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Giving birth is a monumental event. Whether your experience is full of euphoria, exhaustion, or a bit of both, everyone talks about the baby registry — but not enough people talk about what happens to you after delivery. Despite all the prenatal checklists and baby gear must-haves, postpartum recovery is one of the most overlooked aspects of childbirth preparation. Here’s what no one prepares you for after birth, and more importantly, how to get ahead of it.
One of the harshest realities many new parents face is the possibility of an unexpected postpartum emergency. From hemorrhaging and blood clots to intense pelvic pain and high blood pressure, complications can arise long after you’re discharged from the hospital. It’s essential to recognize that postpartum symptoms can shift quickly from normal to urgent.

Going to the bathroom after birth can feel like a battlefield. Whether you had a vaginal birth or a C-section, the first few bowel movements can be painful or even terrifying. Constipation, hemorrhoids, and perineal soreness are common but rarely talked about.
It’s not glamorous, but gas and bloating after birth can be incredibly uncomfortable, especially in the first few days postpartum. Trapped gas is especially common after a C-section but can affect anyone, thanks to the shift in abdominal organs and the slowing of digestion.

Between feeding your baby, healing your body, and trying to sleep, cooking a meal may feel like climbing Everest. But your recovery depends on nourishing, healing foods—not cereal bars and coffee (though those have their place too!).
While your 6-week postpartum checkup may mark the official “cleared” point, your body and mind may still be healing for months. Hormones continue to shift, muscles are rebuilding, and mental health can ebb and flow. The idea that you’ll “bounce back” by six weeks is a myth.

Bio: Shari Stamps is a consultant, freelancer, podcaster, and the founder of Navigating Parenthood, where she combines her expertise in postpartum, lactation, myofunctional therapy & airway, oral ties, craniosacral therapy, maternal mental health, and sleep & wellbeing to offer integrative wellness sessions, courses, and digital downloads to expecting and postpartum families. As a mom of 6, she’s always learning something new. Join the journey via social at @navigatingparenthood.
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Primary biliary cholangitis (PBC) is an autoimmune disease that affects mostly women and people assigned female at birth (AFAB). PBC harms the liver and, when left untreated, can lead to serious problems, such as cirrhosis and liver failure.
The good news is that treatments are available that may help reduce symptoms and slow the progression of the disease.
We reached out to Nancy Reau, M.D., associate director of solid organ transplantation and section chief of hepatology at Rush University Medical Center, to get the facts and tips for managing PBC.
What is PBC?
Primary biliary cholangitis (PBC) occurs when your own immune system starts to react against you and targets the small bile ducts in the liver. These attacks lead to a buildup of bile and a blockage of bile flow (cholestasis), leading to the bile ducts becoming inflamed and the liver cells damaged. This damage results in scarring, called fibrosis. Over time, scar tissue replaces healthy tissue (called cirrhosis) and the bile ducts are destroyed, which causes damage to the liver that gets worse over time.
What are the risk factors for PBC?
We don’t understand all of the contributing factors, but a family history of PBC or immune disease is probably the most important. Traditionally, PBC was thought to be a disease that only affected middle-aged white women, but we are finding PBC in men, people of various races, and younger and older people as well. However, PBC is still more prevalent in women than men.
What are the symptoms of PBC?
Many people with PBC have no symptoms that are specific to the disease, and when they do, the symptoms vary from person to person.The most common initial symptoms are itching (called pruritus) and fatigue. People with PBC may also report abdominal pain; darkening of the skin; small yellow or white bumps under the skin (xanthomas) or around the eyes (xanthelasmas); dry mouth and eyes; and bone, muscle and joint pain.
Other signs and symptoms may include sicca syndrome, which is chronic dryness of the eyes and mouth, and elevated cholesterol levels.
Many people with PBC do not have symptoms other than itching and fatigue in the early stages of the disease. If you’re having any symptoms of PBC, discuss them with your healthcare provider (HCP).
How is PBC diagnosed?
HCPs may have difficulty making a PBC diagnosis initially since the disease can present with non-specific symptoms like itching and fatigue. But there are several ways to diagnose PBC.
Blood tests check for increased levels of an enzyme called alkaline phosphatase and bilirubin, as well as an immune indicator called an antimitochondrial antibody.
PBC is diagnosed when a person has blood work that shows elevated alkaline phosphatase levels due to changes in bile flow (called cholestasis) as well as the presence of the antimitochondrial antibody.
If the results of the blood tests are unclear, a liver biopsy or other immune tests can also be done to diagnose the condition if there is concern for liver damage (based on high bilirubin levels).
What are primary biliary cholangitis treatments?
There are several medications approved to help control PBC. Most treatment plans start with the first-line therapy, which means it’s the first medication your HCP will try. Your doctor will typically expect to see an improvement in blood work to confirm the medication is working. If there is an inadequate biochemical response to first-line therapy after 12 months, your doctor may consider additional treatment options. In some cases, based on clinical judgment and individual blood work trends, evaluation for other therapies may occur between 6 and 12 months. Second-line treatments, which can be used in combination with first-line options or alone, have shown improvements in liver enzyme levels and may help ease symptoms, such as itching. Treatment decisions should always be made by your HCP based on your specific clinical profile.
