Thank you for this! I'm 52, a 5 year survivor of stage 3C colorectal cancer. I went to the GI doc because of gastroparesis when I was 47. She scheduled and EGD and said I'm close enough to 50 so she might as well do a colonoscopy. I had no symptoms whatsoever and no family history of any cancer. I thank her every day that she decided to do that because if I had waited until I was symptomatic, I wouldn't be here today. Fun fact, I'm prepping for a colonoscopy I'm having done in the morning! Even if you don't have a family history of it, please get screened! Especially if you have any of the risk factors! And thank you Doc Schmidt for your informative videos!
Important early detection message. My grandmother died from colon cancer before screening was available. At my first colonoscopy at age 50 three polyps were removed. At age 70 now I have had four colonoscopies. The bowel prep is the hardest part. As a retired radiation oncologist, who has treated patients with rectal cancer, thank you, Doc Schmidt. 3/8/2023 20:55 GJBrownDO
My colonoscopy saved my life on March 1,2020 I’ve had to have 4 major surgeries and I’m recovering from my fourth now. I had symptoms so I had to get one early but I’m so happy I did. Great video Doctors!🎉 Even if you’re below 45 and have symptoms and or family history I encourage you to get one now. I didn’t feel anything during the colonoscopy but I was awake and watched the whole procedure as well as named the anatomy😂I was the only awake person in recovery!
This is great! I had concerning symptoms but was only 35. However, my G.I. wanted to check things out and I’m glad we did. When he first heard my the symptoms, he commented “you’re too young for this”. He repeated the statement when they found the adenoma. Now I get to go back and see him every three years. So far I’ve been clear! Now, my only real worry is what do I say when I’m under sedation 😳🤣
Derm here. Screening importance is our patients issue too. Problem as I see it is changing our mindset (and insurance barriers) from a illness-care system to a health care system. Skin, colon, breast, lung, etc... all better found during screening than during symptom.
@@Doc_Schmidt So... I deal with A LOT of constipation. 2 weeks ago I noticed bright red blood (the night we were leaving for Mexico) I went to the ER and they did a rectal exam. Apparently I have a lesion on the inside but I can feel it on the outside? I'm still experiencing some bleeding. Is it time for "the SCOPE?" (I'm scared of it 😂)
Thank you for pointing this out, my grandmother had multiple melanomas so I get checked once a year. But it can happen to anyone. Having a good dermatologist is a necessity!
As a survivor of colorectal cancer at age 39, I am extremely grateful that you are helping to spread the word about this form of cancer. It can be an uncomfortable topic but it definitely needs to be discussed. 💙
A scope saved my grandfather. They found cancer while it was still treatable. He needed a colostomy bag, but it beats dying. I had to have a colonoscopy myself in my 20s when I suddenly had severe bleeding and we ruled out hemorrhoids. Needed a patch of intestine cauterized. Don't be scared of one! Sure, the prep sucks, but it beats missing something!
My husband is scheduled for his first colonoscopy next month; he’s 50. The word needs to get out that the recommendation has changed to 45. I’ve been getting regular scopes since I was 30 because I have Crohn’s disease and even I didn’t know or I would’ve insisted my husband have one 5 years ago. Thank you for this video!
My sister-in-law passed from a type of GI cancer (ampullary carcinoma), she was only 28. Wish everyone could just get a general cancer screening every year
Combination of both, because even those who can afford it don't always do it. But yes it's a major problem how expensive even one simple doctor's visit can be in the US.
My sister had a colonoscopy in October at age 53. Five polyps and one cancer tumor. In December she had surgery; and it had not spread to her lymph nodes. She does not need chemo or radiation. She would NEVER have known without the colonoscopy.
When I had a colonoscopy 5 years ago I wasn't sedated. It was very painful and I definitely remember the procedure. My brother was diagnosed at 36 with stage 4 colorectal cancer so I'm in a higher risk group. I'm overdue for a second colonoscopy but my experience last time has put me off.
Years ago, they were done without sedation but I didn’t realize any physician would do that now! When done properly, you won’t feel a thing. And even the prep is easier now. If your GI doc doesn’t agree to sedation, find another. You don’t have to suffer!
