501: Overactive Bladder, Prolapse and Leakage…Is Our Vagina Aging Well with The Vagina Coach Kim Vopni
Midlife Conversations with Natalie Jill: Fat Loss, Hormones & Health for Women Over 40
Natalie Jill
4.8 • 635 Ratings
🗓️ 6 January 2026
⏱️ 57 minutes
🧾️ Download transcript
Summary
Did you know that 46% of women completely stop exercising because of pelvic floor problems and most wait nearly 7 years before seeking help? If you've been waking up multiple times every night to pee, crossing your legs when you sneeze, or planning your entire day around bathroom locations, this episode is about to change your life. And no, the answer isn't just "do more Kegels."
In this conversation with Kim Vopni, also known as The Vagina Coach, to uncover the shocking truth about what's really happening to your pelvic floor in midlife and why everything your doctor told you might be wrong. Kim reveals why most women are doing Kegels completely incorrectly, making their problems worse instead of better. She explains the real reasons you're waking up at night (hint: it's probably not your bladder), and shares the one appointment every woman should schedule annually that most have never even heard of.
You'll discover why bladder leaks aren't just an inconvenience but a cascade effect that's destroying your sleep, your exercise routine, your sex life, and your confidence. Kim breaks down the difference between normal aging and actual pelvic floor dysfunction, revealing that what you've accepted as "just part of getting older" is actually completely reversible in most cases.
From the truth about vaginal estrogen and the black box warning that's medically inaccurate, to hypopressives and vaginal red light therapy, this conversation goes deep into solutions that actually work. Kim explains why surgery and medication should never be your first option, shares the retraining technique that stops night waking in as little as one night, and reveals the hidden connection between your nervous system and every single pelvic floor symptom.
Whether you're dealing with stress incontinence, urgency, pelvic organ prolapse, or you're just exhausted from getting up six times a night, this episode gives you the roadmap to reclaim your pelvic health (and your life). Because hiding from photos, avoiding social events, and wearing black leggings every day isn't the solution.
Ready to stop planning your life around bathrooms?
Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube
Learn More About Kim Vopni
Instagram ➜ https://www.instagram.com/VaginaCoach
Website ➜ http://vaginacoach.com/
Thank you to our show sponsors!
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Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.
Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.
Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.
Transcript
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| 0:00.0 | When you sneeze and a little pee comes out, is that normal? |
| 0:03.6 | And what about getting up a million times as it feels in the middle of the night because you feel like you have to go to the bathroom? Or what about when you're working out and you do that box jump? Or maybe you're just doing that squat and there's a little leakage. And now you're thinking, do I always have to wear black? Is this a midlife problem that's not going to go away? Is this menopause, perimenopause, help? |
| 0:22.7 | What do I do about it? |
| 0:23.6 | Do I need a prescription? to wear black? Is this a midlife problem that's not going to go away? Is this menopause, |
| 0:21.6 | perimenopause, help? What do I do about it? Do I need a prescription? |
| 0:26.1 | Welcome to midlife conversations. I'm your host, Natalie Gill, and I'm passionate about having |
| 0:30.8 | amazing conversations that matter to us midlife women. On this podcast, I do what I do best, |
| 0:36.6 | taking complicated health topics and breaking |
| 0:38.7 | them down simply so that we can optimize aging together. I share actionable steps to help you |
| 0:44.5 | thrive in what I believe are our best years to come. Join me as I interview the most inspiring |
| 0:50.2 | people living their best midlife years and dive into essential topics like hormone changes, |
| 0:55.1 | health optimization, weight management, blood sugar, emotional well-being, relationships, beauty, |
| 1:00.3 | and so much more. Today, I've got Kim Vopny here. We are talking pelvic floor and don't worry, |
| 1:07.4 | we're not just getting into the standard. You've got to do keegles. That's not what we're going |
| 1:10.7 | to be doing. We're going to be talking about it, be talking about it and why we need to pay attention to this. Thank you so much for being here today, Kim. |
| 1:19.2 | You're welcome. Thanks so much for having me. So let's back up a minute. What the heck is happening? |
| 1:24.1 | Like, why does this even happen in the first place? I know we'll see a lot of |
| 1:28.6 | memes on social media about the, if I sneeze, I have to, you know, cross my legs or we kind |
| 1:27.6 | joke about it. It becomes this little, you know, annoyance that midlife women talk about. But what |
| 1:33.6 | the heck is going on? Why? What's this coming from to begin with? Yeah. A lot of it is we think of it as just |
| 1:39.8 | being associated with, oh, that just happens now that you've had babies, or that's just what |
| 1:46.0 | happens because you're now reaching menopause, or that's what happens because you get older. And we have |
... |
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