Are there lifestyle changes that may be helpful for maintaining your health while living with PBC?
Each patient should discuss treatment and care approaches with their HCP, but in general, we encourage people with PBC to focus on a healthy lifestyle, including regular exercise and a diet rich in whole foods, fiber and lean proteins. People living with PBC should also concentrate on their bone health because osteopenia and osteoporosis are more common in people with PBC. Quitting smoking and limiting alcohol consumption are also recommended.
What are some tips for staying on top of your health if you have PBC?
First, you need to be your own health advocate. Know what medication you’re taking and if it’s working. This is really hard for PBC because there have been significant changes in what we define as a “good treatment response.” In other words, make sure you and your doctor are staying up to date. Be sure you find a provider that is listening to what you say and is on common ground for treatment goals. Your liver tests are going to help determine whether treatment is working, so be sure to understand where you and your HCP want these numbers to be.
You should also have your thyroid function checked once a year and keep track of your bone health because of the increased risk of osteopenia and osteoporosis.
Living with PBC can also be emotionally challenging. So, a strong support system is important to help maintain mental health. In addition to family and friends, patient advocacy groups and online communities can offer comfort and advice and emotional support.
Last, talk to your family. Although not firmly established in current guidelines, we encourage discussing screening with your HCP, especially for first degree family members (sisters, daughters, mothers) because we know they are at increased risk. Although PBC is less common in men, they should still talk to their HCP if they have symptoms.
This educational resource was created with support from Gilead.
US-UNBC-2765 06/25
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July is Bebe Moore Campbell National Minority Mental Health Awareness Month.
As told to Shannon Shelton Miller
Four years ago, my husband found me lying in a fetal position on our bedroom floor, hysterical and in tears. I was having one of the worst depressive episodes I’d experienced in years.
After struggling for more than a decade, I was diagnosed with bipolar disorder almost 20 years ago, and I thought I had everything figured out. I’m in therapy, taking my medications, practicing self-care and doing all the “mental wellness” steps we hear about. Life and work were going well, and my husband, kids and I were healthy. But for two weeks before that episode, I’d been fighting and clawing my way through the day when all I wanted to do was sink into the darkest, deepest hole.
Pamela Price’s children during family weekend at Virginia Tech, 2022.
That breakdown led to one of the first real conversations my husband and I had about what it’s like to live in my head. It also made me even more adamant about wanting people to know what it’s like on this journey and to understand that we will have moments where we just won’t be OK.
The signs of my mental illness were already there when I was 13. My grandparents were raising me because my mom was struggling with drug addiction, and I barely knew my father who continues to battle alcohol addiction today.
My grandparents were very strict, and there wasn’t space to express how I felt about my mom disappearing for months at a time. I was angry, resentful and hopeless, and our family simply didn’t have the awareness or tools to properly express love, care or concern for me and what I was dealing with at such a young age. I was convinced that I would be better off dead, so without hesitation or regret, I took half a bottle of my granddad’s muscle relaxers.
My suicide attempt didn’t work, and I woke up in the hospital a week and a half later angry and upset that I was still alive, and I felt even more hopeless. To make matters worse, no one in my family asked me why I tried to kill myself or what was wrong. Once I got out of the hospital, I saw a seemingly unconcerned therapist twice, and the incident was never spoken of again. We were all expected to simply get back to our lives.
I felt even more alone and like nobody truly cared about me. I became adept at hiding my issues and started perfecting the many masks I would go on to wear throughout my mental health struggles. My goal became just to make it to 18 so I could join the military and get out of there.
In many ways, becoming part of the military was one of the best decisions of my life, but it still didn’t lead to me receiving help. Instead, I became even better at hiding my issues. When suicidal thoughts returned when I was in my 20s, I knew something had to change — by then, I was a mother and my daughter depended on me.
I saw an older doctor who simply said I’d had a rough childhood and was depressed. He didn’t give me a diagnosis, just an antidepressant prescription and sent me on my way. He was hyperfocused on the fact I grew up poor in low-income housing. But everyone around me was poor then, so I never had any sadness or depression about that. I often wondered if poverty was his focus because I was a Black woman, and if he would have asked more about what I was feeling and experiencing if I had not been a woman of color.
I continued to struggle and saw a therapist who diagnosed me with major depressive disorder. But something felt off because depression wasn’t what I struggled with most. I was bouncing between rage and irritability and feelings of euphoria. I didn’t want to go to sleep and sometimes I had paranoia and didn’t hear the world around me the way everyone else did. Sometimes I responded by lashing out in a way that was unsafe for those around me, including my family.
Once, when I was in my late 20s, I hurt my daughter. That was my wake-up call. I confided in a good friend, and she recommended her therapist who practiced with her psychiatrist husband. They put me through a battery of tests, which led to a diagnosis of bipolar I disorder with psychotic features.
Surprisingly, I was at peace with my diagnosis. It was the turning point that gave me a path forward. I was able to get on the right medications to address the disruptive mania and other symptoms, and I stayed in therapy with that practice. My manic and depressive episodes decreased in severity and I experienced them — and the voices in my head that had plagued me for so long — less frequently. Really good therapy and the right medication helped things not escalate to the point where I needed to be hospitalized or have my husband feel like he had to call someone for help.
