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Bringing innovation to sufferers…

Adult incontinence is one of the fastest-growing segments in healthcare today.

Our recent experience at the American Urogynecologists Society (AUGS) PFD conference (pelvic floor disorders) in Chicagoconfirmed conditions like SUI are a growing concern and we saw, first hand, how pelvic floor health care professionals are embracing uresta® as an important tool to help women with SUI (stress urinary incontinence).

And the response was overwhelming! We were run off our feet describing how uresta® works and how it helps women get back to doing the things that their SUI prevents them from doing – like exercising, walking, sneezing, laughing, travelling, etc.

Knowing uresta® was invented by a fellow urogynecologist, Dr. Scott Farrell, many of the medical professionals we spoke to were impressed with the innovation of the unique bladder support.

They reacted most positively that uresta® is self-managed by the patient and that, for women aged 30-70+, it was a great option for SUI. For younger women, in their 30’s and 40’s, many urogynecologists feel surgery is not ideal – they prefer to wait until women are finished having children before considering surgery as an option.

They saw uresta® as an easy, affordable and comfortable solution for SUI – something that women would love for maximum flexibility. Women who have used innovative products like diva cups and Caya (diaphragms) over the last 20 years have a high comfort level using uresta® to prevent bladder leaks – it’s a similar experience to using a tampon.

Joining me to help introduce uresta® at the conference was Missy Lavender, a well-known industry advocate for pelvic health education, and CEO of Below Your BeltElizabeth Wood, chief vision officer and COO of Below Your Belt, and Ashley Miller, marketing lead for HPSRx, our US distributor.

We are working to broaden the awareness of uresta® with pelvic floor health care professionals in North America and around the world with the goal of helping all women with SUI to stop leaking and start living!

More about AUGS
The American Urogynecologic Society (AUGS) is the premier non-profit organization representing more than 1900 professionals dedicated to treating female pelvic floor disorders. AUGS is the primary source of clinical and scientific information and education in Female Pelvic Medicine and Reconstructive Surgery (FPMRS).

Read more about uresta® at www.uresta.com

Resilia Inc. partners with HPSRx Enterprises, Inc. to bring uresta® to the U.S. market.

(Moncton) – Resilia Inc., the makers of uresta® Bladder Support for Women are excited to announce that they have a signed agreement with women’s healthcare distributor HPSRx Enterprises, Inc. and have joined forces to bring uresta® to women across the United States.

uresta® is a simple, safe and effective solution for women suffering from light bladder leakage (“LBL”), clinically known of as “stress urinary incontinence” (“SUI”).

“We’re excited to be expanding the reach of our innovative solution by inking the deal to bring uresta® to all women in the U.S.,” says Stephen Goddard, CEO for Resilia, Inc. “We’re expecting exponential sales growth with this expansion into the United States.”

Our unique patented product offers women the best solution available on the market today and it’s 100% Canadian developed and manufactured

uresta® is an innovative solution that gives women the freedom to enjoy life without having to worry about bladder leaks. And what’s more, uresta®’s design also ensures that women stay dry, odour free and avoid filling up landfills with disposable products.

uresta® was invented by world‐renowned Urogynecologist, Dr. Scott A. Farrell, MD FRCSC Professor, Division Head‐ Gynecology, Clinical Division: Urogynecology, Dalhousie University.

“Stress urinary incontinence is so common that we should be talking about real solutions that work for women,” says Carol Chapman, VP Marketing for Resilia.“That’s why we’re so proud of uresta® – it’s a little product that has a big impact on the quality of life for women. No more pads. No more self‐consciousness. I’m excited for what this means for vibrant, active women everywhere.”

uresta® is available online in the U.S. and Canada and at selected retail locations. (Ask your pharmacist to order uresta® for you – quick and easy.) For more information, visit www.uresta.com.

About HPSRx Enterprises, Inc.
HPSRx Enterprises, Inc. is a wholesale distributor specializing in women’s health.  They provide pharmaceuticals, medical devices, and over 90,000 items of medical supplies. They are licensed to ship to all 50 states and Puerto Rico. HPSRX also complies with Pedigree regulations.

About Resilia
Resilia Inc. manufactures and sells uresta®, the only reusable, self-managed medical device for female stress urinary incontinence that has been clinically proven to completely eliminate or significantly reduce the involuntary loss of urine. FDA cleared, licensed under Health Canada, and CE marked, with global patents on the device, uresta® is the only reusable, highly effective, and self-managed solution available.

