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When Leaking Starts After 45

Updated: Sep 19, 2023

We all know that developing urinary incontinence, or pee leaks, is very common during pregnancy and postpartum.

But what if you get through having kiddos scotch-free, or if you never had children, just to find pee leaks suddenly interrupting your tennis game in your 40's and later on?

If you bring up pee leaks with coughing, sneezing, jumping, or even with just the urge to pee around a room full of post-menopausal women, you might be met with a lot of "yup, this getting older thing isn't easy," or the classic, "don't get old!"

But here's the truth, although pee leaks are common and very disruptive, even for women who remain very physically active throughout their lives, it's not normal and should never be accepted as a normal part of aging.

Why It Happens

It can be bewildering and frustrating to realize that the risk of developing pelvic floor issues can really ramp up as hormones change through perimenopause and beyond.

But this is a critical time for women's health. As estrogen changes, pelvic floor musculature may also start to change.

There may be thinning of vaginal tissues as well, and a higher likelihood of developing bladder irritability, prolapse, and pain with sex.

These issues can really disrupt the quality of your daily life, but rest assured you are not alone and there are excellent interventions to manage and fix what you are experiencing.

What Can We Do To Fix It?

There is so much we can do to care for your body and your health as you transition through menopause.

Pelvic floor physical therapy is the number one intervention for dealing with pee leaks, prolapse, and pelvic pain, all which can ramp up during the perimenopause years.

But that's not all. This is an incredibly important time to be managing stress levels, building muscle mass, and addressing other issues that may arise such as back pain and knee pain.


At Holistic Pelvic Health, we are not just interested in prevention and healing pelvic floor issues through menopause, although we do that very well.

We are also focused on your overall wellbeing, as estrogen changes affect far more than just the pelvic floor. This is a time to focus on your bone health, heart health, and fix aches and pains that may have been bothersome for some time.

Join us as we prepare you for the rest of your life. Book your session here today!

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