Perimenopause Nocturia & Dissappearing Labia?! Pelvic Floor PT, Vaginal Estrogen, UTIs, and Painful Sex with Dr. Heidi | Period Coaching
In this period coaching episode, the hosts talk with pelvic floor physical therapist Dr. Heidi about why many women in perimenopause and menopause start waking up at night to urinate (nocturia), how estrogen reduction, weight gain, fluid retention/edema, medications, and bladder “training” habits can contribute, and why nocturia is a hallmark symptom of overactive bladder.
They discuss practical support including bladder diaries, bladder retraining, pelvic floor PT, managing intraabdominal pressure, fall risk when rushing to the bathroom, timing and types of fluids, and common bladder irritants such as caffeine, carbonated/citric drinks, acidic/spicy foods, chocolate, and alcohol (including red wine).
Dr. Heidi explains benefits of topical vaginal estrogen for GSM symptoms, UTIs, and postpartum recovery, addresses painful sex with lube, moisturizers, stress/tension work, and position modifications, and clarifies social media claims about labia minora shrinking with age. Dr. Heidi shares her daily non-negotiable: walking outside with her dog, and where to find her at heydrheidi.com.
00:00 Welcome and Introductions
00:24 Why Nighttime Peeing Happens
02:01 Weight Fluid and Comorbidities
03:19 Bladder Habits and Training
07:19 Urgency Leaks and Fall Risk
08:47 Perimenopause Timing and Estrogen
09:35 Vaginal Estrogen and UTI Prevention
12:29 Where to Start Treatment
14:59 Diet Triggers and Caffeine Timing
18:17 Hydration Timing and Electrolytes
22:11 Alcohol Cannabis and Bedtime Tips
26:38 Nighttime Pee Anxiety
28:51 Lube and Estrogen Basics
30:11 Pelvic Floor PT Tools
33:01 Moisturizers vs Lube
35:02 Labia Changes Explained
38:02 HRT and GSM Layering
39:10 Daily Nonnegotiable Walk
41:36 Nature Talk Bears Gators
45:29 Lightning Round Wrap
Todays episode is sponsored by:
Period Coaching School and Katie Bressack Wellness.
Email us: [email protected]
PeriodCoachingSchool.com
@StashaWashburn
Charting with Stasha https://ThePeriodCoach.com/etrc
Eating For Your Hormones Guide https://katiebressack.com/freegift/
The Revolution Will Be Bloody https://ThePeriodCoach.com/Revolution
Bloody Brilliant Business https://PeriodCoachingSchool.com/Bloody-Brilliant-Business-book
Eating For Your Hormones Recipe Book https://katiebressack.com/hormone-balancing-recipe-book/
Theme music composed, recorded, performed, engineered, mixed and mastered by Ted Wulfers 663 Sound