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Episode Description
Bladder leaks, urgency, painful sex, and nighttime bathroom trips affect millions of women — yet many feel too embarrassed to talk about them, even with their doctors.
In this episode, Dr. Mary sits down with pelvic floor physiotherapist Lindsay Geddes to unpack what the pelvic floor actually is, how hormonal shifts in perimenopause and menopause affect pelvic tissues, and why symptoms like bladder leaks and discomfort during sex often appear in midlife. Lindsay also breaks down one of the biggest myths in women's health — that Kegels are the answer for everyone — and explains why they can sometimes make symptoms worse.
They explore how injuries, posture, muscle imbalance, and nervous system patterns all influence pelvic floor function, and share simple breathing and movement strategies women can start using today to support pelvic health and regain bladder confidence.
In This Episode:
• What the pelvic floor actually does — and why hormonal shifts in perimenopause directly affect bladder and pelvic tissue
• Why Kegels aren't the answer for everyone (and can sometimes make symptoms worse)
• How posture, breathing, and nervous system patterns influence pelvic floor function — and simple strategies to start restoring bladder confidence today
Links & Resources
Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.
Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.
You can watch each episode on YouTube.
Watch my FREE MasterClass designed to help women 35-65 understand how to rebalance their bodies, overcome hormonal symptoms & lose weight using natural, science-based approaches they won't hear about in most doctor's offices or online.
Transcripts of all episodes can be found here.
Where to Find Lindsay Geddes
- Follow her on Instagram at @lindsaygeddespt
- Join her Free Facebook Community: Women’s Natural Bladder Support: Leaks, Incontinence, OAB, Urge, Frequency
- And check out her Free Masterclass: The Bladder Confidence Solution
Connect with Me:
Newsletter: https://www.drmarypines.com/newsletter
Linkedin: linkedin.com/in/dr-mary-pines-phd
Disclaimer: The content shared on this channel is for educational and informational purposes only and does not constitute medical advice. Nothing here is intended to replace the guidance of your physician, licensed healthcare provider, or any information accompanying a product you've been prescribed or recommended. Do not rely on this content to diagnose or treat a health condition, or to make decisions about medication or other therapies.