exercise, you don't smoke, you don't drink, if you're having a

little problem in the bedroom, attaining an erection or

maintaining an erection, it could indicate that you might be

at higher risk of having a major cardiac event in the next

three years. Welcome to open Heart Surgery with Boots,

where this February we're going below the

belt. That's right, we're diving into the

surprisingly connected world of heart surgery and

pelvic floor health in this five part series.

Join me and our special guest expert, Dr. Kelly

Sudakis as we talk about everything you're too embarrassed

to ask your cardiologist. From what makes a happy

pelvis to getting your groove back after surgery,

to yes, even the great post op poop

debate. With candid conversations, practical

advice and plenty of laughs, we're exploring the

ups and downs of recovery because let's face it,

healing happens from top to bottom. So

buckle up for some real talk about the parts of recovery nobody

warned you about. Hello, Boots Knighton

here with open heart surgery with Boots. And Kelly

Sudakis is back for episode two

of our heart and pelvis series.

Wow. I hope if you're just now finding us, I hope you'll go back and

listen to the first episode because it really does help

set you up for understanding all things

pelvis. I asked Kelly to start us off

with 101 pelvic health. What it looks

like, feels like, how it should operate and then what

happens when it goes arai. And so that now brings

us to our second installment, which is

erectile dysfunction. Hey, we get to talk

about penises.

This is important because. Hi, I'm Dr. Kelly

Sadowskis, double board certified pelvic physical therapist. If you didn't meet me in the

first episode, and my goal in life is

to break down barriers that are preventing you

from understanding your body and the bodies of the people you love

love. So most likely you either have a penis

or you love someone with a penis. So this is going to be

very important information. Boots and I were chatting a little bit and

she's like, well, is this erectile dysfunction in men and women?

Which is a very valid question because yes, the

we ladies, we actually have like Little. Our clitorises are actually little,

tiny penises. They arose from the same

embryonic tissue as a male penis. So we can still

also have erectile dysfunction. But guess

what? This will not shock you. We don't study erectile

dysfunction in ladies. And we being the scientific community at

large, because we don't study anything in women, because hormones.

And that's bull crap. But that is the reason

that most of the studies and the things that I'm going to talk to you

about today are a little bit more leaning towards

male anatomy, people with penises. But. But if

you can stick with me and you can understand the science

behind what we're going to talk about, it is applicable to every

human. And we're going to specifically talk about the fact that

erectile dysfunction by itself is an

independent risk factor for having a major

adverse cardiac event. Holy shit.

So even if you have no family history of heart disease, if

you exercise, you don't smoke, you don't drink, if you're having

a little problems in the bedroom, attaining an erection or

maintaining an erection, it could indicate that you might be

at higher risk of having a major cardiac event in the next

three years. So you got to get your cute pelvis, or if this is your

loved one, get their cute pelvis into a cardiologist for some

primary preventative screening. Okay. All right, that

being said, let's dive into what is an

erection and what is erectile dysfunction? So, okay, so

you just talked about why we should care, but let's go even more

basic than that. Like, why is sexual health

important? Why should we even be talking about this?

I know about the cardiac risk factors, but just for the

overall, like, picture of health and

thriving as a Homo sapien. Oh, my gosh, that is

a fabulous question. Like, so, first and foremost, even at, like,

the most basic level, why do we care about sexual function?

Even before I talk about, you know, the risk factors of that erectile dysfunction,

Sexual function can be an important part

of any human's life journey,

right? There are legitimately some individuals that it is not a

priority. And that's fine. If it's not a priority for

you, you're not alone. But more, I would say a

greater percentage of people start to lose interest

in sexual activity because it becomes either painful

or challenging to do physically, either because the actual pelvic

parts are no longer up to snuff, or orthopedically,

perhaps we have back pain or hip pain, and we don't know about how to

change positions. Ladies and people with vaginas,

as we age, our hormones change. That

can be one part of a puzzle that makes intimate functions

a little painful or less enjoyable. And so we might tend, rather than

trying to fix the problem and make them just as enjoyable as they

were in our younger years, we might tend to not do that anymore.

