Women's Health Physiotherapy
Leaking urine when you cough, laugh, sneeze, or exercise is far more common than most people realise, and many women quietly live with it for years. It is common, but it is not something you simply have to accept. Pelvic floor physiotherapy is a well-established, evidence-based way to improve bladder control, and it is delivered here privately, one-on-one.
Many women assume leakage is just a normal part of life after childbirth or with age. It is understandable, but it is not the full picture. The pelvic floor is a group of muscles, and like any muscle group, it can be assessed, retrained, and strengthened. That is exactly what this treatment does.
Pelvic floor physiotherapy can help if you experience:
Stress incontinence is leaking with effort, such as coughing, laughing, or exercise. Urge incontinence is a sudden, hard-to-hold need to go. Many people have a mix of both. The type matters, because the treatment differs, which is why we identify it first.
The pelvic floor supports your bladder, and it can weaken or lose coordination for several reasons: pregnancy and childbirth, the hormonal changes of menopause, ageing, some surgeries, chronic coughing, or long-term straining. Weakness is common, and in most cases it responds well to the right training.
A short, private assessment guides your treatment. It may include:
We assess how well your pelvic floor muscles work, so training is targeted rather than guesswork.
Many people do their pelvic floor exercises incorrectly. We make sure you are activating and relaxing the right muscles properly.
Practical techniques to calm urgency and reduce how often you need to go.
Simple lifestyle and fluid advice that supports your progress.
Tools that make it easier to feel and train the right muscles, if appropriate for you.
These gentle steps often help while you wait for your first visit. They are general guidance, and an assessment makes sure you are using the right muscles.
Gently tighten the muscles you would use to stop passing wind or urine, then fully relax them. Avoid squeezing your tummy, buttocks, or thighs.
Try a few quick squeezes, then a few longer holds, several times a day.
When a sudden urge hits, pause, squeeze the pelvic floor, and let the urge pass before walking calmly to the toilet.
Avoid going just in case too often, and keep your fluids sensible rather than cutting them right down.
If you are not sure you are doing these correctly, or they make things worse, a pelvic health physiotherapist can check your technique.
Better bladder control. The freedom to laugh, exercise, and go about your day without worry. Fewer trips to the toilet. And the confidence that comes from feeling in control of your own body again.
Pelvic floor physiotherapy is recommended as a first-line treatment for many women, because it addresses the cause without medication or surgery. If symptoms do not improve, your doctor may discuss medication or, in some cases, surgical options. Starting with physiotherapy does not close off those choices later.
Pelvic floor muscle training takes consistency, and many women notice meaningful improvement within a few weeks to a few months of regular practice. As with any muscle training, results depend on doing the exercises correctly and consistently, and we will set honest expectations after assessing you.
Once things improve:
When to see a doctor. See a doctor if you notice blood in your urine, pain or burning when passing urine, or a sudden change in your bladder or bowel habits, as these need medical review before physiotherapy.
Questions
It is common, but it is treatable. You do not have to simply put up with it.
Not always, and only if done correctly. Many people target the wrong muscles. A proper assessment ensures your training actually works.
Yes. Sessions are one-on-one in a private, respectful setting, and your dignity is a priority throughout.
Yes. Pelvic floor training can improve bladder control at any age, including after menopause.
Many women see improvement within weeks to a few months of consistent training, though this varies from person to person.
It includes pelvic floor training, but many people squeeze the wrong muscles or never fully relax them. An assessment makes sure your technique is correct and adds bladder retraining where it helps.
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This is a common, treatable problem, and reaching out is the hardest part. Everything after that is handled with discretion and care.