How do you help women treat these symptoms?
First, I look for conditions that are unique stressors to that person. If, for example, they put on weight over time, it’s time to be honest about that impact over time.Also, it is important to identify chronic diseases that cause a cough, like asthma, allergies or, or acid reflux. While a chronic cough might not seem like a big deal, this intermittent pressure on the pelvic floor can add up over time. The cumulative impact on the pelvic floor can lead to leakage. We can try to control these conditions by changing your diet or consulting a pulmonologist for an inhaler.
I also provide guidance about working out and doing kegels. That’s easily accessible to most people. When you think about it, it’s intuitive and they understand how to do them. So I have patients start there while multi-tasking weight loss and management of chronic conditions that impact the pelvic floor. After this 3 step approach we can reassess their progress and decide next steps.