And why that matters is

sexual function could be something that you can enjoy again. And when

you can enjoy it, it is a powerful bonding experience

between you and your partner. It's good exercise, whether

you're with a partner or by yourself. And it

involves a release of endorphins that is good for overall

mental health and pain management. So the

ability to achieve an enjoyable

climax. It's kind of a litmus

test, so to speak, as far as how the whole system

is working the brain, body connection for that sexual

response, the physical health of the muscles around the pelvic floor to

have that appropriate sexual response regardless of your

anatomy. And if we can't do that, then maybe it's a

sign that, ooh, this is an opportunity for us to get a little

bit better. And then, and then we look at the science of

specifically erectile dysfunction. Being able to potentially

be a risk factor for heart problems down the road.

Ooh, now that's interesting. And if we do have open

heart surgery, the recovery of that sexual function, that's

another piece that sometimes is overlooked in your cardiac

rehab. Right. And so we want to, in later segments, actually dive into that.

About sex is a endurance event. How do. Is your heart ready for it?

Is your pelvic floor ready for it? Okay, yeah.

So that. Thank you. Yeah, that sets the scene because I think it's just

so important to have buy in, especially for those who may,

like you said there. And no, feel no shame if, like, this isn't a

topic that maybe is super passionate for you.

But. And I. That's fine. But it, it, it is. It's

okay to go through the emotions,

feel all that you need to feel. There is. You're all are welcome

here. And this is a safe place. And I know

Kelly personally, and I can't think of another person

that you can safely explore this topic with.

Oh, thank you, Boots. Thank you. And, you know, the topic's

important because, you know, if we look at, for a

number of reasons, the, the prevalence. Oh, so what

is erectile dysfunction? Right. Let's make one more step back. So,

hey, here's Peter the pelvis or Philip the pelvis. Hi,

We. We met Patty and Randy the rectum in the last

segment. Here is a pelvis with traditionally

male anatomy Right. In the last segment, you met Patty.

The pelvis, which showed you all the cool bony rings

and the muscles that exist

to form the base of your pelvis. And we talked about how

those muscles worked along with other body functions

to control a basic pee and poop

functions. Now, intimate functions in someone with a

penis. Usually the penis is nice and relaxed down here, like

so what is an erection?

What an erection is, is there are these cool little pelvic floor

muscles at the base of the penis. They look the. I'm

blocking this hole because I can't find my male pelvic floor right now. But it's

pretty much the same as this right here. But there's these little muscles at the

base of the penis that when we are sexually

aroused or during key times of hormonal

changes, sometimes for no reason whatsoever, these

muscles at the base of the penis will constrict. And

when they constrict, they are preventing blood from

leaving the penis so it will engorge and form.

Ready? Ready, Ready? Oh, can I do it? I think. Oh, I don't

want to break it. And it

was point upwards. Hello. And the funny thing is, is

like everybody's different, right? So please,

whatever you look like, whether you're circumcised or not, or your partner's circumcised or not,

everybody looks different. Sometimes erections are pointed straight,

sometimes they're a little hooked to the side, sometimes totally fine. You

are normal, I promise. Okay? If you ever have a

pain free lump or a painful lump that feels

like a little raisin in your testicles, then we want to get that checked out

right away. But when you have an erection, it might look like this

straight soldier or it might be a little to one side or the other and

you're fine. And I want you to know that because we don't as with everything,

pelvic health, we don't talk about this stuff enough. So

that's what an erection is, is an engorgement of these blood vessels within the penis

to trap blood in there and then make the soldier stand tall

and proud. That is a muscular

effort, right? For these muscles.

I just. And this

is Kelly everyone. And you know when you. I'm a

doctor, you've got to follow her on Instagram

because it's like this all the time.

Really. I think one of my first posts about penises,

I like trouble raising the main sale.

And it's not funny. I don't wish eating anyone but

my God, let's have a little fun while we're at it. God, we have

to. We have to. Because you know what, Boots? Like I am

reaching. Like we are reaching people because we can talk about this and have this

conversation if we just talk so scientifically we make it uncomfortable and

we lose that chance to help someone. So that's, you

know. Yeah. This muscular effort of these pelvic floor

muscles, again, specifically in the penis. And yes, it also happens to a lesser degree

