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Leaking when you sneeze. Rushing to the bathroom and still not making it. Sex that hurts and somehow gets framed as “just part of getting older.” We’re done accepting that narrative, and we brought in a specialist who lives in the quality-of-life space every day: urogynecologist Dr. Kana Kanajao.

We talk about what a urogynecologist actually treats and why pelvic floor health belongs on every woman’s care team, especially in perimenopause and postmenopause. Dr. Kanajao breaks down stress urinary incontinence in plain language, then walks through the real-world options: Kegel work, pelvic floor physical therapy, urethral bulking, and the gold-standard sling procedure. We also dig into how life logistics matter, like recovery time, lifting restrictions, and why some treatments are easier to fit into a busy schedule.

Then we shift to urgency and frequency, including the term “bathroom mapping” and what it can signal about overactive bladder. We cover common triggers like bladder irritants (hello, venti coffees and bubbly drinks), plus risk factors like chronic constipation and heavy lifting. Finally, we talk hormones and tissue health, including why vaginal estrogen can be a game-changer for some women and why you deserve a plan that matches your goals, not a pad aisle workaround.

If this hits close to home, share this with a friend who’s been told to “just deal with it,” and make sure you subscribe and leave us a review so more women find these options sooner.

This podcast is for informational, educational, and entertainment purposes only and does not constitute medical, legal, or other professional advice.

Listening to this podcast does not establish an APRN-patient or provider-patient relationship. Content on this show is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your personal, in-person healthcare provider—who knows you and your medical history best—with any ques

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