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Pelvic floor and leaking

Leaking, heaviness and pelvic floor weakness — common, and usually treatable.

Reviewed by

Dr. Jigna Jasoliya
GMC Reg. G/25348 · Updated October 2026

Leaking a little urine when you cough, laugh or lift is common after childbirth and around the menopause. Many women put up with it for years. It is usually treatable, and often without surgery.

What is happening

The pelvic floor muscles support the bladder, uterus and bowel. When they or the surrounding tissue are stretched or weakened, a sudden rise in pressure — a cough, a jump — lets a little urine escape. This is stress incontinence. A sudden, urgent need to pass urine is a different problem with different treatment, and some women have both.

What helps

First, an assessment. Then, for most women, pelvic floor exercises taught properly — many women do them wrongly without knowing. Treating constipation, a chronic cough or excess weight helps too. If that is not enough, there are further options, from PRP and laser to surgical repair, and we will explain which fits your situation.

See a doctor promptly if

There is blood in your urine, pain passing urine, repeated infections, constant leaking, a bulge in the vagina, or difficulty emptying your bladder.

Who you will see

Every procedure in this unit is performed at Pearl by Dr. Jigna Jasoliya and Dr. Hardik Vansjaliya together, with female staff present throughout.

Questions we are asked most

Is leaking after childbirth normal?

It is common, but you do not have to live with it. It is worth having it assessed.

Will I need surgery?

Most women do not. Exercises and simple changes are tried first.

Will anyone else know why I came?

No. Consultations in this unit are private, your records are confidential, and the front desk books the visit as a gynaecology consultation. You do not have to explain your reason to anyone but the doctor.

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