Bladder Issues in Women

It is not uncommon to find women who have had no pelvic floor issues approach menopause and find they suddenly have difficulty controlling their bladder or notice they leak when they sneeze.

Although common, bladder leakage should NOT be considered a normal part of ageing.

Why does this occur?

Pelvic floor muscle and connective tissue weakness is a primary cause of bladder leakage and can be influenced by:

  • Hormonal changes occurring with Menopause

  • Natural process of ageing causes muscles to weaken

  • Pregnancy and childbirth

  • Increased body mass

  • Repeated heavy lifting

  • Excessive impact exercise

  • Constipation and straining

  • Overactive pelvic floor (read our blog for more info)


What are the signs and symptoms?

  • Leaking urine when you cough, sneeze, lift, laugh or exercise

  • Feel an urgent need to empty your bladder often which may be associated with triggers such as putting the key in the door or hearing running water.

Some signs and symptoms of other bladder problems include:

  • Urine leakage after going to the toilet

  • Feeling of incomplete emptying of the bladder

  • Increased frequency of urination

How can we help?

If any of the above sounds familiar to you we encourage you to make an appointment to see one of our pelvic floor physios.

First line treatment for urinary incontinence usually involves a supervised pelvic floor program which has been shown to significantly reduce or even completely cure bladder leakage in many cases.

A comprehensive analysis of your bladder habits including frequency, intake, output and urge sensitivity will be completed to indicate whether ‘bladder training’ might also appropriate for your condition. General advice of just try an “hold on” is often not useful and in some cases, can be detrimental.

Assessment of bowel function and pelvic organ prolapse is also part of a standard assessment and is essential in ensuring every aspect of your problem is being addressed.