1 in 3 women experience bladder leakage1

If you have experienced bladder leakage either as a result of a sudden urge to go to the toilet or from exercising, laughing, coughing or sneezing, you’re not alone.

The good news is that Pelviva can help you re-train your Pelvic Floor muscles and regain bladder control.

What is Bladder Leakage?

Bladder leakage means that you pass urine when you don’t mean to. It can range from a small dribble now and then, to large floods of urine. The medical term for bladder leakage is ‘urinary incontinence’ but most women don’t use the word ‘incontinence’, preferring instead to talk about bladder leakage.

Leaks may be occasional or frequent depending on the severity and type of condition. The most likely cause of bladder leakage in women is Pelvic Floor muscle weakness.


Do you need to improve your Pelvic Floor muscle health?

The Pelviva Pelvic Floor Age calculator will help you to find out your Pelvic Floor age2.

What is the Pelvic Floor?

All women (and men) have Pelvic Floor muscles. The Pelvic Floor is a set of muscles that sit like a hammock between your tail bone (coccyx) and pubic bone. Pelvic Floor muscles give us control over our bladder and bowel. They also support the pelvic organs and span the bottom of the pelvis.

Weakened Pelvic Floor muscles in women mean the internal organs are not fully supported which may lead to bladder leakage or symptoms of pelvic organ prolapse. Prolapse is when one or more of the pelvic organs (bladder, womb or bowel) press down against the vaginal wall.

Locating your Pelvic Floor

Relax and sit on a rolled-up towel or hard seat. Imagine you are trying to stop passing wind and tighten around your back passage (anus). This action tightens your Pelvic Floor muscles. You will feel them pulling upwards and forwards towards the bone between the top of your legs (pubic bone) and away from the towel/seat.

Lie down on the bed and using a mirror check if you can see the opening of the vagina and the area of skin (perineal body) between your front and back passage lifting upwards away from the mirror.

Alternatively, relax in a warm bath or lie on the bed – place your thumb just inside the opening of your vagina. Contracting your Pelvic Floor muscles should lift the back wall of the vagina upwards against the pad of your thumb.

Types of bladder leakage

There are several types of bladder leakage, including:

Stress leakage – urine leaks at times when your bladder is under pressure; for example as a result of activity such as exercise, or when you laugh, cough or sneeze. Often the first time women realise they have a bladder leakage problem is when they experience ‘stress leakage’ – when they start running or jumping with the kids on the trampoline.

Urgency leakage – urine leaks as you feel a sudden intense urge to urinate but can’t reach the toilet in time – it can happen to anyone at any age.

Mixed bladder leakage – mixed bladder leakage – when both stress and urgency leakage are present.

Pelviva provides ONE combined treatment for stress and urgency bladder leaks – great for the many women who have both types of leakage.

Why exercise your Pelvic Floor?

Women focus quite a bit of attention on improving muscle tone in the arms, legs, bottom and tummy, yet many neglect an equally important but invisible area – the Pelvic Floor muscles.

Your Pelvic Floor muscles can be hard to feel, without help training them can be very difficult.

The good news is that like all muscles, the Pelvic Floor muscles can be strengthened through regular exercise – giving you better bladder control. These muscles also protect against prolapse and help to maintain good sexual function. Keeping them fit and healthy can also improve your sensation during sexual intercourse.

Why do I leak?

Leaks usually occur when Pelvic Floor muscles are either weak or don’t work properly.
The most common causes are:

Signs and symptoms of weak pelvic floor muscles

  • Bladder leaks
  • Leaks with cough, sneeze or laugh
  • Leaks when you exercise
  • Leaks when you start to run
  • Leaks on the trampoline
  • You can’t make it to the toilet in time
  • Bowel control problems
  • Heavy, dragging feeling in the vagina
  • Difficulty emptying your bowels
  • Lower back pain
  • Sexual problems

Treatment options

The NHS recommends Pelvic Floor Muscle Exercises as its first line treatment- but research shows that up to 50% of women have problems doing their Pelvic Floor Exercises correctly.3,4

Women tend to think the only choices are panty liners & incontinence pads. Pads are expensive and do nothing to solve the problem.

Did you know that women using incontinence pads could be spending over £400 a year?5

Other current treatments include long-term prescription medication usage, behavioural techniques, pessaries, mechanical devices or surgery. These often only manage the symptoms but fail to treat the root cause: weak pelvic floor muscles.

With Pelviva you can retrain your Pelvic Floor muscles and regain bladder control in as little as 12 weeks.6


1. Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004 Feb;93(3):324-30.
2. Femeda data on file 2018.
3. BØ K., Larsen S., Oseid S. et al. (1988) Knowledge about and ability to correct pelvic floor muscle exercises in women with stress urinary incontinence. Neurourology and Urodynamics. 69, 261-262.
4. Bump R.C., Hunt W.G., Fantl J.A., Wyman J.F. (1991). Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. American Journal of Obstetrics and Gynaecology. 165, 322-329.
5. https://www.yours.co.uk/health-and-wellbeing/health/articles/we-review-the-best-incontinence-pads-and-pants
6. Oldham J, Herbert J, McBride K. Evaluation of a new disposable ‘tampon-like’ electrostimulation technology (Pelviva®) for the treatment of urinary incontinence in women: a 12-week single blind randomized controlled trial. Neurourology Urodynamics 2013; 32(5):460-466. doi 10.1002/nau.22326.

Models are for illustrative purposes only