Kim (00:01.645)
Welcome to another episode of Between Two Lips. I'm your host, Kim Bapnit, the vagina coach. And in this week's episode, this is a really quick hit. It's not a full episode. It's an opinion because I get asked this question, I would say probably two to three times a day. And I have an answer. I direct people to a previous podcast episode.
but I wanted to also share my opinion. the question is, what are your thoughts on the .cella chair? For those of you that don't know what the .cella chair is, it's sometimes referred to as the Kegel chair or the Kegel throne, the BTL .cella, there's clinics called EuroSpot that have the chair that we're talking about. And it's essentially kind of a big round chair. You sit on it fully clothed.
and it presents, it tells us that it's going to do 11 to 13 ,000 kegels for us in a 20 minute session. And that sounds all well and good, right? If we don't have to do the work, something else can do the work. That sounds perfect. Great, I'm gonna opt for that. So I had Dr. Sinead Dufour on with a really in -depth episode as it pertains to the technology.
the populations, the research, and there is some research. There is some research, there is some benefit to this technology. However, here's my opinion. This is an outsource. This is expensive. This is not a lifelong cure. And I think that there is an absolute,
place for this for people who may have spinal cord injuries, nerve damage to the pelvic floor, mobility challenges. I think we're really fortunate to have so many innovative technologies available to us, this being one of them. However, if you are somebody who has been struggling with incontinence or struggling with other forms of pelvic floor dysfunction like prolapse and
Kim (02:20.001)
If you are honest with yourself, you haven't really been consistent with all the things. All the things meaning have you optimized your diet? Are you pooping well every single day? Not constipated? Are you hydrated? Have you seen a pelvic floor physical therapist? Are you addressing your posture? Are you addressing your footwear? Are you getting enough sleep at night? Are you consistent with pelvic floor muscle training with whole body?
pelvic floor muscle training? Have you done hypopressives? Have you tried a pessary? Are you using vaginal estrogen? Have you tried things like the injectables such as potentially Botox or Bultamid? If you want to know more about those, you can go back and listen to the episode I did with Dr. Sarah Boyles, the women's bladder doctor. But there's lots of things that we can do.
to optimize our pelvic health. It's not just do three sets of 10, 10 second hold Kegels every day. Most people do them incorrectly. They're really boring. And then people think they don't work and they're also not consistent with them because they're boring. We need to bring Kegels into 2024. That's a sidebar, but there's a lot of things that we can and really would benefit from doing to optimize our pelvic floor.
health and if we are able bodied and we can voluntarily contract, lift and relax the pelvic floor, then we should be doing the work, not a chair. And it's also really, really important. So even if you're like, whatever Kim, this sounds really awesome to me, then I urge you to spend the between.
150 to $350 to see a pelvic floor physical therapist and have a thorough assessment of your pelvic floor to understand if this technology would even benefit you because there are certain populations, especially people that may have more tension than what would be considered optimal, where this could be doing the opposite and may not create the changes that you are hoping for.
Kim (04:39.408)
see a pelvic floor physical therapist first. And then I would urge you to really commit really commit put yourself first to put your pelvic health first 10 to 15 minutes a day to do pelvic floor muscle training. Have a vaginal estrogen prescription if you are approaching or beyond the age of 50. Work on your hydration, work on your constipation, work on your posture, transition to minimal footwear.
Do all the things. Pytriopessary. And then if all of those things, maybe they've moved the needle a little bit, maybe they haven't. If all of those things after like six to 12 months, I know that sounds like a long time, but if they haven't worked after six to 12 months, then we start looking at adjunct therapies like the cellulature. So I don't wanna take away from the populations that it can serve. I just wanna make sure that
people who look at this as an easy way out, as the quick fix, as kind of like popping a pill, it's really expensive, it doesn't always work, it's not a lifelong cure, you will have to go multiple sessions and then upkeep that every single year. So if you are able bodied, if you are able to do the work, if you can contract and relax your pelvic floor on your own, then you should be doing the work. So that is my
short and sweet opinion on my thoughts on the MSela chair. I will also link to the episode that I did with Dr. Sinead and you can go ahead and listen to that episode where she does talk about the research and gives her thoughts on it as well and then you can make the best decision for your body. So I've shared my opinion, you can hear from Dr. Sinead and then you can take that information and you make the best choice for your body.
See you in the next episode.