What is Pelviva

1 in 3 women experience bladder leaks1

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.

Take The Test

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.

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:

Pregnancy & Childbirth

During pregnancy, hormonal changes and the increasing weight of Mum and the baby can place a lot of stress on your Pelvic Floor muscles, having an effect as early as 12 weeks into a pregnancy. 

Childbirth can have a further weakening effect on the Pelvic Floor especially if:

  • it is a large baby (>4kg / 8lbs 12oz)
  • you push for a long time or
  • you have an instrumental delivery with Forceps or Ventouse (vacuum assisted).

Women who have a caesarean section delivery may also experience problems with their Pelvic Floor muscles, so its important for all women to look after their Pelvic Floor muscles after delivery.

We do not recommend using Pelviva during your pregnancy but you can start to use Pelviva 12 weeks after your delivery.


The bladder, vagina and bladder outlet tube (urethra) are all sensitive to the hormone oestrogen. As you go through the menopause your ovaries will gradually produce less oestrogen which can cause symptoms such as dryness, itching and irritation in the vagina, bladder tube and bladder. These changes can cause you to need to go to the toilet more frequently including having to get up at night to empty your bladder (nocturia). The menopause also accelerates the natural aging process which can cause mild symptoms of bladder leakage to quickly become more of a problem.

Some women experience more bladder leakage with the hormone changes in the menstrual cycle; with symptoms seeming to be worse just before a period or mid-cycle (during ovulation).

Chronic Straining

A chronic cough can add to the strain on the Pelvic Floor muscles. It’s good to talk to your GP to see if you can have treatment for a chronic cough.

Having trouble emptying your bowels and needing to strain to help them to work can cause a lot of additional stress to the Pelvic Floor muscles. Your GP can help you manage symptoms of constipation or may refer you to a specialist nurse or physiotherapist who can advise on treatment.


Some women experience an increase in bladder leakage following abdominal surgery, for example, after a hysterectomy or gall bladder surgery (cholecystectomy). It’s important to exercise your Pelvic Floor muscles after having any abdominal surgery; you can use Pelviva to help after 12 weeks in accordance with advice from your healthcare professional.

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


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