From FIFA’s Return-To-Play To GLP-1s: What Active Moms Need To Know

Ready to trade rigid rules for a smarter return-to-sport plan? We walk through a groundbreaking consensus published in BJSM that maps a postpartum pathway for soccer players—and any active mom—built on real-world variables: medical red flags, mental health, pelvic symptoms, sleep, stress, and the demands of life with a newborn. Instead of a one-size-fits-all protocol, this framework offers seven clear stages, plus field-tested progressions from non-contact drills to match conditions, all co-signed by clinician and athlete to keep you at the center of decisions.

We also tackle the nuanced role of GLP-1 medications. Higher BMI can increase pelvic floor load and low-grade inflammation, so clinically guided weight loss may help symptoms, even as data continue to evolve. We unpack the buzz about “GLP-1 vagina,” explain why fat loss can change labial appearance regardless of method, and highlight what matters most: preserving muscle with resistance training, fueling well despite appetite changes, and looping in your pelvic health provider so your plan is coordinated, safe, and effective. Preconception and postpartum timing, PCOS considerations, and realistic expectations for weight changes during pregnancy all get careful attention.

Finally, we reset expectations around postpartum pelvic changes. Vaginal opening, urethral mobility, and transient heaviness often reflect normal adaptation, not failure. We explain how to interpret symptoms without panic, when to seek assessment, and how to progress load like you would any high-performing system. Strength training isn’t optional—it’s the throughline that supports your pelvis now and into menopause, reducing symptom burden as you age.

If this conversation helps you feel seen, stronger, and better equipped for your comeback, share it with a friend, subscribe for weekly science-backed guidance, and leave a review so more active moms can find it. What’s the next milestone you want support with?

___________________________________________________________________________
Don't miss out on any of the TEA coming out of the Barbell Mamas by subscribing to our newsletter