Media Contact:
Carol Chapman
506‐961‐3449

uresta® Bladder Support for Women wins coveted Today’s Parent Approved Seal

(Moncton) – Hot on the heels of winning Chatelaine’s 2016 Product of the Year Canada award in the adult care incontinence category (for innovation in design and function), Resilia Inc., the makers of uresta® Bladder Support for Women are thrilled to announce that Today’s Parent has reviewed the uresta® product and awarded it the Today’s Parent Approved Seal for quality, ease of use and value.

uresta® is a simple, safe and effective solution for women suffering from light bladder leakage (“LBL”), clinically known as “stress urinary incontinence” (“SUI”). uresta® is an innovative solution that gives women the freedom to enjoy life without having to worry about bladder leaks – its design also ensures that women stay dry, odour free and avoid the waste and discomfort associated with disposable products.

Today’s Parent Approved is a product testing program with expert reviews and feedback from parents. It’s an exhaustive product testing program that looks at a wide range of products in the categories most important to parents and determines which are the best on the market based on three criteria: quality, ease of use and value.

According to Today’s Parent, “uresta® Bladder Support effectively helps prevent bladder leakage caused by laughing, jumping, running, sneezing, coughing—anything that puts stress on your pelvic muscles. Most of our mom testers were impressed with how well it prevented leaks that had caused them some anxiety in the past, and they wouldn’t hesitate to recommend it to other moms.”

Carol Chapman, Resilia’s vice-president of marketing, said “we were so pleased that uresta® was chosen by Today’s Parent for their Approval Seal review and we’re elated to find out we received the seal of approval for ease of use, value and quality – three criteria we have focused on while developing and manufacturing uresta®.

Read the full review from Today’s Parent.

Our unique patented product offers women the best solution available on the market today and it’s 100% Canadian developed and manufactured uresta® is available online in the U.S. and Canada and at selected retail locations. (Ask your pharmacist to order uresta® for you – quick and easy.)

About Today’s Parent Approved Seal
Today’s Parent Approved puts each product through a battery of tests in their lab, and then sends the product out to parents to try it at home so they can get Today’s Parent log detailed feedback. A customized set of criteria and tests are developed that will help them assess the quality, ease of use and value for money for each product. Every product that earns the Today’s Parent Approved seal must do the job it claims to, and it has to do it safely. They outline how they test the product and how it performed, and share detailed feedback from their parent testers who used the product in their day-to-day lives.

About Resilia
Resilia Inc. manufactures and sells uresta®, the only reusable, self-managed medical device for female stress urinary incontinence that has been clinically proven to completely eliminate or significantly reduce the involuntary loss of urine. FDA cleared, licensed under Health Canada, and CE marked, with global patents on the device, uresta® is the only reusable, highly effective, and self-managed solution available.

For more information, visit www.uresta.com.

Media Contact:
Carol Chapman
506‐961‐3449

How to get your message across in a space dominated by big players

THE CHALLENGE

Carol Chapman, vice-president of sales and marketing and investor in Resilia Inc., knew she was up for a big challenge as the company’s target market was dominated by big multi-national pharmaceutical companies.

Carol Chapman, vice-president of sales and marketing and investor in Resilia Inc., knew she was up for a big challenge as the company’s target market was dominated by big multi-national pharmaceutical companies.

Resilia’s sole product uresta was the first non-surgical, self managed and self-administered solution for women to stop light bladder leakage (LBL) caused by stress urinary incontinence (SUI).

LBL happens when some women cough, laugh, sneeze or perform simple physical tasks. This condition causes the urethra muscle, which acts as a valve to close the bladder, to drop open. Another major challenge was to change the way women thought about incontinence issues.

These issues are generally not discussed as openly among women who are conditioned to think, through marketing campaigns, that their only choices consisted of pads, diapers or a doctor administered pessary. Her research found that over 90 per cent of incontinence issues were related to childbirth and in extreme cases required surgical intervention.

In 2007, Dr. Scott Farrell, a leading Canadian urogynecologist, launched uresta as an alternative to the current products available for treating female SUI. Ms. Chapman knew that she had a good product which targeted an unmet need for women, the question was how to get the message across to women in a space dominated by big pharmaceutical companies which had deep pockets.

