In this episode of the HSE Women’s Health Podcast – Your Body, Mind and Baby, Professor Barry O’Reilly, Clinical Professor in Obstetrics and Gynaecology with a subspecialty in Urogynaecology, joins Dr Doireann O’Leary to discuss pelvic floor dysfunction, a topic that affects many women, yet often remains surrounded by silence and stigma.

Professor O’Reilly explains that pelvic floor dysfunction is an umbrella term that includes urinary incontinence, pelvic organ prolapse, bowel dysfunction, and sexual dysfunction. He notes that around one in two women will experience some form of pelvic floor disorder in their lifetime, with pregnancy and childbirth being significant contributing factors. Despite how common these conditions are, many women feel embarrassed to seek help or assume that symptoms such as urinary leakage or prolapse are simply an inevitable part of ageing or motherhood.

During the discussion, he breaks down the two main types of urinary incontinence: overactive bladder, which causes urgency and frequency, and stress incontinence, which results in leakage during coughing, laughing, or exercise. Understanding the difference is key to identifying the most appropriate treatment, which may include lifestyle adjustments, physiotherapy, medication, or surgery.

He also stresses the importance of education and prevention, advocating for pelvic floor health awareness to begin early so that young women can understand, protect, and strengthen these essential muscles before pregnancy or menopause.

Professor O’Reilly’s message is clear: pelvic floor dysfunction is common, but it is not something women should accept or endure in silence. With the right information, support, and care from lifestyle measures to physiotherapy and medical management, women can regain control and confidence in their daily lives.