You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

Transcript

New FIFA Postpartum Return-To-Soccer Guideline

Contraindications And Red Flags

Mental Health And Fear Of Movement

Pelvic Health Screening And Support Team

Seven-Stage Return And On-Field Progressions

Athlete Mothers And Extending Career Windows

GLP-1s, Weight Loss, And Pelvic Floor

“GLP-1 Vagina,” Body Changes, And Muscle Loss

Preconception And Postpartum Use Of GLP-1s

Postpartum Prolapse, Heaviness, And Expectations

Lifespan Strength Training And Pelvic Health

Closing Thoughts And Listener Invites

SPEAKER_00 0:08

Hello everyone and welcome to the Barbell Moments podcast. My name is Christina Province. I'm a public forfeit for the fit to researcher in exercise and fugancy and a mom of the two who have competed in CrossFit, a power lifting, or weight lifting, a pregnant post-partum, or both. In this podcast, we want to talk about the realities of being a mom who loves to exercise. Whether you're a recreational exerciser or an athlete, we want to talk about all of the things that we go through as females going into this motherhood journey. We're going to talk about fertility, pregnancy, and postpartum topics that are relevant to the active individual. While I am a pelvic floor physical therapist, I am not your pelvic floor physical therapist and know that this podcast does not substitute medical advice. All right, come along for this journey with us while we navigate motherhood together. And I can't wait to get to it. A new return to spore guideline set out by FIFA: the influence of GLP1s on your pelvic floor, and setting expectations around changes to your vagina after delivery. That is what is on deck for today's episode. Hello, everyone. My name is Christina Previtt. I am so excited to have you here for the Barball Mamas podcast. And we have so many exciting things that are happening in the pelvic space and in the pelvic world and in pregnancy and postpartum. It feels really exciting to have this touch point with you all every week to just talk about basically some of the tea that's been going on over the last week. Margie Davenport's lab, who is my postdoctoral research supervisor, I feel like she has been on fire lately of a lot of projects finally coming to flourish. Flourishing is not a word. Coming out into the universe and flourishing, maybe that's the word I'm trying to use, uh, around exercise, pregnancy, postpartum, et cetera. And this week was no different. Um Emma Brockwell, who many of you may know if you were aware of the 2019 uh Brockwell Donnelly Goom blog post about return to running postpartum. She was one of the authors that was contributing to that uh big kind of chapter blog about return to running. She is involved and is out of the UK. Hi, Emma, around um working with footballers with their pregnancy into postpartum. And together with Schine DeFour, Evie Casagrande, and Margie Davenport, they put out a big consensus statement in the British Journal of Sports Medicine that was basically a decision aid for women who were returning to soccer postpartum. But I think what this does is takes an absolutely overwhelming step forward to understand the intricacies, the individuality and personalization that is required for postpartum return to activity. And so I want to go through it a little bit. Um, I highly encourage you to take a look. The flow chart, in and of itself, is just such a huge step forward when it comes to decision making in that postpartum period. Where they have their flow chart going is different objectives. One is about you. The second objective is the presence of any contraindications to exercise in the first year postpartum. The third one is screening for uh biopsychosocial considerations that may influence uh sport participation and then guidance for return to sport in the postpartum period. With that, uh, what they are looking at is the about you and kind of contraindications are some of the things that came out in the international Delphi study, where it is things like loss of consciousness, neurological symptoms, a sign of a blood clot, like swelling or calf pain, high blood pressure that isn't stable, eating disorder, cardiomyopathy, like heart failure after childbirth, severe abdominal pain, et cetera. These are like are being monitored by medical doctors type of contraindications. If you remember from the International Delphi, all of these pelvic flora considerations were not put in any contraindication category, but we're put into a bucket of a reason for screening or further guidance from a pelvic floor physical therapist. And so in this flow chart, the first thing we have to do, sorry, is our due diligence um around the presence of any contraindications. If you said yes to any of these contraindications, then obviously it's a red light, it's a stop, it is a reason for individuals to not start their return transition. The biopsychosocial considerations are around mental health, fear of returning to movement, pelvic health, and health promotion considerations. So, with the mental health piece, we know that exercise in the early postpartum period can be something that can ameliorate or prevent potentially the development of postpartum depression and anxiety. And when individuals are in the thick of it, from a mental health perspective, returning to sport may not be the biggest consideration or returning to activity of any kind. And so they have this mental health checklist of I've blamed myself or unnecessary, might blamed myself unnecessarily when things have gone wrong, anxious or worried for no reason, felt scared or panicky, been um able to laugh or see the funny side of things, have enjoyment, things have gotten on top of me, being unable to cope, um, feeling unhappy, having difficulty sleeping. Um, like the reason for them having difficulty sleeping is not because of baby waking them up, but because of their unhappiness and kind of perseveration of thought. Uh, sad or miserable, or I have thought of self-harm. So this is the Edinburgh postpartum depression scale. It is our only validated measure right now that is looking at or has a criterion for postpartum depression. Right now, we don't really have anything that's great on the postpartum anxiety side, which really sucks because I think postpartum anxiety is just as much of an issue, if not sometimes more or more persistent. Um, I think individuals are more willing to recognize postpartum depression as something that is in need of treatment and that