Baubo: The Podcast

About Baubo: The Podcast

Chronic pelvic pain doesn't have great PR. Vulvodynia, vaginismus, painful sex, pelvic floor dysfunction - conditions that affect 1 in 4 women and still get treated like a secret. This podcast is trying to change that. The World's Tightest Community is a weekly podcast hosted by Mathilde - a patient-turned-advocate who built this space out of her own experience with vulvodynia and vaginismus. Each episode goes deep into the conditions that millions of women live with but few feel safe naming: vulvodynia, vaginismus, vestibulodynia, pudendal neuralgia, and the wider landscape of chronic pelvic pain and painful sex. Mathilde speaks with gynecologists, pelvic floor physiotherapists, sex therapists, psychologists, and researchers working at the front edge of women's sexual health - translating clinical knowledge into something actually usable, alongside honest conversations about diagnostic delays, medical gaslighting, and what it really costs to navigate these conditions. You'll leave each episode with more language for your experience, clearer questions to bring to your next appointment, and the specific relief of knowing someone has thought carefully about this. New episodes every week. Follow wherever you listen, and find the community on Instagram. <3

Publisher

Mathilde Olstad

Category

health & fitness

Language

en

Explicit

No

First episode

7 Jan 2025

Latest episode

12 Oct 2026

Latest episodes

52 episodes in the feed.

1. 

   12 Oct 2026

   Sex Therapist on Pelvic Pain and Trauma: When the Pain Itself Becomes the Trauma

   What happens when pelvic pain improves, but your body still expects sex to hurt? I'm joined by Romi Terk Brudno, a sex therapist specializing in pelvic pain and painful sex. Drawing on her own experience of ulcerative colitis and painful sex, Romi explores avoidance, feeling "broken," and the gap between progress in pelvic floor PT and feeling safe during intimacy. We discuss trauma-like responses to pain, sexual motivation, and how diagnostic labels and research gaps can shape access to care. For anyone whose pain has improved but who still feels on guard, or who's wondered whether their experience deserves support. Sponsors: The Pelvic People, makers of the Ohnut and the Kiwi. 15% off with code TWTC15 at thepelvicpeople.com/twtc (https://thepelvicpeople.com/twtc) Origin, in-network pelvic floor PT. Get your first month of On Track free with code TWTC at theoriginway.com/twtc (https://theoriginway.com/twtc) Romi Terk Brudno: Instagram: @thepelvicpress Website: romiterk.com (https://www.romiterk.com/) Connect with Mathilde: Instagram: @theworldstightestcommunity Website: theworldstightestcommunity.com (https://theworldstightestcommunity.com/) Newsletter: https://tinyurl.com/4h4snzzd (https://tinyurl.com/4h4snzzd) Support the podcast: https://tinyurl.com/mtxnzhsd (https://tinyurl.com/mtxnzhsd) 00:00:00 Introduction, Romi Terk Brudno 00:02:12 Pain, Trauma, Gaps in Care 00:03:53 Vulvodynia, Medical Dismissal 00:05:58 Romi's Story, Ulcerative Colitis 00:07:10 Pain Without Sexual Trauma 00:09:02 Avoidance, Bracing, Isolation 00:10:40 Supporting the Podcast 00:11:10 Gut Pain, Pelvic Floor Tension 00:12:57 Pain, Learned Threat 00:13:55 Anger, Missed Screening 00:14:41 Therapy, Persistent Bracing 00:16:03 PT Progress, Intimacy 00:17:39 Chronic Pain, Trauma Responses 00:18:47 PTSD Criteria, Core Beliefs 00:19:49 Pain Reprocessing, The Way Out 00:21:39 Sexual Pain, Identity 00:22:22 Sex, Pressure, Motivation 00:23:32 Pleasure, Connection 00:24:47 Sponsor: Origin 00:27:01 Sponsor: The Pelvic People 00:29:48 Diagnosis, Access to Care 00:31:58 Trauma-Informed Care 00:33:18 Trauma, Agency, Safety 00:34:20 Modern Life, Stress 00:35:50 Nervous System, Stress Relief 00:37:32 Research Gaps 00:39:21 Self-Worth, Deserving Care 00:40:02 Persistent Pain, Self-Blame 00:41:45 Social Support, Protective Factors 00:43:01 Pain Validation 00:44:15 Tool: Trusting Your Experience 00:45:14 Tool: Self-Compassion 00:45:50 Working With Romi 00:46:54 Staying Connected

2. 

