Bladder Changes and Pelvic Health in Your 40s: What Women Aren’t Told

Are you dealing with bladder urgency, urinary incontinence, or painful sex in your 40s? You are not alone.

In this episode of The Forties Formula, we dive deep into pelvic floor dysfunction—the invisible health crisis affecting women in perimenopause and beyond.

Most women prepare for wrinkles and hot flashes, but few are taught about pelvic health. We sit down with PREET SINGH, a pelvic health physiotherapist, to discuss the symptoms women rarely talk about: leaking when sneezing, constipation, and changes in sexual health. We break down why kegel exercises aren't always the answer and explore real treatments like pelvic physio and vaginal estrogen.

Listen to understand pelvic floor health without stigma, and women’s health in midlife without outdated assumptions.

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CHAPTERS

00:00 – Episode Snippet

00:55 – Introducing our guest, Preet Singh

01:40 – Why pelvic health is not widely discussed

05:56 – What pelvic health does and doesn’t cover

09:12 — Incontinence happens without childbirth

10:38 — Pregnancy itself is a risk facto

12:09 – Advertisement: Love, Indus

13:43 – Episiotomy use and outcomes

16:39 – BMI, lifting and respiratory health

19:01 — Correct bowel posture reduces strain

23:06 —Is holding your pee bad for your pelvic floor?

25:29 — Fuel Your Forties: How does food impact your pelvic health?

27:21 — Perimenopause alters hormones first

30:25 — Bladder changes in perimenopause

32:40 — Vaginal estrogen is first-line care

33:24 — Belly changes aren’t always “weight”

35:17 — Accumulated habits show up in your 40s

36:00 – Advertisement: Cozy Earth

37:06 — Hot or Hype Segment

40:17 — What a pelvic floor exam includes

42:56 — Ultrasound helps but has limits

44:14 – Treatment options extend far beyond Kegels

45:27 — Stress and arousal affect painful sex

47:58 – The 40s Formula: Protect time, energy and boundaries in midlife

Links & Resources: Toilet Meditation: A.I.R.B.A.G. with Shelly Prosko and Amy Wheeler

Special Thanks to Our Sponsors:

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