I have them done every 3 years & I metabolise sedatives very quickly so I've been awake for a lot of mine. A couple anesthesiologists were kind enough to give me top ups throughout or double the dose but the others just left me alone which sucks. Tbf it's fine for me until they go round the corners & then it's horrible. I can deal though as I'm used to pain from chronic illnesses. Despite all this I'm more than happy to go through it (&the prep which is by far the worst part) to ensure they catch anything sinister going on.
@@nursecathy123cat it depends where you live. Americans tend to be ethnocentric and assume that things are done the same in other countries. I don't live in the U.S.
Thanks for raising awareness! I wish my doctors took things as seriously as you when I started presenting symptoms of colon cancer. It was so hard for me to get a colonoscopy referral because my symptoms were written off numerous times, I'm young, and I have no family history... and, frankly, I didn't know that much about colon cancer and had no idea how to evaluate information I found online about what was going on with me. I'm glad my younger sister has now had a colonoscopy and will get them regularly because of my diagnosis. That said, my husband (who is 50 now) hasn't been able to get a colonoscopy for routine screening, just a FIT test... I don't get it sometimes. Also, I certainly remember my colonoscopy! I wasn't completely sedated, but I was put on enough drugs to be comfortable.
More people need to see this! I nursed my mum through bowel cancer until she died 18yrs ago & I personally get screened every three years as I have other medical issues which mask the normal symptoms of bowel cancer. I was offered genetic counselling way back then but never took them up on the offer - I'm now wondering if I should get it, just to be on the safe side or if screening is enough 🤔 But anyway the more bowel cancer is talked about and destigmatised the more people will take note of early symptoms and see a doctor. Thank you for doing this ❤❤❤
Thanks for this. My mother died of colorectal cancer, she was mid forties and otherwise healthy with no risk factors. I have been screened since I was about 30, so far so good. The prep is awful, I usually do the scope with nitrous oxide instead of sedation but it is hideous, not going to lie. Worth it though. X
Other than turning 45 (fit, healthy diet, non smoker, non drinker, no family history) no other risk factors, but found a sessile serrated adenoma. Glad I got screened!
I had a 2” adenoma removed in pieces by the scope at 24 because I was having intestinal bleeding. So don’t delay getting checked or thinking it’s just “one more weird thing” about your body!
I'm pumped to get my first colonoscopy because I think the procedure is so awesome and colon cancer sucks. I'm going to ask to stay awake so I can see what's going on. Scopes are neat.
Black shivering bell thumbs up and I wish I knew my GI Dr.'s email or such to share this with him!!! I am getting my 3rd colonoscopy { age 60} very soon!
Question! If you have a direct relative who has/had colon cancer what age should you start screening? I'm 32 but my mom had stage 2 colon cancer (at 51) a couple years ago. I keep on seeing "get tested sooner" but when?
Doc Schmidt, are all polyps pre- cancerous when you remove them? I had my first colonoscopy when I turned 45, and they removed 2 pre-cancerous polyps. I have to get checked again when I'm 48.
This a great video. I have to have a scope every year because I have so many polyps. Last year was 16 polyps. My problem is my Doctor at BJC wants to have my son screened but his doctor said no because my son is only 36 years old. Should I fight for his colonoscopy or just keep quiet. By the way I love your SpaceLabs heart monitor in this video
It depends at what age the family member was diagnosed. Generally, it’s either 10 years before their diagnosis or age 40, whichever is sooner. But please talk to your doctor about your specific situation.
Under sedation the entire time? Is that standard in the US? I'm Swedish and had the unpleasantness of doing it once. I didn't get anything beforehand, but I had a needle and they said I could get something if I needed it during the procedure. At one point when they inflated with a lot of air it felt like my insides were going to explode and then I did get something, iv morphine or perhaps midazolame. That didn't last long and apart from that it was painless really. Putting everyone to sleep seems unnecessary!
