Does pelvic floor therapy still work at age 70?

Question

Hello doctor,

I am 70 years old and have had symptoms of an overactive bladder for several years. The constant urge to pee is getting more and more annoying, especially when I am out and about or trying to get a full night's sleep.

Someone just offered pelvic floor therapy, and that got me wondering if it may still be useful at my age. I have always thought of pelvic floor exercises as something for younger patients; therefore, I do not know how much good it does for the elderly. If I can, I would like to try other options first before I add another pill to my daily regimen.

I still have these symptoms, and it is damaging my confidence; therefore, I do not like to travel or do anything outside the house. Please advise whether pelvic floor therapy is generally beneficial for people in their 70s and what types of benefits older adults can realistically expect.

Thank you for your time and advice.

Would really appreciate any recommendations you have.

Answer 1

Hello,

Welcome to icliniq.com

Thank you for contacting us.

I understand your worries.

Yes, pelvic floor therapy can definitely work at age 70. In reality, a lot of older folks become a lot better, and there’s no need to exclude it just based on age.

Some key items to consider:

Pelvic floor therapy involves much more than basic Kegel exercises. A specialized pelvic floor therapist can teach techniques to reduce urgency, improve bladder control, and retrain healthy bladder habits.
Many patients experience fewer episodes of urgency, reduced leakage, and better overall bladder control when they follow the program consistently and correctly.
Pelvic floor therapy is often even more effective when combined with bladder training, which helps gradually increase the time between bathroom visits.
Success is influenced far more by consistency and commitment than by age. Patients who practice regularly often achieve meaningful improvements, whether they are 40, 70, or older.
Since you would prefer to avoid adding another medication, pelvic floor therapy is one of the most effective non-drug treatment options available and is commonly recommended before considering more invasive interventions.
If symptoms persist and are troublesome despite therapy, there are still other treatment choices to consider, such as medicines, vaginal estrogen therapy in post-menopausal women, or other therapies when suitable.

Because your symptoms are affecting your sleep, confidence, and willingness to travel, I believe pelvic floor therapy is well worth considering. Many older adults are pleasantly surprised by the level of improvement they achieve once they learn and consistently apply the proper techniques.

I hope this addresses your concerns.

Please feel free to follow up if you need any additional clarification.

Thank you.