Understanding Prolapse and Incontinence; and Why We Need to Talk About Them

In this episode, Ellie Balfe is joined by Dr Fiona Keogh, consultant gynaecologist with Blackrock Health, to explore what is really going on when it comes to pelvic health, and why so many women are left unsure of what is normal and what is not.

Together, they talk through the symptoms women often normalise, from bladder leaks to a feeling of heaviness or pressure, and why these are not simply things to accept as part of ageing or after having children. Fiona explains what pelvic organ prolapse actually is, how it presents, and the different types of incontinence women may experience, as well as what these symptoms might be trying to tell us.

They also explore how pelvic health changes across different life stages, particularly during pregnancy, postpartum recovery and menopause, and why these can be key moments where symptoms appear or worsen.

Importantly, this conversation moves beyond awareness into reassurance, looking at what can be done to support and improve pelvic health, from pelvic floor physiotherapy to lifestyle changes and, where needed, surgical options.

Above all, this episode is about giving women clarity, confidence and permission to seek help. These symptoms may be common, but they are not something you simply have to live with.

IMAGE The Check-in is part of the IMAGE Women’s Health Clinic and proudly empowered by Boots and sponsored by Samsung and Waterstone Clinic.