For those assigned female at birth, sport and exercise is more than just a way to stay healthy—it’s a source of joy, connection and empowerment.

No one wants to experience bladder or bowel incontinence, rushing to the toilet or difficulties emptying, prolapse, pelvic pain or pain with sex. Unfortunately, these issues are common across all genders and substantially impact physical, emotional, social and financial health and wellbeing. There is often associated stigma, leading to people suffering in silence, thinking it is normal or that nothing can be done to help.

In Australia, over 7.2 million Australians are affected by urinary leakage or incontinence – 2.4 million men and 4.8 million women. That’s a staggering 1 in 3 women and 1 in 10 men having difficulty controlling their bladder.

Waking overnight to urinate, also known as nocturia, can be annoying and frustrating, resulting in you feeling tired and unrefreshed. Many people assume urinating overnight is a normal part of ageing, but this isn’t necessarily true. Nocturia may be a sign of other underlying health problems.

Overactive bladder (OAB) is a common condition affecting up to 10-20% of men & women, affecting people of all ages, with most over the age of 40. It is under diagnosed and under treated because people incorrectly assume it is an inevitable part of ageing or nothing can be done to help.

Prostate cancer is the most commonly diagnosed cancer in Australia. Each year, over 24,000 men are diagnosed, where most men are over the age of 50. Chances are, most people will know, or know someone who knows someone who has been diagnosed with prostate cancer.

It may appear a little strange to write a blog about breathing, when it is something that we do 24 hours a day, 7 days a week and have been doing so consciously and subconsciously since we were born! However, just because breathing is automatic, it doesn’t mean that we do it effectively! Many people hold their breath without realising, they breathe into their upper chest only, or they don’t breathe in and out all the way. Being more aware of your breath and optimising the way you breathe can have a profound impact not only on your pelvic health, but your health in general.

Bladder Pain Syndrome (BPS) is defined as persistent pain for greater than 6 weeks, in the bladder, urethra or perineal area (the area between your pubic bone and tailbone) that isn’t caused by an infection. People with BPS will often have a strong and regular urge to urinate.

A condition we often see in men and women is shy bladder syndrome (aka paruresis), a term used to describe people who find it difficult or impossible to urinate near other people. This is quite a common social phobia, secondary only to the fear of public speaking. It often begins at school, and symptoms can vary in different situations – eg. going to a public toilet where there are others around (ie school, restaurant, the MCG!) can be quite challenging for people with this condition!

Bladder leakage is an unfortunate side effect of surgery for prostate cancer. At WMHP we are passionate about helping men regain bladder control after surgery, and also in teaching other health professionals how to best manage this condition.