Leaking, Urgency and Pelvic Floor Decline After 40: What Your Doctor Is Not Telling You

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and vaginal estrogen.Listen to understand pelvic floor health without stigma, and women’s health in midlife without outdated assumptions.---------CHAPTERS00:00 – Episode Snippet00:55 – Introducing our guest, Preet Singh01:40 – Why pelvic health is not widely discussed 05:56 – What pelvic health does and doesn’t cover09:12 — Incontinence happens without childbirth10:38 — Pregnancy itself is a risk facto 12:09 – Advertisement: Love, Indus13:43 – Episiotomy use and outcomes16:39 – BMI, lifting and respiratory health19:01 — 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 first30:25 — Bladder changes in perimenopause32:40 — Vaginal estrogen is first-line care33:24 — Belly changes aren’t always “weight”35:17 — Accumulated habits show up in your 40s36:00 – Advertisement: Cozy Earth37:06 — Hot or Hype Segment40:17 — What a pelvic floor exam includes42:56 — Ultrasound helps but has limits44:14 – Treatment options extend far beyond Kegels45:27 — Stress and arousal affect painful sex47:58 – The 40s Formula: Protect time, energy and boundaries in midlifeLinks & Resources: Toilet Meditation: A.I.R.B.A.G. with Shelly Prosko and Amy WheelerSpecial Thanks to Our Sponsors:🥩 The Meat Club – Get $20 off with code TFF20🛏️ Cozy Earth – Sleep comfortably with soft bamboo sheets and cozy pajamas. Use code TFF for 41% off. Free shipping in Singapore over $560 and in the US over $50.❤️ Love, Indus: Get 21% off luxury skincare with code TFF______________Stay Connected:📩 Join our mailing list for exclusive content, our weekly Forty Tude newsletter, expert tips, and early access to giveaways!📘Free Guide — The Forties Formula Ebook: Your simple, honest guide to what’s changing in your 40s — hormones, cravings, energy, strength and more.