The Pelvic Health Lady

The Pelvic Health Lady Welcome to The Pelvic Health Lady. My name is Madelaine and I am a pelvic floor physiotherapist that supports men and women with unruly bladder symptoms.

Symptoms such as bladder urgency, frequency, leakage, overactive bladder, bladder prolapse, or pain.

09/02/2026

Men, did you know you have pelvic floor muscles down there? šŸ‘€

Most men have never had a reason to think about the muscles involved in something as automatic as p*eing, pooping, or sexual function.

Until something starts to go haywire.

Suddenly youā€™re hearing words like pelvic floor and Kegels and wondering where these muscles even are. šŸ˜…

In this video, Iā€™m taking you on a quick anatomy tour. Iā€™ll show you:

šŸ‘‰ The 3 layers of the male pelvic floor
šŸ‘‰ The 5 important functions these muscles perform
šŸ‘‰ How problems with these muscles may contribute to pelvic symptoms

Why does this matter?

Because if you develop bladder, bowel, sexual, or pelvic symptoms, I want you to know that pelvic floor physiotherapy is an option worth considering.

Sometimes the pelvic floor isnā€™t the whole problemā€”but it may be an important piece of the puzzle.

Follow along for more practical menā€™s pelvic health education.

08/30/2026

Gentlemen: Waking up to p*e 3ā€“4 times a night? Donā€™t automatically blame your prostate. šŸŒ™šŸš½

Nighttime urination, also called nocturia, can have many different causes.

You might be:
šŸ’§ Drinking too much fluid later in the evening
šŸš½ Emptying your bladder frequently or ā€œjust in caseā€
šŸ“‰ Holding smaller amounts of urine in your bladder
šŸ˜“ Waking because of a sleep disorder such as sleep apnea
šŸ©ŗ Experiencing a medical condition that increases nighttime urine production

And sometimes, thereā€™s more than one factor involved.

If youā€™re regularly waking 3ā€“4 times a night to urinate, itā€™s worth discussing with a healthcare provider. A proper assessmentā€”including something as simple as a bladder diaryā€”can help determine whatā€™s actually driving those nighttime trips.

Your nighttime p*eing is a symptom. The next question is why?

08/28/2026

Peeing too often?

Drinking less water isnā€™t always the answer. šŸ’§šŸš½

When youā€™re constantly dealing with urgency and frequency, it makes sense to think:

ā€œIf I drink less, Iā€™ll p*e less.ā€

But significantly cutting back on fluids can make your urine more concentratedā€”and for some people, concentrated urine may aggravate an already sensitive bladder.

The goal isnā€™t necessarily to drink less. Itā€™s to figure out the right amount, timing, and types of fluids for your bladder.

And if your bladder seems to react to everything?

Pelvic floor physiotherapy can help with sensitive bladders, including looking at bladder habits, pelvic floor function, urge-management strategies, and whether bladder retraining is appropriate for you.

So before you blame the waterā€¦ šŸ¦šŸ’¦
Letā€™s take a closer look at the bladder.

Link in bio to book

08/24/2026

Gentlemen: A weak urine stream doesnā€™t automatically mean an enlarged prostate. šŸš¹

Noticing that your flow isnā€™t quite what it used to be?

Itā€™s easy to assume: ā€œIt must be my prostate.ā€

But a weak or slow stream can have different contributors, including an obstruction, how well your bladder muscle is contracting, and whether your pelvic floor is relaxing and coordinating properly when you p*e.

And thatā€™s why figuring out the why matters.

A pelvic floor physiotherapist can assess your pelvic floor and explore bladder function and habits.

Your medical doctor or urologist can investigate bladder function and determine whether an obstruction or another medical issue may be contributing.

Sometimes we need both sides of the picture.

Donā€™t just assume its just age or the prostate. Get an evaluation.

šŸ‘‰ Follow along for more menā€™s bladder and pelvic health education.

08/24/2026

Me heading to the bathroom for the 4th time before my flight because my bladder has trust issues. šŸ¦āœˆļøšŸš½

Sound familiar? šŸ˜‚

Travel has a funny way of bringing out all those ā€œjust in caseā€ bathroom trips.

Before boarding.
After security.
Before getting in line.
And maybe one more timeā€¦ just to be safe.

It makes senseā€”nobody wants to be trapped in their seat with a bladder emergency.

