208- Connected Through Menopause Ep 2: Why Am I Suddenly Leaking? // Understanding Bladder Changes During Menopause

208- Connected Through Menopause Ep 2: Why Am I Suddenly Leaking? // Understanding Bladder Changes During Menopause

Author: Dr. Desiree Cassell | Pelvic Floor Physical Therapist, Women’s Health Specialist, Strong and Fit Momma September 14, 2026 Duration: 24:44
You used to be able to jump, sneeze, run, or make it home from Target without thinking twice about your bladder… And now? You’re leaking. You’re peeing “just in case.” You know exactly where every bathroom is. Or the second you pull into your driveway your bladder suddenly decides THIS IS AN EMERGENCY. 😂 What the heck changed?! In Part 2 of the Connected Through Menopause series, we’re talking specifically about the bladder changes that can show up—or become more noticeable—during perimenopause and menopause. And while hormonal changes can absolutely be part of the conversation, they aren’t necessarily the whole story. We’re talking about different types of bladder symptoms, some of the habits we develop in response to those symptoms, and why blindly adding more Kegels isn't always the answer. Most importantly, I want you to walk away knowing that while bladder changes may be common during this season of life, common does not mean you simply have to accept them. In This Episode We Explore Why bladder symptoms may appear or change during perimenopause and menopause Why leaking isn't the only bladder symptom worth paying attention to The difference between leaking with coughing, sneezing, jumping or exercise and that sudden “I HAVE TO GO” urgency How hormonal and tissue changes can play a role in urinary symptoms Why menopause isn't necessarily the entire explanation How habits like peeing “just in case,” restricting fluids, constantly bracing, or avoiding movement can become part of the bigger picture Why the same symptom doesn't always mean the same solution Why “just do Kegels” may be missing important information What your bladder patterns may be telling you How to start getting curious about your symptoms instead of assuming they're just part of getting older Why This Matters One of the biggest things I want women to stop believing is: “Well, I guess this is just what happens when you get older.” Yes, your body changes during perimenopause and menopause. And yes, those changes can affect your bladder, pelvic floor, vaginal and urinary tissues, strength, and the way your body responds to movement. But experiencing a common symptom doesn't mean you have to ignore it. It also doesn't mean every woman experiencing leaking or urgency needs the exact same solution. If two women are both leaking, but their bodies, symptoms, habits, movement patterns, and circumstances are different… Why would we automatically give them the same exercise? Understanding what's actually happening gives us much better information about what your body may need. The Big Takeaway Instead of immediately trying to fix your bladder this week, become a bladder detective. 🕵️‍♀️ Start noticing: When does urgency show up? When do you leak? Does it happen with coughing, sneezing, lifting, jumping or running? Are you going to the bathroom because you actually need to—or because you happen to see one? 😂 Are you constantly peeing “just in case”? Are you holding your breath or gripping during the movements that trigger symptoms? Have your symptoms recently changed? You don't need to obsess over every trip to the bathroom. We're simply looking for patterns. Because your symptoms are information. And once we understand the information, we can make more intentional decisions about what to do with it. Understand before you strengthen. 🌿 Ready to Understand the Bigger Picture? If you're listening to this thinking: “Okay…but how do I know what's actually happening in MY body?” That's exactly why I created Healing Beyond Kegels. Healing Beyond Kegels is my FREE pelvic floor masterclass designed to help you stop guessing, Googling random exercises, and wondering whether you're doing everything right—and start understanding the bigger picture of how your pelvic floor, core, breath, movement, and body work together. Because your pelvic floor isn't working alone. And healing is about so much more than finding the “perfect” Kegel. 🌿 Healing Beyon

There's a lot of noise out there about "bouncing back" after having a baby, often centered on intense workouts and restrictive diets. Pelvic Floor, Core & More | Healing Beyond Kegels cuts through that clutter with a different, more sustainable approach. Hosted by Dr. Desiree Cassell, a pelvic floor physical therapist and women's health specialist, this podcast is a resource for mothers at any stage-whether you're preparing for birth, navigating the early postpartum months, or years beyond and still dealing with the lingering effects of pregnancy. The conversations here move far beyond basic Kegel exercises, diving into practical core rehabilitation, nervous system regulation, and holistic self-care strategies that fit into a real, busy life. You'll hear about functional movements that build strength without fear, ways to prepare your body for labor with confidence, and compassionate guidance for the long journey of postpartum recovery. Dr. Cassell brings her professional expertise and personal experience as a strong and fit momma to every episode, offering actionable advice that prioritizes feeling capable and healthy over adhering to punishing routines. This is a space where the complexities of the female body are honored, not rushed, providing a sense of community and grounded knowledge for anyone looking to heal and thrive through motherhood.
Author: Language: English Episodes: 50

Pelvic Floor, Core & More | Healing Beyond Kegels: Core Rehab, Prenatal Fitness, Birth Prep, Postpartum Recovery, Nervous System Regulation, and Holistic Self-Care for Moms
Podcast Episodes
207- Stop Trying to Fix Your Posture // Start Listening to Your Body [not-audio_url] [/not-audio_url]

Duration: 21:29
Sit up straight. Pull your shoulders back. Tuck your pelvis. Engage your core. Stop slouching. Sound familiar? 😂 We've been taught to think about posture as either “good” or “bad”—and that if we could just hold our bodie…