Even so, the breakdown on my bedroom floor a few years ago was a reminder that I might still have these episodes even with the correct treatment and medication. I’m 45 now, and my therapist told me my depressive episodes could be more intense as I get older, so we’re open to making medication adjustments and increasing therapy sessions as needed.
Pamela with her husband.
When I talk to my husband about what it’s like to live with bipolar disorder, I ask him to consider the physical pain he feels from his time in the military and imagine feeling that pain mentally — and he does his best to understand and support me. We also try to be proactive with our kids and ask them ‘How are you feeling?’ ‘How are you doing?’ ‘Do you want to talk about anything?’ Questions like those would’ve gone a long way for 13-year-old me.
My message today is about being mentally well, period, and learning how to be resilient emotionally and not come from a place of emotional deficit. Especially as Black women, we’re always trying to push through and say everything is “fine,” but we are being strangled by the very superhero capes that we put on to save others, when we may be the ones who need saving.
Yes, I’m a Black woman and I have bipolar disorder. But I’m also still a mom, a wife and a director of a nonprofit organization. I’m all of these amazing things, and bipolar disorder is just a part of my life. It’s my condition, not my identity.
Every Sept. 10, World Suicide Prevention Day, I sit in front of my camera phone and record a message to the girl who was adamant she didn’t want to be here. I remind her of how far we’ve come and how beautiful our life is. I’ve been doing that every year since 2018, and this year I’ll tell her that my oldest daughter is now a college graduate, pursuing a career as a licensed therapist, that our family is taking amazing vacations, and that I’ve been to almost all 50 states.
I tell 13-year-old Pam life turned out all right.
Have your own Real Women, Real Stories you want to share? Let us know.
Our Real Women, Real Stories are the authentic experiences of real-life women. The views, opinions and experiences shared in these stories are not endorsed by HealthyWomen and do not necessarily reflect the official policy or position of HealthyWomen.
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When it comes to dessert, few things are as refreshing as ice cream pies made with real fruit. But what if we told you these indulgent treats could also help support your body in the fight against cancer?
These 5 fruit ice cream pie recipes are not only delicious and easy to make but also packed with cancer-fighting nutrients like antioxidants, fiber, and phytonutrients. Plus, they’re free from refined sugar and artificial ingredients.
image source: https://worldlytreat.com/
Ingredients:
Crust:
1½ cups almonds or walnuts
1 cup dates (pitted)
Filling:
Directions:
Cancer-Fighting Benefits:
Mangoes are rich in beta-carotene and polyphenols with anti-tumor effects. Coconut milk provides lauric acid, which may inhibit cancer cell growth.
Source: National Library of Medicine – Polyphenols in Mango and Their Role in Cancer Prevention
Nutrition (per slice):
Calories: ~295 | Fat: 16g | Carbs: 30g | Fiber: 4g | Protein: 3g

image source: https://www.todaysnest.com/
Ingredients:
Crust:
Filling:
Directions:
Cancer-Fighting Benefits:
Strawberries contain ellagic acid, which inhibits cancer cell proliferation. Greek yogurt offers probiotics, linked to improved immune response.
Source: American Institute for Cancer Research (AICR) – Foods That Fight Cancer: Berries
Nutrition (per slice):
Calories: ~260 | Fat: 10g | Carbs: 29g | Fiber: 3g | Protein: 7g

image: https://www.crazyforcrust.com/
Ingredients:
Crust:
Filling:
Directions:
Cancer-Fighting Benefits:
Bananas are high in dopamine and resistant starch, which support gut health. Peanuts contain resveratrol, a plant compound with anti-cancer potential.
Source: Journal of Agricultural and Food Chemistry – Health Benefits of Peanut Phytochemicals
Nutrition (per slice):
Calories: ~330 | Fat: 17g | Carbs: 32g | Fiber: 4g | Protein: 6g
Ingredients:
Crust:
Filling:
Directions:
Cancer-Fighting Benefits:
Pineapple contains bromelain, an enzyme with anti-inflammatory and tumor-fighting properties. Mint offers rosmarinic acid, known for its antioxidant action.
Source: MDPI – Bromelain in the Management and Prevention of Cancer
Nutrition (per slice):
Calories: ~270 | Fat: 12g | Carbs: 31g | Fiber: 4g | Protein: 3g

image: https://www.blissfulbasil.com/
Ingredients:
Crust:
Filling:
Directions:
Cancer-Fighting Benefits:
Berries are packed with anthocyanins and flavonoids, which protect cells from oxidative stress. Chia seeds provide omega-3 fatty acids and lignans, both linked to lower cancer risk.
Source: Journal of Cancer Prevention – Role of Berries in Cancer Prevention
Nutrition (per slice):
Calories: ~280 | Fat: 13g | Carbs: 29g | Fiber: 5g | Protein: 5g
These fruit ice cream pies are more than just a cool treat—they’re a smart way to sneak in cancer-fighting nutrients while satisfying your sweet tooth. Whether you’re looking to support your immune system, protect your cells, or eat cleaner, these recipes make healthy living feel indulgent.