   5 Oct 2026

   48: Genitourinary Syndrome of Menopause: Why You Can Have It In Your 20s & 30s

   Why do the tissue changes we link to menopause also show up in women on the pill, breastfeeding, or in their twenties? I'm joined by Dr. Sameena Rahman, OB-GYN and sexual medicine specialist, founder of the GSM Collective in Chicago and ISSWSH scientific committee chair. We unpack genitourinary syndrome of menopause (GSM), why the same hormonal mechanism drives vestibulodynia in younger women on birth control or spironolactone, and how vaginal estrogen, vaginal DHEA and estradiol-testosterone cream are used. We also cover the removed boxed warning on estrogen, why under 5% of women are offered a treatment linked to fewer UTIs and deaths, blood work, mast cells, and medical gaslighting. For anyone told their hormones are "normal" when something clearly isn't - and the clinicians who treat them. Sponsors: - The Pelvic People, makers of the Ohnut and the Kiwi. 15% off with code TWTC15 at thepelvicpeople.com/twtc (http://thepelvicpeople.com/twtc) - Origin, in-network pelvic floor PT. Get your first month of On Track free with code TWTC at theoriginway.com/twtc (http://theoriginway.com/twtc) Dr. Sameena Rahman: Instagram: @gynogirl Website: thegsmcollective.com Book: "Brown Girls' Disease”? coming out October 6 Resources: isswsh.org, prosayla.com Connect with Mathilde: Instagram: @theworldstightestcommunity Website: theworldstightestcommunity.com Newsletter: https://tinyurl.com/4h4snzzd (https://tinyurl.com/4h4snzzd) Support the podcast: https://tinyurl.com/mtxnzhsd (https://tinyurl.com/mtxnzhsd) Timestamps 00:00:00 Introduction, Dr. Sameena Rahman 00:01:28 GSM, Terminology 00:03:12 Vaginal pH, Thinning Tissue 00:04:37 Recurrent UTIs, Sepsis 00:05:12 Vestibule, Pain with Sex 00:05:52 Lactation, Cancer, Fertility 00:06:36 Birth Control, Androgens 00:07:24 GSM in Younger Women 00:08:37 Dryness Misread, Q-Tip Test 00:09:40 GSM Prevalence, Prevention 00:11:15 Chronic Progressive Condition 00:11:48 Nerve Proliferation, Mast Cells 00:14:31 Birth Control and Vestibular Pain 00:15:43 Anti-Androgen Pills, Spironolactone 00:17:13 Drospirenone, Yaz, Yasmin 00:18:13 Tool: Flagging Side Effects 00:18:50 Genetic Testing, Pelvic Floor PT 00:20:09 Weighing the Pill 00:20:54 Local Hormone Therapy 00:22:22 Vaginal DHEA, Formulations 00:23:01 UTI Risk Reduction 00:23:47 Tool: Coming Off the Pill, IUD 00:24:22 Estradiol-Testosterone Cream 00:25:36 Choosing Treatment, DHEA vs Estrogen 00:27:26 Breast Cancer Fears, WHI 00:28:10 Boxed Warning Removed 00:29:16 No Systemic Increase 00:30:01 Undertreatment, UTI and Sepsis Data 00:32:11 Tool: Treating After a First UTI 00:32:48 AUA Guidelines, Premenopausal Gap 00:33:42 ISSWSH Vestibulodynia Algorithm 00:35:04 Tool: Reactions, Switching Products 00:37:26 Blood Work, SHBG, Testosterone 00:40:26 Mast Cell Staining, Pain as Trauma 00:41:26 Pelvic Floor Botox 00:42:19 Medical Gaslighting, Team Care 00:43:55 Reasons for Hope, New Treatments 00:45:46 Hypermobility, Connected Conditions 00:46:43 Book: Brown Girls' Disease? 00:49:42 Where to Find Dr. Rahman

3. 