I've heard 50+ has it changed recently? Is it because I'm in Canada? My mom had colon cancer so I get screened at 39 unless I have symptoms sooner. (She was diagnosed at 49, so 10 years before that is what I've been told is the recommended screening)
That ladies and gentleman is called getting probed 😅. And if you can remember the movie training day when a cholo makes a comment about feces getting pushed in well for colonoscopy we nurses joke around to each other about getting our Feces pushed in ie; colonoscopy 😅
From what I know, the current recommendation for breast cancer screening is an annual mammogram for women from age 40 onwards. If there is strong family history (things like GAIL index BRCA proscore used to determine) screening is started at 35, etc... it is true that men can get breast cancer as well, but the incidence is much much lower. Also, did your grandmother get cancer at an older age -postmenopausal? A surgeon i know said that premenopausal family history is more relevant, because More cases of breast cancer are actually sporadic, only 10 % or something familial, tho family history increases an individuals risk especially a 1st degree relative (mom, sister, etc).... all this to say, I'm fairly sure current guidelines don't recommend screening in your situation, but talk to a doctor/surgeon about your concerns. And always pay attention to your body m.. if you feel something is wrong, get it checked
Just wondering: if you have a hemorrhoid or butt tear, can you still get a colonoscopy and would they do any treatment for them at the same time as the colonoscopy?
My only problem is that I have severe OCD related to anything related to anything around (or that comes out) of the anus (and urethra). It's so bad that I take a shower if anything comes out of the back end so having to do these screenings would make me want to shower as soon as I woke up which I know I wouldn't be able to do at the hospital, especially with how long I take which is usually a very long time (several hours long). (When I'm at home I will hop in the shower right after a bowel movement {and ofc wiping} so having to put my lower clothes back on after a colonoscopy would send my brain into panic, tbh thinking about it rn did a small amount. And even thinking about trying to collect a stool sample for the other method does the same thing. {Don't want to touch it even if I wore gloves, don't want to touch whatever container(s) it will be going in, don't want it or the containers to go anywhere near my counter, floor, or ANY surface of ANY room in my home}) Idk how on Earth I'd be able to find a workaround for my severe issues with that.
Thank you for this! I'm 52, a 5 year survivor of stage 3C colorectal cancer. I went to the GI doc because of gastroparesis when I was 47. She scheduled and EGD and said I'm close enough to 50 so she might as well do a colonoscopy. I had no symptoms whatsoever and no family history of any cancer. I thank her every day that she decided to do that because if I had waited until I was symptomatic, I wouldn't be here today. Fun fact, I'm prepping for a colonoscopy I'm having done in the morning! Even if you don't have a family history of it, please get screened! Especially if you have any of the risk factors!
And thank you Doc Schmidt for your informative videos!
This needs to go far and wide and not just within the United States...
Thanks! Help us spread the word!
@@Doc_Schmidt already have. I've shared to at least 5 different Facebook groups so far...
@@evanstedman7405 thanks so much!
@@Doc_Schmidt my pleasure...
It's the case 💞🇨🇵
Important early detection message. My grandmother died from colon cancer before screening was available. At my first colonoscopy at age 50 three polyps were removed. At age 70 now I have had four colonoscopies. The bowel prep is the hardest part. As a retired radiation oncologist, who has treated patients with rectal cancer, thank you, Doc Schmidt. 3/8/2023 20:55 GJBrownDO
My colonoscopy saved my life on March 1,2020 I’ve had to have 4 major surgeries and I’m recovering from my fourth now. I had symptoms so I had to get one early but I’m so happy I did. Great video Doctors!🎉 Even if you’re below 45 and have symptoms and or family history I encourage you to get one now. I didn’t feel anything during the colonoscopy but I was awake and watched the whole procedure as well as named the anatomy😂I was the only awake person in recovery!
Thank you for this video. I go for mine at the end of the month. There’s a family history, so my sisters and I never skip!
Glad to hear you’re staying up to date!
This is great! I had concerning symptoms but was only 35. However, my G.I. wanted to check things out and I’m glad we did. When he first heard my the symptoms, he commented “you’re too young for this”. He repeated the statement when they found the adenoma.
Now I get to go back and see him every three years. So far I’ve been clear! Now, my only real worry is what do I say when I’m under sedation 😳🤣
What for symptoms?
Derm here. Screening importance is our patients issue too. Problem as I see it is changing our mindset (and insurance barriers) from a illness-care system to a health care system. Skin, colon, breast, lung, etc... all better found during screening than during symptom.
agreed! Proactive healthcare is the better approach!
@@Doc_Schmidt So... I deal with A LOT of constipation. 2 weeks ago I noticed bright red blood (the night we were leaving for Mexico) I went to the ER and they did a rectal exam. Apparently I have a lesion on the inside but I can feel it on the outside? I'm still experiencing some bleeding. Is it time for "the SCOPE?" (I'm scared of it 😂)
@@Doc_Schmidt idea for your next short... muir-torre/lynch (derm+GI would be an awesome collab, just sayin)
Thank you for pointing this out, my grandmother had multiple melanomas so I get checked once a year. But it can happen to anyone. Having a good dermatologist is a necessity!