should be talked about. The postpartum anxiety side is a bit blurrier because the stress of becoming a new mom and trying to figure out or mom again and trying to figure out that rhythm and routine comes with some anxiety. When that becomes maladaptive, or when that becomes something that is in need of probably some evaluation is a very gray area. And we don't have a ton of clinical guidelines, like outcome measures or things of that nature that helps to unblur those lines. And I know for me, with my first, when I look back, I definitely had postpartum anxiety. I remember thinking and like coming close to my daughter's mouth and like trying to figure out if she's still breathing. Like I would, she would go down and she was getting up every three to four hours. And then I'd be like, I have to go to sleep right now, or else I'm only gonna get two hours sleep. And I would just start freaking out about sleeping. And looking back, that was definitely something that was probably a bit more alarming than I was fluffing it off as just being a new mom. And I think there's a lot of moms who who probably resonate with with that story. Needless to say, that inclusion of the mental health criterion and screening, I think is really important. The kinesiophobia fear of movement peace is something that I am starting to explore in my research. We are seeing a bit more about it, and is an important consideration when people do not feel a sense of safety in their bodies in that postpartum transition. That can be because of trauma, mental trauma, physical trauma to the tissue, or a belief or a hypervigilance around fear of permanent dysfunction with return to exercise. What this is looking at is starting to explore how do we respect that transition and expect where your mind is from a sense of safety perspective in this return to exercise, which I love. And so physical activity makes my pain worse, physical activity might harm me. I should not do physical activity, which might make my pain worse, and I cannot do physical activity. And so, from a coaching and a clinician perspective, understanding where that athlete's mindset is with respect to symptom acceptance or the amount of symptom burden from a pelvic floor perspective that individuals may see as a necessary transition versus a threat response is something that's included in this guideline, which is cool. The pelvic health piece is around urinary leakage, urinary urgency, a feeling of bulging around the vaginal area, fecal incontinence, loss of gas or stool, and pain or discomfort of the abdominals or the pelvis. Um, those are all things as a maybe we want to think about some continued evaluation or speaking to a pelvic health provider. And then additional poor sleep, excessive tiredness, poor recovery, breast pain, high levels of stress, et cetera. And so with these, um we it gives you an if yes, then this. And I just love that. Where obviously in the pelvic health space, then it's maybe it's time that we can speak to a provider if that's something that's encouraging to you. Um when you are talking about the healthcare piece, it's a referral to the mental health provider. Some of the other considerations it is speaking to support or understanding the relationship between things like poor sleep and ability to recover from exercise. And so what that does is the idea is linking to, okay, where are the areas that we may have to personalize a management plan for this athlete in order to help them return to activity, which I think is really cool. And so the the next part is around objective four is guidance, is kind of who is on your team, who is your support system? And it's checking all that apply, coach, personal physician, midwife, strength and conditioning, team physician, sports psychologist, physiotherapist, public health physiotherapist, sports scientist. And the idea is like who is kind of gonna be those people that are gonna be on your team to help answer your questions, get you a place that you need to be in order for you to have a successful return to activity or sport. And so this already, in my mind, is just this huge step forward because we're trying to figure out all the modifying variables around this person's capacity to return to activity. And I think that we see this in so many other areas of rehab is that we get taught in school that, you know, you have surgery and you have to return range of motion passively and then range of motion actively, and then resistance training through range of motion and then functional activity. But that's not real life. Like we that is if I had a knee in a big Petri dish, if that was possible, I don't even know. But if I had a knee in a Petri dish, then yeah, maybe I could have this like perfect return that was gonna take this linear path, but that's not real life. And when it comes to postpartum return, there's so many different variables. I am not just a pelvic floor in a Petri dish, right? You are a pelvic floor that is going and becoming a mother again or for the first time. You are an athlete who is returning to activity, redefining your identity in that postpartum period and so many other moving parts and variables. And so I think where we need to go and where I hope to continue seeing this transition is around that, not just in the pregnancy and postpartum space, really, but kind of in the rehab space in general. And so from that, they did a framework, which you know I love me a framework over a protocol. And it was this seven-stage um kind of return where stage one is building foundations, stage two, building robustness, stage three, reconditioning, then reintegration, return to training, return to play, and return to performance. And so from there, what they have done is now if they're having a screen from a medical or performance specialist, then there is a basically a form of where this person is. Are they kind of sticking to lower intensity? So that's warm-up, passing drills, non-contact ball work, technical skills, jogging for X amount of minutes, tactical practice, unopposed drills, then going into moderate intensity when they feel ready of possession drills, controlled contact, change of direction, crossing shooting, heading, um, ball handling and saves, higher intensity, you're starting to get into some scrimmage or practice games, transitions, diving if you're a goalkeeper, match conditions, and then other types of training to inevitably get them back onto the field. And the idea is that this is a collaborative interview and