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On this episode of Aging Forward, Christina Chen, M.D., is joined by John A. Occhino, M.D., M.S., to discuss pelvic floor health and why it plays a critical role in healthy aging. Pelvic floor muscles support the bladder, bowel and reproductive organs, yet they often receive little attention until problems arise. In this conversation, Dr. Occhino explains how the pelvic floor changes with age, pregnancy and menopause — and why symptoms like urinary leakage, pelvic organ prolapse and discomfort are common, but not normal. You’ll learn how pelvic floor dysfunction can affect quality of life, when it’s time to seek care, and what treatment options may help — from lifestyle changes and pelvic floor physical therapy to medications and surgery when needed. In this episode, you’ll learn: • What the pelvic floor is and why it matters for healthy aging • Common pelvic floor disorders, including urinary incontinence and prolapse • Why leaking urine is common — but treatable • How constipation, weight, lifting and genetics affect pelvic health • The right way to think about Kegels — and when they can make symptoms worse • How pelvic floor physical therapy works • When surgery may be considered and what non-surgical options come first • Practical steps to protect pelvic health at any age This episode reinforces an important message: pelvic floor changes are not something you have to “just live with.” With the right evaluation and care, many people can improve comfort, confidence and independence as they age. For more episodes and expert resources, visit: https://mcpress.mayoclinic.org/podcas... 0:00 Pelvic floor health episode overview 1:03 Meet Dr. Okina and his path 1:52 What the pelvic floor does 3:24 Why pelvic floor matters with aging 4:15 Common pelvic floor changes in women 5:31 Pelvic floor disorders explained 6:37 Common vs normal and seeking care 8:55 When to treat incontinence and prolapse 10:25 Constipation’s role in pelvic dysfunction 11:44 Tight vs weak pelvic floor muscles 13:21 Sorting pelvic floor vs bowel issues 14:38 First visit exams and urodynamic testing 16:00 Other risks: weight, lifting, genetics 17:08 Weight training and pelvic floor pressure 18:15 Exercises beyond Kegels and core health 18:56 Restoring function after damage or surgery 20:09 Surgery options for incontinence and OAB 22:30 Medications risks and updated treatment paths 24:30 Regenerative medicine and exosomes 25:41 Daily pelvic health priorities and prevention 27:05 How to do a proper Kegel 27:57 Patient success stories and quality of life 29:36 What “Aging Forward” means to Dr. Okina 30:33 Wrap-up, voicemail, and where to learn more From Mayo Clinic to your inbox, sign-up for free: https://mayocl.in/3e71zfi Visit Mayo Clinic: https://mayocl.in/2COVmlm Like Mayo Clinic on Facebook: / mayoclinic Follow Mayo Clinic on Instagram: / mayoclinic Follow Mayo Clinic on X, formerly Twitter: https://x.com/MayoClinic Follow Mayo Clinic on Threads: https://www.threads.net/@mayoclinic