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Tal como se relató a Erica Rimlinger
“Estoy bien. Lo que pasa es que no comí suficiente cuando desayuné”, le dije al personal médico en la sala de emergencias. Me estaba preparando para salir del hospital. Mis colegas, expliqué, estaban siendo demasiado cautelosos cuando pidieron una ambulancia para mí. Les dijeron a los paramédicos que perdí el conocimiento y que me golpeé con el escritorio cuando caí. No recordaba eso, pero el moretón que se estaba formando en un lado de mi cuerpo era evidencia de lo que decían.
A pesar de eso, me daba vergüenza todo el alboroto y quería ir a casa, así que después de insistir me dejaron salir de la sala de emergencias. Soy abogada y puedo ser muy persuasiva. Sí, estaba cansada. ¿Qué madre que trabaja no lo está? Pensé que la menopausia, mi medicamento para las migrañas y falta de sueño estaban causando la dificultad para respirar que experimenté cuando subía por las escaleras o cuando cargaba mis esquís hasta el telesquí.
Esa noche, y los días y noches siguientes, me sentí mal en general. No podía describirlo: Era un malestar. Estaba agotada pero no podía dormir. Una noche a las 2 o 3 A.M., estaba cambiando de canales ansiosamente en la cama y empecé a ver un especial de comedia de Rosie O’Donnell.
Justo en ese momento, O’Donnell describía los síntomas de enfermedades cardiacas que padecen las mujeres. Recordé que el personal médico había sugerido que un problema cardiaco podía ser una de las muchas posibles causas de mi desmayo y que recomendaron que haga seguimiento con un cardiólogo. No creía que tenía un problema cardiaco porque tenía 48 años y cuidaba mi salud razonablemente, pero programé una cita con un cardiólogo de todas formas.
En esos momentos, en la televisión, O’Donnell listaba todos los síntomas específicos que yo tenía. ¿Dolor en la parte posterior del brazo o del cuello? Sí ¿Fatiga? Sí ¿Retención de líquidos en exceso? Miré mis tobillos y estaban hinchados. Sí ¿Sensación de miedo? Desde luego.
O’Donnell dijo, “si estás experimentando estos síntomas, ve al hospital ahora”. En esos momentos me preocupé. A las 5:15 A.M. desperté a mi esposo y fuimos a la sala de emergencias.
Esta vez, me quedé para que hagan una examinación completa. Todavía no conocía al cardiólogo con quién programé la cita pero él justo estaba ahí. Me diagnosticó una insuficiencia cardiaca total. No había bloqueos en mi corazón, pero solo estaba funcionando a entre el 5 y 10% de su capacidad. Dijo, “es como si su corazón no estuviese funcionando. No sabemos cómo sigue con vida”. Tuvieron que someterme a una cirugía cardiaca de emergencia para colocar un desfibrilador y un marcapasos.
Estaba conmocionada. No podía creer que estaba tan enferma. De hecho, mi cerebro que estaba privado de oxígeno resistía tanto estas noticias que le dije a mi esposo que el doctor nos estaba diciendo que podía tomar mi medicamento e ir a casa. ¡El doctor me tuvo que explicar mi situación tres veces e incluso tuvo que hacer un dibujo!
Mis cirujanos instalaron un desfibrilador y un marcapasos para que mi corazón emita latidos apropiadamente. Tuve que tomar un mes de descanso en el trabajo y cuando regresé lo hice con jornadas reducidas. Mientras mis doctores y yo identificamos las dosis correctas de mis medicamentos, pasé meses haciendo rehabilitación cardiaca, trabajando duro para recuperar mi salud tres veces a la semana con sesiones de dos horas por la mayor cantidad de tiempo posible siempre y cuando mi seguro pague esos servicios.
En esos momentos, tenía ansias de recuperarme completamente, pero recordándolo me gustaría haber sido más paciente. Además de la carga física de mi enfermedad, empecé a sentir una tristeza incontrolable. Afortunadamente, los cirujanos me advirtieron que eso era algo común después de cirugías cardiacas, así que los arrebatos aparentemente aleatorios de llanto no me sorprendieron completamente.
Con la combinación de dispositivos y medicamentos que suplementaban mi función cardiaca, sentí una enorme diferencia en mis niveles de energía en etapas tempranas de mi recuperación. Sentía que mi cerebro iba a mil por hora. Empecé a comprender completamente cuánto me demoraba en procesar información cuando estaba enferma. Casi inmediatamente disminuí 20 libras de peso por el agua que ya no estaba reteniendo, y un mes y medio después de mi cirugía, podía caminar tres millas en las noches con mi esposo. No había podido caminar tanto durante algún tiempo.
2025
Comparto mi historia con otras mujeres porque mi vida la salvó alguien que contó lo que le pasó. Soy una persona educada y consciente, pero no reconocí los síntomas. Recuerdo cómo sobrellevé mi vida ajetreada, sintiéndome enferma pero sin analizar esa sensación y sin detenerme para adaptarme o cuestionarlo. Ahora, presto atención a mis instintos. Si siento que algo está mal, no lo ignoro. Hago que alguien lo evalúe.
Les digo a mujeres de mi edad que no descarten automáticamente la posibilidad de una enfermedad cardiaca. Si bien no consumía alcohol ni drogas, me enteré que el corazón puede deteriorarse de otras formas. Uno de mis doctores sugirió que mi enfermedad cardiaca pudo haber sido causada por una infección y mi genética.