As a survivor of colorectal cancer at age 39, I am extremely grateful that you are helping to spread the word about this form of cancer. It can be an uncomfortable topic but it definitely needs to be discussed. 💙
A scope saved my grandfather. They found cancer while it was still treatable. He needed a colostomy bag, but it beats dying.
I had to have a colonoscopy myself in my 20s when I suddenly had severe bleeding and we ruled out hemorrhoids. Needed a patch of intestine cauterized. Don't be scared of one! Sure, the prep sucks, but it beats missing something!
My husband is scheduled for his first colonoscopy next month; he’s 50. The word needs to get out that the recommendation has changed to 45. I’ve been getting regular scopes since I was 30 because I have Crohn’s disease and even I didn’t know or I would’ve insisted my husband have one 5 years ago. Thank you for this video!
My sister-in-law passed from a type of GI cancer (ampullary carcinoma), she was only 28. Wish everyone could just get a general cancer screening every year
I think it’s less about being informed and more about people not being able to afford any medical care, let alone preventative care.
Combination of both, because even those who can afford it don't always do it. But yes it's a major problem how expensive even one simple doctor's visit can be in the US.
Yes! Unaffordability. The greater issue, though, is the obscene wealth gap not only in the US, but globally. Tax the rich and pay people more!
My sister had a colonoscopy in October at age 53. Five polyps and one cancer tumor. In December she had surgery; and it had not spread to her lymph nodes. She does not need chemo or radiation. She would NEVER have known without the colonoscopy.
When I had a colonoscopy 5 years ago I wasn't sedated. It was very painful and I definitely remember the procedure. My brother was diagnosed at 36 with stage 4 colorectal cancer so I'm in a higher risk group. I'm overdue for a second colonoscopy but my experience last time has put me off.
I had to tell the anesthesiologist that I am hard to keep asleep, so they might have used something else? That sounds awful, though.
I think you can have a choice of a light or heavier sedation. I'd definitely ask, especially if you're put off of the idea of going again
Years ago, they were done without sedation but I didn’t realize any physician would do that now! When done properly, you won’t feel a thing. And even the prep is easier now. If your GI doc doesn’t agree to sedation, find another. You don’t have to suffer!
I have them done every 3 years & I metabolise sedatives very quickly so I've been awake for a lot of mine. A couple anesthesiologists were kind enough to give me top ups throughout or double the dose but the others just left me alone which sucks. Tbf it's fine for me until they go round the corners & then it's horrible. I can deal though as I'm used to pain from chronic illnesses. Despite all this I'm more than happy to go through it (&the prep which is by far the worst part) to ensure they catch anything sinister going on.
@@nursecathy123cat it depends where you live. Americans tend to be ethnocentric and assume that things are done the same in other countries. I don't live in the U.S.
I was the first to view this. I find this kind of content useful for showing people medical information
Thanks for tuning in early! Glad you enjoyed
Nice video, colon cancer and cancer in general is important to identify and I don't think many people understand that
Thanks for raising awareness! I wish my doctors took things as seriously as you when I started presenting symptoms of colon cancer. It was so hard for me to get a colonoscopy referral because my symptoms were written off numerous times, I'm young, and I have no family history... and, frankly, I didn't know that much about colon cancer and had no idea how to evaluate information I found online about what was going on with me. I'm glad my younger sister has now had a colonoscopy and will get them regularly because of my diagnosis. That said, my husband (who is 50 now) hasn't been able to get a colonoscopy for routine screening, just a FIT test... I don't get it sometimes.
Also, I certainly remember my colonoscopy! I wasn't completely sedated, but I was put on enough drugs to be comfortable.
First scope,f my GI Doc found a big polyp,I was sent to a specialist who removed it with his scope...No cancer. I have had 2 follow ups,still good.😎
Right…
I don’t remember all of it, but I do remember complaining of discomfort.
That said, when it’s time to do it again… I will do it again.
So important!
Awesome messaging - fun, engaging while still delivering and important message - All PSA should be like this.
Thanks for watching!
