146. Why Does Sex Hurt and Why Am I Leaking Urine? How to Solve Pelvic Floor Problems After 40

Mar 9, 2026

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ABOUT THE EPISODE

Talking about bladder leaks, recurrent UTIs, painful sex, and pleasure can feel really uncomfortable. In this episode, Kim sits down with Heather Florio, pelvic and sexual health educator and owner of Desert Harvest Aloe Vera, for a practical and empowering conversation about what is happening to women’s bodies in midlife and what options actually exist.

Heather shares why so many women over 40 and 50 struggle with bladder symptoms, how menopause and hormone shifts can impact the bladder lining and pelvic floor, and what women need to know about the vaginal microbiome, pH, and lubricant safety. They also move into sexual health, body image, and confidence, including a simple self-exploration practice that can help women reconnect with their bodies and communicate what they need.

In this episode, you’ll hear about

• Why recurrent UTIs often increase in menopause and what interstitial cystitis can feel like
• How IC differs from a UTI and why misdiagnosis can happen
• The role of vaginal estrogen, HRT, and finding menopause-trained clinicians
• Why the vaginal and urinary microbiome matter more than most women realize
• What to look for in lubricants, including pH and osmolality, and why many products can disrupt the vaginal barrier
• Pelvic floor dysfunction, why Kegels are not always the answer, and when pelvic floor PT can help
• Midlife libido changes, orgasm changes, and options that may support sexual function
• Reclaiming pleasure, shedding shame, and building body confidence in midlife

Kim’s Thoughts

Heather brings such a rare combination of deep scientific knowledge and genuine compassion to the listeners. She creates a space where women can talk openly about bladder infections, pelvic pain, and sexual health without embarrassment, but with real information and clarity. I feel Heather is deeply committed to helping women reconnect with their bodies instead of feeling ashamed or disconnected from them.

 

About Heather Florio:

Heather Florio is a pelvic and sexual health educator and the owner of Desert Harvest Aloe Vera. She is passionate about helping women reclaim their pleasure, confidence, and pelvic health. Her message is powerful and bold: reclaiming your pleasure is your birthright.

Connect with Heather:

Website:  https://desertharvest.com/

Social Media: 

IG : @desertharvestaloevera and @hmflorio

FB: @desertharvest

 

 

Connect with Kim:

Emotional Eats Podcast: Emotional Eats Podcast:  https://podcasts.apple.com/us/podcast/emotional-eats-podcast-end-emotional-eating-weight/id1686639038

Website:  https://wellspringcounselingandhealth.com/

Instagram: https://www.instagram.com/kimhynesmidlife/

TikTok:  https://www.tiktok.com/@kimhynesmidlife

YouTube:  https://www.youtube.com/@Kimhynesmidlife

Want to improve your midlife focus or sleep?  Check out Brain.fm.  This app has help me be more productive, get the best afternoon powernaps and bring down my nervous system….fast.  Get 30 days for free here.

 https://www.brain.fm/kimhyneshealth

 

Get my favorite healthy Hot Chocolate (Organifi Chocolate Gold) here:

https://www.organifishop.com/

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This dark chocolate tumeric tea helps promote relaxation and calm.  It's the perfect substitute for dessert and a great way to help promote sleep.

 

Other links Kim receives commission on some of these products which are used to continue providing free content and produce the Emotional Eats Podcast.

LMNT

http://elementallabs.refr.cc/kimhynes

Disclaimer:  This podcast is for entertainment and informational purposes only.  Always consult with your medical practitioner before changing habits.  This podcast is not to take the place of medical or mental health professionals.

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