Overactive Bladder, Urinary Incontinence, Interstitial Cystitis and More!

Life can get crazy and off-schedule, but I guarantee that no matter what happens, there is one thing that you will do without a doubt.

You ready? The answer is that you will urinate!

Urinating seems like a simple thing. After all, we naturally do this right out of the womb. However, there are several things that can interfere with this simple bodily function. Things like pregnancy and giving birth (even if it’s via c-section), can have dramatic effects on the pelvic floor muscles and cause problems with urination.

What is the pelvic floor?

The pelvic floor is the group of muscles that run from the front of the pubic bone all the way to the tailbone and acts like a sling supporting the bladder, vagina and rectum. The pelvic floor is responsible for allowing you to be able to urinate effectively. As a medical provider, we used to be taught that the pelvic floor was only affected if a person had several vaginal deliveries. However, we now know that pregnancy alone can affect these muscles, and it only takes 1 delivery to cause some trouble. A Cesarean section does not prevent pelvic flood dysfunction from occurring!

Discussion with a pelvic floor PT

In this conversation I had with Dr. Alicia Jeffrey-Thomas, a pelvic floor physical therapist, we discuss all things bladder, including overactive bladder, urinary incontinence, interstitial cystitis and more!

Here are some conversation highlights

4:00- Why a pregnancy (even just 1) can affect the pelvic floor

9:20- Managing symptoms and feelings of having a urinary tract infection (UTI) when it isn’t actually a UTI

11:25- Why kegels don’t cure everything

12:38- Pelvic bladder prolapse

15:28- Repairing a woman’s muscles, especially if she isn’t done having children

18:30- How lifestyle like certain beverages contribute to overactive bladder

22:45- Helping those who have urinary incontinence

27:45- Interstitial cystitis and how bowel movements can affect bladder health

31:08- Ways to improve bowel health and function

One of the interesting things we chat about at about minute 31:08 is how you can improve your bowel health as a way to improve your bladder function. One of the items Dr. Alicia recommends is a step stool to use at the toilet. I couldn’t agree more! My favorite is the squatty potty. Go to my Amazon Store to look at other recommended products! (This is an affiliate link. As an Amazon Associate, I earn a commission from qualifying purchases.)

Connect with Dr. Thomas

You can learn more and connect with Dr. Alicia on Instagram: @thepelvichealthladies!


Bladder health is vital, and if you feel like you’re having difficulties like those in our discussion, don’t be afraid to speak with your doctor about it. It is not something to be embarrassed about. Your healthcare provider is there to provide you with the care and resources you need!

Frequently Asked Questions

What are your qualifications?

I am a double board certified ObGyn and Maternal-Fetal Medicine Specialist. I have worked at a large academic center in academic medicine as a clinician, educator and researcher since 2004.  I am currently a tenured Professor and actively manage patients with high-risk pregnancies.

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Please send me an email.
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I do not do private consults or review medical records submitted by patients.

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Yes! Please email me for more info.