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Writer's pictureDr. Sarah Kaderka

Urinary Leakage in the Female Athlete – Rediscovering Confidence in Your Workouts



A girl running on a road.

For many female athletes, urinary leakage during workouts is a frustrating and often embarrassing issue. Despite its prevalence, this condition is frequently dismissed as a "normal" consequence of aging or childbirth. This misconception can lead women to accept discomfort and decreased performance, rather than seeking solutions. The good news is that urinary leakage is not something you have to live with, and pelvic floor physical therapy offers effective strategies to help you rediscover confidence in your workouts.


Understanding Urinary Leakage

Urinary leakage most often occurs with physical activity or exertion such as running, jumping, or lifting weights. However, it can also occur during things like sneezing or coughing. These types of things increase pressure on the bladder, causing urine to leak when there is weakness or dysfunction in your pelvic floor muscles. This condition is common among female athletes and can result from various factors:


  1. Pregnancy and Childbirth: The muscles and tissues of the pelvic floor can become stretched, torn or weakened during pregnancy and childbirth, which can lead to incontinence.

  2. Aging: As women age, the pelvic floor muscles may naturally weaken, increasing the risk of leakage.

  3. High-Impact Sports: Activities that involve repetitive jumping, running, or heavy lifting can strain the pelvic floor muscles, leading to incontinence.


The Impact on Female Athletes

Urinary leakage can significantly impact a female athlete’s confidence and performance. The fear of leakage can lead to reduced participation in sports, decreased intensity in workouts, and even complete avoidance of certain exercises. This not only affects physical health but can also take a toll on mental well-being, as the joy of movement and competition is overshadowed by anxiety and embarrassment.


Breaking the Taboo: It's Not "Normal"

It’s important to challenge the notion that urinary leakage is a normal part of being a woman or an athlete. While it is common, it is not something you have to accept or live with. Acknowledging the issue and seeking help is the first step toward regaining control and confidence.


How Pelvic Floor Physical Therapy Can Help

Pelvic floor physical therapy is a specialized form of therapy that focuses on rehabilitating the pelvic floor muscles. Here's how it can help female athletes:


Dr. Sarah educating a client on squatting with a barbell.
  1. Assessment and Education: Your pelvic floor physical therapist will conduct a thorough assessment, including an internal exam, to understand your specific issues and educate you about your pelvic floor muscles.

  2. Tailored Exercises: You'll learn targeted exercises to strengthen the pelvic floor muscles, improve bladder control, and enhance overall core stability.

  3. Lifestyle Modifications: You will be provided with guidance on hydration, diet, and activity modifications to support pelvic floor health.

  4. Functional Training: Integrating pelvic floor exercises into your regular workout routine to ensure your pelvic floor muscles can handle the demands of your sport.



Rediscovering Confidence: Your Journey Starts Here

If urinary leakage has been holding you back, it’s time to take action. Pelvic floor physical therapy offers a pathway to regain control and confidence in your workouts. Don't let misconceptions or embarrassment stop you from seeking help. Schedule your appointment at the Health Lab today to rediscover the joy of movement and the satisfaction of performing at your best.



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