Kim Vopni

And so it's kind of like hypothyroidism versus Hashimoto's. You have to kind of distinguish, is it the autoimmune side or is it something different? And that's where that root cause investigation comes with pelvic floor PT, with a bladder diary, with diet changes, lifestyle changes.

And so it's kind of like hypothyroidism versus Hashimoto's. You have to kind of distinguish, is it the autoimmune side or is it something different? And that's where that root cause investigation comes with pelvic floor PT, with a bladder diary, with diet changes, lifestyle changes.

And if with all of that, nothing is changing, it takes a little while to go through the... It's like a process of elimination, a diagnosis of elimination for IC. you want to address all of the other things first. And if it improves, not likely that it is the autoimmune form.

And if with all of that, nothing is changing, it takes a little while to go through the... It's like a process of elimination, a diagnosis of elimination for IC. you want to address all of the other things first. And if it improves, not likely that it is the autoimmune form.

And if with all of that, nothing is changing, it takes a little while to go through the... It's like a process of elimination, a diagnosis of elimination for IC. you want to address all of the other things first. And if it improves, not likely that it is the autoimmune form.

If it's not, and you've tried everything and you've given it kind of that good college try, then possibly an IC diagnosis would happen.

If it's not, and you've tried everything and you've given it kind of that good college try, then possibly an IC diagnosis would happen.

If it's not, and you've tried everything and you've given it kind of that good college try, then possibly an IC diagnosis would happen.

Yeah, estrogen can play a role. It's usually, I shouldn't say, I don't know the statistics wise, but from the younger generation, it's typically not the low estrogen per se, but it could be an improper, a non-optimal vaginal microbiome for whatever reason. So that could be diet related as well. That could be clothing related. That could be all sorts of things.

Yeah, estrogen can play a role. It's usually, I shouldn't say, I don't know the statistics wise, but from the younger generation, it's typically not the low estrogen per se, but it could be an improper, a non-optimal vaginal microbiome for whatever reason. So that could be diet related as well. That could be clothing related. That could be all sorts of things.

Yeah, estrogen can play a role. It's usually, I shouldn't say, I don't know the statistics wise, but from the younger generation, it's typically not the low estrogen per se, but it could be an improper, a non-optimal vaginal microbiome for whatever reason. So that could be diet related as well. That could be clothing related. That could be all sorts of things.

But if we have a microbiome, especially this lacking lactobacillus, which is the main bacteria we want, like in the gut microbiome, we hear the conversation of diversity. We want all sorts of different, and there's millions and trillions of bacteria. In the vaginal microbiome, it's not so much about the diversity, it's about having lactobacillus in abundance.

But if we have a microbiome, especially this lacking lactobacillus, which is the main bacteria we want, like in the gut microbiome, we hear the conversation of diversity. We want all sorts of different, and there's millions and trillions of bacteria. In the vaginal microbiome, it's not so much about the diversity, it's about having lactobacillus in abundance.

But if we have a microbiome, especially this lacking lactobacillus, which is the main bacteria we want, like in the gut microbiome, we hear the conversation of diversity. We want all sorts of different, and there's millions and trillions of bacteria. In the vaginal microbiome, it's not so much about the diversity, it's about having lactobacillus in abundance.

And low estrogen can create a low lactobacillus state. but it's not always just that. So there's vaginal probiotics that can be taken orally or inserted vaginally that can sometimes help. There's supplements like boric acid also used intravaginally that can be helpful for some people.

And low estrogen can create a low lactobacillus state. but it's not always just that. So there's vaginal probiotics that can be taken orally or inserted vaginally that can sometimes help. There's supplements like boric acid also used intravaginally that can be helpful for some people.

And low estrogen can create a low lactobacillus state. but it's not always just that. So there's vaginal probiotics that can be taken orally or inserted vaginally that can sometimes help. There's supplements like boric acid also used intravaginally that can be helpful for some people.

But again, you don't want to just throw those in and hope, you kind of want to go through that process, that diagnosis of elimination with addressing the lifestyle factors first. So releasing tension, get evaluated. Is it some sort of muscle tension or is it pelvic organ prolapse? Is it constipation? Is it dehydration? Is it bladder irritants or other things that you are consuming?

But again, you don't want to just throw those in and hope, you kind of want to go through that process, that diagnosis of elimination with addressing the lifestyle factors first. So releasing tension, get evaluated. Is it some sort of muscle tension or is it pelvic organ prolapse? Is it constipation? Is it dehydration? Is it bladder irritants or other things that you are consuming?

But again, you don't want to just throw those in and hope, you kind of want to go through that process, that diagnosis of elimination with addressing the lifestyle factors first. So releasing tension, get evaluated. Is it some sort of muscle tension or is it pelvic organ prolapse? Is it constipation? Is it dehydration? Is it bladder irritants or other things that you are consuming?