1 hr ago
Pelvic Floor Problems Can Cause Hidden Urine Leakage
The pelvic floor is a group of muscles that supports organs such as the bladder, uterus and bowel.
If these muscles become weak, urine may leak when someone coughs, jumps, laughs or exercises.
Priya Bhuvad had this problem for almost two years before seeking help.
Doctors found that some of her pelvic organs had moved downward and were pressing into the vagina.
Surgery helped improve her symptoms.
Pregnancy and childbirth can weaken these muscles, but they are not the only causes.
Long-lasting coughing, constipation, obesity and heavy lifting can also put pressure on them.
Exercises and physiotherapy may help, but people need to learn the correct technique.
Women are encouraged not to assume that leakage or pelvic heaviness is a normal part of ageing or motherhood.
Priya Bhuvad, 43, experienced urine leakage during exercise, jumping, dancing and other high-impact activities for nearly two years.
Examinations found bladder and rectal wall bulging into the vagina, along with first-degree uterine prolapse.
Surgery repairing the vaginal walls substantially improved her incontinence and other pelvic floor symptoms after six months.
Indian studies cited in the report found urinary incontinence in 27.1% of women in one 2023 study and 37% of women aged 40 and above in a 2025 study.
Pelvic floor weakness can affect women without childbirth histories and may be linked to chronic coughing, constipation, obesity, heavy lifting or deconditioning.
- Who
- Priya Bhuvad, 43, along with doctors treating and discussing pelvic floor dysfunction in women.
- What
- A report on pelvic floor weakness, urinary incontinence and related symptoms, including Bhuvad's diagnosis and treatment.
- Where
- The cases and medical commentary were associated with hospitals in Navi Mumbai and Mumbai, India.
- When
- Bhuvad experienced symptoms for nearly two years; the report cites studies from 2023 and 2025.
- Why
- Pelvic floor problems may result from pregnancy and childbirth, ageing, hormonal changes, chronic coughing, constipation, obesity, heavy lifting or physical deconditioning.
Key facts
- Patient
- Priya Bhuvad, 43-year-old corporate professional
- Main symptom
- Urine leakage during exercise and other high-impact activities
- Additional findings
- Bladder and rectal wall bulging into the vagina, plus first-degree uterine prolapse
- Treatment
- Surgery repaired the front and back vaginal walls and strengthened tissue between the vagina and anus
- Outcome
- Incontinence and other pelvic floor symptoms improved substantially after six months
- 2023 study
- Urinary incontinence was reported in 27.1% of 118 women aged 20 to 70
- 2025 study
- Urinary incontinence was reported in 37% of 500 women aged 40 and above
Quotes
Dr Surabhi Siddhartha
Consultant obstetrician and gynaecologist at Motherhood Hospital, Kharghar, Navi Mumbai
“Many women believe that urine leakage or a feeling of heaviness after childbirth is a normal part of becoming a mother, so they continue to live with these symptoms for years without seeking medical help or doing muscle-strengthening exercises.”
indianexpress.com
“Somebody who is having a lot of intra-abdominal pressure symptoms, like chronic cough or chronic constipation, and they are pushing all the time — then the pelvic muscles say, give up.”
indianexpress.com









