👉 Watch Now: Our latest Pelvic Power Hour interview with Catherine Reisen – available now on-demand.
Is your pelvic floor giving up on you during workouts? You’re not alone. Research shows that up to 30% of female athletes experience urinary incontinence (NIH), and women who participate in high-impact sports are 2–3 times more likely to leak compared to non-athletes. Even elite CrossFit competitors report symptoms like leakage and prolapse risk (PubMed).
👉 Here’s the truth: it might be common, but it’s not normal. And it’s absolutely not something you just have to live with.
That’s why we sat down with Catherine Reisen, a Los Angeles–based performance coach and Certified Menopause Specialist, for an unfiltered, science-backed conversation about pelvic health, perimenopause, and performance.
This isn’t another “just do more Kegels” chat. It’s about what active women in their 30s, 40s, and 50s really need to know to protect their pelvic floor, train smarter, and fuel their bodies for long-term health.
Why Pelvic Floor Health Matters for Active Women
For athletic women, the combination of training intensity, hormonal changes, and under-recovery can create a perfect storm for pelvic floor dysfunction. As estrogen declines in perimenopause, collagen production drops, tissue elasticity decreases, and recovery slows. Pair that with high-impact workouts, poor core strategy, or a history of pregnancy and birth, and suddenly your pelvic floor, the underappreciated MVP of your performance system, is struggling to keep up.
What Is the Pelvic Floor?
Your pelvic floor isn’t just a muscle you squeeze during Kegels. It’s a key part of your core canister, working with your diaphragm, deep abdominals, and spine. It:
- Stabilizes your pelvis during movement
- Supports intra-abdominal pressure during lifts
- Coordinates breath, posture, and performance
- Keeps your bladder, bowel, and uterus in place
When the pelvic floor is overloaded, under-trained, or hormonally impacted, it can’t do its job, leading to leaks, heaviness, pressure, or pain.
What You’ll Learn in This Episode
âś… Why even elite athletes experience pelvic floor dysfunction
âś… How perimenopause impacts strength, collagen, and recovery
âś… The truth about core bracing and pelvic overload
âś… Nutrition strategies to support hormones and tissue integrity
âś… What most fitness programs get wrong, and how to train smarter
✔️ Watch anytime, on your schedule.
Who Should Watch This Interview
- Active women in their 30s, 40s, and 50s
- Runners, lifters, and HIIT lovers navigating leaks, pressure, or performance shifts
- Fitness coaches, PTs, and pelvic health professionals
- Anyone tired of being told it’s “normal” to leak as you age
Meet Catherine Reisen
Catherine Reisen is a Los Angeles–based Certified Menopause Specialist and Performance Coach with over a decade of experience training women across all life stages, from competitive athletes to 80-year-old lifters. Her no-BS, body-literate approach helps women build strength, resilience, and pelvic confidence with real science and actionable strategy.
👉 Learn more at dbcfitness.com/catherine-reisen.
Let’s Be Real: Peeing When You PR Isn’t a Badge of Honor
Leaking doesn’t mean you’re weak, it means your body is asking for support. Pelvic health isn’t about shame, it’s about performance. And the sooner we flip the script, the stronger, faster, and more resilient women can be across every life stage.
💡 Pelvic floor care isn’t a weakness, it’s your performance edge.
Why wait for the next sneeze surprise?
Stop scrolling, start strengthening. Join us on the Pelihealth Platform today.