in the clitoris. They are going to constrict at the base of the penis and

cause this to engorge. Okay. To then potentially allow

for penis in vagina or penis and something else. Penetration

and then stimulation of all the amazing nerves that go

along with that happen. Magic happens. And we

can have this beautiful, fulfilling climax that typically is going to

result in ejaculation. If you've had a type of prostate surgery, sometimes

it's called a dry ejaculate. Again, that's a little too in depth for this

talk. But we have a beautiful, fulfilling climax. Everything

relaxes back and cycle resets for

the next time. Erectile dysfunction is the

inability to attain or

maintain that erection for the

task at hand, so to speak. There

are some puns I think possible in there. And if you were around

for the first talk, we talked about how these pelvic floor muscles are

like a hammock at the base of your pelvis. And,

and they're like an elevator. An elevator and a hammock. So they're a hammock at

the bottom of the pelvis and have an elevator like function. And they're

meant to actually live on the ground floor of a four

story building and kind of move up and down depending on the task at

hand. But always come back to rest and even be able to

relax into the sub basement to have a good poop and then come back to

rest. If these pelvic floor muscles are

resting on the third or the fourth floors. And we talk

in the last, we talked in the last segment about why that can happen.

That can contribute to PE leaks or poop problems. But from a sexual

perspective, if they're always working, if they're always

clenching on this third floor and then the

time occurs or the mood occurs where you need them to do a

little bit more work to get this erection, they might not be

able to because they're tired. You know, we use a

wall sit analogy. If I boots, if I ask you to go and run up

the stairs right now, you could, what if I put you in a wall sit

for six hours and then ask you to Run up the stairs. You're not running

anywhere. And that's what can happen in these muscles in

the pelvic floor. They're too tired from being tight all the time, so they don't

have the energy to constrict further to cause this

erection. And then when we build,

so. So we get the erection in either the clitoris or the penis,

and then there's this building, this period of excitement before we have the release and

the climax. So it's the climb and then the climax. The climb

requires healthy nerves. If all of the pelvic

muscles are tight all the time, they can irritate the

nerves and make the climb hard or impossible.

And then to actually climax is a plyometric

contraction of your pelvic floor. I bet you didn't know that.

So that means it's. It's a really fast dynamic. Contract and relax.

Contract and relax to have this climax feeling. If

your muscles are not healthy enough to do that, you can't have a

climax. Oh, my gosh. Or you can, but it hurts.

So, wow. Like, that's all of the parts that are

required for a normal erection. And then, like, any difficulty

with any of that is considered erectile dysfunction. Long

road to get why we care on the Open Heart

Surgery with Boots podcast. Heart

disease. The same changes in our

arterial systems that can lead to ischemic heart disease, that

can lead to stroke, that can lead to coronary artery

blockages. Guess what? Those coronary arteries, how big are

they? Okay, brain arteries,

pelvic floor arteries, and those of you that are

just listening, I'm showing the relative size. Coronary

arteries are big. Brain arteries are a little smaller.

Pelvic floor arteries are tiny. So they're like our little

canaries in the gold mine. And the same

changes in life that are going to lead to some of this

atherosclerotic change, stiffening of arteries, blockage

of arteries. They're going to present in these little tiny arteries

first. It's so powerful. And

what evidence has shown is that the presence of

this erectile dysfunction in a man, yes,

it can be due to a lot of factors, but it can be that hypertonicity

of the pelvic floor, but it also can be a

primary change in the pliability of these arteries. And

as such, it is an independent risk factor for

a future major adverse cardiac event.

And even in the absence of any other risk factors

of family members having heart disease, you can exercise, you can eat well,

drink well. If you're starting to have problems hoisting the Main

sail. We need to get everything checked out because this could be an issue

with your underlying circulation and we might just save your life.

So. Wow, it's crazy pants. And

now if you have this erectile dysfunction and some

diabetes and some family history of heart disease, or

you're a smoker or you occasionally have some alcohol or have

alcohol a lot. Holy shit, friend. We gotta change some

stuff or you're not gonna be around four years from

now to be enjoying this beautiful life. So, like, it's a.

It's a cool thing to be aware of because we actually can

save lives when we get people to the right spot. So

if you haven't been doing regular wellness checks,

or maybe you have because you're watching this podcast, but maybe your best

friend Bill doesn't go to the doctors. And Bill

and you are talking about, oh, things aren't going so well in the bedroom.

