Leaking when you sneeze, laugh, or run is common, but it's not something you have to accept as a permanent part of your life. Pelvic floor therapy addresses the root cause, not just the symptoms.
1 in 3 women experiences urinary leakage at some point in their lives. Most of them have never told their doctor. If you've been quietly managing with pads, cutting back on water, or avoiding activities you love, that's your signal that it's time to do something about it.
Signs and Symptoms
If you’re nodding at more than a few of these, your pelvic floor is asking for attention.
Leaking when you sneeze, cough, laugh, or exercise
Rushing to the bathroom and not always making it in time
Leaking during sex or with position changes
Going to the bathroom "just in case" out of habit
Wearing pads or liners daily
Avoiding trampolines, jumping, or high-impact workouts
Waking up multiple times at night to use the bathroom
Root Cause
Urinary leakage (also called urinary incontinence) happens when the pelvic floor muscles and supporting structures can’t manage the pressure placed on the bladder. There are two main types: stress incontinence (leaking with physical activity or movement) and urge incontinence (a sudden, intense urge that’s hard to control). Many women experience both.
Pelvic floor weakness is often the culprit, but tightness can also cause leakage. An overactive or poorly coordinated pelvic floor struggles to respond correctly when pressure increases suddenly, like with a cough or a jump. Hormonal changes during pregnancy, postpartum recovery, perimenopause, and menopause all affect pelvic floor function and can make leakage worse over time.
The good news: the pelvic floor is a group of muscles. Muscles can be retrained.
Your Treatment
Pelvic floor physical therapy is one of the most effective evidence-based treatments for urinary leakage, and it works for both stress and urge incontinence. Your doctor starts with a thorough assessment to understand what's actually driving your leakage, because a weak pelvic floor and a tight pelvic floor require completely different approaches.
Your Path to Relief
A clear, supportive process designed to meet you where you are with guidance every step of the way
Our Services
We offer a flexible approach to pelvic health that adapts to your life. Each service is designed to address root causes and build lasting strength.
One-on-one virtual pelvic floor physical therapy for women who want expert care and accountability from anywhere.
Hands-on pelvic floor physical therapy in Orange County for those ready to resolve pain, bladder issues, and pelvic dysfunction.
Evidence-based strength and nutrition coaching designed to help you improve body composition and rebuild confidence, without sacrificing your hormones, gut health, or your social life.
It’s common, but it’s not normal, and it’s not something you have to live with. Urinary leakage is a sign that the pelvic floor isn’t functioning optimally. With the right treatment, most women see significant improvement regardless of how long they’ve had symptoms.
Yes, and here’s why: Kegels only work if pelvic floor weakness is the problem. Many women who leak actually have an overactive or poorly coordinated pelvic floor, and Kegels make it worse. A proper assessment identifies exactly what’s happening so the treatment actually fits the problem.
Yes. Virtual sessions are effective for most cases of urinary leakage. your doctor guides you through assessment, education, and a personalized exercise program, all without leaving home. In-person sessions are also available for patients in California.
Most patients notice improvement within 4-6 sessions. Full results typically come with a complete program of 8-12 sessions, though this varies depending on how long you’ve had symptoms and other contributing factors.
Leaking isn’t something you have to manage around forever. A free consultation is the first step to figuring out what’s actually driving it.
