Host Melissa Kramer Interviews Alina Filipe, a leading pelvic floor physiotherapist, on Chronic UTIs and Bladder Health.

Together, they explore the overlooked connection between pelvic floor dysfunction and chronic urinary tract infections, offering practical, evidence-informed insights to help listeners find relief when antibiotics alone aren’t enough.

If you’re frustrated by recurring UTIs, lingering symptoms, or want to understand better the anatomy that affects your bladder health, this episode is essential listening.

Key Takeaways from This Episode:

• Did you know that not fully relaxing your pelvic floor while urinating can increase the risk of a UTI? As Alina points out, “If you're not completely relaxing your pelvic floor, it’s easier to leave some urine behind, which raises your chances of a UTI.”
• Pelvic floor health is about balance, not just strengthening. Alina emphasizes that pelvic floor physiotherapy goes beyond trigger points, addressing hydration, bowel regularity, sexual function, and hygiene practices that may worsen symptoms.
• If UTI symptoms persist after treatment, your pelvic floor may be contributing to the discomfort. “The pelvic floor can become sensitized,” explains Alina, highlighting how nerve irritation and muscle tension can mimic infection symptoms without bacteria. The episode covers gentle techniques to reset the pelvic floor and break the cycle of pain and misdiagnosis.

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