But if youā€™re regularly p*eing when your bladder isnā€™t actually full, those frequent ā€œjust in caseā€ trips can reinforce the habit of emptying at smaller volumes.

If urgency and frequency are controlling how you travel, there may be more you can do than simply locating every bathroom along the way.

Pelvic floor physiotherapy can help you understand whatā€™s driving the pattern and whether bladder retraining is appropriate for you.

šŸ¦ The pigeon gets a pass. You have options.

08/08/2026

Apparently, I was voted ā€œMost Evidence-Basedā€ in my graduating physiotherapy class. šŸ¤“šŸ“š

Who knew that nerdy little trait would come in handy years later when creating a course?

Menā€™s pelvic health remains an underserviced area, and I know there are pelvic floor physiotherapists who want to treat more menā€”but also want a deeper understanding of whatā€™s actually driving their urinary symptoms.

Thatā€™s exactly why I created the Male LUTS Clinical Intensive.

Weā€™re going beyond ā€œjust do Kegelsā€ and digging into male lower urinary tract symptoms (LUTS), BPH, overactive bladder, clinical reasoning, assessment, and conservative managementā€”with the evidence behind what weā€™re doing.

If youā€™re a pelvic floor physio looking to build your knowledge and feel more confident working with this population, Iā€™d love to have you join the founding cohort.

šŸ”— Join the waitlist through the link in my bio.

Turns out being the evidence nerd has its perks. šŸ¤“

08/07/2026

Pelvic floor physios ā€” this one is for you. šŸ‘‡

A gentleman comes into your clinic and tells you heā€™s waking four times a night to urinate.

Before jumping straight to bladder retraining, have you calculated his Nocturnal Polyuria Index (NPI)?

This is where a good bladder diary becomes incredibly useful.

Using his measured urine output, calculate:

Nighttime urine volume Ć· total 24-hour urine volume = NPI

If the NPI is greater than 0.33 (33%) in an older adult, nocturnal polyuria may be an important contributor to his nocturia.

And that changes your clinical reasoning.

If heā€™s producing a disproportionately large amount of urine overnight, simply trying to increase bladder capacity may not address the primary driver. This may be a situation where further medical assessment and referral back to his GP is warranted.

Donā€™t just count the nighttime voids. Calculate what the diary is telling you.

08/06/2026

This view takes me back to McMaster, where I graduated from physiotherapy school in 2012.

I started in pelvic health in 2014 and have been treating men since the beginning: mostly after prostate surgery or for pelvic pain.

But then I started getting referrals for LUTS, BPH, OAB.

But there wasnā€™t a course dedicated to how to assess and treat men with lower urinary tract symptoms such as these.

Since I had to do my own research and piece things together. I decided I should put something together for others to learn too.

Welcomeā€¦

The Male LUTS Clinical Intensive course, a live, 6-hour Zoom course designed specifically for pelvic floor physiotherapists who want to become more confident with male LUTS.

Inside weā€™ll cover:
ā€¢ Interpreting bladder diaries (including all calculations)
ā€¢ Recognizing red flags and when to refer
ā€¢ Understanding medications, imaging, surgery and medical workups
ā€¢ Subjective assessment and questionnaires
ā€¢ Conservative management for LUTS and BPH
ā€¢ Clinical reasoning and pathophysiology
ā€¢ A biopsychosocial approach to care

This course is intentionally focused.

No bowel.
No sexual dysfunction.
No post-prostatectomy.

Just male LUTS, OAB and BPH.

The founding cohort will be small, and the waitlist gets first access to the lowest launch pricing.

Link in bio to join the waitlist.

07/28/2026

Does your inner groin always feel tight? šŸ¤”

No matter how much you stretch, it just doesnā€™t seem to loosen up?

Hereā€™s something many people donā€™t realizeā€¦

Your inner groin muscles (adductors) and your pelvic floor muscles are close neighbours. They share connective tissue, work together during movement, and often become tense together.

So if your inner groin always feels tight, it might not just be a flexibility problemā€”it could also be a clue that your pelvic floor needs some attention.

The good news? Gentle mobility and relaxation exercises can help improve movement, reduce tension, and help you reconnect with these muscles.

šŸ’¬ Comment ā€œexerciseā€ and Iā€™ll send you the link to my video with some of my favourite inner groin release exercises.

Address

76 Walnut Street South
Hamilton, ON

Telephone

905-803-0307

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