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Listen to understand pelvic floor health without stigma, and women’s health in midlife without outdated assumptions.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