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Pelvic Floor Problems Can Cause Hidden Urine Leakage

Pelvic Floor Problems Can Cause Hidden Urine Leakage
She leaked urine whenever she exercised: How a 43-year-old discovered a hidden problem · indianexpress.com

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.

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

Sources

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