Transgender Bladder Health

Bladder Health

Bladder Health


What is normal bladder health?

The bladder is designed to normally hold 300-400mL of urine before giving an urge to empty. It is considered normal to pass urine 4-7 times a day, or every 2-3 hours if you are drinking between 1.5-2L of fluid per day. A strong stream with no hesitancy is a hallmark of good bladder health as well as being able to have control.

Signs and Symptoms

  • Do you leak when you cough, sneeze, laugh, run or jump?
  • Are you able to make it to the toilet in time?
  • Has your urine stream changed? Is it slow/stop-start or dribbling?
  • Do you have sudden, strong urges to run to the toilet without any build-up
  • Are you waking more than twice per night to wee?



Common causes of bladder problems:

  • Stress and anxiety can influence pelvic floor muscles to become overactive and tight
  • An overactive bladder
  • Alcohol, caffeine, artificial sweeteners, fizzy drinks and some medications
  • Hormonal changes that cause low oestrogen which can influence connective tissue in the area and the bladder
  • Chronic bowel problems such as constipation



How we can help?


Physiotherapy for bladder concerns?

Our trained physiotherapists can assist with:


  • A personalised pelvic floor muscle training program to either strengthen or lengthen the pelvic floor - or both
  • Bladder retraining and urge delay techniques
  • Addressing any bowel concerns or bladder triggers that are present
  • Advice on healthy bladder habits


In some cases your physiotherapist may encourage you to consult with your GP or specialists to determine if hormonal treatments may be influencing symptoms.


Our team

More Information

Find out more about Bladder Health

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