The menopause and perimenopause can bring with it problems associated with pelvic floor dysfunction. The menopausal years can span any time from 45-55 years. The perimenopause can occur for many years before this while women are still having their monthly cycles. Some women who go through an early menopause could experience symptoms at a much younger age.

Reduced levels of oestrogen starting around menopause can cause thinning of the lining of the urethra, the short tube that passes urine from the bladder out of the body. In addition, the surrounding pelvic muscles also may weaken with aging, a process known as “pelvic relaxation.” As a result, women at midlife and beyond are at increased risk, or an exacerbation of pre-existing, stress and urge incontinence.

What is your pelvic floor?

Your pelvic floor muscles are a broad sling of muscles, like a trampoline, stretching from your pubic bone at the front of your pelvis to your coccyx (tail bone) at the back. They form the floor of your pelvis and are responsible for:

  • Supporting your pelvic organs – your bladder, bowel and womb
  • Controlling your bladder, bowel and sexual functions

Experiencing urinary incontinence (leakage) should not be accepted as normal at any point in a woman’s life. Below are the different types of incontinence.

exercise-and-pelvic-floorStress Incontinence

Stress incontinence is the most common type of incontinence and is when urine leaks during activities such as coughing, sneezing, lifting and during exercise. It occurs because the pelvic floor muscles become weak and are unable to cope with the rise in abdominal pressure associated with these activities. Weakness of these muscles can happen because of childbirth, chronic constipation, persistent coughing and around the menopause and perimenopause.

Urgency and Urge Incontinence

Urgency arises when your bladder needs to be emptied in a great hurry. Sometimes the urge to pass water is so strong that leakage happens before you get to the toilet. This is called urge incontinence. This relates to the size of your bladder, how much it holds, and how it is trained to respond. Mixed bladder leaking describes a combination of stress incontinence and urge incontinence.

Heres just a few ways we can help here at Emma James Physio:



Special offers:

My Pelviva

Pelvic Floor muscle trainer with reactive pulse technology

Pelviva is an award winning, life changing, Pelvic Floor muscle re-trainer that uses a specially developed stimulation programme to treat the symptoms of bladder leakage in women.

The Pelviva treatment programme exercises your Pelvic Floor muscles to prevent bladder leaks when you laugh, sneeze, cough or exercise and to help you hold on when you urgently need the toilet.

Receive 10% off purchase price when you use the code EmmaJames at checkout when you purchase online.

Visit the Pelviva Website for more details and how to buy.

Secret Whispers

secret-whispers-logo-webSecret Whispers ™ was born after its founder Julie discovered that there were no adequate products available to help improve her pelvic floor and a lack of information available. The importance of pelvic floor exercises is often not discussed and crucially women are not given enough information about it.

Secret Whispers ™ is a pelvic floor toner for women. Its 6 Step Pelvic Floor Exercise Strengthen & Tighten Your Pelvic Floor Fast. It helps with – pregnancy, childbirth, incontinence and bladder control.

Secret Whispers ™ pelvic floor packs are available to purchase from our main Emma James Physio clinic. Please ask at reception for details. You can also purchase online,

Click here to Purchase Secret Whispers Products

Heres a useful guide to the pelvic floor, supported by

lisaAsk our friendly staff for more information and how to book your place.


Blog post by Lisa
Senior Physiotherapist

Emma James Physio

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