327. Bladder Matters, Leakage and What To Do
You Are Not Broken20 Heinä 2025

327. Bladder Matters, Leakage and What To Do

Episode 327: Bladder Leakage Is Common, But That Doesn’t Mean It’s Normal — with Dr. Alex Rogers I’m joined this week by my brilliant colleague and fellow urologist, Dr. Alex Rogers, for a candid, informative conversation about something way too many people silently struggle with: bladder leakage. We’re two urologists talking all things pee — from stress incontinence to overactive bladder, and everything in between. Whether you’re dealing with a sudden urge to run to the bathroom, leaking when you laugh or sneeze, or you’re just confused about what’s going on down there, this episode is for you. We break down the two most common types of bladder leakage — overactive bladder and stress urinary incontinence — and explain why they require totally different treatment approaches. We also talk about the huge impact of hormones on bladder health, especially in menopause (yes, estrogen matters here too!). Dr. Rogers and I dive into: Why bladder leakage is so common — and why we shouldn’t normalize it The real science behind overactive bladder Why Botox is an underutilized but super effective treatment option How pelvic floor therapy fits into the bigger picture What’s new and exciting in urology (hello, neuromodulation and telehealth) The frustrating role of insurance in limiting access to care How to find a provider who actually knows what they’re doing when it comes to bladder health This isn’t just a “deal with it” issue — it’s a quality of life issue. And the good news? There are solutions. Real, evidence-based, life-changing options. But only if we talk about it. So let’s talk. Takeaways: Bladder leakage is common but under-discussed Hormonal changes play a huge role in bladder function Overactive bladder ≠ stress incontinence — and treatments vary Botox is a powerful and underutilized option Telemedicine and new tech are changing the game Education empowers patients to advocate for better care Insurance hurdles are real — and we need to fight for better access Find the right specialist — not all care is created equal Let’s stop suffering in silence and start empowering ourselves and our patients with facts, not shame. 🎧 Listen now and share with someone who needs to know they're not alone — and that bladder leakage is treatable. https://www.bladderboutique.com/ Want more honest, empowering conversations like this one?⁠⁠⁠Preorder my Next Book⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠ Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at goodvibes.com/menopause Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

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351. The Perimenopause Revolution

351. The Perimenopause Revolution

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Episode 350: Six Years In — The Big Winter Blowout, Hormones, Health, and Being in the Arena

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I just wrapped 6 years of podcasting!!! Episode 350 marks a major milestone for You Are Not Broken: six years, 350 episodes, and a whole lot of growth—personally, professionally, and culturally. In t...

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349. Finding Yourself with Mindy Pelz

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348. The Sex Doctors: AKA Two Urologists and a Sex Therapist Have A Chat

348. The Sex Doctors: AKA Two Urologists and a Sex Therapist Have A Chat

Dr. Kelly Casperson engages with Dr. Abraham Morgentaler and Dr. Marianne Brandon, the dynamic duo behind the Sex Doctors podcast. They discuss the evolution of testosterone therapy, the importance o...

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347. Unraveling the Myths of Vaginal Hormones

347. Unraveling the Myths of Vaginal Hormones

GSM = genitourinary syndrome of menopause - it is a mouthful - and a very common experience. Today Dr. Corinne Menn and Dr. Casperson talk all about it. This audio is taken from an IG live - follow ...

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346. Vibrators As Medicine

346. Vibrators As Medicine

In this episode of the You Are Not Broken podcast, Dr. Alexandra Dubinskaya, a urogynecologist, discusses the role of vibrators in women's health, particularly in addressing sexual health issues. Sh...

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345. Ethics and Informed Consent in Hormone Care

345. Ethics and Informed Consent in Hormone Care

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Jennifer Lanoff, a board-certified women's health nurse practitioner and attorney. They discuss Jennifer's unique jo...

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344. BONUS Episode! Historic FDA Label Change!

344. BONUS Episode! Historic FDA Label Change!

THE WORLD IS CHANGING!!! Erasing fear with evidence, science and facts! This conversation delves into the significant impact of hormone replacement therapy (HRT) on women's health, particularly in t...

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