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

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Listen to understand pelvic floor health without stigma, and women’s health in midlife without outdated assumptions.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