discussion after, you know, testing or conditioning or discussion or all of the above with a signature for the practitioner and then a signature for the player. And I think this is just incredible to think about having this ongoing communication and discussion between the members of the healthcare staff and the team that are on the side of the athlete with the athlete in the center of those decision-making, that decision-making process. And so it is a very cool discussion. I think we need so much more research. We are just kind of getting into this space, like with the Olympics going on. There's been so many moms who are sharing their stories. There are so many people who are just demonstrating that we're seeing this extension of the athlete window, where we are seeing moms in their 30s and 40s and 50s, 50s with their kid also in the Olympics. And it's just showing that with that athlete, athlete and fertility window directly overlapping, we need to make sure that we are responding and that we are enabling athletes to enter into motherhood when they see fit, whether that's during their career or upon retirement, and then understanding what that reconditioning in the postpartum period to get them back into activity is going to look like. So, really, really exciting to see. Um, really pumped for friends and colleagues, including Sinead and Emma, um, who are just wonderful humans. And of course, Margie, um, I don't know um uh Evie as well, Ivy, Ivy as well. Um, but just a huge congratulations to all of those researchers. I know just how much work that uh went into creating this decision-making aid. And I think that's so super, super exciting. So that's number one of where we're gonna go today. Number two is I put up a question on my Instagram, and it was asking about my thoughts on the use of GLP1s and its role in the pelvic floor. And I think this is really interesting because there's been a couple of things that have come up in the last little while that have looked at the use of GLP1s preconception, the idea of using GLP1s in the postpartum period, and there's this discussion around GLP1 vagina, which is really interesting. Um, and so yeah, let's chat about it. There's been a huge increase in the uh the amount of individuals who are using some sort of GLP1 agonist, and so I am in the mindset and have an understanding of obesity as a disease, right? Just like the downstream chronic conditions of obesity in our world, um, we don't blame somebody for having diabetes, but we do blame them for excess adipose tissue. Knowing that there are a lot of controllable and non-controllables um in obesity management. In the fitness space, there's a lot of weight stigma where they think it's an easy decision to just move your body more and eat less. And in reality, it's just so much more complicated than that with the way that our siety signals are always kind of um like our hormones around hunger and satiety are always at the level of our biggest body. And so it makes food noise and things like that and food pressure in our brain and our training around our brain just stay so persistent, even in the presence of weight loss. And so it just makes it more complicated. And so I am not a person who is anti-use of GLP ones or any sort of weight loss aid, especially when we're looking at from a population level or levels of overweight and obesity. So I am not that person that um is in this space where I do not condone or do not think that GLP ones should be used. I think there's definitely a time and a place, and I think that they have made incredible progress for many individuals, especially in those uh higher BMI categories, to really see this reversal in their health and see a much better management of a lot of different chronic conditions. When we are looking at pelvic floor dysfunction, we know that higher BMI is actually a risk factor for pelvic floor dysfunction in general. And there's a couple of reasons for that. One is that extra weight across the middle, if we're thinking about our pelvic floor as an anti-gravity muscle, then what we are going to recognize is that when we have more weight in our middle, it is putting more pressure down on our pelvic floor. So that is one reason. The other reason is that adipose tissue is a pro-inflammatory tissue. And what that means is that that low-grade inflammation that attacks some of our other systems, like our pancreas, like our heart, like our blood vessels, et cetera, is also going to influence our urogenital system, potentially. These are kind of the hypotheses around why BMI is a risk factor for pelvic flora dysfunction. And so when you have a person who is in some of those higher BMI categories and you take that weight off their bodies, then you could see potentially some improvement in their pelvic flora dysfunction. Where we are at right now, though, is that we have no data that is looking at amelioration or improvement in pelvic flora dysfunction burden from those who have lost weight as a consequence of GLP1s, of using GLP1s. So from that perspective, I could absolutely see a hugely beneficial role for the for the appropriate use of GLP1s or any other like GLP1 agonist and pelvic floor in the pelvic floor. The second piece of this conversation, which is kind of interesting, is the thought of a GLP1 vagina. When we see individuals who have been in bigger bodies become in smaller bodies, what we see is that that that looseness of skin and that loss of fat tissue does tend to happen everywhere. And so we can see individuals who have a lot of hanging skin around their arms, around their bellies, et cetera. And your labia has fat in that tissue. That means when we're thinking about the weight loss, that we are going to see weight loss happen everywhere, which can include the vagina and the vulva, meaning that it is maybe a consequence of that weight loss that you're going to see a change in what your external genitalia looks like. Would that happen if you had lost weight without a GLP one? I don't know the answer to that. I want to say the answer is yes, but I don't think there has been a situation where people have talked about it. We also know that our genitals change with age and state. Which is going to be number three what we're talking about around expectations around postpartum, palvic floor dysfunction and genital look, etc. But so there's probably a little bit that that is related to that as well. Where we don't really look a ton at our genitals and how they change with time. Um, so