Recientemente, mis doctores hablaron conmigo acerca de la posibilidad de remover el marcapasos. A veces, después de funcionar bien por un tiempo, el corazón puede empezar a enviar señales eléctricas correctamente otra vez por su propia cuenta. No sé todavía lo que me depara el futuro desde el punto de vista médico. Nunca quise convertirme en un símbolo de enfermedades cardiacas, pero si tan solo una mujer lee esto y reconoce su experiencia en mi historia, mi corazón se llenará de alegría.
Este recurso educativo se preparó con el apoyo de Novartis
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Victoria Louise “Vicky” Fleetwood is a rugby union player and personal trainer. She represented England at the 2014 Women’s Rugby World Cup and the 2017 Women’s Rugby World Cup.
Vicky played the majority of her early career at Hooker, but is equally as comfortable in the back-row. Career highlights to date, include winning the Rugby World Cup in 2014, a bronze medal in the 2018 Commonwealth Games as well as multiple 6 Nations and Tyrell’s Premier 15s Championships.
A level 3 personal trainer, Vicky has worked in some of the best gyms in London. Widely regarded as one of the fittest players around, her wealth of experience as an international athlete allows her to bring the same intensity to sessions with her clients. Rugby commitments sometimes mean that F2F services can be a challenge, but Vicky also offers online sessions alongside bespoke programming for clients.
Fleetwood made her England debut in 2011. She made six appearances in the 2014 Women’s Rugby World Cup, which England won. In 2017 she made three appearances for England at the Women’s Rugby World Cup, including in the final which England lost to New Zealand. After the 2017 World Cup, she switched to England 7s, competing for England in the 2018 Commonwealth Games; the team took the bronze medal.

She returned to 15s in 2019 as England won the 2019 Women’s Six Nations. She was injured out of the 2019 Women’s Rugby Super Series, but was named Player of the Match in the Quilter International match versus Italy later that year. Fleetwood was again part of the England team as they won the 2020 Women’s Six Nations.
Aged 14, Fleetwood began playing for Leicester Forest. She joined Lichfield aged 17 as part of the Under 18s squad, and later graduated to the senior’s team. She continued to play for Lichfield while attending university with teammate Emily Scarratt. She joined Saracens Women in 2014, then rejoined the team in 2020. Born in Hinckley in 1990, Fleetwood has a twin brother named Andrew. She was a junior hurdler and sprinter before switching to rugby.
She attended John Cleveland College and then Leeds Metropolitan University. Alongside rugby, Fleetwood is a successful personal trainer. In 2017 she appeared on the cover of Stylist magazine as part of a feature on the England Women’s Rugby team.
Women Fitness President Ms. Namita Nayyar catches up with Vicky Fleetwood, an exceptionally talented International Rugby Player, Fitness Personality and Motivational Speaker, here she talks about her fitness regime, and her story to success.
You were born in Hinckley in England. You have been playing was a junior hurdler and sprinter before switching to rugby since an early age. You were a junior hurdler and sprinter before switching to rugby. Later at the age of 14 years, you began playing for Leicester Forest. You joined Lichfield at age of 17 years as part of the Under 18s squad, and later graduated to the seniors team. This later propelled your career to the height where you have been at the top of the world as a women rugby player. Tell us more about your professional journey of exceptional hard work, tenacity, and endurance?
I wasn’t a naturally fit athlete. Coming from sprinting for years, anything further than a few hundred meters was hard work, so that was something I really dialed into when reaching the senior Women’s team. I never wanted to be bad at anything, so that was my biggest driver, not necessarily to be the best, but to not be the worst!

It is a dream for a rugby player to play in the Women’s Rugby World Cup. You made six appearances in the 2014 Women’s Rugby World Cup, which England won. Tell us more about this spectacular achievement of yours?
I was so lucky to experience this, and will be forever grateful. With sport, you’re always up against other athletes, staying fit and being at the top of your game. This isn’t always the case and you end up missing out on so many things throughout your career. Winning the World Cup was truly amazing, and something I’ll always be proud of.
You are the world-leading International Rugby Player, Fitness Personality and Motivational Speaker. How do you manage such a remarkable multi-dimensional lifestyle?
I’m now retired from rugby, but am still in the game coaching. I try to stay fit and healthy, and am now a keen cross fitter. The motivational speaking comes from experiences that I’ve had, and things I’ve learnt along the way that I can then educate others with.
Full Interview is Continued on Next Page
This interview is exclusive and taken by Namita Nayyar President of womenfitness.net and should not be reproduced, copied, or hosted in part or full anywhere without express permission.
All Written Content Copyright © 2025 Women Fitness
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
As told to Erica Rimlinger
“I’m fine. I just didn’t eat enough breakfast,” I told the medical staff in the emergency room. I was gearing up to walk out of the hospital. My co-workers, I explained, were being overly cautious by ordering the ambulance for me. They told the EMTs I passed out, fell and hit a desk on the way down. I didn’t remember that, but the developing bruise on my side testified to the truth of their account.
Still, I was embarrassed by all the fuss and wanted to go home, so I talked my way out of the ER. As an attorney, I am pretty good at arguing. Sure, I was tired. What working mom isn’t? I blamed menopause, my migraine medication and lack of sleep for the breathlessness I was experiencing walking up the stairs or carrying my skis to the ski lift.