THE BACKGROUND

Ms. Chapman was born in Halifax and graduated from Mount Allison University in 1981. She spent the next two decades in the marketing and communications industry working for a company in Moncton, New Brunswick, whose roster of clients included a number of leading Canadian companies. In 2004 when the business was sold, she set up her own consulting business, C-Volution, which focused on corporate social responsibility and cause marketing strategies.

Her interest in uresta started when a potential investor in the company approached her to consider developing the company’s marketing strategy. The more she researched and looked at the impact the product would have on women’s well being and health, the more she was convinced of the opportunity. This inspired her along with other investors to acquire the Shediac, N.B.-based company from the founders in Jan., 2014.

THE SOLUTION

Ms. Chapman adopted a three-pronged strategy to get the message out to the prospective target market.

  1. First, she leveraged various social media channels to target early adopters who could then provide testimonials and use word-of-mouth to get women to try the product and share their experience with other women.
  2. Second, she targeted the business-to-business (B2B) space by connecting with health care organizations, such as clinics, fitness centres and convincing them of the advantages of partnering with uresta, creating a win-win situation for women’s clients, clinics and the company.
  3. The third prong focused on creating awareness among healthcare professionals such as specialists, general practitionners, nurse practitioners, pharmacists and physiotherapists to showcase the advantages of uresta as compared to the available solutions in the marketplace.

THE RESULT

Although it has been a couple of months since the strategy was launched, Ms. Chapman has been successful in getting the message out to the target market through all three channels. The company is gaining momentum through testimonials, word-of-mouth referrals as well as successfully creating partnerships with health care organizations. Giving consumers a voice will be key long term.

Fundamentally, she and her team believe it’s important for women to know that although urinary incontinence is common, it is not normal and can be treated without surgery. They feel by creating a voice for women in Canada and around the world they can truly provide a solution, not merely a band aid.

Nauman Farooqi is a professor in the department of commerce in the Ron Joyce Centre for Business Studies of Mount Allison University.

This is the latest in a regular series of case studies by a rotating group of business professors from across the country. They appear every Tuesday on the Report on Small Business website.

Expert urges women to seek help for SUI condition

Women around the world suffer from SUI (stress urinary incontinence). Here’s a recent article we found in the Gulf News about the very high  number of women in the United Arab Emirates (UAE) who suffer with this condition.

We can now add uresta® to the list of solutions – a safe, cost-effective, environmentally friendly, non-surgical solution.

Published: June 4, 2016 in Gulf News: Health

By Suchitra Bajpai Chaudhary, Senior Reporter

Expert urges women to seek help for this condition that can diminish their quality of life and impair their self-confidence

Dubai: Around 42 per cent women in the UAE at the mean age of 38 suffer from urinary incontinence, a study has found.

Urinary incontinence is a medical condition that is marked by accidental or involuntary release of urine triggered by a sudden pressure on the bladder such as laughter, coughing or sneezing.

The study stated that nearly 80 per cent complained of disrupted daily life and activities such as praying, social engagements, physical activities and intimacy. Urinary incontinence affects 400 million women worldwide, and the numbers in the UAE are of concern to gynaecologists and urologists here who are urging women to shed their inhibitions and seek medical help.

A significant aspect of this concern also owes itself to the fact that most urologists in the country are male and this inhibits women from seeking a medical opinion on a condition that is seen as socially embarrassing, and is also viewed as a social stigma and a cultural barrier.

Dr Ahlam Bu Saber, UAE’s only Emirati urologist and specialist urologist at Al Qasimi Hospital, Sharjah, told Gulf News: “With early intervention and advice on nutrition, lifestyle changes and exercises, most middle-aged women can control this problem. However, women hesitate to consult a doctor. Sometimes neglecting the problem for long causes deterioration in their condition until surgery becomes the imminent solution to resolve the issue.”

Common incontinence problems

Stress Incontinence (SI): Also known as light incontinence, this occurs when a woman sneezes, coughs, laughs, jogs, or does other things that put pressure on the bladder, resulting in a slight leakage of urine. This is the most common type of bladder control problem in women. These bladder problems are caused by weak muscles in the lower urinary tract. SI is a dominant type of condition prevalent among women worldwide.

  • Urge Incontinence (UI): This condition happens when a woman has a strong need to urinate but can’t reach the toilet in time. This can happen even when your bladder is holding only a small amount of urine. Some women may have no warning before that may result in an accidental leak. In others, a leak could be triggered by the sound or touch of running water.