Yeah, Bill could go to pelvic pt, but if they're a good pelvic pt,

they're going to ask Bill if he's been to his primary care provider, and if

he hasn't, they're not gonna treat his erectile dysfunction until he goes and

gets his heart checked because of this. And if you have been

going to a pelvic PT for ED and it's getting better, but you

haven't had your heart checked, you need to. It is exquisitely

important. And I think earlier I might have said. But I don't

remember. Cause I say a lot. The prevalence of this

erectile dysfunction has doubled in the

last 30 years. And perhaps some

of that is more normal reporting.

But what's happening with colorectal cancer

rates? It's shooting through,

skyrocketing. Okay, what things are

associated with colorectal cancer? Reduced fiber intake.

Right. Dietary changes. All. Increased stress

in the world. Perhaps a more sedentary lifestyle, especially

since pandemics. Right. So all of these same things that

are just killing our overall holistic

health, they're the same things that might contribute to

higher rates of erectile dysfunction, but, you know,

underneath that, contributing to reduced health of our

circulatory system, which then is, you know, erectile

sexual dysfunction, then possibly stroke or heart attack. So we

need to be talking about this. It's not just about getting jiggy in the

bedroom. It's about not dying three years from

now. So, like, that's. It's so powerful, right?

Yeah. Where I sit and just. I try not to

watch commercials. I don't really watch TV anymore. But in the past, I mean,

a classic commercial UC Is for Viagra.

Right. And. And in the bathtub.

Yeah. You think it's just about that. And they don't. They don't

talk about any of this background you just gave and,

like, all these other things you need to be thinking about. Totally. Well, do

you know Viagra was a blood pressure medicine? Like, that's a whole. Like, nobody

knows this. Or. You might, but, like, it's hilarious. It's like, oh, we found this

amazing drug to help with your hypertension and small side effect. You're gonna get

a giant boner for four hours.

Really? Let me. Let's talk more about that. Like, that's

amazing. Like, but again, if

that's the only thing. If you go in and you. Well, we

won't even get into the difference between males and females when we

report sexual dysfunction. Well, yeah, I will.

I will. If, you know, we go in and, like, say a dude is like,

oh, I'm having trouble with an erection. The. If the doctor's

not educated about the. This research. Right. And that study, I

think it's from 05 Montorsi. I'll get

you all links to it in 05. That found that the

ED could pre exist before a major

cardiac event. Three years. If the doctor doesn't know that study.

If they are all in, they're the best cardiac doctor in the

world. They honestly might just be looking at the heart. And that doesn't

make them a bad doctor. Right. Like, maybe they never even learned about pelvic

floor in medical school. They might not know about all of

those parts. So we need to educate you to take the primary

steps. I got a little off tangentially right there. I kind of lost my. No,

you're. We're citing studies and then talking. Talking about men versus women

and. Oh, men versus women. Thank you. Thank you. But I just wanted to

mention. Make sure. Just a timeout. If you haven't already, be

sure to go in the show notes to sign up for my newsletter

because. Oh, yeah, I will be linking to and I'll have

things in the show notes for you also listeners. But

if you sign up for my newsletter and also sign up for Kelly's,

you will get these studies and there will be more

in the newsletter each of these weeks talking about why you need

to care about your pelvic floor. Oh, totally. Time in,

Boots. Thank you. Time out. Time in. Thank you, Boots. So. So

if I'm a man and I come in to my doctor and I say, oh,

I'm having trouble with sexual function, that doctor might not know

about this important correlation. And if you look healthy,

they might just prescribe you something like Viagra. And that

might help this small piece of the puzzle in the short term. But

you do need a cardiac workup to make sure that things are okay to keep

you good in the long run. If I'm a woman and I come in and

I report sexual dysfunction, I'm not even gonna lie, you will be

told to just relax, have a glass of wine, which is a

neurotoxin. Thanks, doc. And that's about it.