it is interesting that this conversation is coming up. Probably the final thing on the GLP1 side, you know, one is the relationship between weight and pelvic floor dysfunction and how weight loss using GLP1s may actually ameliorate pelvic floor dysfunction. Number two is the fact that our labia has fat in it. And therefore, with fat loss, if fat loss is happening throughout the body, it's plausible that it is also happening in the labia and therefore it can change the look of our external genitals. And then the third one is the idea around resistance training as a mitigating factor for muscle mass loss. I think that there is a fairly good discussion that in the obesity medicine space, we are having these conversations in tandem, right? Around how we want to be using or prescribing GLP1s when appropriate to help as an aid for weight loss in all of the positive health marker changes that happen for individuals who it's appropriate to prescribe these medications for. And that we are doing this in line with other health promotion as a in-parallel type of intervention, not an instead of. And I think a lot of the conversations around GLP ones use a false dichotomy where it's GLP ones or conservative methods, when really the answer is that they're happening together in these conversations. Of course, you know, you want to make sure from the pelvic floor dysfunction side that we are trying to hopefully increase the strength of the hips and the muscles around the pelvis, because they are big support beams for our pelvic floor. And therefore, we want to make sure we keep those muscles as strong as possible. Um, but even irrespective of that, I think the net benefit of taking the weight off the pelvic floor was going to improve symptoms, whether we resistance train or not, if I had to be really honest, even though I'm a huge advocate for resistance training just because of the influence of that tissue on the anti-gravity component and role of the pelvic floor in health in general. So really interesting conversation. Um, I it was in my story, somebody asked. I was like, I know that I can chat for 10 minutes about this. Maybe I'll do a whole post on it or something. So that would just be super controversial. Um, last thing on the GLP one before I kind of close off this conversation is that there is uh much more discussion about the use of GLP1's pre-conception and postpartum from a weight loss perspective. Now, I feel like there is a lot of very loud voices who are talking about this conversation in the preconception window. I know that the expectation is that you are off those medications within three months of trying to conceive to prevent the risk for fetal abnormality. Now, I don't think that that is based on human data. I'm almost certain that it is based on animal data. But, anyways, the the recommendation is still the same. What we are seeing with GLP1s for those who are on them preconception and then get pregnant is that pregnant weight gain is higher in those that were on GLP ones now take then went off them compared to a matched control, which makes a lot of sense because the idea around a GLP one is to be on it continuously. And so you are seeing some weight regain and then pregnancy weight as well. So that is not necessarily a surprising finding, but I would want my clients understand that expectation. Um, you know, if they're having these discussions and just to talk about that with their medical provider. On the postpartum side as well, um, sorry, one more thing about the pregnancy piece. Um, there is this discussion, especially around PCOS, um, and and how this might be a net benefit with PCOS being an endocrine issue that impacts the capacity to get pregnant in the urogenital system. So something to be thinking about. I think there's a lot that needs to have discussions about that and needs more research on. But I think, you know, again, I'm not a an absolute yes or an absolute no. I'm always in this personalized conversation around what works for for that person in their situation. On the postpartum side, same thing. Um postpartum weight retention is a risk factor for a variety of different health concerns. Um those who are kind of in the fitness space are upset in in some instances about the use or prescription of GLP1s postpartum because they think it's not appropriate and that we should wait a little bit more time. Um I don't really know where I stand on that argument. I don't feel like I'm informed enough to understand the ins and outs of that. Um, I do know that those who have higher BMI going into pregnancy have their own risks, that those with cardiovascular issues, especially those with concurrent obesity, have higher risk factors postpartum. And maybe GLP ones are part of trying to improve that risk profile. So I think, again, it's a much more nuanced discussion than we are currently having in 30-second snapshots around the internet. Um, but again, I would just want to know if I was your pelvic floor physiotherapist, I would just want to know that you were on one of those meds so we can have an informed discussion. We could talk about the priority of resistance training. We can talk and make sure that you're getting enough food because some people who are on these medications can have such a huge blunting of appetite that I'm afraid that they are under-eating. So, you know, it just opens up discussions for me, not as a I'm gonna make this decision for you or I'm gonna have a really strong opinion. It's how do I come alongside you in the most effective way possible? But still, really interesting conversation and, you know, just something for us to be considering. And then the last um questions that I was getting when I put up my story was around this expectation or these conversations about postpartum diagnosis with different conditions, and in particular, being diagnosed with pelvic organ prolapse or a failure to be diagnosed with pelvic organ prolapse and still feeling heaviness. And the fact that I got one person who was saying, I my doctor says I don't have prolapse, but more urethral movement, but I'm feeling prolapse symptoms. And then I had another person who said I was diagnosed with prolapse postpartum, and I don't know how to family plan from there. What do I do? I feel like are on opposite sides of a very similar conversation. And that is the true informed understanding of individuals who are going into motherhood of how their body is or could change because of pregnancy and delivery. This is something