197 - From Leaks to Liberation: Rebuilding Bladder Control, Confidence & Choice

If urinary leaks, urgency, or fear of UTIs have changed how you move, travel, exercise, or live — this episode is for you. In Part 2 of this series, we shift from understanding why urinary changes happen to what actually works to restore bladder control, strength, and confidence in perimenopause and menopause. In this episode, you'll discover: How the bladder and pelvic floor can be retrained at any age Why pelvic floor exercises alone often aren't enough — and what to add The science behind movement, dance, and neuroplasticity for urinary control What research shows about combining pelvic floor therapy, bladder training, and local estrogen When medications are helpful — and when non-antibiotic strategies should come first Alternatives and complements to repeated antibiotic use for recurrent UTIs How to advocate for yourself (and older women) with doctors — using the right language and evidence We also talk openly about starting the conversation across generations — helping mothers, aunts, and grandmothers understand that leaking, infections, and discomfort are treatable medical issues, not personal failures. This episode is about liberation, not limitation — restoring dignity, movement, pleasure, and confidence in midlife and beyond. 🎧 If you haven't listened yet, start with Part 1 to understand the hormonal and anatomical foundations before diving into solutions. 👉 Download your free Menopause Symptom Tracker at nicolevanhattem.com 👉 Work with me as your Menopause Coach for a tailored, whole-body approach