Usually, like, if your doctor's very aware, you'll be prescribed pelvic floor

pt. But there's this huge kind of difference in

how everyone, you know, males versus females, are treated in

this realm. But it's important for everyone that we address

and what we can do about it. There's

actual things that you know, if this is present and

we know that this is, can be an independent risk factor

for future heart issues. If

we're post heart surgery, guess what, like, and you're having erectile

dysfunction, this is still indicate indicative that things

aren't 100% awesome. So, so let's work

holistically on the whole system. You're going to

love this, everyone. It's the classic sleep,

diet, exercise, and now

awareness of your pelvic floor. Pelvic floor relaxation, pelvic floor,

general health and well being can make

positive changes to improve this erectile function, the sexual

function, which then we have lowered our risk

factor for that future adverse cardiac event by

improving this one function, which is great. You don't have to be

Chris Helmsworth, right? Like in the gym 20 hours a day. I think one

of the studies in 2018, 40 minutes of

moderate physical activity four times

a week, within six months it reduced

erectile dysfunction. So you can read that a different way. If we don't

care about the erection function, 40 minutes of moderate

exercise four times a week for six months improves your

overall cardiovascular system and reduces your risk of heart attack

and stroke. And that's doable, right? And I'm

such a geek. I love what I do. I do a ton of teaching. I

also have a new online program called Dr. Kelly's Treasure Chest that has

workouts there for you. Right? And I started off with 40 to 60 minute

workouts. Nobody watched them. It's hilarious when you look at like the data.

Everybody was watching the 10 minute workouts. And you know what? A 10 minute

workout done is way better than nothing. And you could do that

one workout and get proficient at it and do it twice. In a row for

20 minutes. Like something is better than nothing.

Diet and exercise, right? I don't like the word diet. I like lifestyle food

choices, generally. A Mediterranean

diet, fruits and vegetables, heart, healthy fats,

boots. You had the whole nutritional segment, right? So

they can go back and look at that. Hugely important

for arterial health, heart health. So, and that's

not just for today. That's like a lifestyle change.

And it's nothing that we have to do, but it's something we want to do

because we feel so much better. And then if you

do smoke, stop. Don't be an asshole, idiot, stop.

There's nothing good about it. Stop. If you drink

alcohol, try to stop, please. It is just as bad for you as

smoking. There's no safe amount of alcohol. It's a neurotoxin and it

causes mental health issues. Nothing to be good from that,

okay? So just stop, please. We are going to be

amazed when we look back 10, 15 years from now at how

normalized alcohol consumption was in the world right

now. And so to help you be healthy, pre heart surgery,

post heart surgery, eat real food, not too much

exercise, and don't smoke or drink. Okay? I think

if you need help with all of that, go back and

listen to my episode in December of

2024 with Dr. Laura

Suarez Pardo. She is a cardiac

psychiatrist at the Mayo Clinic. And I

asked her, treat me like, I just came into your

office and I'm trying to stop a habit. Where

do we start? And it was absolutely

brilliant how she. It is. It is just

so simple. Like, basic small

changes every day that add up to big

changes. And I, I just want to say, like,

I see you, I hear you. Like, if you're listening and you smoke

or you drink or, or have any habits that aren't healthy for the

body, you know what, have you ever thought that maybe you're

worthy of a vibrant, healthy life? You

are. Amen. Deserve to be healthy

and ask for help, ask for support. You deserve to

have a healthy sexual

lifestyle. You deserve to have a healthy

pelvis. You are worthy of all of this. And

I really think that a lot of people out there

just really just say, I'm not worthy.

Maybe not, like, consciously, but I want to be

that person in your ears that say, you know what? Your heart deserves to

thrive and so does your pelvis. Yes. And so

many, so often those times when we are drinking or

smoking, we're not doing it because we're trying to be bad. We're doing it because

we're suffering and we're Using it as pain management.

And we're using it to hide the feelings, to not feel the

depression and the anxiety. And so

addressing those underlying factoids can help.

And removing that product, that

chemical, can set the stage for you to finally love

yourself again. So good. I'm so glad that you have that

podcast. Another book I love is

who I Forget Her Name. Oh, my gosh.

Complete mind blank was like, it's like a woman's guide to not drinking

or something. Do you know of that one? Oh.

Oh, gosh. Okay. I'm going to have to put. I'm going to have to put

the name of it in the show notes because I can't remember. Oh, quit like

a woman. And doesn't matter if you're not a woman. It doesn't

matter if you're, you know, trying to quit alcohol or cigarettes or just

reducing because, again, yes, we do want you to stop completely, but.

But even reducing can be beneficial. She

talks all about that, about how. And she talks specifically how about

like, AA didn't work for her. And it's. I think it's

valuable because it talks about approaching these lifestyle changes from

a position of love, like you just said, and not,

oh, my gosh, you suck.

