280: Why "Having to Go" Isn't Just About Water (part 2 of Chris's Story)

Chris noticed the bathroom trips increasing first. More frequency, more urgency, and a ready explanation sitting right there: she'd started drinking a lot more water. Made sense. Case closed, as far as she was concerned.Except it kept going. Her body started feeling different as she lost weight, so that got filed under weight loss too. Then constipation showed up, and she was eating more vegetables than she ever had. None of it added up on its own, and none of it seemed serious enough to mention to anyone. She's a nurse. She goes to her appointments. She was paying closer attention to her body than she ever had in her life, and she still spent years explaining away symptoms that had a name she didn't know to ask for.That name is pelvic organ prolapse. Chris talks through what it actually felt like: the frequency, the pressure when sitting, the moment a doctor said the word and she immediately pictured women decades older than herself. She talks about trying a pessary ring and hating it, about deciding to have surgery, and about the shame that kept her from telling anyone outside her husband and her coach.She also shares something her own doctor told her that reframed the whole thing: losing fat means losing estrogen, and estrogen is part of what supports the pelvic floor. Weight loss, perimenopause, and pelvic floor strength were all happening in her body at once, and no one had ever connected those dots for her before.What You'll Learn:Why urinary urgency and frequency during weight loss or perimenopause can point to something other than hydration or hormones aloneHow fat loss affects estrogen levels, and why that matters for pelvic floor supportWhat the three stages of prolapse progression can look like day to day, including symptoms that don't involve painWhy so many women, including women in medicine, never get asked about their pelvic floor at a routine examWhat You Can Do Right Now: At your next appointment, ask directly: is there any sign of pelvic organ prolapse, and how is my pelvic floor doing? Don't wait for the question to come to you. If the answer feels rushed or dismissive, that's information too, and it may be worth finding a provider who will actually engage with it. Caught early, at stage one or stage two, prolapse can often be improved with the right pelvic floor therapy. Chris's case had already progressed past that point by the time it was named.The Listener Takeaway: Chris knew her body better than most people do. She still needed someone else to name what was happening before she could act on it. If something in your body has felt off in a way you've been quietly explaining away, that's worth a direct conversation with your doctor, not another few months of your own theories.Resources:Episode 279: Chris's full story, from her first appointment to over 100 pounds lostEpisode 281: pelvic floor specialist Dr. Mary Alice Vetter joins the show to go deeper on what to ask and what to doTake the Free Quiz to see what might be getting in your wayHey! I love hearing from you. Send me a text. Let me know what resonated with you. I submitted a talk for SXSW 2027: Biohacking Is Just Dieting in a Lab Coat. Community voting runs through August 23rd, and it's part of what determines who gets on stage in Austin next March. If this resonates, I'd love your vote: CLICK HERE. Free account required, takes about a minute. If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.Download your free roadmap at https://elizabethsherman.com/roadmap.