That night, and the following days and nights, I felt generally bad. I couldn’t describe it: It was more of a malaise. I was exhausted but couldn’t sleep. One night at 2 or 3 a.m., I was restlessly flipping channels in bed when I stopped at a Rosie O’Donnell comedy special.
At that very moment, O’Donnell happened to be describing the symptoms of heart disease in women. I remembered the medical staff had suggested a heart problem as one of the many possible causes for my fainting and recommended I follow up with a cardiologist. I didn’t believe, as a reasonably health-conscious 48-year-old, I had a heart issue, but I made the cardiologist appointment anyway.
Now, on the television, O’Donnell was listing all the specific symptoms I’d been feeling. Pain in the back of the arm or the neck? Check. Fatigue? Check. Excess water gain? I looked at my ankles, which were swollen. Check. Feeling of dread? Absolutely.
O’Donnell said, “If you’re experiencing these, go to the hospital right now.” I was now worried. At 5:15 a.m. I woke up my husband, and we went to the ER.
This time, I stayed for a full exam. The cardiologist I’d made the appointment with but hadn’t seen yet happened to be there. He diagnosed me with complete heart failure. There were no blockages in my heart, but it was functioning at only 5%-10% capacity. He said, “You have virtually no heart function. We don’t know how you’re living.” I’d have to have emergency heart surgery to place a defibrillator and pacemaker.
I was shocked. I couldn’t believe I was that sick. In fact, my oxygen-starved brain was so resistant to this news, I told my husband the doctor was telling us I could get my medication and go home. The doctor had to explain my situation to me three times and even had to draw me a picture!
My surgeons installed a defibrillator and pacemaker to keep my heart beating properly. I had to take a month off work and returned part-time after that. While my doctors and I figured out my correct medication dosages, I spent months in cardiac rehab, working hard to regain my health three times a week for two hours at a time for as long as my insurance paid for it.
At the time, I was anxious to recover fully, but in hindsight I wish I’d been more patient. In addition to the physical toll of my illness, a wave of uncontrollable sadness hit me. Fortunately, my surgeons warned me this was a common occurrence after heart surgery, so I wasn’t completely caught off guard by my seemingly random outbursts of sobbing.
With the combination of the devices and medications helping my heart function again, I felt a huge difference in my energy levels early in my recovery. My brain felt like it was on steroids. I began to fully understand just how long it had been taking me to process information when I was sick. I almost immediately lost 20 pounds of water weight, and within a month and a half of my surgery, I could take three-mile evening walks with my husband. I hadn’t been able to make it that far for a while.
2025
I share my story with other women because my own life was saved by somebody speaking out. I’m an educated, health-aware person, but I didn’t recognize the symptoms. I think back to how I’d powered through my busy life, feeling sick but not analyzing the feeling or stopping to accommodate or question it. Today, I listen to my instincts. When something feels off, I don’t ignore it. I get it checked out.
I tell women my age to not automatically rule out the possibility of heart disease. Although I wasn’t a drinker and didn’t take drugs, I learned the heart can get sick in other ways. One of my doctors suggested my heart disease may have been caused by an infection, helped along by my genetics.
Recently, my doctors have discussed with me the possibility of removing the pacemaker. Sometimes, after it’s functioning well for a while, the heart can start sending the correct electrical signals again on its own. I don’t know yet what my medical future holds. I never wanted to be the face of heart disease, but if just one woman reads this and recognizes her experience in my story, my heart will be happy.
This educational resource was created with support from Novartis.
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Our Real Women, Real Stories are the authentic experiences of real-life women. The views, opinions and experiences shared in these stories are not endorsed by HealthyWomen and do not necessarily reflect the official policy or position of HealthyWomen.
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July is Bebe Moore Campbell National Minority Mental Health Awareness Month.
As a child and young adult, Stephanie Robertson appeared to be the ideal student. She earned near-perfect grades throughout high school and attended some of the nation’s top universities. By her mid-20s, she’d graduated from law school and was beginning her career with a New York City law firm.
Internally, however, Robertson fought to keep it all together. She found it difficult to fit in with peers and classmates and struggled with managing fixed schedules and routines. She hyperfixated on specific topics before losing interest, a pattern that made it tough for her to remain focused in some classes and on the job.
While Robertson could channel the racing thoughts in her head into her schoolwork as a child, those coping strategies stopped working as an adult. She struggled to maintain jobs and pay her bills. For a period of time, she began drinking heavily to stifle the endless thoughts running through her mind and the overwhelming sense of frustration she felt about her life.
In 2009, a therapist suggested she might have attention-deficit/hyperactivity disorder, or ADHD. Robertson dismissed the idea because she’d never met a Black person, let alone a Black woman, with ADHD. For another 13 years, she’d see multiple doctors and experience just as many incorrect diagnoses before getting an official ADHD diagnosis in 2023.
Robertson knows if she had more examples of Black people with ADHD, she might have identified her own symptoms and sought help earlier. That’s why she joined the National Alliance on Mental Illness (NAMI) as director of mental health equity innovation to help address disparities in mental healthcare.
“When I was diagnosed with ADHD, I went through this period of feeling so excited that everything started to click and make sense,” Robertson said. “Knowing and being able to understand the reasons for these things makes a huge difference.”