Treatment

Dr Bu Saber says women usually develop this condition after multiple deliveries or difficult pregnancies. “When a woman experiences involuntary leakage, she must consult a urologist. The doctor can take her history, examine, evaluate and assess her situation. The first line of treatment is Kegel exercises (see box) which will help tone the lax bladder muscles. We have qualified physiotherapists who can teach a woman the correct technique of this exercise. Besides this, women who are obese and have poor nutrition are advised to make lifestyle changes to bring down their weight which, to some extent, resolves this issue.”

When the problem is severe, a surgery which involves taping the lax muscles, is carried out.

“The success rate of [the surgeries] is very high and after a few weeks, during which the patient is advised not to pick up heavy objects and seek proper rest, she can resume her normal life.”

While neglect of this condition is not life-threatening, the fact is urinary incontinence can destroy a woman’s self-esteem and interfere in her social and family life. “We advise women to seek medical consultation and see whether their problem can be first resolved with non-surgical options and then advise this surgery which can change their quality of life,” said Dr Bu Saber.

Kegel the most effective exercise for SI

  • Squeeze the same muscles you would use to stop your urine. Your belly and thighs should not move.
  • Hold the squeeze for three seconds, then relax for three seconds.
  • Start with three seconds, then add one second each week until you are able to squeeze for 10 seconds.
  • Repeat the exercise 10 to 15 times a session. Do three or more sessions a day.
  • For best results, more than three sets of Kegel exercises should be done every day.
  • Diet advice to avoid SI
  • Cut back on caffeine and fizzy drinks
  • Eat foods high in fibre to help avoid constipation
  • Don’t smoke
  • Maintain a healthy weight
  • Exercise moderately to keep your muscles toned

Causes of SI

  • Pregnancies’ frequency and post-pregnancy changes
  • Type of childbirth delivery and pelvic surgeries
  • Menopause and other hormonal diseases
  • Obesity and diabetes
  • Illnesses that cause chronic coughing or sneezing
  • Excess consumption of caffeine and smoking
  • High-impact activities over many years

Symptoms:

  • You might experience SI when you:
  • Stand up
  • Get out of a car
  • Exercise and lift heavy weights
  • Have intercourse
  • Laugh, cough or sneeze

You don’t have to accept incontinence

A chat with Missy Lavender about uresta®

We asked a well-known women’s pelvic health evangelist and national speaker on public health, Missy Lavender,  if she could talk to us about women’s pelvic health and uresta®, a relatively new product to help women manage stress urinary incontinence (SUI).

Missy, a passionate advocate for pelvic health education, fitness and programs for all women and girls, was happy to share her views.

Q:  What are your first impressions of uresta® ?

Missy:  The thing I most appreciate about uresta® is the ability for women to have control over their bodies with the sizing kit. When it comes to pessaries, the size is important and the sizing is not what you’d think!  Being able to find the size that works for you puts managing incontinence back in the hands of women. They can get the uresta® starter kit, try it – they don’t have to go to the doctor or go back to the doctor to achieve a proper fit.

Q:  How does uresta® stack up against other options for tackling SUI?

Missy:  I love that uresta® is reusable & comfortable – some pessaries can be really uncomfortable.  Being reusable, you save so much money over other products that are disposable.  This “green factor” keeps so much waste out of the landfill.

It’s very exciting to see companies creating truly innovative products for women who experience light bladder leakage (LBL) (aka SUI).  uresta® is both innovative and good – another great tool in your tool kit.

Q:  What are some of the misconceptions about SUI?

Missy:  Women seem to think that SUI is normal – because they’ve had a baby, they’re getting older, because they are woman. You don’t have to accept incontinence. SUI is common but not normal and there are options to minimize it. There is no magic pill. Understanding your body is important.

Women easily get defeated by incontinence and start shutting down their life. They need to understand what is happening and find out all the possible solutions to deal with the issue.

I’ve always felt that physiotherapy is a great first line option for maintaining pelvic health. Nobody loves kegels but they work when you do them! If you are unsure you are doing them correctly, or need a coach, this is where your physiotherapist or your doctor come in.

Q:  Tell us more about your most recent project, Below Your Belt.

Missy:  We recently published a book, Below Your Belt: A Girl’s Guide To Pelvic Health and our website (belowyourbelt.org) has just been launched. So now we’re fundraising to create an app aimed at young girls but with a message that everyone needs to know. You can read more about the project here.