   28 Sept 2026

   47. Vulvodynia & Gut Health: Exploring the Vaginal Microbiome Connection

   In this episode, I sit down with Dr. Christina Enzmann, a board-certified OB-GYN and functional medicine practitioner specializing in vulvovaginal disorders, to explore how gut health and the vaginal microbiome connect to persistent vulvar and pelvic pain. We cover the everyday products that disrupt the vaginal barrier, why pain can persist after repeated yeast and BV treatments, how endometriosis and gut inflammation may be linked, which tests are worth doing, and when probiotics can backfire. Sponsors: - The Pelvic People, makers of the Ohnut and the Kiwi. 15% off with code TWTC15 at thepelvicpeople.com/twtc (http://thepelvicpeople.com/twtc) - Origin, in-network pelvic floor PT. Get your first month of On Track free with code TWTC at theoriginway.com/twtc (http://theoriginway.com/twtc) Connect with Dr. Christina Enzmann: drchristinaenzmann.com (http://drchristinaenzmann.com) Connect with Mathilde: IG: @theworldstightestcommunity theworldstightestcommunity.com (http://theworldstightestcommunity.com) Newsletter: https://tinyurl.com/4h4snzzd (https://tinyurl.com/4h4snzzd) Support: https://tinyurl.com/mtxnzhsd (https://tinyurl.com/mtxnzhsd) Chapters: 00:00:00 Introduction 00:02:19 Functional Medicine 00:04:12 "Test Don't Guess" 00:05:10 Gut Health, Vaginal Barrier 00:07:22 Endometriosis, IBS, Bladder Pain 00:08:07 Pelvic Organ Connection 00:08:51 Siloed Care 00:10:10 Gut vs Vaginal Microbiome 00:11:06 Lactobacilli, Acidity 00:12:41 Estrogen, Glycogen 00:13:13 Postmenopausal Microbiome 00:14:06 BV Misdiagnosis 00:14:51 Change Without Symptoms 00:16:40 Tool: Vaginal Estrogen 00:19:23 Microbiome Disruptors 00:20:37 Antibiotics, Yeast Overgrowth 00:21:32 Gut-Vagina Axis, Inflammation 00:22:22 Blood Sugar, Immunity 00:23:09 Insulin Resistance 00:24:29 Panty Liners, Hygiene Products 00:25:52 Soap, Scrubbing 00:27:43 Tool: Quitting Soap for BV 00:28:37 Monistat, Hypersensitivity 00:29:55 Product Marketing 00:30:49 Lube Osmolality, WHO Report 00:32:09 Tool: Silicone vs Water-Based 00:33:09 Bacterial Vaginosis 00:34:47 Yeast Infections 00:35:43 BV Risks: STIs, Preterm Labor 00:36:27 Endometriosis Microbiome 00:37:11 Sponsor: Origin 00:39:26 Sponsor: The Pelvic People 00:42:15 Persistent Pain After Infection 00:43:02 Barrier Breakdown 00:44:21 Repeated Treatments 00:45:48 Formulations, Aloe Vera 00:47:08 Tool: Gabapentin, Fewer Topicals 00:48:09 Vestibulodynia, Q-Tip Test 00:49:14 Central vs Peripheral 00:49:54 Chemical Sensitization 00:50:53 Endometriosis, PCOS Overlap 00:52:40 Endometriosis Pain vs Lesions 00:53:37 Estrogen, Beta-Glucuronidase 00:55:30 Histamine, Trigger Foods 00:56:27 Tool: Whole-Body Workup 00:57:13 NAATs, Vaginal Cultures 00:59:24 Antifungal Resistance 01:00:47 Vaginal, Gut Testing 01:02:22 Food Sensitivities, Flaxseed 01:04:09 Immune Complexes 01:04:55 At-Home Microbiome Tests 01:06:40 Snapshot Results 01:08:30 Tool: Actionable Tests Only 01:10:41 "Shotgun" Vaginal Tests 01:11:30 Probiotic Downsides 01:12:42 Oral Probiotics 01:13:55 Vaginal Probiotics, Topicals 01:15:23 Cost, Access, Online Care 01:18:08 Tool: Ditching Products 01:18:39 Vulvar Wipes, Barrier Creams 01:19:46 Where to Find Dr. Enzmann 01:20:35 Wrap-Up, Key Takeaways

Who has been a guest on Baubo: The Podcast

Names identified in recent episode analyses. Showing up to five guests.

• Lauren
• Lauren Elise Rogers
• Jennifer Dubowsky
• Philly Baines
• Dr Julie Sarton

Reach and audience

Public platform figures. Ratings count people who left a rating, not total listeners.

Apple Podcasts (US)

5.0 / 5

4 ratings

Spotify

5.0 / 5

41 ratings

Contact Baubo: The Podcast

Guest appearances

Books guests

Based on episode analysis; this does not confirm that the show is currently accepting guests.

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Questions about Baubo: The Podcast