that I am getting more and more passionate about because I feel like so many of our problems, I don't want to say the word problems, so many of our heightened sense of danger around our bodies in the postpartum period is because of a failure to have appropriate conversations about how your body is going to change when you are pregnant before you're in the throes of high symptoms. I have done an entire episode that talks about expectations or expected changes to your vagina and your pelvic floor as a consequence of pregnancy and delivery, right? We know that the opening of your vagina gets bigger from first trimester up until delivery. It is at its widest immediately postpartum and then does shrink, but not to 100% back to where it was. There's still some persistent changes. We see an increase in vaginal wall range of motion, which is that prolapse, where um individuals up to you know 40 to 50% after their first delivery are considered to have objective prolapse. And I'm kind of air quoting here. Despite the fact that, you know, less than 10% of individuals have persistent symptoms, and individuals as they return to exercise can have some heaviness around the opening that can feel very similar, but truly is like a delayed onset muscle soreness type of presentation that is showing more that they're loading their pelvic floor to a higher degree than they have previously as they return to exercise postpartum, as opposed to a signal of some underlying condition. We also know that your urethra, the the tubing that attaches your bladder to the outside of your body, moves more and is resting lower after you deliver vaginally. And again, there's some improvement in that range of motion and there's some recovery. Obviously, that happens, but there are persistent changes. And that to me is kind of uh, you know, the warrior signs to your vagina around, you know, giving birth vaginally. And those are kind of these expected changes. And then, you know, there are these risk factors for birth injuries that happen based on your specific circumstances during labor and delivery. And so when I am hearing these women who are reaching out and they're saying, you know, I feel this way, or I've been diagnosed that way, it makes me think that our education, our understanding, the way that we are telling women what to expect, and the way that we are delivering information is somehow missing the mark. And in my mind, and this is just something that I've been thinking about a lot, it for me comes back to when did they learn this information? When should they have learned this information? And how do we rectify that? Where I believe that if women in pregnancy start learning, hey, this is what, or even maybe before pregnancy altogether said they can make an informed decision about pregnancy itself, is like your body is gonna show signs around your pelvis, whether you deliver vaginally or have a cesarean delivery of holding that pregnancy, then you know, doing that again and again, that there are gonna be signs around your pelvis that you have had babies. And it's not that those symptoms can't improve, and it's not that you cannot live a full, fulfilling life and do all the things you want to do free of symptoms. That is not what I'm saying, but I'm saying it will feel different. We need to anticipate some of those sensation changes, and then we need to make sure that you feel supported with return to whatever it is that you want to do. And, you know, that not only is something that is gonna influence you in your immediate postpartum period, but we know that, you know, in later life, that your obstetrical history is also something that could influence your post-menopause pelvic journey. Again, I don't say this in a way to scare women, but it's more that those are things that we need to consider. And now, you know, for me as a researcher who focuses in pregnancy and postpartum now, but has a very strong interest in geriatrics. We are, I was just looking at research that was showing how sarcopenia or clinically relevant amounts of muscular weakness is a risk factor for pelvic floor burden in individuals in their 70s and 80s. What that's telling me is like that strength training piece is such an important lifelong endeavor for many women to support their pelvic health journey journeys, especially those who have given birth multiple times. And that is something that I'm gonna encourage across the lifespan because we're starting to get more data that's that's speaking to this protective effect of strength around the pelvis and how you are feeling around your pelvic floor, not only immediately postpartum, but you know, when you're in your 70s and 80s. And so when I am, you know, counseling women before I even try to explain symptoms, I say, here is what we know about how your body changes postpartum. And then I talk about how, you know, some people are gonna feel very um, they're gonna have a lot of attention that's gonna go to their pelvic floor. And that's gonna make them, you know, notice and feel those changes in in movement. And it's because you're getting used to or you're having this change in your body that that feels foreign to you. So your body's paying a lot of attention to it, right? We're gonna have some individuals who don't have those symptoms, but they've been told by somebody else, and it can make them feel really concerned about what their body's gonna look like down the line or what their body's gonna feel like down the line. And so having that anchoring of like, this is what we know about how your body changes postpartum, I feel like gives a launching pad to a lot of these discussions. And it's that understanding of how your body changes that I feel like is a missing link in a lot of our discussions around the pelvis. Oh my goodness, I talked for 36 minutes. Thank you all so much for listening to my random rambles. And I kind of like this uh one, two, three of like hot topics around the pelvic floor. Um, these are always really fun. And let me know what your thoughts are around the new FIFA guideline, around the GLP1 conversation, and kind of around this understanding of pelvic floor dysfunction in the postpartum period. Hope you all have a wonderful week. If you heard me coughing, I'm so sorry. I'm starting to feel better, but I'm still holding on to this little dry cough. I was trying to mute myself as I was going through this um recording, but I don't know if I was perfect. Have a wonderful week, everyone, and we will see you all next time.