More people need to see this! I nursed my mum through bowel cancer until she died 18yrs ago & I personally get screened every three years as I have other medical issues which mask the normal symptoms of bowel cancer. I was offered genetic counselling way back then but never took them up on the offer - I'm now wondering if I should get it, just to be on the safe side or if screening is enough 🤔 But anyway the more bowel cancer is talked about and destigmatised the more people will take note of early symptoms and see a doctor. Thank you for doing this ❤❤❤
I’m far from 45 but good to know there’s a way to detect and treat potential colon cancerous growth all in one nap
I feel like a lot of GP don't take GI symptoms seriously. It's often dismiss as a "tummy ache" and eat more fiber
Thanks for this. My mother died of colorectal cancer, she was mid forties and otherwise healthy with no risk factors. I have been screened since I was about 30, so far so good. The prep is awful, I usually do the scope with nitrous oxide instead of sedation but it is hideous, not going to lie. Worth it though. X
I have severe Crohns Disease so I have a colonoscopy no less than every 2 years.
The bowel prep is misery.
VERY IMPORTANT VIDEO. I really like how informative this is and it neeeeeds to reaxh out more and more peoole
This is a really good collab. Thank you for making it. It's good to spread the word.
I am MLH1 positive, thank you for sharing the importance of getting a colonoscopy. You might want to do one for Lynch/MLH1
This helped me convince my boyfriend to get checked :^)
So glad to hear that!
Don’t forget that Lynch syndrome can also be one cause of cancer. Or immunosuppressants. Still a super important video, though!
My uncle also said I wouldn't remember it after.
Other than turning 45 (fit, healthy diet, non smoker, non drinker, no family history) no other risk factors, but found a sessile serrated adenoma. Glad I got screened!
I work for Exact Sciences, the company that makes Cologaurd!
LOUDER FOR THE PEOPLE IN THE BACK!
Excellent video!
The music when he shows the colonoscope lol
It reminds me of a plumbing snake.
I still remember TotalBiscuit's colon cancer saga...
I had a 2” adenoma removed in pieces by the scope at 24 because I was having intestinal bleeding. So don’t delay getting checked or thinking it’s just “one more weird thing” about your body!
This had to be on while I’m dodging having an upper and lower GI!!! Figures!!
I'm pumped to get my first colonoscopy because I think the procedure is so awesome and colon cancer sucks. I'm going to ask to stay awake so I can see what's going on. Scopes are neat.
Lucky me I already have Crohns and get regular colonoscopies, one of the advatanges I guess lol
I was awake during mine, despite the sedation, and remember it all, no pain tho
Black shivering bell thumbs up and
I wish I knew my GI Dr.'s email or such to share this with him!!! I am getting my 3rd colonoscopy { age 60} very soon!
Question! If you have a direct relative who has/had colon cancer what age should you start screening? I'm 32 but my mom had stage 2 colon cancer (at 51) a couple years ago. I keep on seeing "get tested sooner" but when?
With a first degree relative diagnosed before the age of 60 it’s 40 or 10 years before the age the relative was diagnosed, so 40 in your case.
The anesthesia machine in the back 😂
Doc Schmidt, are all polyps pre- cancerous when you remove them? I had my first colonoscopy when I turned 45, and they removed 2 pre-cancerous polyps. I have to get checked again when I'm 48.
This a great video. I have to have a scope every year because I have so many polyps. Last year was 16 polyps. My problem is my Doctor at BJC wants to have my son screened but his doctor said no because my son is only 36 years old. Should I fight for his colonoscopy or just keep quiet. By the way I love your SpaceLabs heart monitor in this video
At what age should you get screened, if a family member had colon cancer?
It depends at what age the family member was diagnosed. Generally, it’s either 10 years before their diagnosis or age 40, whichever is sooner. But please talk to your doctor about your specific situation.
Get screened...unless you're in a country where funding limits what referrals will be accepted...
Under sedation the entire time? Is that standard in the US? I'm Swedish and had the unpleasantness of doing it once. I didn't get anything beforehand, but I had a needle and they said I could get something if I needed it during the procedure. At one point when they inflated with a lot of air it felt like my insides were going to explode and then I did get something, iv morphine or perhaps midazolame. That didn't last long and apart from that it was painless really.
Putting everyone to sleep seems unnecessary!
