Q. Since having my two children who are aged two and five, I have suffered quite badly from bladder weakness. It’s getting me down as I feel nervous about sex and also I feel quite tender ‘down there.’ I am using pads during the day but can you recommend any treatments or self-help therapies I can start to improve my condition?
This type of urinary problem is very common in women after childbirth. It is called stress incontinence and is due to pelvic floor weakness.
Typically urine is leaked during exercise, coughing, sneezing and sometimes sex.
It is successfully treated with physiotherapy in 70% of women, which strengthens the pelvic floor muscles. These are similar to the exercises recommended after childbirth.
The key is to be consistent- approximately five minutes of exercises 6-10 times per day. A significant improvement will be seen in a matter of weeks.
However this condition is not usually associated with soreness in the vaginal area and perhaps a consultation with a doctor might be helpful.