Robertson had good reason for initially dismissing the ADHD suggestion. A study from 1997, the year she graduated from high school, noted how only 16 articles or studies of ADHD among thousands focused on Black children.
Black women and girls were least likely to be diagnosed with ADHD, while white women and girls were the least likely to receive a conduct disorder diagnosis.
A more recent review of racial and sex disparities in ADHD and conduct disorders found white people were 26% more likely to be diagnosed with ADHD, and 61% less likely to receive a conduct disorder diagnosis than their Black counterparts.
The authors suggested disparities could be related to teachers and providers viewing ADHD symptoms as willful misbehavior in Black children, leading to the conduct disorder label. Underdiagnoses could also stem from social and cultural disparities — such as lack of awareness about ADHD symptoms, lack of access to treatment, misconceptions about the condition and treatment and stigma about seeking help for mental health issues.
Read: Think You Know What ADHD Is? Think Again. >>
ADHD symptoms also tend to appear differently in women than men, making them easy to be misdiagnosed or missed altogether. For example, women’s behavior is more likely to be inattentive than hyperactive. Robertson said she directed her impulsive tendencies inward in educational settings by hyperfixating on certain goals or tasks, such as making jewelry or immersing herself in learning the German language.
“Because it was always quirky and/or educational things I obsessed over, no one really questioned it,” Robertson said. “I was a quiet person who kept to herself, so the reaction was just ‘she’s fine,’ when I absolutely was not fine.”
Although Robertson earned her undergraduate degree from Duke University, finishing with a 3.4 grade point average, more cracks began to show in college. She got a poor grade for the first time in her life, although looking back, she knows it was because she wasn’t interested in the subject and couldn’t focus. At law school, she failed a class during her first year and struggled to manage the whirlwind of classes and job recruitment interviews.
Stephanie Robertson, 2025 (Photo/Corey Pilson)
After finishing law school, Robertson bounced through jobs, relationships and responsibilities for more than a decade, burning bridges along the way. She’d start a job and focus intensely on her duties in the beginning, but after losing interest, she would have difficulty completing tasks. She often chose to quit before potentially being fired and dealt with anxiety and depression.
“That’s another piece of ADHD I’ve learned about,” she said. “You get really intense and when you lose interest, you forget and you stop.”
The spiral continued as Robertson began drinking heavily. Healthcare providers thought she was having manic episodes and diagnosed her with bipolar II disorder. She began taking a mood-altering drug that had the potential for dangerous side effects but still didn’t feel better.
Robertson was angry — angry that treatment wasn’t helping, angry that her life was falling apart and angry that employers didn’t seem to understand why she was having difficulty getting work done. Well aware of the “angry Black woman” trope that portrays Black women as abnormally hostile or aggressive, Robertson wonders how many Black women are unfairly stigmatized with that label because their mental health needs aren’t being met.
“I probably was angry because I just wasn’t able to communicate the way I wanted and people weren’t willing to listen,” she said. “I was angry at the lack of accommodations in society in general as well.”
Eventually, Robertson gained the confidence to become more open with her colleagues about what she was experiencing and someone suggested that her symptoms sounded more like ADHD than bipolar. Finally, in 2023, she underwent a psychological assessment that resulted in an ADHD diagnosis.
Robertson still struggles with daily activities that might seem simple to others and wishes she’d had the opportunity to develop better management skills and strategies earlier in life. That’s why she’s an advocate for greater awareness of ADHD symptoms among people of color, especially women.
“I am miserable half the time because my mind is all over the place,” she said. “I’m always wondering ‘Did I pay this?’ ‘Do I have to go get this?’ ‘I forgot 10 items at this store.’ ‘I have 10 million things to do.’ ‘I have 10 million tabs open.’ It’s so overwhelming and it’s exhausting.”
Medication can also be helpful, along with mindfulness exercises, physical exercise and techniques like cognitive behavioral therapy to help deal with racing thoughts and overwhelming tasks. Finding support at the workplace is crucial, and Robertson now tells employers she’s capable of delivering great work but not always within a traditional 9-to-5 time frame. She’s always been that way — in high school, she often woke up at 4 a.m. to get schoolwork completed.
Robertson has also been open about her experiences in recent years to help others better manage their own mental health and seek treatment, if needed. Before joining NAMI, she was an assistant dean at Duke and worked to create space for students to be comfortable sharing their concerns.
“Fight for yourself,” Robertson said. “If you’re feeling like something is different about you and you’re not being listened to, educate yourself about ADHD and other mental health concerns and become an advocate for yourself and your needs.”
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Whether it’s for a birthday, anniversary, graduation, or just because, jewelry gifts have a timeless appeal. They’re thoughtful, beautiful, and deeply personal — the kind of present that doesn’t just sparkle, but speaks. If you’re looking for something a little different, here are five unique ideas that go beyond the ordinary.
1. Engraved charms that tell a personal story
Custom engraved jewelry is always a hit. Whether it’s a bracelet, necklace, or charm, an engraving adds a deeply personal touch. Think initials, meaningful dates, or short messages like “Love you always” or “You got this.”
These pieces are ideal for:
Why it works: it’s a heartfelt way to show that you put thought into the gift. Custom engraving turns even a simple piece into a cherished keepsake.