Oh god I wish the nhs was like this
I've heard 50+ has it changed recently? Is it because I'm in Canada?
My mom had colon cancer so I get screened at 39 unless I have symptoms sooner. (She was diagnosed at 49, so 10 years before that is what I've been told is the recommended screening)
Current Canadian guidelines recommend starting at age 50, unless there is a family history, in which case it’s 40.
That ladies and gentleman is called getting probed 😅. And if you can remember the movie training day when a cholo makes a comment about feces getting pushed in well for colonoscopy we nurses joke around to each other about getting our Feces pushed in ie; colonoscopy 😅
I wish to have sedation, but not everywhere in the world sedation is given, so people avoid the same 😒
Doc Schmidt, your colleague Doc G sounds like the GodFather. hehe
i've heard that having a higher vegetable-to-meat ratio can help prevent colon cancer. is this true?
Red meat and processed meats are risk factors for developing colon cancer so that could potentially be true
@@Doc_Schmidt thank you so much!
Does this extend to other cancers as well? My grandma had breastcancer and even though I'm a man, I know I can still get it
From what I know, the current recommendation for breast cancer screening is an annual mammogram for women from age 40 onwards. If there is strong family history (things like GAIL index BRCA proscore used to determine) screening is started at 35, etc... it is true that men can get breast cancer as well, but the incidence is much much lower. Also, did your grandmother get cancer at an older age -postmenopausal? A surgeon i know said that premenopausal family history is more relevant, because More cases of breast cancer are actually sporadic, only 10 % or something familial, tho family history increases an individuals risk especially a 1st degree relative (mom, sister, etc).... all this to say, I'm fairly sure current guidelines don't recommend screening in your situation, but talk to a doctor/surgeon about your concerns. And always pay attention to your body m.. if you feel something is wrong, get it checked
@@cmoneman3025 thanks, helpful and comprehensive
I have had a CT scan so far in March and an X ray done recently, they did not see bowel obstruction. Should I still get a colonoscopy?
Just wondering: if you have a hemorrhoid or butt tear, can you still get a colonoscopy and would they do any treatment for them at the same time as the colonoscopy?
I have hemorrhoids and had no problem getting a colonscopy. I did not get treatment at the same time. If that's a possibility I'll ask next time.
I go for the damn things but it sure isn't fun. *sigh*
My only problem is that I have severe OCD related to anything related to anything around (or that comes out) of the anus (and urethra). It's so bad that I take a shower if anything comes out of the back end so having to do these screenings would make me want to shower as soon as I woke up which I know I wouldn't be able to do at the hospital, especially with how long I take which is usually a very long time (several hours long). (When I'm at home I will hop in the shower right after a bowel movement {and ofc wiping} so having to put my lower clothes back on after a colonoscopy would send my brain into panic, tbh thinking about it rn did a small amount. And even thinking about trying to collect a stool sample for the other method does the same thing. {Don't want to touch it even if I wore gloves, don't want to touch whatever container(s) it will be going in, don't want it or the containers to go anywhere near my counter, floor, or ANY surface of ANY room in my home}) Idk how on Earth I'd be able to find a workaround for my severe issues with that.
Great PSA. I just wish you would learn the difference between "there IS" ("there's") and "there ARE". It's really not difficult.
Co-starring my inimate friend.
If my grandma died of colon cancer, do I need to be screened earlier than 45?
Gastric cancer please.
Why does he sound like a wise guy
Because colon cancer screening is one of the wisest things you can do!
If I had a grandparent die of colon cancer, do I need to be screened earlier than 45?
Can removing the polyps cause metastasis too?
No because we remove the polyps directly from the colon through our scope. And polyps actually aren’t cancer yet so they can’t metastasize either way
@@Doc_Schmidt oh, good to know. Btw, Dr. Schmidt, I love your videos, they are so relatable and funny.
My gyn asked me when was my last colonoscopy, I said my last whaaatt?? 😳
1/23? 4-5% of people get colorectal cancer? we need to figure out why
Agreed
The risk is much higher if a first degree relative had colorectal cancer.
Hallo
I’m struggling to hear your colleague. Subtitles, please?
Sorry about that! You should be able to use the UA-cam auto captions?
@@Doc_Schmidt Sadly, even they couldn't catch what he was saying.
First
Didn’t realize until just now that I believed a myth- only men need it. False, both men and women!
💩 🍦