We want to educate girls about their own body; including everything that happens below the belt; bladder, bowel, periods, hygiene – it’s pelvic health 101. This app is important – it will bring the  information to the small screens of our key target audience – 10-14 year-old girls. (And yes, some of the grown-ups don’t know this stuff either!)  Below Your Belt is changing the world one pelvic floor at a time!

More about Missy Lavender

Missy was the Founder and Executive Director of Women’s Health Foundation, passionate advocates for pelvic health education, fitness and programs to all women and girls before launching Below Your Belt. Missy is a national speaker on pelvic health and has been featured in numerous press outlets, print, radio, and television, recently featured as one of Chicago’s top 100 “Women of Inspiration,” in Today’s Chicago Woman Magazine.

She is the author of four books, You Go Girl…But Only When You Want To! and You Go Girl…But Only When You Want To! Senior Edition, Below Your Belt and Riding the Potty Train: Better Bathroom Behaviors for Little Girls. 

A mother of two, Ms. Lavender holds an MBA from the Kellogg School of Management at Northwestern University.

About uresta®
The uresta® bladder support gives you back your life – it helps significantly reduce or stop leaks so you can start living again. The uresta® bladder support is a safe, simple and easy-to-use reusable that significantly reduces or stops leaks. In clinical studies, 17 out of 20 saw a significant reduction in leaking while leaks were completely eliminated for 6 out of 10 women.

Frankie’s Story ~ a urology nurse with solutions

As a nurse specialist working the area of urinary incontinence and a board representative of The Urology Nurses Of Canada, I have seen many women of all ages suffer from the stigmatizing problem of urinary incontinence. There are many different approaches we can suggest for this problem including lifestyle changes, behavioral approaches, dietary modifications and pelvic floor exercises.

When a women suffers from stress incontinence (the type of leaking that occurs when you cough, sneeze , laugh or lift ), it is often beneficial for them to use a self-fitting pessary such as uresta®.

I have seen women change their whole lives around with these devices. Often women will stop activities they enjoy, like dancing, going to the gym, walking and running, as they try to control their bladder symptoms. When they use  uresta®, they are able to return to these activities.

I have seen very young women use uresta® including a woman who was training for a marathon and only needed to use it during training, when she usually leaked.  Other women  use uresta®  at the gym because  they leak during exercise. I have seen women who have jobs that involve lifting and they can wear uresta® comfortably all day long.

It’s very user friendly, easy to self-fit and very comfortable. Some women actually forget to take it out at night as they forget they have it in!

uresta® has made a 100% difference to many women that are now able to have a “normal “ social life and return to all their activities without the stress and embarrassment of leaking!

Frankie Bates
Urology Nurses Of Canada
Vice-president East

Ask a Physiotherapist ~ those distressing, embarrassing leaks are NOT normal

By Christine Haley, BSc., PT

Whether you are 27, 46 or 70, embarrassing leaks are nothing short of distressing!

Urinary incontinence is defined as any involuntary loss of urine. It is a common and distressing problem which may have a profound effect on quality of life of both men and women.

Many people believe urinary incontinence is a normal part of aging when in fact it is not. Others may be embarrassed to talk about incontinence and therefore do not seek medical advice. Many will feel embarrassed due to unpleasant odors or the fear of losing bladder control therefore avoid going out. This can lead to isolation and depression. The good news is urinary incontinence is almost always secondary to an underlying treatable condition.

The most common urinary incontinence called “stress incontinence” is secondary to insufficient strength of the pelvic floor musculature. If you suffer from this condition, you will note involuntary loss of urine with coughing, sneezing or laughing. Sometimes leakage will occur with lifting, jumping, running or even fast walking or bending. This scenario can, but not always, be compounded by another type of incontinence called “urge incontinence”. It is described as episodic and often unusually frequent distressing urges to urinate.

These types of incontinence respond very well to physiotherapy treatment. The physiotherapy program for this commonly seen condition is strengthening of the weakened pelvic floor musculature, behavioral modification, education, muscle stimulation and biofeedback. You may also be given advice regarding general conditioning which has been found to enhance the recovery process. The compliant patient will most often see a complete recovery.

There is currently a new product on the market called “uresta”. Dr. Scott Farrell, urogynecologist from Halifax, has created this device. It is a bladder support that the female client inserts to help control stress incontinence.