And I think is really cool. So. Got a little tangential there, but

awesome. Thank you. That's what I needed to do because I was

depressed and, you know, not getting the most

out of life and AA just for me just caused

a shame spiral. It didn't work for me either. But you know

what? Some of my really close friends, it works really

well. So it. It's your own personal

journey for what is right for your. Your

history and what you need to heal. Just. Just

try. Exactly. You deserve to try.

Love yourself enough to try. Yeah. And I think, you know, in

my journey. Yeah, in my journey, I stopped

two. I was drinking very heavily during COVID times.

Right. To cope. And I mean, recognized it, and then was like, oh, this

is fine. It's just a coping mechanism. It's not fine. You

know, and I recognized it and just cut

way back and then have now stopped. And again, all

things in my life coalesced to the point where I could make that rational

decision. And I had the support that I needed to do that. But you recognize

that not only do you drink, sometimes to. For me, it was to

cover up anxiety that was undiagnosed for sure,

and some depression that was then coming from that. But even on, like, just

good days, it would be like, oh, like, this was already a great day. And

like, why and my total turning point crux, as I

was educating my kids, that, like, alcohol is really bad for you,

and yet I was still having a couple glasses a month. And my son

goes, well, why do grownups do it then? And

I had no ration. There's no response to

celebrate. Like, would I have a cigar or a cigarette in front of them to

celebrate? Like, there was no good answer for me to give them. And that's what

made me finally turn the corner to, like, cut it out. And so, yeah, that.

That's interesting. And it's this whole other level of just pelvic health and overall health,

but open heart surgery, alcohol and cigarettes, they're so

inflammatory. They're not serving you to heal, and they're not serving you to show up.

And so there are people there who can support you and love you. And if

you go to try to help, you know, get help with these habits and you

don't feel loved and it's not the right place for you, even if it's the

right place for your bestie, that's fine. Go someplace else until you

feel heartwarming.

Podcast and of having like, heart stuff is. The

opportunity for puns is endless. That's really,

really. It is, dude. I'm here for the puns.

All right, cool. But yeah, that is in a nutshell. That's why we want to

talk about penises on the open heart surgery podcast.

And if you don't have a penis, but you are noticing

changes in sexual function,

you know, they. This could be something to work on as a

canary in the gold mine to improve your overall circulation. And if

you are post heart surgery, especially if you're diabetic,

the reduced blood flow to the pelvic floor can be a

contributor to pee problems, poop problems, and sexual

problems. So seeing a pelvic floor PT in person or

online can be really help that part of your life. So please

just don't think, oh, I've had heart surgery, my sex life's over. If it's something

you're interested in or, oh, I'm just getting older, I guess it's normal that I

pee my pants, right? Not true. There's help available. So

I have a great blog with lots of information. You can work with me or

one of my staff online. I have a blog about how to find a PT

near you. You can reach out to Boots or me if you need

help finding a PT near you. And like I said, my treasure chest really

is a good trove. Literally a treasure chest of

exercises to get yourself moving to improve

this blood flow for not only better sexual health, but better

overall health as well. Oh, and we're giving you guys a coupon.

OHS 2025 open heart

surgery 2025 will give you guys 25% off any of my online

programs, including 25% off the first three

months of that Treasures Trust subscription, which is already a killer

deal. And that goes over how to connect and relax to your pelvic floor, as

well as these exercises to help improve your blood flow. So I'm glad

you're here. Boots. Thank you so much for this opportunity to talk about

Peter the Pelvis and. Heidi the Pelvis and Randy the

Rectum. If you missed the first installment, I'm

telling you, you just. We were having so much fun during Heart Month

and. And thank you, Kelly. All that you need will be in the

show notes. Again, be sure to sign up for the newsletter. That's another way to

stay in touch. And if you haven't, make sure you hit subscribe. And you know

what will really make my day and my Heart month and

my year would be as soon as you're done listening to this episode,

do two things. Share this with a friend.

Perhaps one with a penis or someone with a penis. And then

secondly, leave a review. I would so

appreciate that because that is how people find this podcast.

So definitely. And ask us questions. Yep.

Blow up the email, please. We love questions.

But in case no one has told you today, I love you.

You are loved. You are worthy of a thriving

pelvis, healthy pelvis. And be sure to come back next

week for more pelvic wisdom from Dr. Kelly. Bye.