2. Layered necklaces for effortless style
If your recipient loves fashion, a set of layered necklaces makes a trendy and stylish gift. Choose chains of different lengths with mixed textures or feature a standout pendant as the focal point.
Ideas for layers:
Pro tip: Look for sets that can be worn separately or together for more versatility.
3. Birthstone jewelry with meaning
Birthstones make any jewelry gift feel instantly personalized. Whether it’s a ring, bracelet, or necklace, adding a birthstone shows you’ve thought about the recipient’s unique identity.
Here’s how to match by month:
Why it works: birthstones have both aesthetic and symbolic value. They’re often associated with qualities like strength, love, wisdom, or protection — making them meaningful as well as beautiful.
4. Friendship bracelets with modern flair
Friendship bracelets aren’t just for childhood. Today’s versions are sleek, elegant, and meaningful. Matching sets or individual pieces with complementary designs can be the perfect gift for a best friend or sibling.
Popular styles include:
Tip: choose designs that suit both your and your friend’s personality — minimalist, boho, glam, or edgy.
5. Charm bracelets that evolve with time
Charm bracelets are the gift that keeps on giving. You can start with a few symbolic charms and let the wearer add to it over time — creating a story that evolves with them.
Great for:
Why it works: these gifts grow more valuable over time — not in cost, but in meaning. It becomes a collection of memories.
How to choose the perfect jewelry gift
When shopping for jewelry gifts, consider the following:
If you’re not sure, go with adjustable pieces, which offer a more universal fit.
Jewelry is more than decoration — it’s an emotional gift, filled with sentiment, memories, and love. By choosing a piece that suits the recipient’s personality and marking it with a special meaning — whether through engraving, symbolism, or design — your gift will become part of their everyday life.
For even more inspiration, explore Nomination Italy collection of unique jewelry gifts designed for every occasion, taste, and story.
Because sometimes, the smallest boxes hold the most meaningful messages.
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
In my work with couples, I like to think of the Japanese art of kintsugi. The word means “gold repair,” and it refers to the practice of mending broken pottery with lacquer and powdered gold. Rather than hiding the cracks, kintsugi illuminates them. The once-broken object becomes even more beautiful — not in spite of its history, but because of it.
The same can be true for relationships.
Every couple will experience breaks. Sometimes they come in the form of betrayal, misunderstanding, a slow drift, or simply the accumulation of unmet needs. When a relationship cracks under pressure, the instinct might be to throw it away or try to force it back to the way it once was.
But that’s not possible because the original form has changed. It’s kind of like the example where someone crumples up a piece of paper and then smooths it out again. It’s still an intact piece of paper, but it’s definitely not the same smooth surface it was before.
iStock.com/MarioGuti
But unlike that crumpled piece of paper, which just lays bare the damage it went through, with no improvement, kintsugi reminds us that there is the potential to build upon what came before and shape it into something new, something beautiful.
When couples come into therapy, they’re often sitting with the broken pieces of something they once valued deeply. The process of healing, of rebuilding connection, takes effort. It cannot be rushed — and it rarely looks like a perfect restoration. In fact, we wouldn’t want it to because that would mean there hadn’t been any growth.
Each step a couple takes toward one another, even in discomfort, builds confidence that repair is possible. Over the years, I’ve seen relationships grow stronger not by avoiding conflict but by nurturing the skills they need to move through it. The cracks don’t disappear, but they become part of a story you’ve written together.
So, how does this translate into everyday relationship work?
Here are 4 tips couples can use to strengthen their connection after a fracture:
1. Embrace imperfection: Rather than aiming for a flawless relationship, focus on building one that can handle real life. Talk openly about the moments that have felt difficult or disappointing. Use language like “this was hard for me” instead of pointing fingers. Schedule time to identify what you’ve learned from past conflicts. The goal is not to erase the break but to understand it and learn how to respond differently moving forward.
2. Practice self-compassion: It’s easy to be hard on yourself or your partner when something goes wrong. Instead, notice the inner voice that shows up after conflict. Ask yourself, “Would I speak to a friend this way?” If not, rewrite the narrative. During moments of tension, take a pause and simply say, “We’re both doing the best we can right now.” This small practice helps lower defensiveness and creates space for repair.
3. Build resilience through reflection: After a disagreement or challenging season, set aside time to reflect as a couple. Ask each other, “What helped usget through that?” and “What could we do differently next time?” Write your answers down. Keep a shared journal or document where you track these reflections. Over time, this record becomes a reminder of your capacity to navigate difficulty together.
4. Create meaning together: Language shapes perspective. If you describe every argument as a failure, you’re less likely to see opportunities for growth. Instead, shift the frame. Try saying, “That was a turning point” or “We learned something important about ourselves there.” Mark these moments when you’ve come together to fix something and celebrate them, even if it’s in small ways.

iStock.com/Marco Montalti
Repairing a relationship is rarely about returning to what was. It is about deciding, together, what comes next. Just like kintsugi honors the history of a broken object by making it more meaningful, couples have the opportunity to create something new out of what may have felt lost.
If you’re in the process of repair, give it time, give it care, and remember that the effort you put into understanding each other is what makes the bond even stronger than it was before.
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