#33: Bladder Leaks, Urgency & Painful Sex in Perimenopause with Kirsten DesMarais

<p>Have you suddenly noticed you're running to the bathroom more often, leaking when you sneeze or exercise, experiencing painful sex, or dealing with changes down there that you never had before? In this episode, Jenny sits down with Doctor of Physical Therapy and pelvic health specialist Dr. Kirsten DesMarais to talk about the pelvic and urinary changes that can show up during perimenopause and why changing hormones may be playing a bigger role than you realize.</p><p><br /></p><p>Kirsten talks about what happens to the pelvic floor and vaginal tissues as estrogen changes, why symptoms like urinary urgency, bladder leaks, discomfort, and painful sex can begin or return during this season, and why women shouldn't simply accept these changes as part of getting older. Kirsten also shares how pelvic health physical therapy, strength training, movement, and working with the right provider can help women feel stronger and more confident as they move through perimenopause and beyond.</p><p><br /></p><p><b><strong>The Hormone Reset Project is open for enrollment! We start October 8th, 2026</strong></b></p><p>If anxiety, mood swings, fatigue, poor sleep, or just not feeling like yourself have become your new normal in perimenopause, I want to help. </p><p>Inside the Hormone Reset Project, I’ll walk you through the simple lifestyle habits that can help you feel better without overwhelming you with a million things to change. Enrollment is open now! <b><strong>Learn more at </strong></b><a href="https://www.simplifiedlifestylecoaching.com/hrp" rel="noopener noreferrer nofollow"><b><strong>https://www.simplifiedlifestylecoaching.com/hrp</strong></b></a></p><p><br /></p><p><b><strong>Connect with Kirsten DesMarais here: </strong></b></p><p>Website:<b><strong> </strong></b><a href="https://empowerorthoandpelvichealth.com/" rel="noopener noreferrer nofollow">https://empowerorthoandpelvichealth.com/</a></p><p>Instagram: <a href="https://www.instagram.com/kirstendesmaraisdpt/" rel="noopener noreferrer nofollow">https://www.instagram.com/kirstendesmaraisdpt/</a></p><p><br /></p><p><b><strong>Connect with Jenny here: </strong></b></p><p>Instagram: <a href="https://www.instagram.com/jennyaz_simple/" rel="noopener noreferrer nofollow">https://www.instagram.com/jennyaz_simple/</a></p><p>Facebook: <a href="https://www.facebook.com/SimplifiedLifestyleCoaching" rel="noopener noreferrer nofollow">https://www.facebook.com/SimplifiedLifestyleCoaching</a></p><p><br /></p><p><i><b><s