Urinary incontinence is the loss of bladder control that can cause leakage during everyday activities such as coughing, laughing, exercising, or feeling a sudden urge to urinate. While many women are told this is a normal part of aging or childbirth, it is a treatable medical condition with several effective treatment options.

Pelvic organ prolapse occurs when the muscles and connective tissues supporting the pelvic organs weaken, allowing the bladder, uterus, or rectum to shift downward in the vagina. Women may notice pelvic pressure, a feeling of vaginal bulging, or difficulty emptying the bladder. Effective treatment options are available.

Anal incontinence is the loss of bowel control that can cause unexpected leakage of stool or gas. This condition may develop after childbirth, pelvic floor injury, nerve damage, or other medical conditions. Although many women feel embarrassed discussing these symptoms, treatment can significantly improve daily comfort and confidence.

Hormonal changes during perimenopause and menopause can affect the bladder, pelvic floor tissues, and vaginal health. Lower estrogen levels may contribute to urinary urgency, vaginal dryness, and discomfort with intimacy. Thoughtful evaluation and treatment can help support pelvic health and overall well-being during this stage of life.

Many pelvic floor conditions can improve with non-surgical therapies that focus on restoring pelvic floor function and improving bladder habits. Conservative treatments may include pelvic floor physical therapy referrals, lifestyle adjustments, and vaginal support devices. These approaches are often the first step in treatment.

Minimally invasive procedures can provide effective symptom relief with little downtime. Treatments may include Botox for overactive bladder, Bulkamid, and Slings for stress urinary incontinence. These procedures are typically performed in an outpatient setting.

For patients with more significant symptoms, surgical treatments can provide durable and highly effective results. Procedures may include vaginal, laparoscopic, and robotic prolapse repairs, sacral neuromodulation for bladder and bowel incontinence, and pelvic mesh excisions. Treatment plans are carefully tailored to each patient’s needs and goals.

Hormonal changes during perimenopause and menopause can affect bladder function, pelvic floor tissues, and vaginal health. UroLuxe offers thoughtful evaluation and evidence-based hormone therapy when appropriate to help improve symptoms, support pelvic tissue health, and promote long-term well-being.

Pregnancy and childbirth place extraordinary demands on the pelvic floor. The muscles, connective tissues, and nerves that support the bladder, uterus, and rectum stretch significantly to allow delivery. While many women recover well, these changes can alter the pelvic support system in ways that may influence pelvic health for years to come.

Despite how important this phase is for pelvic health, many women receive little guidance about recovery or prevention of pelvic floor symptoms. Dr. Adams believes this gap in care deserves greater attention. Through a sister company to UroLuxe called Core & Floor, she provides education, recovery programs, and telehealth consultations designed to support women during pregnancy and the postpartum period, helping rebuild the core and pelvic floor system early in life.

After childbirth, many women enter a phase where pelvic floor symptoms are minimal or absent. Life is busy: careers, families, and daily responsibilities often take priority, and pelvic health may not be top of mind. During this time, the body frequently compensates for the changes that occurred during pregnancy and birth. Muscles may work harder, breathing patterns may shift, and connective tissues adapt to maintain pelvic support.

Although everything may feel normal, the pelvic floor system is often functioning differently than it did before pregnancy. These subtle changes can remain unnoticed for many years, which is why pelvic floor symptoms sometimes seem to appear suddenly later in life.

Dr. Adams believes this stage of life presents an important opportunity for education and prevention. Through Core & Floor, a sister program to UroLuxe, she provides guidance designed to help women reconnect with their core and pelvic floor system, supporting long-term pelvic health before symptoms develop or worsen.

For many women, pelvic floor symptoms begin to appear during midlife. This is often the result of changes that have been developing for years after pregnancy and childbirth. Over time, connective tissues lose strength and muscles that have been compensating may become less resilient.

At the same time, hormonal changes during perimenopause and menopause affect pelvic tissues. Estrogen receptors are present in the vagina, urethra, bladder, and pelvic connective tissue. As estrogen levels decline, these tissues become thinner and less elastic, which can contribute to symptoms such as urinary leakage, pelvic pressure, urgency, or prolapse.

At UroLuxe, Dr. Adams specializes in helping women understand, prevent, and treat pelvic floor symptoms during this phase of life.

Pelvic floor disorders occur when the muscles and connective tissues that support the bladder, uterus, and rectum are no longer able to maintain normal function. This can lead to symptoms such as urinary leakage, pelvic pressure, anal incontinence, overactive bladder, or pelvic organ prolapse.

Although these symptoms may appear suddenly, they are often the result of changes that have developed over many years following pregnancy, childbirth, and hormonal transitions later in life.

At UroLuxe, Dr. Adams specializes in evaluating and treating pelvic floor disorders.

Treatment starts with a telehealth consultation and may lead to:
-In person office visit
-Physical Exam
-Pelvic floor physical thearpy referral
-Bladder function testing
-Surgical consultation