The Pelvic Health Lady

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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.

09/28/2026

What am I treating at the clinic today?
An acute neck injury. Because yes sometimes my clients who see me for pelvic floor injure other areas.
2 clients with pain in the buttock. One with sitting and the other with bowel movements.
And last client is working on connecting to the pelvic floor muscles and reducing pelvic floor tension.
That’s my clinical variety today.
Have a pelvic floor issue you need support with?
Link in bio to book.

09/21/2026

Is sitting and doing your kegels boring? 🥱
No doubt they can get mundane and they really should be challenged in new and different ways.
This week on my Patreon, I released an intermediary strengthening routine.
Comment Kegel and I’ll send you the link.

09/02/2026

Men, did you know you have pelvic floor muscles down there? 👀

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 you’re hearing words like pelvic floor and Kegels and wondering where these muscles even are. 😅

In this video, I’m taking you on a quick anatomy tour. I’ll show you:

👉 The 3 layers of the male pelvic floor
👉 The 5 important functions these muscles perform
👉 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 isn’t the whole problem—but it may be an important piece of the puzzle.

Follow along for more practical men’s pelvic health education.

08/30/2026

Gentlemen: Waking up to p*e 3–4 times a night? Don’t automatically blame your prostate. 🌙🚽

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

You might be:
💧 Drinking too much fluid later in the evening
🚽 Emptying your bladder frequently or “just in case”
📉 Holding smaller amounts of urine in your bladder
😴 Waking because of a sleep disorder such as sleep apnea
🩺 Experiencing a medical condition that increases nighttime urine production

And sometimes, there’s more than one factor involved.

If you’re regularly waking 3–4 times a night to urinate, it’s worth discussing with a healthcare provider. A proper assessment—including something as simple as a bladder diary—can help determine what’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 isn’t always the answer. 💧🚽

When you’re constantly dealing with urgency and frequency, it makes sense to think:

“If I drink less, I’ll p*e less.”

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

The goal isn’t necessarily to drink less. It’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 water… 🐦💦
Let’s take a closer look at the bladder.

Link in bio to book

08/24/2026

Gentlemen: A weak urine stream doesn’t automatically mean an enlarged prostate. 🚹

Noticing that your flow isn’t quite what it used to be?

It’s easy to assume: “It must be my prostate.”

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 that’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.

Don’t just assume its just age or the prostate. Get an evaluation.

👉 Follow along for more men’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. 🐦✈️🚽

Sound familiar? 😂

Travel has a funny way of bringing out all those “just in case” bathroom trips.

Before boarding.
After security.
Before getting in line.
And maybe one more time… just to be safe.

It makes sense—nobody wants to be trapped in their seat with a bladder emergency.

But if you’re regularly p*eing when your bladder isn’t actually full, those frequent “just in case” 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 what’s driving the pattern and whether bladder retraining is appropriate for you.

🐦 The pigeon gets a pass. You have options.

08/08/2026

Apparently, I was voted “Most Evidence-Based” in my graduating physiotherapy class. 🤓📚

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

Men’s pelvic health remains an underserviced area, and I know there are pelvic floor physiotherapists who want to treat more men—but also want a deeper understanding of what’s actually driving their urinary symptoms.

That’s exactly why I created the Male LUTS Clinical Intensive.

We’re going beyond “just do Kegels” and digging into male lower urinary tract symptoms (LUTS), BPH, overactive bladder, clinical reasoning, assessment, and conservative management—with the evidence behind what we’re doing.

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

🔗 Join the waitlist through the link in my bio.

Turns out being the evidence nerd has its perks. 🤓

08/07/2026

Pelvic floor physios — this one is for you. 👇

A gentleman comes into your clinic and tells you he’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 ÷ 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 he’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.

Don’t just count the nighttime voids. Calculate what the diary is telling you.

Address

76 Walnut Street South
Hamilton, ON

Telephone

905-803-0307

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