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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343. Sex Therapy in Midlife

343. Sex Therapy in Midlife

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson speaks with Dr. Rachel Boyle, a sex therapist specializing in perimenopause and menopause. They explore the complexities of wom...

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342. Floored - Pelvic Floor with Sara Reardon

342. Floored - Pelvic Floor with Sara Reardon

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341. How To Menopause

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340.  A New Position On Sex

340. A New Position On Sex

In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Juliana Hauser discuss the themes of holistic sexuality, emphasizing the importance of unlearning societal norms and embracin...

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339. Getting Better at Sex - Part Two

339. Getting Better at Sex - Part Two

We are back again with Susan Bratton! I’m thrilled to welcome my friend and sex and intimacy expert Susan Bratton back to the podcast for another eye-opening conversation. Susan always brings the rea...

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338. Perimenopause with Dr. Hirsch

338. Perimenopause with Dr. Hirsch

In this episode of the You Are Not Broken podcast, Dr. Heather Hirsch joins Dr. Kelly Casperson to discuss the complexities of perimenopause and menopause. They explore the importance of understanding...

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337. Author Q&A #2 - The Menopause Moment

337. Author Q&A #2 - The Menopause Moment

Another live author Q&A for my newly released 2nd book "The Menopause Moment" - get your copy today! In this episode we talk a lot about mindset and how important it is in midlife - and then I take a...

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336. Author Q&A #1 - The Menopause Moment

336. Author Q&A #1 - The Menopause Moment

The book is out! This was one of two author Q&A's I did with the amazing humans who pre-ordered the book. But there is something in here for everyone. Enjoy the show! Thanks to our sponsor Midi Wome...

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