Historically, one would have to see a gynecologist or urologist for this but this new innovation, in conjunction with physiotherapy, has eliminated the inconvenience of wait times. You can be symptom free during this time.

If you suffer from any urinary incontinence, seek medical advice to determine the cause and pursue the necessary treatment to alleviate this condition. Be sure to find a physiotherapist specially trained in treating urinary incontinence.

by Christine Haley, BSc., PT
Keystone Physiotherapy
Keays-Thompson-Haley
506-858-8644

The problem is embarrassing and uncomfortable…

Rachel Cave, of CBC New Brunswick News, talks to Anne Marie Picone Ford and Christine Haley about the common (and often distressing) problem of bladder leakage in women – and the Uresta solution…

Read the CBC article… Shediac company set to go global with incontinence device.

Don’t Let Incontinence Run Your Life

by Nelly Faghani, Registered Physiotherapist
Pelvic Health Solutions

It has been proven that exercise—running especially—has health benefits well beyond any pill a doctor could prescribe. Sadly, women often stop exercising as a result of bladder leakage, also called incontinence. They feel embarrassed and suffer in silence, thinking the condition can’t be treated or that it is a “normal” part of aging.

Starting the Conversation

Ladies, let’s break the silence. Incontinence is common, but it is not normal. There are simple, low-cost, real-time, non-surgical solutions that women need to know about. For starters, many don’t understand the meaning of the word “incontinence”. Let’s demystify the medical jargon. Stress incontinence is a small “spurt” of urine that occurs when you cough, laugh, sneeze or do physical activity (such as running). Urge incontinence (also known as overactive bladder syndrome) is the sudden loss of bladder control just after an overwhelming urge to go pee. Mixed incontinence is when women suffer from both.

The Pelvic Floor

American gynecologist Dr. Arnold Kegel brought the world’s attention to the group of muscles called the pelvic floor that are like a hammock or sling, supporting the bladder, uterus, prostate and rectum. Dr. Kegel noted that a woman’s pelvic floor muscles were weakened by childbirth and prescribed his famous “Kegel exercises” to women as a non-surgical treatment. Frustration with doing Kegels, uncertainty of how to do them properly, or not seeing results has left many of us feeling hopeless, so we just keep wearing pads or stop exercising altogether.

Guidelines for Kegels

When the pelvic floor muscles are weak, they need to be strengthened through a structured strengthening program. This doesn’t mean doing a few Kegels at the kitchen sink or at a stoplight and, contrary to what many women are told, you should never do these exercises by stopping your urine mid-stream. An extreme approach that suggests doing 1000 reps a day has no basis in exercise science either. Start by following the same rules you do when doing weight training at the gym: 3 sets of 10 repetitions daily for about 12 weeks. You can do them daily because, unlike weight training at the gym, you don’t add weights to increase the effort. So, daily exercise is safe until those annoying leaks stop.

How do you know that you’re doing them correctly? The best way to know for sure is to see a professional, like a physiotherapist, who has the appropriate training to confirm you are doing the exercises properly. They’ll do an internal exam to assess the state of the muscles and let you know how well you’re doing your Kegels. Research shows that strengthening pelvic floor muscles with the guidance of a pelvic health physiotherapist has an effectiveness rate of 80%.

Other Options

Pessaries are another great tool for managing incontinence. Until now, all pessaries had to be fitted and inserted by a medical professional. A self-fitting pessary, specifically for stress incontinence, was recently launched. The uresta® pessary is designed for comfort, safety and ease of use. It can be used all day or only for the activities that cause leaks, and can be a safe, low-cost solution for women who don’t respond to exercise or who can’t access a pelvic health physiotherapist.

Surgery is for the 20% of women who can’t improve their symptoms with strength training or the use of a pessary alone. Surgery should be approached cautiously based on the latest available evidence.

Female runners may also have the opposite problem of tight pelvic floor muscles. By nature of their sport, runners develop tight hip, low back and pelvic floor muscles. In these cases, doing Kegels may worsen the problem. These women should consult a pelvic floor physiotherapist to assess if they have tension in these muscles before starting Kegels or inserting a self-fitting pessary. Symptoms of this type of tension would be mixed incontinence, overactive bladder, pain with intercourse, or generalized pain in the pelvic region or hips.

Start the conversation with your girlfriends, your doctor, your pelvic health physiotherapist or your nurse practitioner.  You are not alone! Don’t let embarrassment stop you from doing the sport you love.

from: www.therunningroom.com